Clinics in Shoulder and Elbow最新文献_第2页

Timing of surgery for terrible triad of the shoulder: a systematic review. 肩部三联征的手术时机：系统回顾。

IF 1.8

Clinics in Shoulder and Elbow Pub Date : 2025-04-25 DOI: 10.5397/cise.2024.00829

Nachiket Deshpande, Moustafa S Hadi, Eleanor C Smith, Ayobami L Ward, Whitney E Muhlestein, James E Carpenter, Louis T Rodgers, Yamaan S Saadeh

{"title":"Timing of surgery for terrible triad of the shoulder: a systematic review.","authors":"Nachiket Deshpande, Moustafa S Hadi, Eleanor C Smith, Ayobami L Ward, Whitney E Muhlestein, James E Carpenter, Louis T Rodgers, Yamaan S Saadeh","doi":"10.5397/cise.2024.00829","DOIUrl":"https://doi.org/10.5397/cise.2024.00829","url":null,"abstract":"The terrible triad of the shoulder (STT) is an injury involving anterior shoulder dislocation, rotator cuff tear, and nerve injury. The optimal timing for rotator cuff repair (RCR) remains controversial, with some favoring early intervention and others recommending delaying surgery until nerve recovery. A systematic review was conducted in accordance with Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines, exploring STT treatment and RCR timing using PubMed, Embase, and Web of Science. Inclusion criteria: English language and human subjects. Exclusion criteria: non-English articles, reviews, cadaveric studies, and unrelated conditions. Time to surgery and outcomes related to shoulder and nerve function, such as range of motion, muscle strength, and sensation were analyzed qualitatively. Of 671 articles identified, 28 met inclusion criteria. Most patients underwent surgical RCR and demonstrated excellent functional and neurologic outcomes, with many achieving 150°+ flexion, 110°+ abduction, 4+/5 strength, and resolution of nerve hypoesthesia. RCR timing ranged from 10 days to 6 months, with comparable outcomes regardless of timing. Prompt RCR in STT may be beneficial for maximizing shoulder outcomes, while coexisting nerve injuries should be managed conservatively with watchful waiting, as most recover spontaneously.","PeriodicalId":33981,"journal":{"name":"Clinics in Shoulder and Elbow","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2025-04-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144040212","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

A rare case of pyomyositis with intramuscular hemangioma in the upper arm. 一例罕见的上臂肌内血管瘤伴脓性肌炎。

IF 1.8

Clinics in Shoulder and Elbow Pub Date : 2025-04-16 DOI: 10.5397/cise.2024.01004

Ji Un Kim, Hyung Jun Park, Jung Ho Park

{"title":"A rare case of pyomyositis with intramuscular hemangioma in the upper arm.","authors":"Ji Un Kim, Hyung Jun Park, Jung Ho Park","doi":"10.5397/cise.2024.01004","DOIUrl":"https://doi.org/10.5397/cise.2024.01004","url":null,"abstract":"Intramuscular hemangiomas are infrequently considered in musculoskeletal pain differentials, particularly in the upper extremities, and their coexistence with infectious abscesses within the biceps brachii muscle is exceptionally rare. We report a case of intramuscular hemangioma with abscess formation in the biceps muscle of a 56-year-old male who presented with left upper arm pain and swelling, a hot sensation, redness, and limitations of elbow flexion and forearm supination. The level of C-reactive protein was high (25.43 mg/dL), and the visual analogue scale score was 10 with left upper arm and elbow movement before surgery. Plain radiograph revealed 3 small phleboliths. Magnetic resonance imaging showed an ill-defined enhancing lesion (2.5×2.7×9.8 cm) within the left lateral part of biceps muscle with increased T1-weighted signal throughout and a small, round, low-signal-intensity focus within the lesion, consistent with an intramuscular hemangioma, and a geographic non-enhancing area in the medial part of the biceps muscle, consistent with infectious myositis with abscess formation. We performed surgery for excision of the intramuscular hemangioma and drainage of the abscess in the biceps muscle. By 5 weeks post-surgery, all functional limitations had resolved, and no recurrence was observed at the 5-month follow-up.","PeriodicalId":33981,"journal":{"name":"Clinics in Shoulder and Elbow","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2025-04-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144039042","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

A technique for arthroscopic-assisted lower trapezius transfer using an Achilles tendon allograft augmented with acellular dermal matrix to treat posterior superior irreparable rotator cuff tears in the lateral decubitus position. 关节镜辅助下斜方肌转移技术：利用脱细胞真皮基质增强的跟腱异体移植物治疗侧卧位后上不可修复的肩袖撕裂。

IF 1.8

Clinics in Shoulder and Elbow Pub Date : 2025-04-14 DOI: 10.5397/cise.2024.00822

Chang Hee Baek, Bo Taek Kim, Jung Gon Kim, Chaemoon Lim

引用次数: 0

Arcuate osteoplasty for brachial plexus paralysis after plate fixation of mid-clavicle fracture: a case report and literature review. 弓形成形术治疗锁骨中段骨折钢板固定后臂丛麻痹1例并文献复习。

IF 1.8

Clinics in Shoulder and Elbow Pub Date : 2025-03-20 DOI: 10.5397/cise.2024.00717

Dongju Shin, Jae Hwi Han

引用次数: 0

Bilateral reverse shoulder arthroplasty: functional outcomes and technical considerations. 双侧肩关节置换术：功能结果和技术考虑。

IF 1.8

Clinics in Shoulder and Elbow Pub Date : 2025-03-01 Epub Date: 2025-01-23 DOI: 10.5397/cise.2024.00633

Peter Boufadel, Ryan Lopez, Mohammad Daher, Jonathan Koa, Mohamad Y Fares, Jie J Yao, Joseph A Abboud

{"title":"Bilateral reverse shoulder arthroplasty: functional outcomes and technical considerations.","authors":"Peter Boufadel, Ryan Lopez, Mohammad Daher, Jonathan Koa, Mohamad Y Fares, Jie J Yao, Joseph A Abboud","doi":"10.5397/cise.2024.00633","DOIUrl":"10.5397/cise.2024.00633","url":null,"abstract":"As the incidence of reverse total shoulder arthroplasty (RSA) continues to increase with its expanding indications, a growing number of patients are being considered for bilateral RSA. This review aims to explore the functional outcomes of patients with bilateral RSA and examine the effect of risk factors and implant positioning on internal rotation. Multiple studies have reported favorable results in bilateral RSA patients, with significantly improved patient-reported and clinical outcomes bilaterally. Although challenges remain in achieving reliable improvements in internal rotation following RSA, several studies to date have demonstrated that bilateral RSA patients are able to retain independence in personal hygiene and activities of daily living, with difficulty experienced primarily only in extreme internal rotation tasks, such as washing the back or securing a bra. Nevertheless, compensatory strategies can enable patients to manage these limitations effectively. Patients who have undergone bilateral RSA demonstrate functional outcomes and perform internal rotation tasks at a level comparable to that of patients who have undergone bilateral anatomic total shoulder arthroplasty or a combination of total shoulder arthroplasty and RSA. Risk factors for internal rotation deficits after RSA include poor preoperative functional internal rotation, increased body mass index, preoperative opioid use, and preoperative diagnosis of a massive irreparable rotator cuff tear. Lateralization and inferior positioning of the glenoid component as well as humeral component retroversion can increase functional internal rotation, while repairing the subscapularis does not appear to offer any clinically significant benefit. Although some patient and surgical factors have been associated with internal rotation deficits after RSA, further investigation is necessary to better characterize the underlying causes of this issue.","PeriodicalId":33981,"journal":{"name":"Clinics in Shoulder and Elbow","volume":"28 1","pages":"113-120"},"PeriodicalIF":1.8,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11938923/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143617440","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Short-term outcomes of anatomic total shoulder arthroplasty with biceps augmentation of subscapularis peel repair. 解剖型全肩关节置换术与肩胛下肌剥离修复二头肌增强术的短期疗效。

IF 1.8

Clinics in Shoulder and Elbow Pub Date : 2025-03-01 Epub Date: 2024-11-21 DOI: 10.5397/cise.2024.00549

Mohamad Y Fares, Peter Boufadel, Jonathan Koa, Jaspal Singh, Ryan Lopez, Nabil Mehta, Kyle Achors, Joseph A Abboud

{"title":"Short-term outcomes of anatomic total shoulder arthroplasty with biceps augmentation of subscapularis peel repair.","authors":"Mohamad Y Fares, Peter Boufadel, Jonathan Koa, Jaspal Singh, Ryan Lopez, Nabil Mehta, Kyle Achors, Joseph A Abboud","doi":"10.5397/cise.2024.00549","DOIUrl":"10.5397/cise.2024.00549","url":null,"abstract":"Background: Augmenting subscapularis peel repairs with the long head of the biceps tendon (LHBT) may provide increased strength to the repaired construct. We aimed to report on the early outcomes of anatomic total shoulder arthroplasty (aTSA) in patients whose subscapularis peel repairs were augmented with LHBT autografts.Methods: All patients who underwent aTSA with augmentation of subscapularis peel repair using LHBT were reviewed. Patients were included if they had a minimum 1-year follow-up. Preoperative demographics and intraoperative information were recorded. Primary outcomes were American Shoulder and Elbow Surgeon (ASES) scores and visual analog scale (VAS) pain scores, which were assessed at 3, 6, and 12 months, as well as changes in range of motion values.Results: Sixteen patients with a mean age of 63.3 years and a mean follow-up of 12.4 months were included in the study. Six patients were female and 10 were male. Average LHBT length was 7.3 cm (range, 6.5-9.0 cm). Two patients were converted to reverse shoulder arthroplasty (12.5%). For the remaining 14 patients, there were statistically significant improvements exceeding the minimal clinically important difference in both ASES (34.1-92.1, P<0.001) and VAS (6.3-0.9, P<0.001) scores. Patients exhibited a mean improvement of 47.7° in forward elevation (P<0.001), 30.8° in abduction (P<0.001), 21.4° in external rotation (P<0.001), and a 3-level improvement for internal rotation.Conclusions: At 1-year minimum follow-up, patients who underwent aTSA with augmentation of the subscapularis peel repair with the LHBT demonstrated favorable outcomes. Level of evidence: IV.","PeriodicalId":33981,"journal":{"name":"Clinics in Shoulder and Elbow","volume":" ","pages":"15-22"},"PeriodicalIF":1.8,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11938921/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142689129","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Rare complication of acute transient parotitis after arthroscopic rotator cuff repair: a case report. 关节镜下肩袖修复术后急性一过性腮腺炎罕见并发症1例。

IF 1.8

Clinics in Shoulder and Elbow Pub Date : 2025-03-01 Epub Date: 2024-12-30 DOI: 10.5397/cise.2024.00444

Ji Young Yoon, Sang Ok Chun, Joo Han Oh, Young Dae Jeon

引用次数: 0

Footprint medialization with bone marrow stimulation versus conventional incomplete repair for chronic retracted rotator cuff tears. 骨髓刺激介导与传统不完全修复治疗慢性肩袖撕裂。

IF 1.8

Clinics in Shoulder and Elbow Pub Date : 2025-03-01 Epub Date: 2025-02-13 DOI: 10.5397/cise.2025.00017

Jung-Taek Hwang

引用次数: 0

Surgical technique for secondary pectoralis major transfer after reverse total shoulder arthroplasty to treat residual internal rotation dysfunction. 反向全肩关节置换术后继发胸大肌转移治疗残余内旋功能障碍的手术技术。

IF 1.8

Clinics in Shoulder and Elbow Pub Date : 2025-03-01 Epub Date: 2024-12-02 DOI: 10.5397/cise.2024.00542

Chang Hee Baek, Bo Taek Kim, Jung Gon Kim

引用次数: 0

Effectiveness of a combined arthroscopic and antibiotic-impregnated bead approach for septic shoulder arthritis management: a case series. 联合关节镜和抗生素浸渍头方法对脓毒性肩关节关节炎管理的有效性：一个病例系列。

IF 1.8

Clinics in Shoulder and Elbow Pub Date : 2025-03-01 Epub Date: 2025-02-17 DOI: 10.5397/cise.2024.00584

Sung-Jin Park, Sam-Guk Park

{"title":"Effectiveness of a combined arthroscopic and antibiotic-impregnated bead approach for septic shoulder arthritis management: a case series.","authors":"Sung-Jin Park, Sam-Guk Park","doi":"10.5397/cise.2024.00584","DOIUrl":"10.5397/cise.2024.00584","url":null,"abstract":"Background: This study sought to evaluate the effectiveness of a combined treatment approach for septic shoulder arthritis involving arthroscopic synovectomy and use of antibiotic-impregnated polymethylmethacrylate (PMMA) beads for localized antibiotic delivery.Methods: This retrospective study included 22 patients with septic shoulder arthritis treated at our institution between 2017 and 2023. The treatment involved arthroscopic lavage, debridement, and insertion of antibiotic-impregnated PMMA beads. Patients were evaluated preoperatively and postoperatively based on laboratory tests, imaging, joint fluid analysis, and physical examination. Treatment efficacy was assessed based on normalization of C-reactive protein (CRP) levels, pain reduction as measured using a visual analog scale (VAS), and improvement in shoulder function according to Constant-Murley score.Results: All 22 patients demonstrated successful resolution of infection, with only one case of recurrence, leading to a notably low recurrence rate of 5%. Recurrence was determined based on clinical signs (aggravated pain, swelling, and fever) and laboratory markers (elevated CRP and white blood cell count). Mean follow-up duration was 20.2 months. Significant reductions in pain (average VAS score reduction from 8.1 to 2.4, P<0.001) were observed, and mean Constant-Murley score at final follow-up was 60.7, reflecting improved shoulder function.Conclusions: Arthroscopic debridement combined with localized antibiotic delivery using PMMA beads is an effective and safe treatment for septic shoulder arthritis. This method offers substantial advantages over traditional treatments, as evidenced by the very low recurrence rate. Level of evidence: IV.","PeriodicalId":33981,"journal":{"name":"Clinics in Shoulder and Elbow","volume":"28 1","pages":"31-39"},"PeriodicalIF":1.8,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11938927/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143617448","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0