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Journals Journal of Shoulder and Elbow ...

Journal of Shoulder and Elbow Surgery

https://read.qxmd.com/read/38759838/after-primary-shoulder-arthroplasty-appropriate-vancomycin-antibiotic-prophylaxis-does-not-lead-to-increased-infectious-complications-when-compared-to-cefazolin
#1
JOURNAL ARTICLE
Ian M Marigi, Kristin Yu, Micah Nieboer, Erick M Marigi, John W Sperling, Joaquin Sanchez-Sotelo, Jonathan D Barlow
INTRODUCTION: In primary shoulder arthroplasty (SA), intravenous (IV) cefazolin has demonstrated lower rates of infectious complications when compared to IV vancomycin. However, previous analyses included SA cohorts with both complete and incomplete vancomycin administration. Therefore, it is currently unclear whether cefazolin still maintains a prophylactic advantage to vancomycin when it is appropriately indicated and sufficiently administered at the time of surgical incision. This study evaluated the comparative efficacy of cefazolin and complete vancomycin administration for surgical prophylaxis in primary shoulder arthroplasty with respect to infectious complications...
May 15, 2024: Journal of Shoulder and Elbow Surgery
https://read.qxmd.com/read/38759837/does-the-subscapularis-refixation-affect-the-clinical-outcome-after-primary-reverse-shoulder-arthroplasty
#2
JOURNAL ARTICLE
Yacine Ameziane, Malte Holschen, Nina Myline Engel, Dominik Schorn, Kai-Axel Witt, Jörn Steinbeck
BACKGROUND: Reverse shoulder arthroplasty is an established procedure for patients with rotator cuff tear arthropathy. However, the refixation of the subscapularis tendon remains a controversial and frequently discussed topic. This prospective randomized study was conducted to evaluate the clinical benefit of the subscapularis refixation after reverse shoulder arthroplasty. METHODS: Fifty patients (f: 36, m:14) were randomized and assigned to either the "repaired" (rep) or the "not repaired" (nrep) cohort...
May 15, 2024: Journal of Shoulder and Elbow Surgery
https://read.qxmd.com/read/38754545/electromyographic-analysis-of-selected-shoulder-muscles-during-shoulder-rehabilitation-exercises-in-patients-after-reversed-shoulder-arthroplasty
#3
JOURNAL ARTICLE
Dominiek Vandenbosch, Alexander Van Tongel, Lieven De Wilde, Ann M Cools
BACKGROUND: Reversed shoulder arthroplasty (RSA) aims to restore function in patients with rotator cuff failure and joint arthropathy. After surgery, patients are routinely referred to a rehabilitation specialist to regain range of motion, strength, and function. A key element in these programs is active exercises. The exercises are often selected based on assumed muscle activity, investigated by electromyography (EMG). In particular, in this patient population, activation of the deltoid and the scapular muscles is the focus of exercise therapy...
May 14, 2024: Journal of Shoulder and Elbow Surgery
https://read.qxmd.com/read/38754544/outcomes-and-complications-of-revision-reverse-shoulder-arthroplasty-following-failed-primary-anatomical-shoulder-arthroplasty-or-hemiarthroplasty-a-systematic-review
#4
REVIEW
Jessica M Welch, Mikhail A Bethell, Alex M Meyer, Eoghan T Hurley, Jay M Levin, Christian A Pean, Oke Anakwenze, Christopher S Klifto
BACKGROUND: The purpose of this study is to systematically review the evidence in the literature to ascertain the functional outcomes, range of motion (ROM) and complication and reoperation rates following revision reverse shoulder arthroplasty (RSA) for a failed primary total shoulder arthroplasty (TSA) or hemiarthroplasty (HA). METHODS: Two independent reviewers performed the literature search based on PRISMA guidelines, utilizing the EMBASE, MEDLINE, and The Cochrane Library Databases...
May 14, 2024: Journal of Shoulder and Elbow Surgery
https://read.qxmd.com/read/38754543/the-variability-of-mcid-scb-pass-and-moi-thresholds-for-proms-in-the-reverse-total-shoulder-arthroplasty-literature-a-systematic-review
#5
REVIEW
Avanish Yendluri, Ara Alexanian, Alexander C Lee, Michael N Megafu, William N Levine, Bradford O Parsons, John D Kelly, Robert L Parisien
BACKGROUND: Reverse total shoulder arthroplasty (RTSA) is a common procedure utilized to address degenerative pathologies of the glenohumeral joint and rotator cuff. Increased reliance on patient-reported outcome measures (PROMs) has placed emphasis on the utilization of the minimum clinically important difference (MCID), substantial clinical benefit (SCB), patient acceptable symptom state (PASS), and maximal outcome improvement (MOI) thresholds to assess the clinical efficacy of RTSA...
May 14, 2024: Journal of Shoulder and Elbow Surgery
https://read.qxmd.com/read/38754542/regional-variation-from-2013-to-2021-in-primary-total-shoulder-arthroplasty-utilization-reimbursement-and-patient-populations
#6
JOURNAL ARTICLE
Vikram S Gill, Jack M Haglin, Sailesh V Tummala, Eugenia Lin, Alexandra Cancio-Bello, Steven J Hattrup, John M Tokish
BACKGROUND: Total shoulder arthroplasty (TSA), encompassing both anatomical and reverse total shoulder arthroplasty, has increased in popularity worldwide. The purpose of this study was to assess how TSA utilization, reimbursement, surgeon practices, and patient populations have evolved within the Medicare population from 2013 to 2021 at a national and regional level. METHODS: The Medicare Physician and Other Practitioners dataset was queried for all episodes of primary TSA (CPT-23472), both anatomic and reverse, between years 2013 and 2021...
May 14, 2024: Journal of Shoulder and Elbow Surgery
https://read.qxmd.com/read/38754541/reverse-shoulder-arthroplasty-for-patients-with-cuff-tear-arthropathy-do-clinical-outcomes-differ-by-inlay-versus-onlay-design
#7
JOURNAL ARTICLE
Prashant Meshram, Piotr Łukasiewicz, Laurence Okeke, Uma Srikumaran, Edward G McFarland
BACKGROUND: The influence of position of the humeral tray (inlay or onlay) on clinical outcomes in reverse shoulder arthroplasty (RSA) is a topic of debate. The purpose of this study was to compare clinical and radiographic outcomes of patients with cuff tear arthropathy treated with RSA systems with inlay or onlay humeral tray design, similar neck-shaft angles, and lateralized glenospheres. METHODS: This was a retrospective study of prospectively obtained data from one tertiary care center...
May 14, 2024: Journal of Shoulder and Elbow Surgery
https://read.qxmd.com/read/38754540/the-effect-of-lateralization-and-distalization-after-grammont-style-reverse-total-shoulder-arthroplasty
#8
JOURNAL ARTICLE
Chris Clinker, Hiroaki Ishikawa, Angela P Presson, Chong Zhang, Christopher Joyce, Peter N Chalmers, Robert Z Tashjian
BACKGROUND: The purpose of this study is to evaluate the relationship between multiple radiographic measures of lateralization and distalization and clinical outcome scores after reverse total shoulder arthroplasty (RTSA). METHODS: We retrospectively evaluated all RTSAs performed by the senior author between January 1, 2007, and November 1, 2017. We then evaluated the visual analog scale for pain (VAS pain), Simple Shoulder Test (SST), and American Shoulder and Elbow Surgeons (ASES) scores and complication and reoperation rates at a minimum of 2-year follow-up...
May 14, 2024: Journal of Shoulder and Elbow Surgery
https://read.qxmd.com/read/38750787/the-kouvalchouk-procedure-versus-distal-tibial-allograft-for-treatment-of-posterior-shoulder-instability-the-deltoid-hammock-effect-exists
#9
JOURNAL ARTICLE
Ryan Gao, Cole T Fleet, Winston Jin, James A Johnson, Kenneth J Faber, George S Athwal
BACKGROUND: In 1993, Kouvalchouk described an acromial bone block with a pedicled deltoid flap for the treatment of posterior shoulder instability. This procedure provides a "double blocking" effect in that the acromial autograft restores posterior glenoid bone loss and the deltoid flap functions as a muscular "hammock" resembling the sling effect of the conjoint in the Latarjet procedure. The primary aim of this study was to compare the Kouvalchouk procedure to distal tibial allograft (DTA) reconstruction for the management of posterior shoulder instability with associated bone loss, while the secondary aim was to evaluate the deltoid hammock effect...
May 13, 2024: Journal of Shoulder and Elbow Surgery
https://read.qxmd.com/read/38750786/the-impact-of-bone-marrow-stimulation-on-arthroscopic-rotator-cuff-repair-for-small-to-large-rotator-cuff-tears-a-randomized-controlled-trial
#10
JOURNAL ARTICLE
Keun-Bae Hong, Tae-Ho Lee, Hong-Keun Park, Jae-Hyung Lee, Seok-Won Chung, Jin-Young Park
BACKGROUND: Bone marrow stimulation (BMS), a procedure involving the creation of multiple channels in the greater tuberosity, is often performed alongside arthroscopic rotator cuff repair (ARCR). This study evaluated the effect of BMS on clinical and structural outcomes following ARCR. METHOD: This study involved 204 patients with small, medium, and large full-thickness rotator cuff tears. In all, 103 patients who underwent BMS and ARCR made up the BMS group, while the 101 patients who only had ARCR made up the control group with randomization...
May 13, 2024: Journal of Shoulder and Elbow Surgery
https://read.qxmd.com/read/38735636/glenoid-track-revisited
#11
REVIEW
Eiji Itoi, Nobuyuki Yamamoto, Giovanni Di Giacomo, Gianmarco Marcello
The risk of Hill-Sachs lesion (HSL) to cause instability depends not only on the HSL but also on the glenoid size. Clinically, the only method to assess the risk of instability considering the dynamic interaction of both, the HSL together with the glenoid bone loss, is the glenoid track concept. Since it was introduced in a cadaveric study, its clinical efficacy and validity have been reported in the literature. Sometimes, the medial margin of the footprint (lateral margin of the glenoid track) is difficult to identify when a HSL is overriding the footprint...
May 10, 2024: Journal of Shoulder and Elbow Surgery
https://read.qxmd.com/read/38735635/management-of-the-failed-latarjet-procedure
#12
JOURNAL ARTICLE
Delgado Cristina, Valencia Maria, Martínez-Catalán Natalia, Calvo Emilio
AIM: To analyze the causes of failure after a Latarjet procedure and to evaluate the results of revision surgery. METHODS: Single-cohort, retrospective, observational study. Fifteen patients, 13 males, mean age at revision failed Latarjet 38.9 years (range, 20-57), with anterior glenohumeral instability who underwent a revision surgery for a failed Latarjet procedure were reviewed. Failure was defined as subluxation or dislocation. Demographic features, the reason for failure, type of lesions observed, and postoperative clinical and functional status were recorded...
May 10, 2024: Journal of Shoulder and Elbow Surgery
https://read.qxmd.com/read/38735634/no-difference-in-10-year-survivorship-of-total-shoulder-arthroplasty-versus-hemiarthroplasty-for-avascular-necrosis-of-the-humeral-head
#13
JOURNAL ARTICLE
Philip M Parel, Shu Lin, Amil R Agarwal, Mark Haft, R Timothy Kreulen, Arhum Naeem, Zachary Pressman, Matthew J Best, Zachary R Zimmer, Uma Srikumaran
INTRODUCTION: Avascular necrosis of the humeral head (AVN) is characterized by osteonecrosis secondary to disrupted blood flow to the glenohumeral joint. Following collapse of the humeral head, arthroplasty, namely total shoulder arthroplasty (TSA) or humeral head arthroplasty (hemiarthroplasty) is recommended standard of care. The literature is limited to underpowered and small sample sizes in comparing arthroplasty modalities. Therefore, the aims of this study were (1) to compare the 10-year survivorship of TSA and hemiarthroplasty in the treatment of AVN of the humeral head and (2) to identify differences in their revision etiologies...
May 10, 2024: Journal of Shoulder and Elbow Surgery
https://read.qxmd.com/read/38734130/an-isolated-bioinductive-repair-vs-sutured-repair-for-full-thickness-rotator-cuff-tears-2-year-results-of-a-double-blinded-randomized-controlled-trial
#14
JOURNAL ARTICLE
Jorge Alberto Camacho Chacón, Victor Roda Rojo, Adrian Martin Martinez, Jorge Cuenca Espierrez, Veronica Garcia Calvo, José Manuel Calderón Meza, Carlos Martin Hernandez
BACKGROUND: Partial-thickness rotator cuff tears treated with an isolated bioinductive repair (IBR) in lieu of a completion-and-repair have shown complete healing. This treatment option is afforded by the remaining tendon's structural integrity, which is similar to that present in small/medium full-thickness tears (FTTs) when the rotator cable remains intact. This randomized controlled trial (RCT) investigated whether an IBR for small/medium FTTs resulted in superior healing and patient-reported outcomes (PROs) compared with a sutured repair...
May 9, 2024: Journal of Shoulder and Elbow Surgery
https://read.qxmd.com/read/38734129/open-bankart-repair-plus-inferior-capsular-shift-versus-isolated-arthroscopic-bankart-repair-in-collision-athletes-with-recurrent-anterior-shoulder-instability-a-prospective-study
#15
JOURNAL ARTICLE
Iván José Bitar, Lucas Daniel Marangoni, Damian Gabriel Bustos, Luciano Pezzutti, Lucia Belen Bitar
BACKGROUND: Open Bankart repair plus inferior capsular shift and isolated arthroscopic Bankart repair have never been prospectively compared under the concept of glenoid track in collision athletes with recurrent anterior shoulder instability. The aim of this study was to compare the functional outcomes, range of motion and recurrence rate between these two surgical techniques. We hypothesized that open Bankart repair plus inferior capsular shift would provide similar functional outcomes to isolated arthroscopic Bankart repair but with a lower recurrence rate...
May 9, 2024: Journal of Shoulder and Elbow Surgery
https://read.qxmd.com/read/38734128/effect-of-bmi-on-complications-following-total-shoulder-arthroplasty-a-population-wide-analysis
#16
JOURNAL ARTICLE
Cory K Mayfield, Maya S Abu-Zahra, Katie Yensen, Jacob L Kotlier, Ioanna K Bolia, N Mina Hwang, Bryan Bashrum, Alexander E Weber, Seth C Gamradt, Joseph N Liu, Frank A Petrigliano
BACKGROUND: Evidence regarding the effect of body mass index (BMI) on complications following anatomic shoulder arthroplasty (aTSA) and reverse shoulder arthroplasty (rTSA) remains controversial. This high-powered study examines the effect of BMI on surgical and medical complications following anatomic shoulder arthroplasty (aTSA) and reverse shoulder arthroplasty (rTSA). METHODS: This retrospective cohort study was conducted using the Premier Healthcare Database (PHD) to query all adult patients who underwent primary, elective TSA (aTSA, rTSA) from 2016 to 2020...
May 9, 2024: Journal of Shoulder and Elbow Surgery
https://read.qxmd.com/read/38734127/optimal-combination-of-arthroplasty-type-fixation-method-and-postoperative-rehabilitation-protocol-for-complex-proximal-humerus-fractures-in-the-elderly-a-network-meta-analysis
#17
REVIEW
Christopher A Colasanti, Utkarsh Anil, Kaitlyn Rodriguez, Jay M Levin, Philipp Leucht, Ryan W Simovitch, Joseph D Zuckerman
PURPOSE: The purpose of this study was to define the optimal combination of surgical technique and postoperative rehabilitation protocol for elderly patients undergoing either hemiarthroplasty (HA) or reverse total shoulder arthroplasty (rTSA) for acute proximal humerus fracture (PHF) by performing a network meta-analysis of the comparative studies in the literature. METHODS: A systematic review of the literature using PRISMA guidelines of MEDLINE, EMBASE, and Cochrane Library was screened from 2007-2023...
May 9, 2024: Journal of Shoulder and Elbow Surgery
https://read.qxmd.com/read/38734126/provider-opinions-on-effectiveness-of-physical-therapy-as-treatment-for-glenohumeral-arthritis
#18
JOURNAL ARTICLE
Liam T Kane, Hamd Mahmood, Jaspal Singh, Angela Tate, Surena Namdari
INTRODUCTION: Physical therapy (PT) is a described first-line treatment option for glenohumeral arthritis, but its efficacy for treating this spectrum of disease is not well understood. The purpose of this study is to evaluate the opinions of expert providers-orthopedic surgeons and physical therapists-regarding the utility of PT in treating glenohumeral arthritis in different stages of radiographic severity. Our goal is to identify areas of interprofessional majority agreement as well as areas without agreement that warrant further investigation...
May 9, 2024: Journal of Shoulder and Elbow Surgery
https://read.qxmd.com/read/38719073/defining-patient-satisfaction-after-reverse-total-shoulder-arthroplasty-a-systematic-review
#19
REVIEW
Kira L Smith, Amir Karimi, Ethan R Harlow, Robert J Gillespie, Raymond E Chen
BACKGROUND: The prevalence of reverse total shoulder arthroplasty (rTSA) has grown rapidly. As indications for the procedure expand, the proportion of patients who have satisfactory outcomes after rTSA has not been well defined. This systematic literature review explores overall patient satisfaction after rTSA and defines patient satisfaction based on indication for surgery. METHODS: A literature search was performed for studies describing patient satisfaction after rTSA in accordance with Preferred Reporting Items for Systematic Review and Meta-Analysis (PRISMA) guidelines...
May 6, 2024: Journal of Shoulder and Elbow Surgery
https://read.qxmd.com/read/38719072/total-shoulder-arthroplasty-for-glenohumeral-arthritis-associated-with-posterior-glenoid-bone-loss-midterm-results-of-an-all-polyethylene-posteriorly-augmented-stepped-glenoid-component
#20
JOURNAL ARTICLE
Dennis DeBernardis, David Donnelly, Aditya Bahel, Paul Favorito
BACKGROUND: The purpose of this study is to report the minimum 5-year clinical and radiographic outcomes of patients undergoing anatomic total shoulder arthroplasty (aTSA) with a posteriorly augmented glenoid component. METHODS: Thirty-five shoulders with minimum 5-year follow-up underwent aTSA using a posteriorly augmented glenoid component for the treatment of glenohumeral osteoarthritis with posterior glenoid bone loss. Clinical outcomes included range of motion (ROM), Visual Analog Scale (VAS) for pain, and patient reported outcomes scores (PROS)...
May 6, 2024: Journal of Shoulder and Elbow Surgery
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