JSES International最新文献

{"title":"Male sex and higher body weight are associated with lower concentrations of perioperative antibiotic prophylaxis in shoulder synovial fluid","authors":"A. Wafaisade , L. Arnold , T.R. Pfeiffer , S. Krombholz , B. Bouillon , M. Thevis , S. Ubl","doi":"10.1016/j.jseint.2025.101463","DOIUrl":"10.1016/j.jseint.2025.101463","url":null,"abstract":"","PeriodicalId":34444,"journal":{"name":"JSES International","volume":"10 2","pages":"Article 101463"},"PeriodicalIF":0.0,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147538446","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":"Antimicrobial Prophylaxis for Skin Colonization with Cutibacterium Acnes in Primary Open Shoulder Surgery: A Double Blinded Randomized Controlled Trial Preliminary Results","authors":"D. Rouleau , Y. Tran , J. Hebert-Davies , G.Y. Laflamme , S. Leduc , B. Benoit , M. Malo , E. Sandman","doi":"10.1016/j.jseint.2025.101460","DOIUrl":"10.1016/j.jseint.2025.101460","url":null,"abstract":"","PeriodicalId":34444,"journal":{"name":"JSES International","volume":"10 2","pages":"Article 101460"},"PeriodicalIF":0.0,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147538566","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":"A prospective randomized controlled trial on the effect of music therapy intervention on pain and anxiety in adult patients undergoing total shoulder arthroplasty","authors":"Raymond Y. Kim MD ,&nbsp;Hannah H. Nam MD ,&nbsp;Janice W. Stouffer MT-BC ,&nbsp;Christina A. Myers MT-BC ,&nbsp;Susan E. Hassenbein CCRP ,&nbsp;Gary F. Updegrove MD ,&nbsp;Vernon M. Chinchilli PhD ,&nbsp;Yue Zhang MPH ,&nbsp;Sanjib Adhikary MD ,&nbsp;April D. Armstrong MD","doi":"10.1016/j.jseint.2025.101438","DOIUrl":"10.1016/j.jseint.2025.101438","url":null,"abstract":"<div><h3>Background</h3><div>Leading studies have demonstrated that patients treated with music therapy (MT) show decreased pain intensity, anxiety, length of hospitalization, and increased pain relief. This study investigated whether MT would reduce pre- and postoperative pain and anxiety in patients undergoing shoulder arthroplasties.</div></div><div><h3>Methods</h3><div>This was a prospective, randomized, nonblinded clinical trial. Patients were randomized into 3 groups: live MT, recorded MT, and control. The primary objective was to determine the change in pain and anxiety scores from pre-MT to post-MT. Linear mixed-effects models were developed to account for repeated measurements within each patient, analyzing pain scores and anxiety T-scores.</div></div><div><h3>Results</h3><div>Total of 108 patients were included in the study. Patients receiving live MT reported significantly greater reduction in pain score (<em>P</em> = .0013) and anxiety score (<em>P</em> = .0002) compared to patients in the control. Patients receiving recorded MT also reported significantly greater reduction in pain score (<em>P</em> = .0142) and anxiety score (<em>P</em> = .0186) compared to patients in the control group. There were no significant differences in pain score (<em>P</em> = .4663) or anxiety score (<em>P</em> = .1791) between the live and recorded MT groups.</div></div><div><h3>Conclusions</h3><div>Patients receiving MT intervention had a significantly greater reduction in pain and anxiety scores compared to the control. Findings were not dependent on live vs. recorded presentation. This study demonstrates the potential benefits of incorporating MT to minimize anxiety and postoperative pain in patients undergoing shoulder arthroplasties.</div></div>","PeriodicalId":34444,"journal":{"name":"JSES International","volume":"10 2","pages":"Article 101438"},"PeriodicalIF":0.0,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146079043","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":"Maximal scapular protraction increases the safety distance of the spinal accessory nerve during lower trapezius tendon harvest: a cadaveric study","authors":"Abdul-ilah Hachem MD ,&nbsp;Betlem Fargues MD ,&nbsp;Gonzalo Barraza MD ,&nbsp;Fernando Alvarado MD ,&nbsp;Xavi Rius MD ,&nbsp;Jose Luis Agullo MD, PhD ,&nbsp;Diego Gonzalez-Morgado MD, PhD ,&nbsp;Bassem Elhassan MD","doi":"10.1016/j.jseint.2026.101622","DOIUrl":"10.1016/j.jseint.2026.101622","url":null,"abstract":"<div><h3>Background</h3><div>The lower trapezius (LT) transfer is a reliable option for treating irreparable posterosuperior rotator cuff tears. The procedure restores external rotation by reproducing the line of pull of the posterosuperior rotator cuff. Despite its proven clinical benefits, the spinal accessory nerve (SAN) remains at risk during LT harvest due to its close relationship with the medial border of the scapula. Moreover, accurate separation of the LT from the middle trapezius (MT) is crucial to obtain the full muscle excursion and optimal mechanical vector of the harvested portion of the muscle. The first aim of this study is to quantify the change in SAN–scapula distance between neutral and maximal scapular protraction positions, and the second aim is to identify a consistent anatomical landmark to differentiate the LT from the MT during tendon harvest.</div></div><div><h3>Methods</h3><div>Ten fresh-frozen human torsos (20 shoulders) were dissected. Each specimen was positioned in a beach-chair setup at 70°, and the LT and MT insertions were exposed through a posterior approach. The SAN was identified medial to the scapular border and marked. Distances between the SAN and the medial border of the scapula spine were measured in 2 standardized positions by 2 observers and compared: neutral (0° forward flexion, 20° abduction) and maximal protraction (90° forward flexion, 20° adduction). To identify a reproducible landmark distinguishing the LT from the MT, a straight line was drawn from the trapezius tubercle toward the vertebral spinous process, and its vertebral intersection was recorded. For comparison, another line following the axis of the scapular spine was traced to evaluate which orientation excluded proximal LT fibers.</div></div><div><h3>Results</h3><div>The mean SAN–scapula distance measured 20.4 ± 2.3 mm in the neutral position and increased to 31.8 ± 2.8 mm in maximal protraction, demonstrating a mean increase of 11.4 mm (95% confidence interval, 11.0–11.9; <em>P</em> &lt; .001). The SAN was located at a minimum of 17 mm from the medial border of the scapula in neutral position. The reference line from the trapezius tubercle to the vertebral column consistently intersected T3–T4, corresponding to the upper origin of the LT.</div></div><div><h3>Conclusion</h3><div>Maximal scapular protraction increases the distance between the SAN and the medial border of the scapula, providing a greater margin of safety during LT tendon harvest. In addition, a straight line from the trapezius tubercle to the vertebral spine facilitates clear differentiation of LT fibers from the MT.</div></div>","PeriodicalId":34444,"journal":{"name":"JSES International","volume":"10 2","pages":"Article 101622"},"PeriodicalIF":0.0,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147310840","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 of patients with limited health literacy in rotator cuff tears and their experiences with care: a mixed-methods study","authors":"Evy E.J. Jetten MD ,&nbsp;Frederik O. Lambers Heerspink PhD ,&nbsp;Isabella C. Klarenbeek MD ,&nbsp;Rosaline Mentink MD ,&nbsp;Taco Gosens PhD ,&nbsp;Esther R.C. Janssen PhD","doi":"10.1016/j.jseint.2026.101642","DOIUrl":"10.1016/j.jseint.2026.101642","url":null,"abstract":"<div><h3>Background</h3><div>Limited health literacy (LHL) can affect the ability to understand and apply health information. For patients with rotator cuff tears, following post-treatment guidelines is crucial for recovery. However, existing resources often don't meet the needs of those with LHL, potentially delaying recovery. This study investigates the prevalence of LHL in patients with rotator cuff tears, the challenges in managing health information, and possible strategies to improve care.</div></div><div><h3>Methods</h3><div>The prevalence of LHL in patients with rotator cuff tears was assessed using the Single-Item Literacy Screener. To explore the challenges in managing health information and possible solutions, semistructured interviews based on the Health Literacy Questionnaire were conducted with twelve patients. Data were collected through audio recordings and field notes, which were transcribed and analyzed using thematic analysis.</div></div><div><h3>Results</h3><div>The prevalence of LHL in patients contacted by phone was 9.3% and 40.7% when contacted at the outpatient clinic. Patients experienced significant language barriers in health care communication, challenges in finding and evaluating relevant health information. These patients reported diverse and specific needs for tailored health information. They suggested using formats that cater to their preferences and sought support from their social networks to better manage their condition and treatment journey.</div></div><div><h3>Conclusions</h3><div>This study adds to the evidence that LHL is common and associated with multiple challenges in health care engagement. Addressing these challenges through personalized, accessible communication strategies, in combination with support from their social environment, should be a priority for health care systems aiming to reduce inequalities and improve patient outcomes in patients with rotator cuff tears.</div></div>","PeriodicalId":34444,"journal":{"name":"JSES International","volume":"10 2","pages":"Article 101642"},"PeriodicalIF":0.0,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147378846","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":"High frequency of subscapularis tears in rotator cuff repairs: a cross-sectional analysis of 302 cases","authors":"Saad M. AlQahtani MD, MBA ,&nbsp;Victor A. Pacheco MD MSc ,&nbsp;Adeeba A. AlBadran MD","doi":"10.1016/j.jseint.2025.09.008","DOIUrl":"10.1016/j.jseint.2025.09.008","url":null,"abstract":"<div><h3>Background</h3><div>Subscapularis tendon tears are frequently underdiagnosed in rotator cuff (RC) pathology. While prior estimates suggest around a 30% prevalence, newer data indicate this may be underestimated. This retrospective study evaluated the frequency and characteristics of subscapularis tears in patients undergoing arthroscopic repair for posterosuperior (PS) RC tears.</div></div><div><h3>Methods</h3><div>A cross-sectional analysis was conducted on 302 patients who underwent arthroscopic repair for PS tendon tears (supraspinatus and/or infraspinatus) between March 2021 and April 2024. Subscapularis involvement was classified intraoperatively using the Lafosse system. Preoperative magnetic resonance imaging (MRI) accuracy was compared with surgical findings.</div></div><div><h3>Results</h3><div>Intraoperative findings revealed subscapularis involvement in 61.9% of cases, significantly higher than traditionally reported (<em>P</em> = .004). Lafosse type II was the most common category (50.8%). Preoperative MRI missed 49.2% of subscapularis tears confirmed during surgery, with a positive predictive value of 100.0% and a negative predictive value of 55.6%.</div></div><div><h3>Conclusion</h3><div>Subscapularis tears were present in nearly two-thirds of patients with PS RC pathology, suggesting the true prevalence is substantially underrecognized. These results underscore the diagnostic limitations of MRI and support the need for systematic intraoperative evaluation to ensure accurate identification and management of subscapularis involvement.</div></div>","PeriodicalId":34444,"journal":{"name":"JSES International","volume":"10 2","pages":"Article 101388"},"PeriodicalIF":0.0,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145941249","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":"Which technique is the optimal option for the treatment of displaced far-lateral (Cho’s type IIC) distal clavicle fractures? Comparative analysis of coracoclavicular fixation versus anatomical locking plate fixation","authors":"C.H. Cho ,&nbsp;D.H. Kim","doi":"10.1016/j.jseint.2025.101447","DOIUrl":"10.1016/j.jseint.2025.101447","url":null,"abstract":"","PeriodicalId":34444,"journal":{"name":"JSES International","volume":"10 2","pages":"Article 101447"},"PeriodicalIF":0.0,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147538187","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":"Latarjet vs. Bankart Hill-Sachs remplissage: a matched cohort analysis","authors":"K. Liman ,&nbsp;N. Bonnevialle ,&nbsp;H. Barret ,&nbsp;K. Guadagno ,&nbsp;X. Ohl ,&nbsp;L. Neyton","doi":"10.1016/j.jseint.2025.101441","DOIUrl":"10.1016/j.jseint.2025.101441","url":null,"abstract":"","PeriodicalId":34444,"journal":{"name":"JSES International","volume":"10 2","pages":"Article 101441"},"PeriodicalIF":0.0,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147537599","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":"Anatomic versus Reverse Total Shoulder Arthroplasty for Patients with Glenoid Dysplasia and an Intact Rotator Cuff","authors":"B. Schoch ,&nbsp;J. Traverse ,&nbsp;D. Mcmahon ,&nbsp;K. Hao ,&nbsp;T. Wright ,&nbsp;J. King ,&nbsp;J. Elwell","doi":"10.1016/j.jseint.2025.101461","DOIUrl":"10.1016/j.jseint.2025.101461","url":null,"abstract":"","PeriodicalId":34444,"journal":{"name":"JSES International","volume":"10 2","pages":"Article 101461"},"PeriodicalIF":0.0,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147537662","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":"Efficacy of intra-articular injection of a GLP-1 agonist in an adhesive capsulitis rat model","authors":"Y. Jeon ,&nbsp;H.G. Kim ,&nbsp;J.H. Park","doi":"10.1016/j.jseint.2025.101466","DOIUrl":"10.1016/j.jseint.2025.101466","url":null,"abstract":"","PeriodicalId":34444,"journal":{"name":"JSES International","volume":"10 2","pages":"Article 101466"},"PeriodicalIF":0.0,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147537699","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}