JSES International最新文献

{"title":"Athletes who return to sport after treatment for shoulder instability exhibit higher psychological readiness: a systematic review","authors":"Christopher J. Lamb BS,&nbsp;Amir Fathi BS,&nbsp;Eric H. Lin BA,&nbsp;Max Yang BS,&nbsp;Cailan L. Feingold BS,&nbsp;Frank A. Petrigliano MD,&nbsp;Joseph N. Liu MD","doi":"10.1016/j.jseint.2025.04.036","DOIUrl":"10.1016/j.jseint.2025.04.036","url":null,"abstract":"<div><h3>Background</h3><div>Shoulder instability is a common athletic injury, which can be treated surgically or nonsurgically. Studies estimating return to sport (RTS) rates following treatment vary widely. While there are many factors affecting RTS rates, recent studies have revealed that psychological factors significantly impact an athlete's ability to RTS. Therefore, multiple validated scales have been created to assess an athlete's psychological readiness to RTS after treatment for shoulder instability. The goal of this study is to review these psychological assessments currently being used for shoulder instability and determine whether athletes who RTS after being treated for shoulder instability have higher psychological readiness scores than those who do not.</div></div><div><h3>Methods</h3><div>A search was conducted in the PubMed, Scopus, and SPORTDiscus databases for all studies using any validated questionnaire to assess psychological outcomes and RTS rates after treatment for shoulder instability. Athlete characteristics, outcome measurements, and readiness scores were collected and compared between two groups: athletes who did RTS and athletes who did not RTS.</div></div><div><h3>Results</h3><div>Nine studies including a total of 844 athletes were included. Of these, 579 athletes (68.60%) were able to RTS and 265 (31.40%) were not. The Shoulder Instability-Return to Sport after Injury scale was the most commonly used, appearing in eight studies. The Shoulder Instability-Return to Sport after Injury scores for athletes who did RTS ranged from 48.40 to 79.10, while scores for athletes who did not return ranged from 36.40 to 65.34. One study used the Tampa Scale of Kinesiophobia; the score for those who did RTS was 23.4 and 30.1 for those who did not.</div></div><div><h3>Conclusion</h3><div>Athletes who RTS after treatment for shoulder instability have higher psychological readiness compared with those who do not return. Our results support previous findings that psychological factors are an important consideration when evaluating athletes for RTS after treatment for shoulder instability.</div></div>","PeriodicalId":34444,"journal":{"name":"JSES International","volume":"9 5","pages":"Pages 1443-1448"},"PeriodicalIF":0.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145108311","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}

{"title":"Does computed tomography–based local soft tissue composition more accurately predict outcomes following anatomic total shoulder arthroplasty compared with body mass index?: a pilot study","authors":"Suhirad Khokhar MD ,&nbsp;Cameron Smith BA, MPH ,&nbsp;Rami Abuqubo BS ,&nbsp;Savino Stallone BS ,&nbsp;Yungtai Lo PhD ,&nbsp;Konrad I. Gruson MD","doi":"10.1016/j.jseint.2025.05.004","DOIUrl":"10.1016/j.jseint.2025.05.004","url":null,"abstract":"<div><h3>Background</h3><div>Elevated body mass index (BMI) has been variably associated with increased surgical time, hospital length of stay (LOS), perioperative complications, postoperative emergency department return, and readmissions following primary anatomic total shoulder arthroplasty (aTSA). Computed tomography–based assessment of local soft tissue composition may better predict these outcome measures.</div></div><div><h3>Methods</h3><div>A retrospective review of consecutive primary stemless aTSA undertaken at a single academic institution was performed. Patient demographics and surgical data, including age, BMI, age-adjusted Charlson Comorbidity Index, operative time, and LOS, were collected. Local adipose and muscle area, in addition to proximal humeral bone area at three standardized axial levels, were measured using open-source medical imaging software. Regression analysis was utilized to determine the correlation between BMI, adipose-to-muscle ratio (AMR), and soft tissue-to-bone ratio with postoperative outcomes.</div></div><div><h3>Results</h3><div>There were 115 total cases included in this study. The median age of the cohort was 62 years (interquartile range 55, 69). The median BMI was 33.4 (interquartile range 28.8, 37.3). BMI correlated with AMR and soft tissue-to-bone ratio (r = 0.564 and r = 0.640, respectively, <em>P</em> &lt; .001). Following regression analysis, only AMR was significantly correlated with increased LOS (incidence rate ratio 1.19, 95% confidence interval (CI) 1.03-1.37, <em>P</em> = .018), the risk for in-hospital medical complications (odds ratio 1.92, 95% CI 1.02-3.61, <em>P =</em> .045), and intraoperative total blood volume loss (r = −0.359, 95% CI −0.187 to −0.507, <em>P</em> = .034).</div></div><div><h3>Conclusion</h3><div>These findings suggest that local adipose tissue distribution about the shoulder may be more predictive than BMI with regards to perioperative clinical outcomes following primary aTSA.</div></div>","PeriodicalId":34444,"journal":{"name":"JSES International","volume":"9 5","pages":"Pages 1653-1659"},"PeriodicalIF":0.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145108780","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}

{"title":"Re-revision following revision of a failed primary reverse total shoulder arthroplasty: an analysis of the National Joint Registry and Hospital Episode Statistics for England","authors":"Olivia O'Malley MBBS, MRCS ,&nbsp;Andrew Davies MRCS, MSc ,&nbsp;Amar Rangan ChM, FRCS (T&O) ,&nbsp;Sanjeeve Sabharwal FRCS (T&O), MD (Res) ,&nbsp;Peter Reilly MS FRCS (Orth)","doi":"10.1016/j.jseint.2025.04.030","DOIUrl":"10.1016/j.jseint.2025.04.030","url":null,"abstract":"<div><h3>Background</h3><div>Reverse total shoulder arthroplasty (rTSA) is the most common type of shoulder replacement in the UK and its use continues to rise. There is minimal data in the literature looking at re-revision following revision of a failed rTSA. This study utilizes the National Joint Registry and Hospital Episode Statistics for England to calculate the incidence and risk factors for re-revision of a failed primary rTSA.</div></div><div><h3>Methods</h3><div>Patients were included if they had a revision procedure between April 1, 2012, and March 31, 2022. This National Joint Registry database was linked to Hospital Episode Statistics and Office of Population Censuses and Surveys Classification of Interventions and Procedures version 4.9 codes were used to identify a further revision procedure. The primary outcome was implant survival, the Kaplan-Meir method was used for analysis. Secondary outcomes were risk factors that predispose a patient to a further revision procedure. A multivariable regression analysis was performed to assess for independent risk factors for re-revision.</div></div><div><h3>Results</h3><div>There were 685 patients who underwent a revision of a primary rTSA done by 244 consultant surgeons with a median caseload of 4 patients (interquartile range 2-7) over a 10-year period. At 1 year, the incidence of re-revision was 15.91%; at 3 years, it was 21.41%; and at 5 years, it was 23.18%. A 1-year decrease in age resulted in a 4% increased risk of re-revision (hazard ratio 0.96 [95% confidence interval 0.94-0.98]), and if the primary revision was due to instability/dislocation, there was a 2-fold increased risk of re-revision compared to if the primary revision was done for any other indication (hazard ratio 2.47 [95% confidence interval 1.59-3.82]).</div></div><div><h3>Conclusion</h3><div>Re-revision rates following revision rTSA are high with independent risk factors being younger age and instability as primary revision diagnosis. Given the risk profile and low volume of revision cases performed by surgeons, centralizing revision rTSA surgeries to high-volume centers may warrant further exploration to improve outcomes.</div></div>","PeriodicalId":34444,"journal":{"name":"JSES International","volume":"9 5","pages":"Pages 1608-1615"},"PeriodicalIF":0.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145108877","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}

{"title":"Prevalence and factors associated with os acromiale: a multicenter study","authors":"Naoya Kozono MD, PhD ,&nbsp;Akihiro Nishii MD ,&nbsp;Eiichi Ishitani MD ,&nbsp;Yasuhiro Mizuki MD ,&nbsp;Takehiro Kimura MD ,&nbsp;Shunsaku Yamamoto MD, PhD ,&nbsp;Naohide Takeuchi MD, PhD ,&nbsp;Hidehiko Yuge MD ,&nbsp;Kunio Iura MD, PhD ,&nbsp;Akira Nabeshima MD, PhD ,&nbsp;Yuta Sakemi MD, PhD ,&nbsp;Eiji Tashiro MD, PhD ,&nbsp;Erina Yamada MD ,&nbsp;Kenji Takagishi MD, PhD ,&nbsp;Yasuharu Nakashima MD, PhD","doi":"10.1016/j.jseint.2025.05.015","DOIUrl":"10.1016/j.jseint.2025.05.015","url":null,"abstract":"<div><h3>Background</h3><div>Os acromiale is an accessory bone resulting from the nonunion of the acromial ossification center, with a reported prevalence of approximately 2%. While os acromiale is often asymptomatic, when symptomatic, it has been reported to be strongly associated with rotator cuff injuries. This multicenter study aimed to determine the prevalence of and the factors associated with os acromiale in the Japanese population.</div></div><div><h3>Methods</h3><div>We analyzed 6,842 shoulder magnetic resonance imaging scans for shoulder disabilities obtained at 10 facilities between April 2018 and March 2023. The average age was 63.7 years, with 3,483 male and 3,359 female shoulders. This study assessed the prevalence of os acromiale, its location (pre-acromion, meso-acromion, and meta-acromion), size (length, width, and thickness), acromion shape (square tip, intermediate, and cobra), and the association between os acromiale and rotator cuff injuries. Statistical analysis was performed using Fisher's exact test with a significance level set at <em>P</em> &lt; .05.</div></div><div><h3>Results</h3><div>A total of 76 cases of os acromiale (1.1%) were identified. There were 58 shoulders with pre-acromion, 18 with meso-acromion, and none with meta-acromion. The dimensions were as follows: pre-acromion (length 7.5 mm, width 10.5 mm, and thickness 5.3 mm), and meso-acromion (length 20.1 mm, width 20.8 mm, and thickness 8.5 mm). Acromial shapes included a square tip in 13 shoulders, intermediate tip in 38 shoulders, and cobra shape in 25 shoulders. The presence of os acromiale was significantly associated with rotator cuff injury (<em>P</em> &lt; .001).</div></div><div><h3>Conclusion</h3><div>The study supports previous findings that os acromiale is associated with rotator cuff injuries. In addition, the prevalence of os acromiale in the Japanese population was lower than that in non-Asian populations, and the size of os acromiale tended to be smaller than in European populations.</div></div>","PeriodicalId":34444,"journal":{"name":"JSES International","volume":"9 5","pages":"Pages 1541-1545"},"PeriodicalIF":0.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145109046","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}

{"title":"Sarcopenia of the deltoid as an indicator of outcome following reverse total shoulder arthroplasty: a systematic review and meta-analysis","authors":"Liam O'Dwyer BSc, BM, BS ,&nbsp;Martin S. Davey MB BCh BAO, MCh, MRCSI ,&nbsp;J. Tristan Cassidy MB BCh BAO, MCh, FRCSI (Tr & Orth)","doi":"10.1016/j.jseint.2025.05.035","DOIUrl":"10.1016/j.jseint.2025.05.035","url":null,"abstract":"<div><h3>Background</h3><div>Reverse total shoulder arthroplasty (rTSA) is increasingly utilized for managing rotator cuff tear arthropathy, shoulder osteoarthritis, and proximal humerus fractures. The deltoid generates the key mechanical force after rTSA. The functional success of a rTSA is dependent on the status of the deltoid muscle. Sarcopenia, defined as age-related loss of skeletal muscle mass and function, has been linked to poor outcomes in various surgical contexts. This systematic review investigates the impact of radiologically measured deltoid sarcopenia on functional and patient-reported outcomes following rTSA.</div></div><div><h3>Methods</h3><div>A systematic search of MEDLINE, PUBMED, and SCOPUS was conducted to identify studies assessing deltoid sarcopenia via radiological imaging in rTSA patients. Inclusion criteria included studies reporting both radiological measurements of the deltoid and functional or patient-reported outcome measures. Risk of bias was assessed using the Newcastle-Ottawa Scale and the Methodological Index for Nonrandomized Studies.</div></div><div><h3>Results</h3><div>Fourteen studies comprising 1,681 shoulders were included. Studies ranged from 2010 to 2024. Eight studies used a prosthesis based on the Grammont concept design, four studies used a reduced neck shaft angle of 135°, and two studies in which the prosthesis was not stated. Radiological modalities included magnetic resonance imaging, Computed Tomography, ultrasound, and X-ray, with deltoid cross-sectional area being the most frequently measured parameter. Meta-analysis revealed a weak, nonsignificant association between preoperative deltoid cross-sectional area and postoperative Constant-Murley Score (r = 0.12, <em>P</em> = .702) but a moderate positive association with postoperative muscle strength (r = 0.38, <em>P</em> &lt; .001). Deltoid sarcopenia, particularly fatty infiltration and reduced muscle caliber, was associated with poorer outcomes, including lower Constant-Murley Score, reduced strength, and diminished patient-reported outcome measures.</div></div><div><h3>Conclusion</h3><div>Radiological evidence of deltoid sarcopenia correlates with suboptimal functional and patient-reported outcomes after rTSA, the pooled effects of which are not statistically significant. However, methodological heterogeneity and inconsistent use of sarcopenia metrics limit the generalizability of these findings. Standardized imaging protocols and sarcopenia definitions are essential for improving predictive accuracy and guiding clinical decision-making.</div></div>","PeriodicalId":34444,"journal":{"name":"JSES International","volume":"9 5","pages":"Pages 1745-1753"},"PeriodicalIF":0.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145109202","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}

{"title":"Glenohumeral osteoarthritis and reverse shoulder replacement","authors":"Abdulaziz F. Ahmed MD ,&nbsp;Evan A. Glass BS ,&nbsp;Adam R. Bowler BA ,&nbsp;Jacob M. Kirsch MD ,&nbsp;Andrew Jawa MD","doi":"10.1016/j.jseint.2024.06.017","DOIUrl":"10.1016/j.jseint.2024.06.017","url":null,"abstract":"<div><div>The reverse total shoulder arthroplasty (rTSA) was initially introduced as a solution to deficiencies of the rotator cuff with subsequent degenerative joint disease, called rotator cuff tear arthropathy. The rTSA has since then seen a significant increase in utilization, particularly in patients with glenohumeral osteoarthritis. This article aims to provide a comprehensive review of the role of rTSA in the treatment of glenohumeral osteoarthritis, highlighting a series of reported clinical outcomes, survivorship analyses, and common complications found within the literature.</div></div>","PeriodicalId":34444,"journal":{"name":"JSES International","volume":"9 5","pages":"Pages 1860-1862"},"PeriodicalIF":0.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141699870","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}

{"title":"Does preoperative diagnosis impact patient outcomes following reverse total shoulder arthroplasty?","authors":"Evan M. Michaelson MD,&nbsp;William A. Ranson MD,&nbsp;Christoph A. Schroen BS,&nbsp;Paul J. Cagle MD","doi":"10.1016/j.jseint.2024.06.018","DOIUrl":"10.1016/j.jseint.2024.06.018","url":null,"abstract":"<div><h3>Background</h3><div>Reverse total shoulder arthroplasty (RTSA) has seen a tremendous increase in popularity over the last 2 decades. While initially developed for use in patients with irreparable rotator cuff disorders and cuff arthropathy, the evolution of RTSA and associated implants has led to implantation for a variety of pathologies.</div></div><div><h3>Methods</h3><div>A literature search was performed to examine outcomes of RTSA based on specific preoperative diagnoses. Articles including individual pathologies as well as articles comparing outcomes between different pathologies were included. Preoperative diagnoses include rotator cuff arthropathy/massive irreparable rotator cuff tears, primary glenohumeral arthritis with intact rotator cuff, inflammatory arthritis, proximal humerus fractures, and failed prior arthroplasty, as well as miscellaneous diagnoses such as tumor resection, septic arthritis, avascular necrosis, and glenohumeral arthritis following shoulder dislocation.</div></div><div><h3>Results</h3><div>RTSA provides generally satisfactory outcomes regardless of preoperative pathology. Direct comparison studies revealed overall superior outcomes of RTSA for glenohumeral arthritis with intact rotator cuff as compared to patients with rotator cuff arthropathy. Patients with diagnoses portending higher preoperative outcome scores were at risk for less overall improvement. Patients undergoing RTSA for inflammatory conditions, fractures, and arthroplasty revision are at higher risk for complications, which may explain the increased variability of outcomes in these groups.</div></div><div><h3>Discussion</h3><div>RTSA produces reliable improvements in function and pain, with small differences in risks and outcomes based on preoperative diagnosis. Patients should be adequately counseled in order to create appropriate expectations. Further long-term studies are needed to differentiate outcome differences between specific preoperative pathologies.</div></div>","PeriodicalId":34444,"journal":{"name":"JSES International","volume":"9 5","pages":"Pages 1863-1870"},"PeriodicalIF":0.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141717045","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}

{"title":"Residual articular incongruity is not a predictor of poor functional outcomes in operatively treated intra-articular elbow fractures","authors":"Ricarda Stauss MD ,&nbsp;Rosa Mattea Braun DMD ,&nbsp;Lisa Wiederhold MD ,&nbsp;Mohamed Omar MD, MHBA","doi":"10.1016/j.jseint.2025.05.037","DOIUrl":"10.1016/j.jseint.2025.05.037","url":null,"abstract":"<div><h3>Background</h3><div>Intra-articular and comminuted elbow fractures are complex injuries that present a tremendous surgical challenge. The goal of surgical fracture reduction is an anatomical restoration of the articular surface to restore physiological biomechanics of the elbow joint and to regain an unrestricted elbow function. However, these fractures are often accompanied by residual articular step-off, gap displacement, and intra-articular loose bodies. To date, the potential correlation between the quality of fracture reduction and the postoperative functional outcomes has not been investigated for intra-articular elbow fractures.</div></div><div><h3>Methods</h3><div>In this retrospective, monocentric study, the postoperative computed tomography–scans of 69 patients undergoing surgical reduction of an intra-articular elbow fracture were analyzed. The quality of fracture reduction was analyzed in the coronal, sagittal, and axial computed tomography–reconstructions based on the following criteria of articular incongruity: articular step-off, gap in the joint surface, and presence of any loose bodies within the elbow joint. The Disabilities of the Arm, Shoulder, and Hand score and Oxford Elbow Score were assessed in a prospective follow-up.</div></div><div><h3>Results</h3><div>Of 69 patients, 49 (71.0%) met radiological criteria of articular incongruity. Mean articular step-off was 2.27 mm, mean gap displacement was 2.88 mm, and intra-articular loose bodies were present in 15.9% of the cases. For the functional outcomes, mean flexion-extension arc was 98° and mean pronation-supination arc was 156°. At a mean follow-up of 43 months, the median Disabilities of the Arm, Shoulder, and Hand score was 19.0 points and median Oxford Elbow Score was 83.3 points. Stratified by articular congruity, no statistically significant group differences were observed for the postoperative functional outcomes.</div></div><div><h3>Conclusion</h3><div>In this cohort of operatively treated intra-articular elbow fractures, residual articular incongruity was present in 71% of the cases. However, the postoperative functional outcomes and patient-reported outcome measures were satisfactory. Thus, the present study adds to the notion that residual articular incongruity following intra-articular fractures of the nonweightbearing upper extremity is not associated with inferior clinical and functional outcomes.</div></div>","PeriodicalId":34444,"journal":{"name":"JSES International","volume":"9 5","pages":"Pages 1847-1854"},"PeriodicalIF":0.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145108222","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}

{"title":"Reverse shoulder arthroplasty in the revision setting","authors":"Michael Livesey MD,&nbsp;C. Lucas Myerson MD,&nbsp;John G. Horneff III MD","doi":"10.1016/j.jseint.2025.02.019","DOIUrl":"10.1016/j.jseint.2025.02.019","url":null,"abstract":"<div><div>Recent years have seen a rise in the popularity of reverse shoulder arthroplasty (rTSA). Over the past decade, changes in rTSA design have led to improvements in functional outcomes and implant survival as well as fewer complications. While traditionally indicated for the management of rotator cuff tear arthropathy, rTSA has emerged as a versatile revision option following failure of a primary procedure including failed shoulder arthroplasty, rotator cuff repair, or proximal humerus open reduction and internal fixation. A large body of literature has demonstrated the success of rTSA following these procedures. The purpose of this article is to review the outcomes of rTSA in the revision setting, compare them with outcomes of primary rTSA, and provide guidance to surgeons on how to use this option for a failed primary procedure.</div></div>","PeriodicalId":34444,"journal":{"name":"JSES International","volume":"9 5","pages":"Pages 1880-1885"},"PeriodicalIF":0.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145108226","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}

{"title":"Response to the letter to the editor regarding “can popular artificial intelligence large language models provide reliable answers to frequently asked questions about rotator cuff tears?”","authors":"Ulas Can Kolac MD,&nbsp;Orhan Mete Karademir MD,&nbsp;Gokhan Ayik MD,&nbsp;Mehmet Kaymakoglu MD,&nbsp;Filippo Familiari MD,&nbsp;Gazi Huri MD","doi":"10.1016/j.jseint.2025.04.040","DOIUrl":"10.1016/j.jseint.2025.04.040","url":null,"abstract":"","PeriodicalId":34444,"journal":{"name":"JSES International","volume":"9 5","pages":"Pages 1778-1779"},"PeriodicalIF":0.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145108569","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}