Projects & PhD students
The Amsterdam Shoulder and Elbow Center of Expertise invests in scientific research by supporting projects that try to get a better understanding of the biology and biomechanics of shoulder and elbow pathology. As well as a multidiciplinary clinical setting, the center encourages multidiciplinary research. In addition, the projects are not limited to a single institution. Collaboration between multiple institutions is the key ingredient to facilitating exchange of expertise and high quality research. On this page the current projects are introduced:
Recurrence risk in shoulder instability
Introduction of PhD student and project coordinator Lukas Verweij:
Lukas started out as a research assistent at the Department of Orthopedic Surgery of the Onze Lieve Vrouwe Gasthuis during his bachelor of Medicine. After obtaining the bachelor degree, a collaboration between the ASECE and the Department of Orthopedic Surgery and Biomedical Engineering Department of the Amsterdam UMC was started to apply for the AMC MD-PhD scholarship (https://www.amc.nl/web/leren/graduate-school/phd-1/mdphd-scholarship.htm). The application was succesful and he is currently working on the project at the Amsterdam UMC, which primarily focus is recurrence risk in shoulder instability.
Determining recurrence risk is a difficult task, as there are a lot of factors that contribute to the stability of the shoulder. For example, glenoid bone loss, a Hill-Sachs lesion, neuromusculair control and muscle strength are factors that play an important role in stabalizing the shoulder. Currently, glenoid bone loss is used as a parameter to predict recurrence risk. However, this is not the only factor that determines this risk and how do you measure something that is not there? Advances in technology create the opportunity to analyse (dynamic) 3D-models of humerus and scapula. By analyzing the interaction between these bony structures, this project looks for parameters that can predict recurrence risk more accurately by taking more of the factors that determine stability into account.
Improvement of treatment protocols and decision making
Introduction of PhD student and project coordinator Hassanin Alkaduhimi:
After Hassanin finished his medical degree in 2008, he started performing research regarding shoulder instability. As part of his PhD project he traveled to perform research projects in the Massachusetts General hospital. After returning to the Netherlands he also worked as a resident in general surgery and orthopedic surgery resulting in the start of his orthopedic surgery resident training in April 2019.
There are many challenges regarding the diagnosis and management of shoulder instability. To be able to treat shoulder instability one must be able to determine the chance of recurrence and thus be able to determine associated lesions. It is also essential to know how to manage a dislocation, when to perform a surgical procedure, and if you decide for surgery which surgical procedure you would perform. The project of Hassanin addresses these problems and contributes to improvement of treatment protocols and uniform decision making.