Current practice in shoulder pathology: results of a web-based survey among a community of 1,084 orthopedic surgeons

Abstract

Cross-sectional; Level V (expert opinion).

Patients Have Strong Preferences and Perceptions for Biceps Tenotomy Versus Tenodesis

“…A recent survey study of orthopaedic surgeons shows that age remains a significant factor in surgical decision making for long head of the biceps tendon pathology among members of the European Society of Sports Traumatology, Knee Surgery, and Arthroscopy. 13 Despite minimal evidence, consensus has emerged that tenotomy might be appropriate for patients over the age of 55 years on the basis that tenodesis requires increased surgical time and slower pain relief. However, our data suggest that age is not a significant factor in predicting which procedure patients might prefer.…”

A Survey of Expert Opinion Regarding Rotator Cuff Repair

“…Routine DVT prophylaxis was not used by a large number of respondents. Although the reported rate of DVTs after shoulder arthroscopy is rare (0.0006%), there have been reports of pulmonary emboli in genetically predisposed patients 5,7 . Given this extremely low occurrence rate, the use of DVT prophylaxis after rotator cuff repair may not be an issue with much clinical relevance.…”

“…Previous studies have utilized web-based surveys to evaluate surgeon practice patterns regarding various shoulder disorders [4][5][6] . The purpose of our study was to assess the current approach of orthopaedic surgeons specializing in shoulder Disclosure: None of the authors received payments or services, either directly or indirectly (i.e., via his or her institution), from a third party in support of any aspect of this work.…”

Arthroscopic Bankart Repair: Accessory Posterior Portal With Slotted Cannula for Lowest Capsulolabral Access

“…3,4 Repair of the anteroinferior capsulolabral disruption associated with anterior shoulder dislocations is the standard treatment for this pathology. [5][6][7][8] Arthroscopic treatment offers the advantage of a minimally invasive approach with less soft-tissue scarring, restriction in motion, and subscapularis failure. 4,[9][10][11] A detrimental intraoperative complication is inadequate anchor positioning.…”