Plymouth Shoulder and Elbow deliver the very highest quality, evidence-based care.  We have listed some of the scientific literature that supports our clinical practice.

(Please click on the subject title to view a summary of the evidence)

 

Shoulder

Subacromial decompression versus diagnostic arthroscopy for shoulder impingement: randomised, placebo surgery controlled clinical trial.
Plate fixation compared with nonoperative treatment of displaced midshaft clavicular fractures: a randomized clinical trial.
Mechanical and imaging evaluation of the effect of sutures on tendons: tape sutures are protective to suture pulling through tendon.
Incidence of recurrence after shoulder dislocation: a nationwide database study.
A randomized controlled trial of arthroscopic capsular release versus hydrodilatation in the treatment of primary frozen shoulder.
Subacromial Decompression Yields a Better Clinical Outcome Than Therapy Alone: A Prospective Randomized Study of Patients With a Minimum 10-Year Follow-up.
Outcomes for subscapularis management techniques in shoulder arthroplasty: a systematic review.
The Clavicle Trial: A Multicenter Randomized Controlled Trial Comparing Operative with Nonoperative Treatment of Displaced Midshaft Clavicle Fractures.
Open versus arthroscopic surgical treatment for anterior shoulder dislocation: a comparative systematic review and meta-analysis over the past 20 years.
How should I fixate the subscapularis in total shoulder arthroplasty? A systematic review of pertinent subscapularis repair biomechanics.
Intravenous tranexamic acid reduces total blood loss in reverse total shoulder arthroplasty: a prospective, double-blinded, randomized, controlled trial.
The effect of intravenous tranexamic acid on blood loss and early post-operative pain in total shoulder arthroplasty.
Does acromioplasty result in favorable clinical and radiologic outcomes in the management of chronic subacromial pain syndrome? A double-blinded randomized clinical trial with 9 to 14 years' follow-up.
Bursectomy compared with acromioplasty in the management of subacromial impingement syndrome: a prospective randomised study.
Nonoperative management versus reverse shoulder arthroplasty for treatment of 3- and 4-part proximal humeral fractures in older adults.
Surgical vs nonsurgical treatment of adults with displaced fractures of the proximal humerus: the PROFHER randomized clinical trial.
Five-year follow-up results of the PROFHER trial comparing operative and non-operative treatment of adults with a displaced fracture of the proximal humerus.
Comparison of reverse total shoulder arthroplasty outcomes with and without subscapularis repair.
Effectiveness of open and arthroscopic rotator cuff repair (UKUFF): a randomised controlled trial.
The pathogenesis and surgical treatment of tears of the rotator cuff.
Nonoperative treatment of primary anterior shoulder dislocation in patients forty years of age and younger. a prospective twenty-five-year follow-up.
The vertical humeral osteotomy for stem removal in revision shoulder arthroplasty: results and technique.
A comparison of hemiarthroplasty and total shoulder arthroplasty in the treatment of primary glenohumeral osteoarthritis: results of a multicenter study.
Hemiarthroplasty vs total shoulder replacement for rotator cuff intact osteoarthritis: how do they fare after a decade?
Clinical outcomes of reverse total shoulder arthroplasty in patients aged younger than 60 years.
The anatomy of the coracohumeral ligament and its relation to the subscapularis muscle.
Releases of subscapularis contracture: an anatomic and clinical study.
Thirty-day morbidity and mortality after elective total shoulder arthroplasty: patient-based and surgical risk factors.
The natural history of primary anterior dislocation of the glenohumeral joint in adolescence.
Surgery within 6 months of an acute rotator cuff tear significantly improves outcome.
Frozen shoulder - A stiff problem that requires a flexible approach.
Open reduction and plate fixation versus nonoperative treatment for displaced midshaft clavicular fractures: a multicenter, randomized, controlled trial.
A randomized, prospective evaluation on the effectiveness of tranexamic acid in reducing blood loss after total shoulder arthroplasty.
Tranexamic acid decreases blood loss in total shoulder arthroplasty and reverse total shoulder arthroplasty.
A modification to the Walch classification of the glenoid in primary glenohumeral osteoarthritis using three-dimensional imaging.
Satisfaction, function and repair integrity after arthroscopic versus mini-open rotator cuff repair.
Anatomy of the terminal branch of the posterior circumflex humeral artery: relevance to the deltopectoral approach to the shoulder.

Elbow

Modified bilaterotricipital approach to the distal humerus: a triceps preserving technique.
Elbow hemiarthroplasty using a "triceps-on" approach for the management of acute distal humeral fractures.
Distal biceps reconstruction using an Achilles tendon allograft, transosseous EndoButton, and Pulvertaft weave with tendon wrap technique for retracted, irreparable distal biceps ruptures.
A posterior approach to the elbow joint.
The Olecranon Osteotomy-Facilitated Elbow Release (OFER).
Effect of corticosteroid injection, physiotherapy, or both on clinical outcomes in patients with unilateral lateral epicondylalgia: a randomized controlled trial.
Outcomes of open arthrolysis of the elbow without post-operative passive stretching.
Posterolateral rotatory instability of the elbow.
Exposure of the head of the radius using the Wrightington approach.
Complications and revision rate compared by type of total elbow arthroplasty.
Triceps on approach for total elbow arthroplasty: worth preserving? A review of approaches for total elbow arthroplasty
Surgical and Nonoperative Management of Olecranon Fractures in the Elderly: A Systematic Review and Meta-Analysis
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