Members Area

Become a member
Forgotten password?

  • RSU is advertising for shoulder fellowship to start in August-September 2019 and begining of 2020
    a post-CCT shoulder fellowship for Two years. please send CV to Prof. Levy's PA Charlotte Bourne and arrange a visit to meet Prof Levy and Mr Sforza. [Read more]
  • For Patients, GPs & Physiotherapies - New!!! NHS Choose & Book
    The Unit at Berkshire Independent Hospital is open for NHS patients through Choose & Book (Extended Choice Network).
    Book online
    or contact the secretaries. [Read more]
  • Excellent clinical results over more than 13 years with the Verso rTSA.
    Very high patient satisfaction and return to full activities including sports. [Read more]
  • The least complications with the Verso shoulder compared with other reverse shoulder systems
    From the Royal National Orthopaedic Hospital, Birmingham, UK
    S. Robati, M.K. Shahid, J. Allport, A. Ray and G. Sforza
    Bone & Joint Journal 2013, Vol. 95-B Supp. 25-27

    Complication Rates From Three Commonly Used Reverse Polarity Total Shoulder Replacements: A Minimum Two Year Follow-Up Of 64 Cases
  • Excellent results with the Verso TSA were published in Italy! 
    A group of oorthopaedic surgeons from northern Italy from Piacenza and Verona published their first few years experience with the stemless reverse TSA - The VERSO. 
    They present Excellent clinical and radiologic results that mirror the results of the designing centre!
    (Read more) [Read more]
  • Applications for the Reading shoulder fellowship
    starting in late 2019 and for 2020
    is now open.
    Please apply by visiting the Unit and sending your CV to Jan Barker
    Visits to the Reading shoulder unit are welcome - Please liaise with Prof. Levy's PA Charlotte Bourne
    [Read more]
  • IDO Isometer Shoulder Muscle Strength Gauge.

    Available to buy online in - Innovative Design Orthopaedics - [Read more]
  • Groundbreaking research from the Reading Shoulder Unit by Prof. Ofer Levy and his team regarding Propionibacterium Acnes and shoulder arthritis. 
    Propionibacterium acnes: an underestimated etiology in the pathogenesis of osteoarthritis?

    This is a very important article in that it suggests the presence of propionibacterium in previously unoperated shoulders with arthritis and furthermore that 'aseptic' failures of shoulder arthroplasty may, in fact, be related to indolent infections with this slow growing organism.
    Read comments by Dr Frederick A. Matsen III, M.D.
    [Read more]
  • Listen to the BBC Radio4 programme - a day in the operating theatre at the Reading Shoulder Unit at the Royal Berkshire Hospital - Case Notes with Dr Mark Porter on Regional anaesthesia for shoulder surgery [Read more]
  • Art at the Reading Shoulder and Elbow Centre
    Original fine art prints all dealing with human body in different situations by four artists are exhibited in the Reading Shoulder and Elbow centre 

    The prints on display are available to buy, with the artist contributing a donation to research. For more information please contact the secretaries in the unit.

    [Read more]
  • The Verso stemless rTSA is approved in Australia & New Zealand by the TGA.
    and it was launched and in increase use in Australia. 

Medium to Long-Term Outcome of Thoracoscapular Arthrodesis with Screw Fixation for Facioscapulohumeral Muscular Dystrophy

 Background: Shoulder girdle muscle weakness is the most constant feature of facioscapulohumeral muscular dystrophy

and leads to scapular winging. Mechanical fixation of the scapula to the thoracic wall provides a stable fulcrum on

which the deltoid muscle can exert its action on the humerus. The aim of this study was to evaluate the medium to longterm

outcome of thoracoscapular arthrodesis with screw fixation (the modified Howard-Copeland technique).

 Methods: All patients with facioscapulohumeral dystrophy who underwent thoracoscapular arthrodesis with screw fixation

and bone-grafting from July 1997 to July 2010 were retrospectively reviewed. Preoperative and postoperative clinical

assessment included active shoulder elevation, the Constant score, a patient satisfaction score, and cosmetic satisfaction.

Union was determined both clinically and radiographically.

 Results: Thoracoscapular arthrodesis was performed in thirty-five shoulders in twenty-four patients; eleven patients

underwent bilateral procedures. The principal study group consisted of thirty-two shoulders in twenty-one patients with a

minimum follow-up of twenty-four months (mean, eighty-eight months; range, twenty-four to 174 months). The mean

Constant score increased from 30 (range, 17 to 41) preoperatively to 61 (range, 30 to 90) postoperatively. The mean

satisfaction score increased from 1 (range, 0 to 4) to 8.4 (range, 4 to 10). Early complications consisted of one

pneumothorax, one superficial wound infection, and four early failures, two of which were associated with noncompliance

with the postoperative regimen. Late complications consisted of one posttraumatic fracture resulting in

loosening and one painful nonunion; both were treated successfully with revision.

 Conclusions: Thoracoscapular arthrodesis with screw fixation prevented scapular winging and improved short-term and

long-term shoulder function in patients with facioscapulohumeral dystrophy.

 Level of Evidence: Therapeutic Level IV. See Instructions for Authors for a complete description of levels of evidence.

(J Bone Joint Surg Am. 2013;95:1404-8.