JSES International最新文献

{"title":"Evaluation of throwing ability after coracoid transfer in non-overhead athletes","authors":"Ryota Yokoi DP ,&nbsp;Takayuki Kawasaki MD, PhD ,&nbsp;Yuuki Hirai DP ,&nbsp;Hiroki Tanabe MD ,&nbsp;Tomohiko Tateishi MD, PhD ,&nbsp;Nobukazu Maki DP ,&nbsp;Daichi Morikawa MD, PhD ,&nbsp;Muneaki Ishijima MD, PhD","doi":"10.1016/j.jseint.2024.09.017","DOIUrl":"10.1016/j.jseint.2024.09.017","url":null,"abstract":"<div><h3>Background</h3><div>Coracoid transfer is the most common procedure for the treatment of traumatic anterior shoulder dislocations with large glenoid bone defects; however, it is rarely used for the treatment of throwing shoulders because of possible postoperative limited range of motion. This study aimed to evaluate throwing function after coracoid transfer for shoulder instability.</div></div><div><h3>Methods</h3><div>The study included non-overhead athletes (n = 11; Bristow-Latarjet [BL] group) who suffered shoulder dislocation and underwent coracoid transfer on the dominant side of the shoulder and healthy volunteers (n = 20; C group) from the same population (overall age distribution: 18–22 years). All participants were evaluated for shoulder function including ball-throwing abilities (e.g., ball velocity and long-throw distance). In the primary analyses, we compared the maximum ball velocity and long-throw distance between the groups using the repeated 2-way analysis of variance. In secondary analyses, all other measurements were compared between the groups using the Mann–Whitney U test.</div></div><div><h3>Results</h3><div>In the primary analysis, mean maximum ball velocity and long-throw distance in the BL and C groups were 83.5 and 87.9 km/h versus 44.8 and 54.7 m, respectively, demonstrating no significant differences between the groups. In the secondary analysis, only the range of external rotation with the shoulder at the side was significantly lower in the BL group (<em>P</em> = .046).</div></div><div><h3>Conclusion</h3><div>The throwing ability after coracoid transfer in non-overhead athletes is acceptable compared to that in the matched population. Therefore, this procedure may be an option for treating traumatic anterior shoulder dislocations with large bone defects in athletes such as goalkeepers, handball, and basketball players at the recreational level.</div></div>","PeriodicalId":34444,"journal":{"name":"JSES International","volume":"9 1","pages":"Pages 56-61"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11784503/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143081386","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}

{"title":"How is infection diagnostic criteria for shoulder periprosthetic joint infection reported in literature: systematic review","authors":"Alexis L. Clifford BS ,&nbsp;Eoghan Hurley MB, BCh, MCh, PhD ,&nbsp;Dana Rowe BA ,&nbsp;Lulla Kiwinda BS ,&nbsp;Tom R. Doyle MB, MCh ,&nbsp;Bryan S. Crook MD ,&nbsp;Grant E. Garrigues MD ,&nbsp;Jason E. Hsu MD ,&nbsp;Thorsten M. Seyler MD, PhD ,&nbsp;Oke A. Anakwenze MD, MBA ,&nbsp;Christopher S. Klifto MD","doi":"10.1016/j.jseint.2024.09.022","DOIUrl":"10.1016/j.jseint.2024.09.022","url":null,"abstract":"<div><h3>Background</h3><div>The purpose of this study was to elucidate which criteria are being reported in the literature for the workup and diagnosis of shoulder periprosthetic joint infection (PJI). Studies published prior to or after 2019 were compared to elucidate any changes secondary to the publication of shoulder-specific PJI criteria written by the International Consensus Meeting (ICM).</div></div><div><h3>Methods</h3><div>Two independent reviewers performed the literature search on PubMed following Preferred Reporting Items for Systematic Reviews and Meta-Analysesguidelines. Studies of revision shoulder arthroplasty containing at least a subset of patients revised for infection were included. The infectious parameters utilized were extracted, including the use of 1) established guidelines or criteria from professional societies or consensus meetings, 2) laboratory indices, 3) clinical symptoms, 4) findings from biologic samples, and 5) imaging modalities. These studies were then categorized based upon where the study was conducted.</div></div><div><h3>Results</h3><div>This review included 231 studies, 187 (81%) of which reported the criteria required for workup of PJI. 73 studies reported specifically on revision for infection, with 71 (97.3%) providing workup criteria. 137 (59.3%) of these studies were conducted in US hospitals, with 109 (79.5%) reporting infectious criteria. 83 (35.9%) were conducted in Europe, with 70 (84.3%) reporting criteria. Among these studies, 124 (53.7%) were published prior to 2019, with 80.6% reporting criteria and 11.3% reporting use of established criteria, such as Musculoskeletal Infection Society, ICM, Infectious Disease Society of America, or European Bone and Joint Infection Society. Of the 107 studies published in or after 2019, 81.3% published criteria and 52.3% reported established criteria. There increase in utilization of established criteria is echoed by 28.9% of studies published in or after 2019 having utilized ICM criteria.</div></div><div><h3>Conclusion</h3><div>This systematic review demonstrates that the evaluation workup and criteria used to diagnose shoulder PJI remain inconsistent. While there has been an increase in the use of established criteria since the creation of ICM shoulder-specific criteria, further adoption is required to improve the strength of clinical research.</div></div>","PeriodicalId":34444,"journal":{"name":"JSES International","volume":"9 1","pages":"Pages 219-225"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11784516/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143081409","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}

{"title":"Denervation procedure of the lateral epicondyle for refractory lateral epicondylitis","authors":"Misty Suri MD, MS ,&nbsp;Arjun Verma BS ,&nbsp;Collyn O’Quin MD ,&nbsp;Gregory Parker MD ,&nbsp;Kareem Mohamed MD ,&nbsp;Hunter Starring MD ,&nbsp;Daniel Yoo MD","doi":"10.1016/j.jseint.2024.03.019","DOIUrl":"10.1016/j.jseint.2024.03.019","url":null,"abstract":"<div><h3>Background</h3><div>Lateral epicondylitis is the most common cause of lateral elbow pain in adults, and nonoperative treatment is the first-line management modality of choice. Pain refractory to conservative management may improve with surgical interventions involving extensor carpi radialis brevis débridement or denervation. This investigation was conducted to evaluate the long-term analgesic efficacy, incidence of postoperative sensory deficits, and postoperative elbow functionality in patients who underwent a denervation surgery of the posterior branch of the posterior cutaneous nerve of the forearm (PBPCNF) for refractory lateral epicondylitis.</div></div><div><h3>Methods</h3><div>This investigation was an institutional review board–approved, single-center, single-surgeon case series of 22 patients who underwent denervation surgery with an average final follow-up of 4.7 years. Inclusion criteria for surgery were a minimum of 6 months symptom duration refractory to conservative therapies, a minimum of 2 years clinical follow-up, and significant (70-80%) pain relief from the nerve block test. Visual Analog Scale pain and Single Assessment Numeric Evaluation scores were used to assess pain and function, respectively. The incidence of postoperative sensory deficits was evaluated via clinical exam.</div></div><div><h3>Results</h3><div>Compared to the preoperative average, the cohort’s mean Visual Analog Scale pain was significantly decreased at all postoperative follow-up intervals, including 2 weeks, 1 year, and final average follow-up of 4.7 years. At the final follow-up, the mean Single Assessment Numeric Evaluation score was 98.8 ± 2.6, and one patient (4.5%), who reported the same sensory deficit preoperatively, reported postoperative sensory deficits.</div></div><div><h3>Conclusion</h3><div>The PBPCNF denervation procedure is a highly efficacious procedure for achieving long-term pain control in the treatment of refractory lateral epicondylitis. The PBPCNF denervation procedure affords patients a high level of postoperative functionality with a low incidence of sensory deficits.</div></div>","PeriodicalId":34444,"journal":{"name":"JSES International","volume":"9 1","pages":"Pages 226-230"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141027279","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}

{"title":"Dialing the glenosphere eccentricity posteriorly to optimize range of motion in reverse shoulder arthroplasty","authors":"Stefan Bauer MD ,&nbsp;Arnaud Meylan MD ,&nbsp;Jaad Mahlouly MD ,&nbsp;Wei Shao MD ,&nbsp;William G. Blakeney MBBS, MSc, MS, FRACS","doi":"10.1016/j.jseint.2024.09.003","DOIUrl":"10.1016/j.jseint.2024.09.003","url":null,"abstract":"<div><h3>Background</h3><div>Friction is the primary cause of notching in reverse shoulder arthroplasty during internal, external rotation (IR/ER), and extension (EXT). To address notching, glenosphere eccentricity (ECC) was introduced. The primary objective of this study was to investigate different positions of glenosphere ECC to determine whether there is an optimal position for impingement-free range of motion.</div></div><div><h3>Methods</h3><div>In this computer model study, 10 female CTs were analyzed and EXT, ER, IR, and adduction simulated (18 models.) A 135° stem with a +10° liner (145°) was combined with a 25-mm standard/or +3-mm lateralized baseplate (BP) and a 36-mm +2-mm eccentric glenosphere in 4 ECC positions (50° posterior; 30° posterior; 30° anterior; 50° anterior) from the reference position 0° neutral (10 models). Additionally, a concentric 39-mm glenosphere was tested (+2 models). A 0° insert, 135° neck shaft angle (NSA), was tested with a 25-mm standard/or +3-mm BP for 3 configurations (30° posterior; neutral; 39 mm; +6 models).</div></div><div><h3>Results</h3><div>Compared to the 0° neutral reference position, 30° posterior dialing improved the mean ER (group 145°: 40° vs. 38°, group 145° + 3: 51° vs. 49°, both <em>P</em> &lt; .0001), and EXT (group 145°: 35° vs. 34°, <em>P</em> = .029, group 145° + 3: 57° vs. 47<em>°</em>, <em>P</em> = .046, but at the expense of IR (group 145°: 83° vs. 87°, group 145° + 3: 87° vs. 91°, both <em>P</em> &lt; .0001). The position 30° anterior increased IR (group 145°: 90° vs. 87°, group 145° + 3: 94° vs. 91°, both <em>P</em> &lt; .0001) at the expense of ER (group 145°: 33° vs. 38°, group 145° + 3: 44° vs. 49°, both <em>P</em> &lt; .0001) and EXT (group 145°: 24° vs. 34°, <em>P</em> = .055, group 145° +3 mm: 39° vs. 47°, <em>P</em> = .0042). For group 145°, 0° neutral was the best position for combined EXT + IR (121°) compared to 30° posterior/30° anterior/39 mm/50° posterior/50° anterior (118°/113°/118°/113°/110°, <em>P</em> &lt; .0001/<em>P</em> = .15/<em>P</em> = .076/<em>P</em> &lt; .0001/<em>P</em> = .074, respectively) and IR + ER (125° vs. 122°/123°/123°/118°/119°/, <em>P</em> &lt; .001/<em>P</em> = .0028/<em>P</em> = .7/<em>P</em> &lt; .0001/<em>P</em> = .0001, respectively). Lateralization, but most effectively a 135° NSA improved combined EXT + IR + ER + adduction (group 145°: 179° vs. group 135°: 243°, group 145° + 3: 215° vs. group 135° + 3: 276°, <em>P</em> = .0019/<em>P</em> = .00019, respectively). The influence of position 0°neutral or 30°posterior became marginal with a 135°NSA.</div></div><div><h3>Conclusion</h3><div>Posterior dialing of the ECC increases EXT and ER but at the expense of IR. Lateralization, but most effectively a 135° NSA, increase impingement-free motion. A larger noneccentric glenosphere on the same BP is a safe all-round solution to prevent ECC positioning outliers.</div></div>","PeriodicalId":34444,"journal":{"name":"JSES International","volume":"9 1","pages":"Pages 181-187"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11784468/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143081300","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}

{"title":"A comprehensive analysis of the acromial morphology and etiological factors of partial rotator cuff tears","authors":"Yukihiro Kajita MD, PhD ,&nbsp;Yohei Harada MD, PhD ,&nbsp;Ryosuke Takahashi MD ,&nbsp;Ryosuke Sagami MD ,&nbsp;Yusuke Iwahori MD, PhD","doi":"10.1016/j.jseint.2024.08.194","DOIUrl":"10.1016/j.jseint.2024.08.194","url":null,"abstract":"<div><h3>Background</h3><div>Rotator cuff tears are divided into complete and partial tears, and partial rotator cuff tears include articular-sided tears and bursal-sided tears. Tears are caused by extrinsic, intrinsic, or traumatic factors; however, the mechanisms by which partial tears occur remain unknown. Recent reports have described the correlation between acromial morphology and rotator cuff tears. To date, no reports have investigated acromial morphology in partial tears. The purpose of this study is to evaluate the incidence of abnormal acromial morphology in both partial articular-sided and bursal-sided rotator cuff tears.</div></div><div><h3>Methods</h3><div>Patients with supraspinatus tendons that had articular-sided tears were categorized into Group A, and patients who had bursal-sided tears were categorized into Group B. Patients who underwent arthroscopic rotator cuff repair for rotator cuff tears were assessed based on their diagnosis of Group A or Group B according to arthroscopic findings. The following items were examined: age, sex, presence of diabetes mellitus, acromiohumeral distance (AHD), critical shoulder angle (CSA), lateral acromial angle (LAA), sagittal and coronal morphologies of the acromion, and traumatic shoulder tears.</div></div><div><h3>Results</h3><div>There were 39 patients in Group A and 95 patients in Group B. A significantly greater rate of presence of diabetes was found in the Group A. There were no significant differences in age, sex, or frequency of traumatic shoulder tears. The mean AHD, CSA, and LAA in Group A and Group B were as follows: AHD, 9.4 ± 1.5 and 9.3 ± 1.4 mm; CSA, 32.1 ± 4.6 and 35.3 ± 4.4 degrees; LAA, 82.2 ± 7.2 and 79.9 ± 7.0 degrees. There were no significant differences between the groups. Although the CSA was significantly greater in Group B, there was no significant difference in the AHD or LAA. There was no significant difference in sagittal acromial morphology; however, Group B had significantly more inferior osteophytes of the acromial center in the coronal plane.</div></div><div><h3>Conclusion</h3><div>Group B was found to have a significantly larger mean CSA compared to Group A. Group B occurred more often in patients with inferior osteophytes of the acromial center on the acromion, suggesting the involvement of extrinsic factors.</div></div>","PeriodicalId":34444,"journal":{"name":"JSES International","volume":"9 1","pages":"Pages 86-90"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11784481/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143081028","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}

{"title":"Clinical and radiographic outcomes using standard length of cannulated screws for traditional Latarjet procedure","authors":"Juan M. Lopez-Ovenza MD ,&nbsp;Amaury Tapia MD ,&nbsp;Juan I. Duca MD","doi":"10.1016/j.jseint.2024.08.202","DOIUrl":"10.1016/j.jseint.2024.08.202","url":null,"abstract":"<div><h3>Background</h3><div>The purpose of this study was to evaluate the clinical and radiographic outcomes of open traditional Latarjet stabilization using 32-mm–long and 30-mm–long cannulated screws in males and females, respectively, with a minimum of 2 years of follow-up.</div></div><div><h3>Methods</h3><div>We retrospectively reviewed open Latarjet procedures using cannulated screws of standard length with a minimum of 2 years of follow-up. Functional evaluation was performed with postoperative Rowe and Walch score, visual analog scale for pain and return to sport. Graft healing was assessed with computed tomography scans at 4 to 6 months postoperatively. Patients were divided into 2 groups according to postoperative radiographic measurements: a bicortical or unicortical screw group. The α angle between the shaft of the screw and the glenoid subchondral bone was measured for superior and inferior screws. Level of significance was 0.05. The post hoc power analysis was 0.89.</div></div><div><h3>Results</h3><div>A total of 69 patients met the criteria for inclusion. Of these patients, 60 (87%) were available for final follow-up (n = 62 shoulders), with a mean age of 28.4 ± 9.5 years (range, 16-55 years) at the time of surgery. Fifty six males (93.3%) and 4 females (6.7%) were included. The mean final follow-up period was a mean of 38 months after the procedure (range, 25-48 months). Eight of 60 patients (13.3%) had persistent apprehension in abduction-external rotation position. One patient (1.7%) had a recurrence of shoulder subluxation. The mean Walch-Duplay score was 90 ± 11.6 points (range, 40-100 points), and the mean Rowe score was 93.4 ± 11 points (range, 50-100 points). The mean visual analog scale score for the evaluation of pain was 0.9 ± 1.3 (range, 0-4). The coracoid healed the glenoid neck in 87.1% (54/62) of the shoulders on the postoperative computed tomography scan. Lower alpha angle for inferior and superior screws had more rate of unicortical fixation (<em>P</em> = .05 and <em>P</em> = .04, respectively). Fourteen of 62 (22.6%) shoulders were found unicortical screws. Six bicortical cases and 2 cases of unicortical screws (25%) showed nonunion (<em>P</em> = .86). There were 2 complications, 1 patient had hematoma that required drainage and 1 case had transient axillary nerve palsy which resolved spontaneously. No complications associated with the hardware were found.</div></div><div><h3>Conclusion</h3><div>Open traditional Latarjet procedure using 32-mm–long and 30-mm–long cannulated screws in males and females, respectively, provided good outcomes with acceptable complication rates. Unicortical screws fixation does not have a higher rate of nonunion than bicortical screws.</div></div>","PeriodicalId":34444,"journal":{"name":"JSES International","volume":"9 1","pages":"Pages 25-30"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11784479/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143081154","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}

{"title":"Synovial fluid leukocytes as diagnostic marker in periprosthetic shoulder infection","authors":"Stefan Köppe,&nbsp;Daniel Karczewski MD,&nbsp;Rony-Orijit Dey Hazra MD,&nbsp;Alp Paksoy MD,&nbsp;Agahan Hayta MD,&nbsp;Doruk Akgün MD","doi":"10.1016/j.jseint.2024.09.011","DOIUrl":"10.1016/j.jseint.2024.09.011","url":null,"abstract":"<div><h3>Background</h3><div>Limited data exist regarding the diagnostic accuracy of synovial fluid leukocyte count (SFLC) in diagnosing periprosthetic shoulder infection (PSI). The main objective of this study was to determine the diagnostic value of leukocyte count at a common threshold of 3 cells/nL and the optimal cut-off value.</div></div><div><h3>Methods</h3><div>Patients who underwent shoulder arthroplasty revision surgery and aspiration with SFLC between 2012 and 2023 were retrospectively included. The International Consensus Meeting 2018 definition was used to characterize infection status for SFLC threshold and synovial fluid neutrophil percentage (SFNP). Sensitivity and specificity were presented using cross tabulation. The area under the curve was calculated, and the optimal cut-off was determined using maximized Youden Index.</div></div><div><h3>Results</h3><div>35 cases with an average age of 71 years (43% male) were included in our study. At a threshold of 3 cells/nL, SFLC showed a sensitivity of 70% and specificity of 83%. The corresponding positive and negative predictive values (PPV and NPV) were 89% and 59%, respectively. We found the optimal cut-off for our cohort at 4.7 cells/nL, increasing specificity to 92% while maintaining sensitivity at 70% (PPV = 94%, NPV = 61%). SFNP at a cut-off of 80% demonstrated 50% sensitivity and 91% specificity, with corresponding PPV and NPV of 92% and 48%, respectively. The optimum threshold for SFNP was 54%, which had a sensitivity of 77% and a specificity of 64%, as well as a PPV of 81%, and NPV of 58%. The area under the curve was 0.72 for SFLC and 0.74 for SFNP. Sonication detected pathogens in 63% of cases, while 57% of all cases showed positive tissue cultures and 43% positive aspirate cultures. Especially, the most frequently found microorganism, <em>Cutibacterium acnes</em>, was detected less often in aspirate culture.</div></div><div><h3>Conclusions</h3><div>SFLC shows good specificity but moderate sensitivity for diagnosing PSI when using a threshold of 4.7 cells/nL. Therefore, it can serve as a confirmatory test for diagnosing PSI but not for ruling out infection.</div></div>","PeriodicalId":34444,"journal":{"name":"JSES International","volume":"9 1","pages":"Pages 201-205"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11784466/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143081209","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}

{"title":"Does high body mass index increase the risk of shoulder instability surgery? The LUXE prospective cohort study on 227 recurrent anterior shoulder instability","authors":"Vincent Roy MD, MSc ,&nbsp;Claire Bastard MD, MSc ,&nbsp;Emilie Sandman MD, MSc, FRCSC ,&nbsp;Alexis Rousseau-Saine MD, FRCSC ,&nbsp;Marie-Lyne Nault MD, PhD, FRCSC ,&nbsp;Dominique M. Rouleau MD, MSc, FRCSC","doi":"10.1016/j.jseint.2024.12.001","DOIUrl":"10.1016/j.jseint.2024.12.001","url":null,"abstract":"<div><h3>Background</h3><div>The aim of this study was to determine whether body mass index (BMI) plays a role in overall morbidity following shoulder instability surgery and whether some surgical techniques are BMI-sensitive.</div></div><div><h3>Methods</h3><div>A prospective, multicenter database was created that included the following three surgical techniques: arthroscopic Bankart (AB), arthroscopic Bankart with remplissage (ABR), and Open Latarjet (OL). Patient data (demographic, strength, laxity and functional outcomes (Disability of the Arm, Shoulder, and Hand [QuickDASH]; Western Ontario Shoulder Instability Index; and QuickDASH Pain subscore) were compared at enrollment and last postoperative follow-up. Functional outcomes, complications, and postoperative outcomes were compared between the different groups and then subdivided by BMI. Follow-up radiographs were evaluated for graft position and complications for all patients who underwent OL.</div></div><div><h3>Results</h3><div>A total of 227 patients (164 men, 63 women) were included with at least 1-year follow-up (3.3y AB (n = 126), 4.5y ABR (n = 34), and 3y OL (n = 62)). At baseline, patients with high BMI (37(17%)) had significantly worse QuickDASH Pain subscores (2.9 ± 1.0, <em>P</em> value &lt;.05) and QuickDASH (46.8 ± 21.6, <em>P</em> value &lt; .001) scores compared to all other BMI groups. All BMI groups had similar QuickDASH (<em>P</em> value .22) and Western Ontario Shoulder Instability Index (<em>P</em> value .69) scores at last follow-up. Complication rates for patients with high BMI were significantly higher in ABR compared to AB (<em>P</em> value .042) and so were reoperation rates in patients with high BMI after OL compared to patients with high BMI after ABR (9.5%, <em>P</em> value .049).</div></div><div><h3>Conclusion</h3><div>Patients with high BMI showed significantly worse baseline functional scores but no difference was found in postoperative functional scores between BMI groups. Complication rates were significantly higher in patients with high BMI following ABR compared to AB, and so were reoperation rates in patients with high BMI undergoing Latarjet compared to AB.</div></div>","PeriodicalId":34444,"journal":{"name":"JSES International","volume":"9 1","pages":"Pages 274-282"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11784504/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143081308","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}

{"title":"Thank You to Our Reviewers for 2024","authors":"","doi":"10.1016/S2666-6383(25)00007-6","DOIUrl":"10.1016/S2666-6383(25)00007-6","url":null,"abstract":"","PeriodicalId":34444,"journal":{"name":"JSES International","volume":"9 1","pages":"Pages 339-342"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143138211","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":"Accuracy of placement of the glenoid component in reverse shoulder arthroplasty using a custom baseplate for severe glenoid deficiency","authors":"Katsumasa Nakazawa MD ,&nbsp;Tomoya Manaka MD, PhD ,&nbsp;Yukihide Minoda MD, PhD ,&nbsp;Nobuyasu Ochiai MD, PhD ,&nbsp;Yasuhiro Nakane MD ,&nbsp;Yoichi Ito MD, PhD ,&nbsp;Yoshihiro Hirakawa MD, PhD ,&nbsp;Ryosuke Iio MD ,&nbsp;Kenta Inagaki MD ,&nbsp;Hiroaki Nakamura MD, PhD","doi":"10.1016/j.jseint.2024.09.013","DOIUrl":"10.1016/j.jseint.2024.09.013","url":null,"abstract":"<div><h3>Background</h3><div>Glenoid bone deficiency can lead to early component loosening and implant failure during reverse total shoulder arthroplasty (rTSA). Recently, the glenoid Vault Reconstruction System (Zimmer-Biomet, Warsaw, IN, USA), a computer-aided design ot computer-assisted manufacturing system, was developed, with good clinical outcomes, including no radiographic loosening. This study examined the postoperative accuracy of glenoid component placement using this system at three different facilities.</div></div><div><h3>Methods</h3><div>Nine patients undergoing rTSA with vault reconstruction system performed by three board-certified, fellowship-trained shoulder surgeons at three different institutions between August 2020 and January 2023 were included. Preoperative and postoperative computed tomography was performed, and glenoid inclination and version were measured using a postoperative three-dimensional evaluation system. Surgical time and intraoperative blood loss were also measured.</div></div><div><h3>Results</h3><div>The range of errors of glenoid inclination and version were 3.5 ± 2.5° (0.4–8.3) and 3.2 ± 2.2° (0.4–6.7), respectively. In primary cases, the error ranges of both glenoid inclination and version were within 5° in six of seven cases (85.7%). In revision cases, both glenoid inclination and version were within 10°. The mean operative time was 131.4 ± 48.9 (80–206) min and the mean intraoperative blood loss was 161.1 ± 94.2 (30–300) ml; there were no intraoperative complications.</div></div><div><h3>Conclusion</h3><div>In the present study, the placement position was good in primary and revision cases, making the placement of the glenoid component of the rTSA using vault reconstruction system in cases of glenoid bone deficiency highly reproducible.</div></div>","PeriodicalId":34444,"journal":{"name":"JSES International","volume":"9 1","pages":"Pages 206-211"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11784513/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143081128","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}