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Reverse total shoulder arthroplasty for primary osteoarthritis with restricted preoperative forward elevation demonstrates similar outcomes but faster range of motion recovery compared to anatomic total shoulder arthroplasty J. Shoulder Elbow Surg. (IF 3.0) Pub Date : 2024-03-12 Amin Karimi MD, Rajiv P. Reddy BS, Confidence Njoku-Austin BS, Ehab Nazzal MD, Michael G. James MD, Albert Lin MD FAAOS
Reverse total shoulder arthroplasty (RSA) has been increasingly utilized for a variety of shoulder pathologies that are difficult to treat with anatomical shoulder arthroplasty (TSA). Few studies have compared the outcomes of TSA versus RSA in patients with cuff intact GHOA and poor preoperative forward elevation. This study aimed to determine whether there is a difference in functional outcomes and
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Preoperative factors associated with 180-, 270- and 360-degree labral tears J. Shoulder Elbow Surg. (IF 3.0) Pub Date : 2024-03-12 Liane Miller M.D., Confidence Njoku Austin B.A., Rajiv Reddy B.S., David Fogg M.D., Ehab Nazzal M.D., Zachary Herman M.D., Matthew Como B.S., Albert Lin M.D.
Large, circumferential glenoid labral tears are an uncommon injury affecting young, athletic patients. There is limited data describing the clinical presentation of patients with larger tears, especially 270- and 360-degree labral tears. Additionally, exam and imaging findings have poor reliability in diagnosing these tears. The purpose of this study is to determine the clinical presentation among
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Total shoulder arthroplasty in patients with Factor V Leiden J. Shoulder Elbow Surg. (IF 3.0) Pub Date : 2024-03-12 Katie M. Zehner BS, Joshua G. Sanchez BA, Meera M. Dhodapkar BA, Maxwell Modrak MD, Xuan Luo MD, Jonathan N. Grauer MD
Anatomic and reverse total shoulder arthroplasty (TSA) are effective treatment options for end-stage glenohumeral osteoarthritis. However, consideration for pre-existing conditions must be taken into account. Factor V Leiden (FVL), the most common inherited thrombophilia, is one such condition that predisposes to a prothrombotic state and may affect perioperative and longer-term outcomes following
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Children and adolescents with all forms of shoulder instability demonstrate differences in their movement and muscle activity patterns when compared to age- and sex-matched controls J. Shoulder Elbow Surg. (IF 3.0) Pub Date : 2024-03-10 Martin Seyres (MSc), Neil Postans (PhD), Robert Freeman (FCRS), Anand Pandyan (PhD), Edward K. Chadwick (PhD), Fraser Philp (PhD)
Shoulder instability is a complex impairment and identifying biomarkers which differentiate subgroups is challenging. There is limited fundamental movement and muscle activity data for identifying different mechanisms for shoulder instability in children and adolescents which may inform subgrouping and treatment allocation. Children and adolescents with shoulder instability (irrespective of etiology)
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Statistical shape models that predict native glenoid width based on glenoid height are inaccurate in their current form: A cross-sectional study J. Shoulder Elbow Surg. (IF 3.0) Pub Date : 2024-03-10 Lukas P.E. Verweij MD BSc, Nobuyuki Yamamoto MD PhD, Atsushi Arino MD, Jun Kawakami MD PhD, Gino M.M.J. Kerkhoffs MD PhD, Derek F.P. van Deurzen MD PhD, Michel P.J. van den Bekerom MD PhD, Toshimi Aizawa MD PhD
The extent of measurement errors of statistical shape models that predict native glenoid width based on glenoid height to subsequently determine the amount of anterior glenoid bone loss is unclear. Therefore, the aim of this study was to (1) create a statistical shape model based on glenoid height and width measured on 3D-CT and determine the accuracy through measurement errors and (2) determine measurement
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Response to Letter to the Editor regarding Peng et al: “Comparison of the effects of platelet-rich plasma and corticosteroid injection in rotator cuff disease treatment: a systematic review and meta-analysis” J. Shoulder Elbow Surg. (IF 3.0) Pub Date : 2024-03-10 Yundong Peng Ph.D, Fengxing Li Ph.D, Yue Ding MSc, Xianghong Sun MSc, Guanglan Wang MMed, Shaohui Jia MD, Cheng Zheng MD Ph.D
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How low can we go? A randomized controlled trial of low-quantity initial opioid prescriptions for shoulder surgery J. Shoulder Elbow Surg. (IF 3.0) Pub Date : 2024-03-08 Arman Kishan MBBS, Zachary C. Pearson BS, Steve S. Li BA, Zachary Pressman MD, Uzoma Ahiarakwe MS, Chathurangi H. Pathiravasan PhD, Umasuthan Srikumaran MD MBA MPH
Orthopedic surgeons are the third most frequent prescribers of opioid medications. Given the current opioid addiction crisis, it is critical to limit opioid prescriptions to the lowest effective dose. In this study, we investigated how the initial opioid prescription after shoulder surgery affects maximum possible opioid consumption. We hypothesized that fewer pills in the initial opioid prescription
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Suprascapular nerve irritation as an important cause of pain following Reverse Total Shoulder Arthroplasty J. Shoulder Elbow Surg. (IF 3.0) Pub Date : 2024-03-08 Ashish Narang FRCS(T&O), Leanne Dupley FRCS(T&O), Ronnie Davies FRCS (T&O), Nicholas Phillips FRCS (T&O), Christopher Peach FRCS (T&O)
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Stratification of the Minimal Clinically Important Difference, Substantial Clinical Benefit, and Patient Acceptable Symptomatic State after Total Shoulder Arthroplasty by Implant Type, Preoperative Diagnosis, and Sex J. Shoulder Elbow Surg. (IF 3.0) Pub Date : 2024-03-08 Ryan W. Simovitch MD, Josie Elwell PhD, Christopher A. Colasanti MD, Kevin A. Hao BS, Richard J. Friedman MD FRCSC, Pierre-Henri Flurin MD, Thomas W. Wright MD, Bradley S. Schoch MD, Christopher P. Roche MSE MBA, Joseph D. Zuckerman MD
Clinical significance, as opposed to statistical significance, has increasingly been utilized to evaluate outcomes after total shoulder arthroplasty (TSA). The purpose of this study was to identify thresholds of the minimal clinically important difference (MCID), substantial clinical benefit (SCB), and patient acceptable symptomatic state (PASS) for TSA outcome metrics and determine if these thresholds
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Letter to the Editor regarding Peng et al: “Comparison of the effects of platelet-rich plasma and corticosteroid injection in rotator cuff disease treatment: a systematic review and meta-analysis” J. Shoulder Elbow Surg. (IF 3.0) Pub Date : 2024-03-08 Xiali Xue MD, Qingfa Song MD, Xinwei Yang MD, Hao Fu MM, Guoqing Cui MSc
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Arthroscopic Stabilization Surgery for First-Time Anterior Shoulder Dislocations: A Systematic Review and Meta-Analysis J. Shoulder Elbow Surg. (IF 3.0) Pub Date : 2024-03-01 Hassaan Abdel Khalik, Darius L. Lameire, Timothy Leroux, Mohit Bhandari, Moin Khan
The optimal management of first-time anterior shoulder dislocations (FTASDs) remains controversial. Therefore, the purpose of this study was to assess the efficacy of arthroscopic stabilization surgery for FTASDs through a systematic review and meta-analysis of existing literature. MEDLINE, EMBASE and Web of Science were searched from inception to December 18, 2022, for single-arm or comparative studies
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Artificial Intelligence in Shoulder and Elbow Surgery: Overview of Current and Future Applications J. Shoulder Elbow Surg. (IF 3.0) Pub Date : 2024-03-01 Jay M. Levin, Samuel G. Lorentz, Eoghan T. Hurley, Julia Lee, Thomas W. Throckmorton, Grant E. Garrigues, Peter MacDonald, Oke Anakwenze, Bradley S. Schoch, Christopher Klifto
Artificial intelligence (AI) is amongst the most rapidly growing technologies in orthopedic surgery. With the exponential growth in healthcare data, computing power, and complex predictive algorithms, this technology is poised to aid providers in data processing and clinical decision support throughout the continuum of orthopedic care. Understanding the utility and limitations of this technology is
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Surgical Treatment of Displaced Proximal Humerus Fractures Is Associated With Decreased 1-Year Mortality in Patients Aged 65 and Older: A Retrospective Study of Medicare Patients J. Shoulder Elbow Surg. (IF 3.0) Pub Date : 2024-03-01 Akiro H. Duey, Brocha Z. Stern, Nicole Zubizarreta, Leesa M. Galatz, Bradford O. Parsons, Jashvant Poeran, Paul J. Cagle
Proximal humerus fracture (PHF) is a risk factor for 1-year mortality. This study aimed to determine if surgery is associated with lower mortality compared to nonoperative treatment following PHF in older patients. This retrospective cohort study used the Medicare Limited Data Set. Patients aged 65+ with a PHF diagnosis in 2017-2020 were included. Treatment was classified as nonoperative, open reduction
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Quantitative MRI versus perioperative arthroscopy to measure stage 1 ruptures of the supraspinatus tendon for surgical planning J. Shoulder Elbow Surg. (IF 3.0) Pub Date : 2024-03-01 Edouard Harly, Paul Commeil, Etienne Boyer, Christine Tchikladze, Hugues Demezon
Accurate preoperative assessment of supraspinatus tendon tear (STT) size is important for surgical planning. Our aims were to evaluate the correlation between stage 1 STT size measured preoperatively by quantitative (q)MRI and size measured perioperatively by arthroscopy. The concordance between preoperative tear size and the surgical plan was also assessed. This prospective, non-randomized, non-controlled
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Disease diagnosis and arthroplasty type are strongly associated with short-term postoperative patient reported outcomes in patients undergoing primary total shoulder arthroplasty J. Shoulder Elbow Surg. (IF 3.0) Pub Date : 2024-02-29 Sambit Sahoo, Vahid Entezari, Jason C. Ho, Bong-Jae Jun, Yuxuan Jin, Peter B. Imrey, Kathleen A. Derwin, Joseph P. Iannotti, Eric T. Ricchetti, Kurt P. Spindler, William H. Seitz, Gregory J. Gilot, Anthony Miniaci, Peter J. Evans, Vani J. Sabesan, Greg Strnad
Prognostic factors for total shoulder arthroplasty (TSA) clinical outcomes are incompletely understood. This study investigates the associations of preoperative patient, disease-specific, and surgical factors with one-year postoperative PENN Shoulder Score (PSS) in patients undergoing primary TSA. Cleveland Clinic patients undergoing primary anatomic TSA (aTSA) or reverse TSA (rTSA) for glenohumeral
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Preoperative MRI Rotator Cuff Tendon Stump Classification Correlates with the Surgical Outcomes Following Superior Capsular Reconstruction J. Shoulder Elbow Surg. (IF 3.0) Pub Date : 2024-02-28 Hui Ben, Erica Kholinne, Jia Guo, Ji Yeon Park, Seung Min Ryu, Kyoung-Hwan Koh, In-Ho Jeon
To investigate the correlation between rotator cuff stump classification and postoperative outcomes after superior capsular reconstruction (SCR). A total of 75 patients who underwent SCR between June 2013 and May 2021 were included in this study. Based on stump classification using the signal intensity ratio of the tendon rupture site to the deltoid muscle in the coronal view of preoperative T2-weighted
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Reverse Total Shoulder Arthroplasty for Acute Proximal Humeral Fracture Has Comparable 10-Year Outcomes to Elective Indications: Results From the New Zealand Joint Registry J. Shoulder Elbow Surg. (IF 3.0) Pub Date : 2024-02-28 Scott M. Bolam, Zoe Wells, Mei Lin Tay, Chris M.A. Frampton, Brendan Coleman, Adam Dalgleish
Recently, the indication of reverse total shoulder arthroplasty (RTSA) has expanded beyond rotator cuff arthropathy to include treatment of complex acute proximal humeral fracture (PHF). Limited previous studies have compared the long-term clinical and functional outcomes of patients undergoing RTSA for PHF versus elective indications for degenerative conditions. The purpose of this study was to compare
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Three-dimensional analysis of biplanar glenoid deformities: What are they and can they be virtually reconstructed with anatomic total shoulder arthroplasty implants? J. Shoulder Elbow Surg. (IF 3.0) Pub Date : 2024-02-28 J. Ryan Hill, Jeffrey J. Olson, Alexander W. Aleem, Jay D. Keener, Benjamin M. Zmistowski
Descriptions of glenoid deformities in glenohumeral osteoarthritis (GHOA) have focused on the axial plane. Less is known regarding arthritic glenoids with higher amounts of superior inclination and little evidence exists to guide management of inclination or combined version-inclination deformity when performing anatomic total shoulder arthroplasty (aTSA). We hypothesized that biplanar deformities
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High failure rate of two-stage revision for the infected total elbow arthroplasty: A single institution’s experience J. Shoulder Elbow Surg. (IF 3.0) Pub Date : 2024-02-27 Corey J. Schiffman, William Baker, Daniel Kwak, Matthew L. Ramsey, Surena Namdari, Luke S. Austin
Despite 2 stage revision being a common treatment for elbow prosthetic joint infection (PJI), failure rates are high. The purpose of this study was to report on a single institution’s experience with two stage revisions for elbow PJI and determine risk factors for failed eradication of infection. The secondary purpose was to determine risk factors for needing allograft bone at the second stage of revision
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The Effect of Different Antibiotic Combinations in Calcium Sulfate Cement on the Growth of Cutibacterium acnes and Staphylococcus Periprosthetic Shoulder Infection Isolates J. Shoulder Elbow Surg. (IF 3.0) Pub Date : 2024-02-27 Thomas Listopadzki, Allison Chowdhury, Kevin Kohut, Mohammad Nadir Haider, John K. Crane, Thomas Duquin, Matthew DiPaola
Prosthetic joint infections (PJI) of the shoulder are a devastating complication of shoulder arthroplasty and are commonly caused by and . Absorbable calcium sulfate beads are sometimes used for delivering antibiotics in PJI. This study evaluates the effect of different combinations of gentamicin, vancomycin, and ertapenem in beads made from calcium sulfate cement on the growth of and coagulase-negative
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All-endoscopic approach for distal biceps tendon pathology: Analysis of long-term outcomes in partial and complete ruptures J. Shoulder Elbow Surg. (IF 3.0) Pub Date : 2024-02-27 Deepak N. Bhatia, Parimal Malviya
Distal biceps tendon (DBT) pathology is a spectrum that ranges from tendinopathy to complete retracted ruptures, and surgical treatment is usually performed via open approaches. The purpose of this study was to analyze safety and long-term outcomes of all-endoscopic surgery for entire spectrum of primary DBT pathology. The hypothesis was that at an all-endoscopic technique would result in satisfactory
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Reverse Total Shoulder Arthroplasty with Proximal Bone Loss: A Biomechanical Comparison of Partially versus Fully Cemented Humeral Stems J. Shoulder Elbow Surg. (IF 3.0) Pub Date : 2024-02-27 Carlos Maturana, Brandon Peterson, Brendan Shi, Bailey Mooney, Tyler Clites, Thomas J. Kremen
The appropriate amount of cementation at the time of reverse total shoulder arthroplasty with significant proximal bone loss or resection is unknown. Extensive cementation of a humeral prosthesis makes eventual revision arthroplasty more challenging, increasing the risk of periprosthetic fracture. We analyzed the degree of subsidence and torque tolerance of humeral components undergoing standard cementation
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Coracoclavicular and acromioclavicular ligament reconstruction with a double-bundle semitendinosus autograft and cortical buttons for chronic acromioclavicular joint dislocations: clinical and imaging outcomes J. Shoulder Elbow Surg. (IF 3.0) Pub Date : 2024-02-20 Daisuke Mori, Homare Nishiyama, Shin Haku, Noboru Funakoshi, Fumiharu Yamashita, Masahiko Kobayashi
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Association Between Timing of Initiating Supervised Physical Rehabilitation After Rotator Cuff Repair and Incidence of Repeat Repair and Capsulitis: A Population-Based Analysis J. Shoulder Elbow Surg. (IF 3.0) Pub Date : 2024-02-18 Brocha Z. Stern, Nicole Zubizarreta, Shawn G. Anthony, Jashvant Poeran, James N. Gladstone
There is limited consensus on the optimal time to initiate supervised physical rehabilitation after a rotator cuff repair (RCR). We examined whether timing of initiating supervised physical rehabilitation was associated with repeat RCR or development of adhesive capsulitis within 12 months postoperatively in an observational cohort of commercially insured adults. This retrospective cohort study used
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Preoperative patient factors that predict achieving the minimal clinically important difference following arthroscopic treatment of snapping scapula syndrome J. Shoulder Elbow Surg. (IF 3.0) Pub Date : 2024-02-17 Marco-Christopher Rupp, Joan C. Rutledge, John M. Apostolakos, Grant J. Dornan, Patrick M. Quinn, Marilee P. Horan, Rony Dey Hazra, Peter J. Millett
The aim of this study was to define minimal clinically important difference (MCID) values for patient-reported outcomes (PROs) after arthroscopic treatment of snapping scapula syndrome (SSS) using a distribution-based method, and to identify demographic, clinical, and intraoperative factors significantly associated with the achievement of MCID. Patients who underwent arthroscopic treatment of SSS between
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Randomized Controlled Trials in the Shoulder Arthroplasty Literature Rarely Include Key Demographic and Socioeconomic Patient Data J. Shoulder Elbow Surg. (IF 3.0) Pub Date : 2024-02-17 Jacob L. Kotlier, Amir Fathi, Pranit Kumaran, Cory K. Mayfield, Madeleine Orringer, Joseph N. Liu, Frank A. Petrigliano
It is well known that socioeconomic and demographic variables can greatly affect health outcomes. Previous studies across medical and surgical subspecialties have demonstrated that these variables are frequently under-reported in randomized controlled trials (RCTs). No such study currently exists that examines rates of reporting sociodemographic variables in shoulder arthroplasty RCTs. This study aims
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Longer peripheral-track lesions are associated with instability after arthroscopic Bankart repair J. Shoulder Elbow Surg. (IF 3.0) Pub Date : 2024-02-16 Jung-Han Kim, Yong-Uk Kwon, Chang-Rack Lee, Dae-Yoo Kim, Soo-Hwan Jung, Joo-Won Hwang
The Glenoid track concept has enabled the categorization of Hill-Sachs lesions (HSLs) into on-track lesions and off-track lesions. Furthermore, among the on-track lesions, further categorization has been established based on the distance from the medial edge of the Hill-Sachs lesion to the medial edge of the glenoid track, into peripheral-track lesions and central-track lesions. Recent studies on peripheral-track
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A Novel Fragment Specific Classification of Complex Olecranon Fractures: 3D Model Design, Radiological Validation and Proposed Surgical Algorithm J. Shoulder Elbow Surg. (IF 3.0) Pub Date : 2024-02-15 Julien Chapleau, Maxine Joly-Chevrier, Patrick Tohmé, Elie El-Kayem, Yvan Petit, Dominique M. Rouleau
Current classifications for proximal ulna fracture patterns rely on qualitative data and cannot inform surgical planning. We propose a new classification system based on a biological and anatomical stress analysis. Our hypothesis is that fragment types in complex fractures can be predicted by the tendon and ligament attachments on the proximal ulna. First, we completed a literature review to identify
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Reconstruction of the elbow with distal humerus endoprosthetic replacement after tumor resection – A systematic review of the literature and institutional case series J. Shoulder Elbow Surg. (IF 3.0) Pub Date : 2024-02-14 Marcos R. Gonzalez, Erhan Okay, Alisha S. Sodhi, Santiago A. Lozano-Calderon
Distal humerus replacement (DHR) is a modular endoprosthesis mainly used for bone reconstruction after resection of primary or metastatic bone lesions. Studies on DHR failure rates and postoperative functional outcomes are scarce. We sought to assess implant survival, modes of failure and functional outcomes in patients undergoing DHR for oncologic indications. A systematic review of the PubMed and
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Mid-Term Outcomes of Microfracture for the Treatment of Focal, Full-Thickness Cartilage Defects Isolated to the Humeral Head J. Shoulder Elbow Surg. (IF 3.0) Pub Date : 2024-02-14 Rony-Orijit Dey Hazra, Joan C. Rutledge, Jared A. Hanson, Maria Dey Hazra, Marilee P. Horan, Kent C. Doan, Marco-Christopher Rupp, Peter J. Millett
While microfracture has been shown to be an effective treatment for chondral lesions in the knee, evidence to support its use for chondral defects in the shoulder is limited to short-term outcomes studies. The purpose of this study is to determine if microfracture provides pain relief and improved shoulder function in patients with isolated focal chondral defects of the humeral head at a minimum 5-year
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Reverse Shoulder Arthroplasty Megaprosthesis for Surgical Management of Severe Proximal Humeral Bone Loss J. Shoulder Elbow Surg. (IF 3.0) Pub Date : 2024-02-14 Joseph T. Labrum, Rodrigo de Marinis, Yousif Atwan, Erick M. Marigi, Matthew T. Houdek, Jonathon D. Barlow, Mark E. Morrey, Joaquin Sanchez-Sotelo, John W. Sperling
Shoulder arthroplasty in the setting of severe proximal humerus bone loss can be challenging. The purpose of this study was to evaluate the outcomes of a modular segmental megaprosthesis when implanted in a reverse configuration for complex primary arthroplasty, reconstruction at the time of oncologic resection, and revision shoulder arthroplasty. A Joint Registry Database was queried to identify all
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A Threshold of Lower Preoperative Mental Health is Associated with Decreased Achievement of Comfort and Capability Benchmarks Following Rotator Cuff Repair: A Retrospective Cohort Study J. Shoulder Elbow Surg. (IF 3.0) Pub Date : 2024-02-06 Brady P. Moore, David Z. Forrister, Jeremy S. Somerson
Preoperative biomedical patient characteristics are known to affect the time to achievement of clinically significant outcomes (CSO) following arthroscopic rotator cuff repair (RCR). However, less is known about the association between preoperative mental status and the time to achievement of CSOs. We hypothesize that higher preoperative mental status is associated with faster achievement of CSOs following
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Superior Labrum Anterior to Posterior (SLAP) Repair is Associated with Increased Rate of Subsequent Rotator Cuff Diagnoses and Revision Surgery: A Propensity-Matched Comparison J. Shoulder Elbow Surg. (IF 3.0) Pub Date : 2024-02-06 Laura J. Linscheid, Sterling J. DeShazo, Sabrina M. Pescatore, Jeremy S. Somerson
Surgical management of superior labrum anterior to posterior (SLAP) tears remains controversial. Current management utilizes 2 well-established procedures: biceps tenodesis and SLAP repair. This study evaluates the complications associated with arthroscopic SLAP repair versus an open or arthroscopic biceps tenodesis to further elucidate optimal surgical management. In this retrospective cohort study
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Mixed-Reality Improves Execution of Templated Glenoid Component Positioning in Shoulder Arthroplasty: A CT Imaging Analysis. J. Shoulder Elbow Surg. (IF 3.0) Pub Date : 2024-02-05 John M. Kopriva, Haley M. McKissack, B. Gage Griswold, Zaamin B. Hussain, Hayden L. Cooke, Michael B. Gottschalk, Eric R. Wagner
Glenoid placement is critical for successful outcomes in total shoulder arthroplasty (TSA). Preoperative templating with three-dimensional (3D) imaging has improved implant positioning, but deviations from the planned inclination and version still occur. Mixed-Reality (MR) is a novel technology that allows surgeons intra-operative access to 3D imaging and templates, capable of overlaying the surgical
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Methylprednisolone Taper is an Effective Addition to Multimodal Pain Regimens after Total Shoulder Arthroplasty: Results of a Randomized Controlled Trial: 2022 Neer Award Winner J. Shoulder Elbow Surg. (IF 3.0) Pub Date : 2024-02-04 Eric R. Wagner, Zaamin B. Hussain, Anthony L. Karzon, Hayden L. Cooke, Roy J. Toston, John T. Hurt, Alexander M. Dawes, Michael B. Gottschalk
Perioperative corticosteroids have shown potential as non-opioid analgesic adjuncts for various orthopedic pathologies, but there is a lack of research on their use in the postoperative setting after total shoulder arthroplasty (TSA). The purpose of this study was to assess the effect of a methylprednisolone taper on a multimodal pain regimen after TSA. This study was a randomized controlled trial
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Automated detection and classification of the rotator cuff tear on plain shoulder radiograph using deep learning J. Shoulder Elbow Surg. (IF 3.0) Pub Date : 2024-02-03 Eiko Hashimoto, Satoshi Maki, Nobuyasu Ochiai, Shohei Ise, Kenta Inagaki, Yu Hiraoka, Fumiya Hattori, Seiji Ohtori
The diagnosis of rotator cuff tears using radiographs alone is clinically challenging; thus, the utility of deep learning algorithms based on convolutional neural networks has been remarkable in the field of medical imaging recognition. We aimed to evaluate the diagnostic performance of artificial intelligence (a deep learning algorithm; a convolutional neural network) to detect and classify rotator
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Understanding Overall Shoulder Function and Health: The Value of Specific Quantitative Versus Qualitative Shoulder Range of Motion on Patient-Reported Outcome Measures J. Shoulder Elbow Surg. (IF 3.0) Pub Date : 2024-02-03 Sarah C. Kurkowski, Samuel K. Gerak, Henry A. Kuechly, Michael J. Thimmesch, Sophia T. Le, Brian M. Grawe
It is known that, though widely used, shoulder range of motion (ROM) measurements are not standardized and have a high rate of intra- and interobserver differences. Particularly, the inconsistency in quantitative and qualitative measurements and their relationship to patient-reported outcome measures (PROMs) make shoulder health difficult to determine. This was a prospective study of 147 patients who
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Short-Term Radiographic and Clinical Outcomes of Patients Treated with Anatomic Total Shoulder Arthroplasty Using a Modern Generation Implant with a Metal-Backed Glenoid Component J. Shoulder Elbow Surg. (IF 3.0) Pub Date : 2024-02-03 Luke DiPasquale, Madison Messmer, Ania Bartholomew, Roland Gazaille, Adam Dann
A leading cause of anatomic total shoulder arthroplasty failure continues to be glenoid component loosening. Historically, metal-backed glenoids (MBG) have shown decreased performance compared to polyethylene-backed glenoid (PEG) components. Previous studies have shown that MBG components have higher revision rates and shorter time to prosthetic failure compared with PEG components. However, the negative
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Preventive interventions for throwing injuries in baseball players: A scoping review J. Shoulder Elbow Surg. (IF 3.0) Pub Date : 2024-02-03 Karasuyama Masaki, Takashi Tsuruta, Kawakami Junichi, Takuya Oike, Kazuki Uchida, Tomohiko Minamikawa
Shoulder and elbow pain are the common complaints associated with throwing injuries in baseball players. Prospective studies evaluating the effectiveness of stretching in increasing posterior shoulder flexibility or strengthening the external rotator muscles as preventive strategies for throwing injuries in baseball players have been published. However, there are limited reviews highlighting the role
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Liposomal Bupivacaine Provides Superior Pain Control Compared To Bupivacaine With Adjuvants In Interscalene Block For Total Shoulder Replacement: A Prospective Double-Blinded, Randomized Controlled Trial J. Shoulder Elbow Surg. (IF 3.0) Pub Date : 2024-02-03 Kevin J. Finkel, Aseel Walker, Carla L. Maffeo-Mitchell, Carl Nissen, Pranjali Kainkaryam, Jennifer Sposito, Emily Shearier, Edmund T. Takata, Ilene Staff, Theodore Blaine, Durgesh Nagarkatti
Optimal pain control methods after total shoulder arthroplasty (TSA) achieve reduced opioid consumption, shortened hospital stay, and improved patient satisfaction in addition to adequate analgesia. Interscalene brachial plexus block is the gold standard for TSA, yet it typically does not provide pain relief lasting beyond 24 hours. Liposomal bupivacaine (LB) purportedly provides prolonged analgesia
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Role of tear size and tendon degeneration for development of pain in rat models of rotator cuff tear J. Shoulder Elbow Surg. (IF 3.0) Pub Date : 2024-02-03 Toru Morimoto, Masashi Izumi, Koji Aso, Masahiko Ikeuchi
Rotator cuff tear (RCT) is a frequent etiology of shoulder pain and disability; however, the triggers for the onset and aggravation of pain remain obscure. In this study, we established novel rat RCT models to examine the impact of tear size and tendon degeneration on pain. Fifty-five adult male Sprague-Dawley rats were allocated into 4 study groups: large tear (L group, n=10); small tear (S group
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Evolution of the Throwing Shoulder: Why Apes Don’t Throw Well and How That Applies to Throwing Athletes J. Shoulder Elbow Surg. (IF 3.0) Pub Date : 2024-02-03 Heinz Hoenecke, Joseph Fiske, Adriana E. Tamayo, Darryl D. D’Lima
Humans have unique characteristics making us the only primate that can throw well while most other primates throw predominately underhand with poor speed and accuracy. The purpose of this study is to illuminate the uniquely human characteristics that allow us to throw so well. When treating an injury such as a labral tear or capsule tear, this study hopes the reader can gain a better understanding
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Margin convergence versus superior capsular reconstruction for massive irreparable rotator cuff tears: outcomes are equivalent unless there is pre-operative pseudoparesis J. Shoulder Elbow Surg. (IF 3.0) Pub Date : 2024-02-03 Neel K. Patel, Rajiv P. Reddy, Matthew Como, Nyaluma N. Wagala, Ehab M. Nazzal, Christopher J. Como, Joachim Demyttenaere, Ruth A. Delaney, Bryson P. Lesniak, Albert Lin
Margin convergence (MC) and superior capsular reconstruction (SCR) are common treatment options for irreparable rotator cuff tears in younger patients, although they differ in associated costs and operative times. The purpose of this study was to compare range of motion, patient reported outcomes (PROs), and re-operation rates following MC and SCR. We hypothesized superior outcomes after SCR relative
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Impact of Accumulating Risk Factors on the Incidence of Dislocation After Primary Reverse Total Shoulder Arthroplasty Using a Medial Glenoid Lateral Humerus Onlay Prosthesis J. Shoulder Elbow Surg. (IF 3.0) Pub Date : 2024-02-03 Moby Parsons, Josie Elwell, Stephanie Muh, Thomas Wright, Pierre Flurin, Joseph Zuckerman, Christopher Roche
The aim of this study is to facilitate preoperative identification of patients at-risk for dislocation after reverse total shoulder arthroplasty (rTSA) using the Equinoxe rTSA prosthesis (medialized glenoid, lateralized onlay humerus with a 145° neck angle) and quantify the impact of accumulating risk factors on the occurrence of dislocation. We retrospectively analyzed 10,023 primary rTSA patients
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Physiotherapist-supervised exercises versus non-supervised home-based exercises after non-surgically treated proximal humerus fracture: a multicentre randomised controlled trial J. Shoulder Elbow Surg. (IF 3.0) Pub Date : 2024-02-02 Helle K. Østergaard, Antti P. Launonen, Marianne Toft, Tore Fjalestad, Bakir O. Sumrein, Kaj V. Døssing, Mette H. Axelsen, Sidsel S. Noe, Tone Wagle, Kaia B. Engebretsen, Minna K. Laitinen, Ville M. Mattila, Inger Mechlenburg
Proximal humerus fracture (PHF) is a common fragility fracture in older adults and can have a substantial impact on upper limb function. Although most patients with PHF can be treated non-surgically, it is unknown whether older adults benefit from supervised exercise therapy after PHF. Therefore, the objective of this trial was to investigate whether 10 weeks of physiotherapist-supervised exercises
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Measure What Matters: Single Assessment Numeric Evaluation (SANE) score As the Critical Measure for Shoulder Outcomes J. Shoulder Elbow Surg. (IF 3.0) Pub Date : 2024-02-01 Richard J. Hawkins, Nathan Boes, Charles A. Thigpen, Ellen Shanley, Stephan G. Pill, Michael J. Kissenberth
As healthcare continues to evolve transforming orthopedics from fee for service to a value-based, a system anchored in patient outcomes is challenged to gain widespread outcome adoption to demonstrate the value of care provided for shoulder conditions. This is in large part due to the administrative burden that current tools create for clinical implementation barriers that limit practical use, and
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Look for the POLESTAR (POstero-Lateral Engagement of Soft Tissue and Radial Head) while navigating around elbow dislocation.: CT scan analysis of elbow dislocation patterns J. Shoulder Elbow Surg. (IF 3.0) Pub Date : 2024-01-29 Simone Cassin, Valeria Vismara, Alberto Zellner, Francesco Luceri, Carlo Zaolino, Andrea Zagarella, Pietro Simone Randelli, Paolo Arrigoni
Introduction Elbow dislocation is frequently associated with bony and osteochondral postero-lateral capitellar lesions that are often under-reported. We aim to examine the radiological signs of postero-lateral lesions on Computer Tomography (CT) . Methods A retrospective analysis of CT scans was performed. Patients were classified into 4 groups: 1) simple elbow dislocation, 2) elbow dislocation with
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Bony Encasement of the Ulnar Nerve Secondary to Heterotopic Ossification of the Elbow: An Evaluation of Long-Term Outcomes J. Shoulder Elbow Surg. (IF 3.0) Pub Date : 2024-01-27 Krishin Shivdasani, Robert Kelly, Michael Scheidt, Amir Boubekri, Guido Marra, Nickolas Garbis, Dane Salazar
Background Ulnar neuropathy at the elbow caused by heterotopic ossification (HO) is a rare condition. This retrospective study aims to report on 32 consecutive cases of ulnar nerve encasement caused by elbow HO and evaluate long-term outcomes of operative management and a standardized postoperative rehabilitation regimen. Methods A retrospective case series was conducted on 32 elbows (27 patients)
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Is preoperative planning reliable for predicting postoperative clinical differences in range of motion between two stem designs in reverse shoulder arthroplasty J. Shoulder Elbow Surg. (IF 3.0) Pub Date : 2024-01-27 Marc-Olivier Gauci, Laure Glevarec, Nicolas Bronsard, Caroline Cointat, Yann Pelletier, Pascal Boileau, Jean-François Gonzalez
Background Primary gleno-humeral osteoarthritis is associated with both excessive posterior humeral subluxation (PHS) and excessive glenoid retroversion in 40% of cases. These morphometric abnormalities are a particular issue since they may be responsible for a deterioration in long term clinical and radiological outcomes. The aim of this study was to perform a CT-analysis of patients who underwent
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A Multi-Centre, Randomized Controlled Trial Comparing a Second-Generation Uncemented Trabecular Metal-backed versus Cemented Polyethylene Glenoid Component in Total Shoulder Arthroplasty: Five-year Results J. Shoulder Elbow Surg. (IF 3.0) Pub Date : 2024-01-27 Patrick Y.K. Chin, William Regan, Derek Plausinis, Zane Zarzour, Fay Leung, Kayla Johnston, Brendan Lim, Treny Sasyniuk
BACKGROUND Previously, we reported early (two-year) findings from a randomized controlled trial comparing a second-generation uncemented trabecular metal-backed (TM) glenoid versus cemented polyethylene glenoid (POLY) in patients undergoing a total shoulder arthroplasty (TSA). The purpose of the current study is to report disease-specific quality of life, clinical, patient-reported, and radiographic
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The Fragility of Statistical Findings in the Reverse Total Shoulder Arthroplasty Literature: A Systematic Review of Randomized Controlled Trials J. Shoulder Elbow Surg. (IF 3.0) Pub Date : 2024-01-27 Avanish Yendluri, Joshua J. Chiang, Gabriel S. Linden, Michael N. Megafu, Leesa M. Galatz, Bradford O. Parsons, Robert L. Parisien
Background Reverse total shoulder arthroplasty (RTSA) has seen increasing utilization as an effective intervention for a wide variety of shoulder pathologies. The scope and indications for growth are often driven by findings from randomized controlled trials (RCTs) guiding surgical decision-making for RTSA. In this study, we utilized the fragility index (FI), reverse fragility index (rFI), and fragility
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Are Displaced Distal Clavicle Fractures Associated With Inferior Clinical Outcomes Following Non-operative Management? A Systematic Review. J. Shoulder Elbow Surg. (IF 3.0) Pub Date : 2024-01-27 Daniel Thurston, Robert W. Jordan, Tanujan Thangarajah, Aziz Haque, Jarret Woodmass, Peter D’Alessandro, Shahbaz S. Malik
Background Management of displaced distal clavicle fractures remains a topic of discussion due to notoriously high non-union rates, but there is little documented in the literature as to what effect this may have on patient-reported function. The aim of this systematic review was to look at non-operative management following displaced distal clavicle fractures to determine union rates, complications
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Do preoperative scapular fractures affect long-term outcomes after reverse shoulder arthroplasty? J. Shoulder Elbow Surg. (IF 3.0) Pub Date : 2024-01-19 Caleb M. Davis, Christian M. Schmidt, Michael Kucharik, Justin Givens, Kaitlyn N. Christmas, Peter Simon, Mark A. Frankle
Background Postoperative scapular stress fractures (SSF) are a formidable problem after reverse shoulder arthroplasty (RSA). Less is known about patients who have these fractures preoperatively. The primary aim of this study was to examine postoperative satisfaction in patients undergoing primary RSA who have preoperative SSF and compared to a matched cohort without preoperative fracture. The secondary
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Spontaneous Resolution of Spinoglenoid Ganglion Cyst: A Case Series J. Shoulder Elbow Surg. (IF 3.0) Pub Date : 2024-01-17 Ji Young Yoon, Wan Soo Park, Hyeon Jang Jeong, Young Dae Jeon, Ji Un Kim, Joo Han Oh
Background Spontaneous resolution of a spinoglenoid notch ganglion cyst (SGC) without surgical treatment has been rarely reported; however, we have encountered this phenomenon occasionally. Therefore, we aimed to describe a case series of consecutive patients with SGC in whom it spontaneously resolved without surgical treatment. Methods We retrospectively reviewed 12 patients with magnetic resonance
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Gender Differences Among Shoulder Arthroplasty Surgeons: Past, Present, and Future J. Shoulder Elbow Surg. (IF 3.0) Pub Date : 2024-01-17 Melissa A. Wright, Alexander Aleem, Anand M. Murthi, Benjamin Zmistowski
INTRODUCTION Reducing differences in the gender representation of shoulder arthroplasty surgeons may help optimize patient care. This work aims to determine (a) the current gender distribution of surgeons performing shoulder arthroplasty, (b) how gender relates to practice patterns among shoulder arthroplasty surgeons, and (c) how gender distribution has been changing over time. METHODS The Medicare
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Varus-valgus Alignment of Humeral Short Stem in Reverse Total Shoulder Arthroplasty: Does It Really Matter? J. Shoulder Elbow Surg. (IF 3.0) Pub Date : 2024-01-17 Sung-Hyun Cho, Chan-Joo Park, Sang-Jae Kim, Kyoung-Geun Lee, Gyu Rim Baek, Min-Shik Chung, Aaron T. Hui, Michelle H. McGarry, Thay Q. Lee, Sungwook Jung, Jaewon Kim, Yang-Soo Kim
Background The utilization of short humeral stems in reverse total shoulder arthroplasty (RTSA) has gained attention in recent times. However, concerns regarding the risk of misalignment during implant insertion are associated with their use. Methods Eight fresh-frozen cadaveric shoulders were prepared for dissection and biomechanical testing. A bespoke humeral implant was fabricated to facilitate
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Robert H. Cofield, MD, Award for Best Oral Presentation 2023: Up to 8mm of Glenoid-Sided Lateralization Does Not Increase the Risk of Acromial or Scapular Spine Stress Fracture Following Reverse Shoulder Arthroplasty With a 135° Inlay Humeral Component J. Shoulder Elbow Surg. (IF 3.0) Pub Date : 2024-01-17 Theresa Pak, Javier Ardebol, Mariano E. Menendez, Reuben Gobezie, Benjamin W. Sears, Evan Lederman, Brian Werner, Patrick J. Denard
Background Glenoid-sided lateralization in reverse shoulder arthroplasty (RSA) decreases bony impingement and improves rotational range of motion, but has been theorized to increase the risk of acromial or scapular spine fractures (ASF). The purpose of this study was to assess the if glenoid-sided lateralization even up to 8 mm increases risk for stress fracture following RSA with a 135° inlay humeral