In this issue of the Orthopedic Clinics of North America , we present several interesting articles in the Upper Extremity section reviewing a number of upper extremity conditions.
Gutowski and I present a detailed review of the evaluation and medical management of osteoporosis, a condition that continues to grow in prevalence. The upper extremity is a common site to encounter osteoporosis-related fragility fractures and surgeons treating these injuries would benefit from an understanding of the symptoms, evaluation, and medical treatment options.
Abzug and Kozin provide a comprehensive review of brachial plexus birth palsies. Despite being well recognized, brachial plexus birth palsies continue to be relatively common, potentially resulting in permanent deficits in upper extremity function. The authors review the mechanism of injury, risk factors, anatomy, diagnosis, classification, and both surgical and nonsurgical treatment options.
Frank and colleagues present a detailed review of acromioplasty and discuss its role in the management of rotator cuff injuries. As the indication for performing an acromioplasty during rotator cuff surgery has recently been brought into question, the authors present the best recent evidence related to its utilization.