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Journals Journal of Shoulder and Elbow ...

Journal of Shoulder and Elbow Surgery

https://read.qxmd.com/read/38492629/primary-and-revision-reverse-total-shoulder-arthroplasty-using-a-patient-matched-glenoid-implant-for-severe-glenoid-bone-deficiency
#1
JOURNAL ARTICLE
Richard M Michelin, Isaac Manuputy, Rajesh Rangarajan, Brian K Lee, Mark Schultzel, John M Itamura
BACKGROUND: Severe glenoid bone loss in the setting of both primary and revision reverse total shoulder arthroplasty (rTSA) continues to remain a significant challenge. The purpose of this study was to report on radiographic and clinical outcomes of primary and revision rTSA using a patient-matched, 3-dimensionally printed metal glenoid implant to address severe glenoid bone deficiency. This is a follow-up study to previously reported preliminary results. METHODS: A retrospective review was performed on 62 patients with severe glenoid bone deficiency underwent either primary or revision rTSA using the Comprehensive Vault Reconstruction System (VRS) (Zimmer Biomet, Warsaw, IN, USA) at a single institution...
March 14, 2024: Journal of Shoulder and Elbow Surgery
https://read.qxmd.com/read/38485082/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
#2
JOURNAL ARTICLE
Amin Karimi, Rajiv P Reddy, Confidence Njoku-Austin, Ehab Nazzal, Michael G James, Albert Lin
BACKGROUND: 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 postoperative ROM between TSA and RSA in these patients. METHODS: This retrospective cohort study included 116 patients who underwent RSA or TSA between 2013 and 2022 for the treatment of rotator cuff intact primary osteoarthritis with restricted preoperative forward flexion (FF) and a minimum 1-year follow-up...
March 12, 2024: Journal of Shoulder and Elbow Surgery
https://read.qxmd.com/read/38485081/preoperative-factors-associated-with-180-270-and-360-degree-labral-tears
#3
JOURNAL ARTICLE
Liane Miller, Confidence Njoku Austin, Rajiv Reddy, David Fogg, Ehab Nazzal, Zachary Herman, Matthew Como, Albert Lin
BACKGROUND: 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 patients presenting with small (less than 180 degrees), medium (180-270 degrees), and large (270-360 degrees) labral tears...
March 12, 2024: Journal of Shoulder and Elbow Surgery
https://read.qxmd.com/read/38479723/total-shoulder-arthroplasty-in-patients-with-factor-v-leiden
#4
JOURNAL ARTICLE
Katie M Zehner, Joshua G Sanchez, Meera M Dhodapkar, Maxwell Modrak, Xuan Luo, Jonathan N Grauer
BACKGROUND: 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 TSA. METHODS: Adult patients undergoing primary TSA for osteoarthritis indication were identified in the 2010 through October 2021 PearlDiver M157 database...
March 11, 2024: Journal of Shoulder and Elbow Surgery
https://read.qxmd.com/read/38467184/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
#5
LETTER
Yundong Peng, Fengxing Li, Yue Ding, Xianghong Sun, Guanglan Wang, Shaohui Jia, Cheng Zheng
No abstract text is available yet for this article.
March 9, 2024: Journal of Shoulder and Elbow Surgery
https://read.qxmd.com/read/38467183/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
#6
JOURNAL ARTICLE
Martin Seyres, Neil Postans, Robert Freeman, Anand Pandyan, Edward K Chadwick, Fraser Philp
BACKGROUND: 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. HYPOTHESIS: Children and adolescents with shoulder instability (irrespective of etiology) have differences in their movement and muscle activity profiles compared to age- and sex-matched controls (two-tailed)...
March 9, 2024: Journal of Shoulder and Elbow Surgery
https://read.qxmd.com/read/38467182/statistical-shape-models-that-predict-native-glenoid-width-based-on-glenoid-height-are-inaccurate-in-their-current-form-a-cross-sectional-study
#7
JOURNAL ARTICLE
Lukas P E Verweij, Nobuyuki Yamamoto, Atsushi Arino, Jun Kawakami, Gino M M J Kerkhoffs, Derek F P van Deurzen, Michel P J van den Bekerom, Toshimi Aizawa
BACKGROUND: 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 errors of existing 3D-CT statistical shape models. MATERIALS AND METHODS: A retrospective cross-sectional study included all consecutive patients that underwent CT-imaging before undergoing primary surgical treatment of traumatic anterior shoulder dislocation between 2007 and 2022 at the Tohoku University Hospital and affiliated hospitals...
March 9, 2024: Journal of Shoulder and Elbow Surgery
https://read.qxmd.com/read/38461937/suprascapular-nerve-irritation-as-an-important-cause-of-pain-following-reverse-total-shoulder-arthroplasty
#8
Ashish Narang, Leanne Dupley, Ronnie Davies, Nicholas Phillips, Christopher Peach
No abstract text is available yet for this article.
March 8, 2024: Journal of Shoulder and Elbow Surgery
https://read.qxmd.com/read/38461936/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
#9
JOURNAL ARTICLE
Ryan W Simovitch, Josie Elwell, Christopher A Colasanti, Kevin A Hao, Richard J Friedman, Pierre-Henri Flurin, Thomas W Wright, Bradley S Schoch, Christopher P Roche, Joseph D Zuckerman
BACKGROUND: 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 are influenced by prosthesis type (anatomic or reverse TSA), sex, or preoperative diagnosis...
March 8, 2024: Journal of Shoulder and Elbow Surgery
https://read.qxmd.com/read/38461935/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
#10
LETTER
Xiali Xue, Qingfa Song, Xinwei Yang, Hao Fu, Guoqing Cui
No abstract text is available yet for this article.
March 8, 2024: Journal of Shoulder and Elbow Surgery
https://read.qxmd.com/read/38461934/how-low-can-we-go-a-randomized-controlled-trial-of-low-quantity-initial-opioid-prescriptions-for-shoulder-surgery
#11
JOURNAL ARTICLE
Arman Kishan, Zachary C Pearson, Steve S Li, Zachary Pressman, Uzoma Ahiarakwe, Chathurangi H Pathiravasan, Umasuthan Srikumaran
BACKGROUND: 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 would lead to less opioid consumption, a lower refill request rate, and fewer post-surgery office contacts for pain...
March 8, 2024: Journal of Shoulder and Elbow Surgery
https://read.qxmd.com/read/38430982/quantitative-mri-versus-perioperative-arthroscopy-to-measure-stage-1-ruptures-of-the-supraspinatus-tendon-for-surgical-planning
#12
JOURNAL ARTICLE
Edouard Harly, Paul Commeil, Etienne Boyer, Christine Tchikladze, Hugues Demezon
BACKGROUND: 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. METHODS: This prospective, non-randomized, non-controlled, interventional study was carried out in patients with a stable stage 1 STT...
February 29, 2024: Journal of Shoulder and Elbow Surgery
https://read.qxmd.com/read/38430981/arthroscopic-stabilization-surgery-for-first-time-anterior-shoulder-dislocations-a-systematic-review-and-meta-analysis
#13
REVIEW
Hassaan Abdel Khalik, Darius L Lameire, Timothy Leroux, Mohit Bhandari, Moin Khan
BACKGROUND: 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. METHODS: MEDLINE, EMBASE and Web of Science were searched from inception to December 18, 2022, for single-arm or comparative studies assessing FTASDs managed with arthroscopic stabilization surgery following first time dislocation...
February 29, 2024: Journal of Shoulder and Elbow Surgery
https://read.qxmd.com/read/38430980/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
#14
JOURNAL ARTICLE
Akiro H Duey, Brocha Z Stern, Nicole Zubizarreta, Leesa M Galatz, Bradford O Parsons, Jashvant Poeran, Paul J Cagle
BACKGROUND: 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. METHODS: 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 internal fixation (ORIF), total shoulder arthroplasty (TSA), or hemiarthroplasty...
February 29, 2024: Journal of Shoulder and Elbow Surgery
https://read.qxmd.com/read/38430979/disease-diagnosis-and-arthroplasty-type-are-strongly-associated-with-short-term-postoperative-patient-reported-outcomes-in-patients-undergoing-primary-total-shoulder-arthroplasty
#15
JOURNAL ARTICLE
Sambit Sahoo, Vahid Entezari, Jason C Ho, Bong-Jae Jun, Yuxuan Jin, Peter B Imrey, Kathleen A Derwin, Joseph P Iannotti, Eric T Ricchetti
BACKGROUND: 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. METHODS: Cleveland Clinic patients undergoing primary anatomic TSA (aTSA) or reverse TSA (rTSA) for glenohumeral osteoarthritis (GHOA) or rotator cuff tear arthropathy (CTA) between February 2015 and August 2019, and having complete preoperative and one-year postoperative patient reported outcome measures (PROMs), were included...
February 29, 2024: Journal of Shoulder and Elbow Surgery
https://read.qxmd.com/read/38430978/artificial-intelligence-in-shoulder-and-elbow-surgery-overview-of-current-and-future-applications
#16
REVIEW
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 vital to practicing orthopedic surgeons, as these applications will become more common place in everyday practice...
February 29, 2024: Journal of Shoulder and Elbow Surgery
https://read.qxmd.com/read/38428478/reverse-total-shoulder-arthroplasty-for-acute-proximal-humeral-fracture-has-comparable-10-year-outcomes-to-elective-indications-results-from-the-new-zealand-joint-registry
#17
JOURNAL ARTICLE
Scott M Bolam, Zoe Wells, Mei Lin Tay, Chris M A Frampton, Brendan Coleman, Adam Dalgleish
HYPOTHESIS AND BACKGROUND: 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 implant survivorship, reasons for revision and functional outcomes in patients undergoing RTSA for acute PHF with those undergoing elective RTSA in a population-based cohort study...
February 28, 2024: Journal of Shoulder and Elbow Surgery
https://read.qxmd.com/read/38428477/predictors-of-poor-and-excellent-outcomes-following-reverse-shoulder-arthroplasty-for-glenohumeral-osteoarthritis-with-an-intact-rotator-cuff
#18
JOURNAL ARTICLE
Abdulaziz F Ahmed, Evan A Glass, Daniel P Swanson, James Patti, Adam R Bowler, Kiet Le, Andrew Jawa, Jacob M Kirsch
BACKGROUND: As the indications for reverse total shoulder arthroplasty (RSA) continue to evolve, it has been more commonly utilized for the treatment of glenohumeral osteoarthritis with an intact rotator cuff (GHOA). Given the increased use of RSA for GHOA, it is important to identify factors influential of clinical outcomes. In this study, we sought to identify variables predictive of clinical outcomes following RSA for GHOA. METHODS: Patients undergoing primary RSA for GHOA between 2015-2020 were retrospectively identified through a prospectively maintained, single surgeon registry...
February 28, 2024: Journal of Shoulder and Elbow Surgery
https://read.qxmd.com/read/38428476/does-timing-influence-rehabilitation-outcomes-in-arthroscopic-rotator-cuff-repair-with-biceps-re-routing-a-prospective-randomized-study
#19
JOURNAL ARTICLE
Yong Girl Rhee, Yang-Soo Kim, In El Lee, Se Yeon Kim, Hyun Joo Ham, Sung Min Rhee, Radhakrishna Kantanavar
BACKGROUND: Arthroscopic rotator cuff repair with biceps re-routing (ABR) has emerged as a reliable option for treating large, posterosuperior rotator cuff tears. This study aims to compare functional and structural outcomes of early versus delayed motion rehabilitation protocols following ABR. METHODS: A total of 101 patients with semirigid, large, posterosuperior rotator cuff tears undergoing ABR were randomized into two groups: Group I (early motion) with 53 patients (34 females, 19 males) and Group II (delayed motion) with 48 patients (31 females, 17 males)...
February 28, 2024: Journal of Shoulder and Elbow Surgery
https://read.qxmd.com/read/38423252/preoperative-mri-rotator-cuff-tendon-stump-classification-correlates-with-the-surgical-outcomes-following-superior-capsular-reconstruction
#20
JOURNAL ARTICLE
Hui Ben, Erica Kholinne, Jia Guo, Ji Yeon Park, Seung Min Ryu, Kyoung-Hwan Koh, In-Ho Jeon
PURPOSE: To investigate the correlation between rotator cuff stump classification and postoperative outcomes after superior capsular reconstruction (SCR). METHODS: 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, fat-suppressed MRI scans, the patients were classified into types 1, 2, and 3 with ratios of < 0...
February 27, 2024: Journal of Shoulder and Elbow Surgery
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