John W. Sperling

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BACKGROUND C-reactive protein (CRP) and erythrocyte sedimentation rate (ESR) have been shown to be useful for diagnosis of prosthetic hip and knee infection. Little information is available on CRP and ESR in patients undergoing revision or resection of shoulder arthroplasties or spine implants. METHODS/RESULTS We analyzed preoperative CRP and ESR in 636(More)
Specialized magnetic resonance imaging (MRI) was performed in 42 painful shoulder arthroplasties, 22 of which underwent subsequent revision surgery, allowing surgical confirmation of the pathology identified on MRI. One hemiarthroplasty was excluded because of motion artifact, leaving 21 studies (19 patients) to be correlated retrospectively to the surgical(More)
The supraspinatus tendon consists morphologically of two sub-regions, anterior and posterior. The anterior sub-region is thick and tubular while the posterior is thin and strap-like. The purpose of this study was to compare the structural and mechanical properties of the anterior and posterior sub-regions of the supraspinatus tendon. The supraspinatus(More)
BACKGROUND Examine 90-day postoperative mortality and its predictors following shoulder arthroplasty METHODS We identified vital status of all adults who underwent primary shoulder arthroplasty (Total shoulder arthroplasty (TSA) or humeral head replacement (HHR)) at the Mayo Clinic from 1976-2008, using the prospectively collected information from Total(More)
BACKGROUND Although posterior capsule tightness is believed to cause abnormal contact in the subacromial space, it is not clear whether this tightness changes the contact between the acromion and humeral head. MATERIALS AND METHODS Nine fresh, frozen cadaveric shoulders were used to measure contact pressure on the coracoacromial arch during passive(More)
CONTEXT Optimizing deltoid tension is important to achieve maximal function after reverse total shoulder arthroplasty (RTSA), but the effects of baseplate and glenosphere positions on deltoid tension have not been quantified. AIMS To quantify deltoid elongation and elongation to failure under physiologic loads with three baseplate-glenosphere(More)
PURPOSE Historically, results of open revision of rotator cuff repair have been mixed and often poor. We reviewed the outcomes of revision rotator cuff repair with a detailed analysis of clinical and radiographic risk factors in order to improve patient selection for this type of surgery. MATERIALS AND METHODS Thirty-six patients (37 shoulders) underwent(More)
Correct identification of the center point of the glenoid surface guides glenoid component placement. It is unknown whether the center point on the glenoid surface corresponds to the center of the glenoid vault at the medial extent of the glenoid prosthesis. We reviewed 20 consecutive computed tomography scans obtained preoperatively in patients with(More)
The deltoid muscle plays a critical role in the biomechanics of shoulders undergoing reverse shoulder arthroplasty (RSA). However, both pre- and postoperative assessment of the deltoid muscle quality still remains challenging. The purposes of this study were to establish a novel methodology of shear wave elastography (SWE) to quantify the mechanical(More)
PURPOSE The purpose of this study is to assess the outcomes of a consecutive series of patients who underwent revision surgery after humeral head resurfacing (HHR). Our joint registry was queried for all patients who underwent revision arthroplasty for failed HHR at our institution from 2005 to 2010. Eleven consecutive patients (average age 54 years; range(More)