JSES International最新文献

{"title":"Analysis of osseous shoulder morphology and muscle volume in concentric and eccentric osteoarthritis of the shoulder","authors":"Alp Paksoy MD,&nbsp;Irina Busch MD,&nbsp;David Alexander Back MD,&nbsp;Rony-Orijit Dey Hazra MD,&nbsp;Doruk Akgün MD,&nbsp;Henry Gebauer MD","doi":"10.1016/j.jseint.2025.04.005","DOIUrl":"10.1016/j.jseint.2025.04.005","url":null,"abstract":"<div><h3>Background</h3><div>The etiology of primary eccentric osteoarthritis (OA) is multifactorial involving glenoid shape alterations, acromion abnormalities, and rotator cuff pathologies. However, none of the changes described for eccentric OA are either consistent or do satisfactorily explain the condition. Up to now, potential individual risk factors contributing to the development of concentric or eccentric OA have been studied mostly independently of each other. This study examined the differences of osseous shoulder morphology and muscle volume in concentric and eccentric OA of the shoulder as a potential risk factor for the development of posterior glenoid wear.</div></div><div><h3>Methods</h3><div>A retrospective, comparative study was conducted, analyzing computed tomography scans of 114 shoulders in 86 patients with primary OA at a single center between 2010 and 2023. These patients were divided into 2 groups—according to an underlying concentric or eccentric OA. As parameters, the osseous shoulder morphology (glenoid offset, glenoid version, posterior humeral head subluxation, anterior acromial coverage, posterior acromial coverage, posterior acromial tilt, posterior acromial height, and critical shoulder angle (CSA)) and muscle volume (subscapularis, infraspinatus/teres minor, supraspinatus), were measured and compared between the groups. Computed tomography images were classified according to the modified Walch classification.</div></div><div><h3>Results</h3><div>The mean age of the patients was 68.9 ± 9.9 years and 62.3% of the patients were female (54 of 86). A total of 25 shoulders were included in the concentric group and 89 shoulders in the eccentric group. Patients with eccentric OA had a significantly increased glenoid retroversion according to Friedmann (12.6° ± 8.2° vs. 4.3° ± 3.4°; <em>P</em> &lt; .001) and relative to scapular blade axis (10.6° ± 7.6° vs. 3.1° ± 3.6°; <em>P</em> &lt; .001), increased scapulohumeral subluxation index (0.67 ± 0.01 vs. 0.55 ± 0.05; <em>P</em> &lt; 001), increased glenohumeral subluxation index (0.56 ± 0.06 vs. 0.52 ± 0.05; <em>P</em> = .004), and increased CSA (26.3° ± 5.0° vs. 23.1° ± 4.2°; <em>P</em> = .006) compared to patients with concentric OA. No significant differences in anterior glenoid offset and other parameters of acromial roof morphology were found between the 2 experimental groups. No significant differences in volumes of supraspinatus, subscapularis and infraspinatus/teres minor muscles could be detected between the 2 experimental groups.</div></div><div><h3>Conclusion</h3><div>Patients with primary eccentric OA show significant differences in glenoid retroversion, posterior scapulohumeral/glenohumeral subluxation, and CSA. However, there are no significant differences regarding the acromion roof morphology and rotator cuff volume compared to patients with concentric OA.</div></div>","PeriodicalId":34444,"journal":{"name":"JSES International","volume":"9 4","pages":"Pages 1312-1318"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144605415","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":"The effect of arthroscopic rotator cuff repair on golf handicap","authors":"Jordan K. Penn BS ,&nbsp;Alex Friedman DO ,&nbsp;Mateo L. Pacelli ,&nbsp;Daniel T. Keefe MD ,&nbsp;Brian J. Rebolledo MD ,&nbsp;Jan Fronek MD ,&nbsp;Laura R. Alberton MD ,&nbsp;Heinz R. Hoenecke MD","doi":"10.1016/j.jseint.2025.02.010","DOIUrl":"10.1016/j.jseint.2025.02.010","url":null,"abstract":"<div><h3>Background</h3><div>Golf is a popular sport worldwide that has been embraced by individuals of all ages. In middle-aged and older golfers, shoulder pain during sport can be associated with rotator cuff (RC) pathology given the complex coordination required to swing a golf club. Patients considering arthroscopic RC repair often ask how their golfing ability will be affected by surgery. The purpose of this study was to assess golf handicap as a measure of golfing ability among patients who underwent arthroscopic RC repair.</div></div><div><h3>Methods</h3><div>Twenty-nine patients who underwent arthroscopic RC repair between 2017 and 2020 were retrospectively identified. All patients indicated that they played golf before and after surgery and provided their golf handicap information network number so that their handicap data could be obtained. Indications included complete tear (n = 22) and partial tear (n = 7) of the RC that required repair. Mean age was 65 ± 8.1 years, and 97% were males. Golf handicap was compared between the most recent handicap preoperatively (within 1 year prior to surgery) and 1 and 2 years following surgery. Eighteen of 29 patients were available for telephone interviews at a mean of 5.6 ± 1.2 years to capture additional handicap data and outcomes including the American Shoulder and Elbow Surgeons Shoulder score and the Single Assessment Numeric Evaluation.</div></div><div><h3>Results</h3><div>Handicap increased by 1.2 strokes 1 year after surgery (<em>P</em> = .007). By 2 years postoperatively, no change from preoperative handicap was seen (<em>P</em> = .107). Change in handicap between patients who had surgery on their lead vs. back shoulder did not vary significantly at 1 year (<em>P</em> = .688) or at 2 years (<em>P</em> = .184) after surgery.</div></div><div><h3>Discussion</h3><div>Arthroscopic RC repair led to a decrease in golfing ability 1 year after surgery but returned to preoperative ability by 2 years after surgery.</div></div>","PeriodicalId":34444,"journal":{"name":"JSES International","volume":"9 4","pages":"Pages 1114-1117"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144605524","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":"Massive rotator cuff tears: geometric classification, complete repair, and prognosis","authors":"Liwei Ying MA ,&nbsp;Qingguo Zhang MA ,&nbsp;Li Ying PhD ,&nbsp;Linlin Sha MA ,&nbsp;Dawei Han MA ,&nbsp;Yu Hui BA ,&nbsp;Quan Gan BA ,&nbsp;Huixia Fan BA ,&nbsp;Junbo Liang PhD ,&nbsp;Xiaobo Zhou PhD","doi":"10.1016/j.jseint.2025.01.014","DOIUrl":"10.1016/j.jseint.2025.01.014","url":null,"abstract":"<div><h3>Background</h3><div>This study aims to summarize tear patterns of massive rotator cuff tears (MRCTs) and outline our surgical techniques for complete repair.</div></div><div><h3>Methods</h3><div>From January 2018 to May 2023, 394 shoulders in 389 individuals with consecutive MRCT received arthroscopic MRCT repair. The tear pattern of each case was identified and generalized based on preoperative magnetic resonance imaging and interoperative arthroscopy. To evaluate prognosis of complete repair, outcome scores, comprising the University of California at Los Angeles (UCLA) score, the Constant-Murley Shoulder (CMS) score, the American Shoulder and Elbow Surgeons (ASES) score, the visual analog scale pain score, and the integrity and level of healing were obtained preoperatively and at 6 months, 12 months, and the last visit after surgery.</div></div><div><h3>Results</h3><div>The tear patterns of 394 MRCT cases could be divided into 3 types depending on the number of longitudinal tears between cuffs. The complete repair rate was negatively correlated with age, duration of symptoms and number of longitudinal tears. To evaluate the outcomes of surgical techniques for complete repair, 51 patients (n = 17 men; n = 34 women) with a mean follow-up of 1.7 years (range: 1-4.8 years) and a mean age of 63 years old (range: 48-75 years old) were included. Clinical parameters of ASES, CMS, and UCLA were significantly enhanced at the last follow-up in contrast to those preoperatively (scores of ASES, CMS, and UCLA at the final follow-up were 79.02 ± 13.80, 79.53 ± 15.66, and 28.62 ± 4.21 vs. 36.58 ± 13.04, 51.18 ± 17.63 and 15.71 ± 4.14 preoperatively). Visual analog scale score decreased from 5.00 to 1.00 (<em>P</em> &lt; .01). All 4 scores above reached minimum clinically important difference. Furthermore, postoperative magnetic resonance imaging scans revealed that there was no case of rotator cuff retear (Sugaya types IV and V) in type Ⅰ, 3.23% rotator cuff retear rate in type Ⅱ, and 22.22% rotator cuff retear rate in type Ⅲ.</div></div><div><h3>Conclusion</h3><div>The new geometric classification according to the number of longitudinal tears offers guidance on the treatment of MRCT and prognosis after MRCT repair.</div></div>","PeriodicalId":34444,"journal":{"name":"JSES International","volume":"9 4","pages":"Pages 1090-1097"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144605917","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":"Endoscopy for neurogenic thoracic outlet syndrome: effectiveness and safety assessments","authors":"Jose Carlos Garcia Jr. PhD ,&nbsp;Marcos Felipe de Paula Correa MD ,&nbsp;Giulia Wendt Fadel MD ,&nbsp;Ricardo Berriel Mendes MD ,&nbsp;Jesely Myrrha Garcia PT ,&nbsp;Paulo Cavalcante Muzy MD ,&nbsp;Diogo Alberto Lopes Bader MD","doi":"10.1016/j.jseint.2024.12.006","DOIUrl":"10.1016/j.jseint.2024.12.006","url":null,"abstract":"<div><h3>Background</h3><div>Thoracic outlet syndrome (TOS) is a complex and multifactorial condition characterized by the compression of neural, arterial, or venous structures. Traditional surgical approaches use open dissections presenting substantial recurrence rates of 15-20%. This study aimed to explore the safety and efficacy of endoscopic surgery for neurogenic TOS treatment, given the evolution of surgical techniques toward minimally invasive approaches.</div></div><div><h3>Methods</h3><div>A study was conducted involving 30 patients who were resistant to conservative treatment, presented with objective images of neurogenic compromise at the brachial plexus, and underwent brachial plexus endoscopy. Outcomes were assessed using the Visual Analog Scale for Pain and the Quick Disabilities of the Arm, Shoulder, and Hand score, both pre- and postsurgery, with a minimum follow-up of 24 months postoperatively.</div></div><div><h3>Results</h3><div>The results indicated a significant improvement in symptoms. All patients experienced clinical improvement and resumed their normal activities. The average Visual Analog Scale for Pain score decreased from 5.57 ± 2.18 before surgery to 1.30 ± 1.02 after surgery (<em>P</em> &lt; .01). The average Quick Disabilities of the Arm, Shoulder, and Hand score decreased from 41.89 ± 12.80 before surgery to 5.39 ± 6.74 after surgery (<em>P</em> &lt; .01). There were no requirements for surgical reintervention, and no patients suffered neurological injuries or other complications.</div></div><div><h3>Conclusion</h3><div>The results of this study affirm that the endoscopic technique evaluated is both an effective and safe treatment modality for neurogenic TOS. It offers the advantages of low morbidity and expedited recovery, making it particularly suitable for patients with neurogenic TOS, including those with a low vascular component. Nevertheless, for cases where vascular compression is pronounced and/or patient have already presented previous vascular repercussions such as thrombosis, open surgical techniques for rib resection remain as the gold standard, therefore should be considered as a primary treatment.</div></div>","PeriodicalId":34444,"journal":{"name":"JSES International","volume":"9 3","pages":"Pages 852-858"},"PeriodicalIF":0.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143941839","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":"Assessing the influence of obesity on rotator cuff repair surgical and functional outcomes: a meta-analysis","authors":"Ahmed Alhussain MD ,&nbsp;Hussam A. Alhathlol MBBS ,&nbsp;Abdulkareem A. Alsharif MBBS ,&nbsp;Khalid M. Alsikhan MBBS ,&nbsp;Nouf A. Almagushi MBBS","doi":"10.1016/j.jseint.2024.12.005","DOIUrl":"10.1016/j.jseint.2024.12.005","url":null,"abstract":"<div><h3>Background</h3><div>Obesity is a major global health burden and is linked to numerous comorbidities, including musculoskeletal disorders. Among these, rotator cuff disorders are a leading cause of shoulder pain. Although the impact of obesity on procedures such as hip and knee arthroplasty is well documented, its effect on rotator cuff repair has been less explored. This meta-analysis aimed to evaluate the influence of obesity on surgical and functional outcomes following rotator cuff repair.</div></div><div><h3>Methods</h3><div>The review was conducted following the PRISMA guidelines and registered in PROSPERO (CRD42024556254). A comprehensive search of PubMed, Google Scholar, and Web of Science was performed. The outcomes evaluated included functional outcomes such as the American Shoulder and Elbow Surgeons score and range of motion. For surgical outcomes, the variables evaluated included retear, readmission, and reoperation. Statistical analysis was performed via Review Manager (Cochrane Collaboration. Review Manager [RevMan], London, UK. Version 5.4 2020) and Comprehensive Meta-Analysis v3 software.</div></div><div><h3>Results</h3><div>Twelve studies comprising 79098 patients were included. The obese patients had significantly poorer functional outcomes, with lower Single Assessment Numeric Evaluation and American Shoulder and Elbow Surgeons scores. Obese patients also had statistically significant impairments in the internal rotation function of the shoulder joint. These patients also exhibited a higher risk of readmission and reoperation. No significant differences were found in terms of operative time, postoperative pain, or surgical site infection.</div></div><div><h3>Conclusion</h3><div>Obesity negatively impacts the surgical and functional outcomes of rotator cuff repair, leading to worse functional scores, limited range of motion, and increased risks of readmission and reoperation. These findings underscore the importance of weight management strategies to optimize outcomes for obese patients undergoing rotator cuff repair.</div></div>","PeriodicalId":34444,"journal":{"name":"JSES International","volume":"9 3","pages":"Pages 683-690"},"PeriodicalIF":0.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143943082","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 functional evaluation of the rotator cuff length after reverse total shoulder arthroplasty","authors":"Jan Herregodts MD ,&nbsp;Mathijs Verhaeghe Ir. ,&nbsp;Didier Poncet Ir. ,&nbsp;Lieven De Wilde MD, PhD ,&nbsp;Alexander Van Tongel MD, PhD ,&nbsp;Stijn Herregodts Ir PhD","doi":"10.1016/j.jseint.2024.12.012","DOIUrl":"10.1016/j.jseint.2024.12.012","url":null,"abstract":"<div><h3>Background</h3><div>A biomechanical result of the reverse total shoulder arthroplasty (rTSA) design is the medialization and inferiorization of the greater tuberosity, which influences the length of the cuff muscles. A well-known complication after rTSA is a lack of external rotation force. The purpose of this study was to investigate the difference in the length of the cuff muscles in a native shoulder and in shoulders treated with six commercial rTSA designs.</div></div><div><h3>Methods</h3><div>Six implant systems were implanted on identical sawbones. A robotic setup was used to perform and control the shoulder’s position and measurements. The muscle lengths were measured by draw wire encoders.</div></div><div><h3>Results</h3><div>In the three functional positions, the length of the cuff muscles was significantly lower in the Delta Xtend. In all measured positions, there was a strong negative correlation between the medialization of the humerus and the length of the cuff muscles. A lower position of the humerus after rTSA had a positive impact on the length of the infraspinatus and subscapularis.</div></div><div><h3>Discussion</h3><div>This study found a distinct difference in the slackening of the cuff muscles. Still, in the commercial reverse shoulder arthroplasty designs studied, this slackening never exceeded 15% in the above-mentioned maneuvers, which is functional and safe for the remnants of the muscles.</div></div>","PeriodicalId":34444,"journal":{"name":"JSES International","volume":"9 3","pages":"Pages 788-797"},"PeriodicalIF":0.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143942594","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":"Functional outcome of patients treated with Latarjet procedure experience from resource limited setup","authors":"Tariku Beriso MD ,&nbsp;Samuel Kebede MD ,&nbsp;Mamo Deksisa MD ,&nbsp;Mahder Eshete MD","doi":"10.1016/j.jseint.2025.01.021","DOIUrl":"10.1016/j.jseint.2025.01.021","url":null,"abstract":"<div><h3>Background</h3><div>The shoulder joint has a great arc of motion, and it frequently develops recurrent instability. The Latarjet procedure was used frequently to treat recurrent shoulder instability and was also used for patients with fixed chronic shoulder dislocation that was unreduced for more than 3 weeks. There is a research gap in resource-limited settings regarding this topic. The aim of this study was to assess the functional outcome of patients who underwent a Latarjet procedure for recurrent shoulder instability and fixed unreduced shoulder dislocation separately.</div></div><div><h3>Methods</h3><div>A cross-sectional study was conducted on the functional outcome of patients treated with the Latarjet procedure done at Saint Paul’s Hospital Millennium Medical College from August 2019 to October 2022. Outcomes were assessed using the Rowe score and the University of California Los Angeles (UCLA) shoulder scale. Descriptive statistics were used with frequency, percentage, tables, and texts based on the nature of the data. Mean, median, and standard deviation were used to describe continuous variables.</div></div><div><h3>Results</h3><div>Of the total of 45 patients included in the study, 25 patients (55.6%) were presented with recurrent anterior shoulder instability, whereas the remaining 20 patients (44.4%) were presented with chronic locked anterior shoulder dislocation. The mean Rowe and UCLA scores of patients with recurrent shoulder instability were 92 and 32.36, respectively, with 92% of them having an excellent Rowe grade. The mean Rowe and UCLA scores of patients with fixed unreduced chronic shoulder dislocations were 71.75 and 24.85, respectively, with only 30% excellent Rowe grade. The complication rate was 20% with recurrent instability rate of 6.7%.</div></div><div><h3>Conclusion</h3><div>The Latarjet procedure has excellent outcomes and is safe for patients with recurrent shoulder instability. Fixed unreduced chronic shoulder dislocation has a lower functional outcome score after the Latarjet procedure. Appropriate patient selection and identification should be employed for better outcomes.</div></div>","PeriodicalId":34444,"journal":{"name":"JSES International","volume":"9 3","pages":"Pages 651-654"},"PeriodicalIF":0.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143942596","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":"Role of clinical and radiological parameters for recurrence after primary anterior shoulder dislocation","authors":"Avneet Singh Sandhu MS,&nbsp;Bishak S. Reddy MS,&nbsp;Vivek Pandey MS","doi":"10.1016/j.jseint.2025.01.002","DOIUrl":"10.1016/j.jseint.2025.01.002","url":null,"abstract":"<div><h3>Background</h3><div>Recurrent shoulder dislocation risk is influenced by modifiable (sports participation, immobilization after first anterior dislocation of shoulder (FADS), timing of athletic activity resumption) and nonmodifiable factors like age, sex, hypermobility, and the initial mechanism of injury. These factors, individually or in combination, contribute to an increased risk of recurrent shoulder dislocation. This study aims to ascertain the factors contributing to recurrent anterior shoulder dislocation, explore their interplay, and assess their impact on the overall frequency of dislocations.</div></div><div><h3>Methods</h3><div>Clinical data regarding patient demographics, mechanism of injury, number of dislocations, night dislocations, and sports participation were retrospectively collected for 206 subjects. Radiological data, including glenoid bone loss and glenoid track, were also collected and analyzed.</div></div><div><h3>Results</h3><div>Out of 206, 195 patients were men (94.7%). The mean age ± standard deviation at which men and women experienced their FADS was 25.3 ± 8.25 and 33.7 ± 9.43 years, respectively. Although FADS was common in overhead sports vs. other sports (83% vs. 17%), there was no difference in further recurrences between the two groups (<em>P</em> = .98). The second or further dislocations were more frequent in nonimmobilized shoulders than immobilized for 2-3 weeks (<em>P</em> = .006). The mean time gap between the first and second dislocation for self-reduced and doctor-reduced cases was 36.33 ± 1 08.48 and 53.43 ± 112.07 weeks (<em>P</em> = .022), respectively. Those with recurrent dislocation during sleep had 22.2 total dislocations compared to 8.3 who did not (<em>P</em> = .002). The mean glenoid bone loss in patients with dislocations during sleep-present and the sleep-absent groups was 15.34% and 10.12% (<em>P</em> = .028), respectively. The mean number of dislocations within the 0-10%, 10-20%, and 20-30% bone loss groups was 5.1, 9.9, and 29.9, respectively (<em>P</em> = .001), demonstrating a linear relationship with increasing bone loss. Furthermore, patients with off-track Hill Sachs lesions had a higher propensity for dislocation (<em>P</em> = .011).</div></div><div><h3>Conclusion</h3><div>Recurrence is more common in men and occurs at a younger age than in women. It is common in overhead sports. People who self-reduce their initial dislocation than doctor reduced, or nonimmobilized ones have a greater recurrence rate. Frequent dislocations during sleep have a strong association with higher glenoid bone loss. Increasing glenoid bone loss and off-track Hill Sachs lesion are also strongly associated with increased recurrent dislocations.</div></div>","PeriodicalId":34444,"journal":{"name":"JSES International","volume":"9 3","pages":"Pages 632-638"},"PeriodicalIF":0.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143942592","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":"The present and future of preoperative planning","authors":"Ruth A. Delaney FRCS","doi":"10.1016/j.jseint.2024.09.002","DOIUrl":"10.1016/j.jseint.2024.09.002","url":null,"abstract":"<div><div>Preoperative planning for shoulder arthroplasty has become widely used for primary cases and now also in revision situations. From the initial, two-dimensional manual planning efforts on computed tomography scans, planning has evolved to now using three-dimensional planning software programs. A number of different programs exist with various methods underpinning their chosen landmarks and segmentation methods. Preoperative planning has allowed for development of execution tools to translate the preoperative plan to intraoperative reality. This article considers the particular relevance of preoperative arthroplasty planning to the shoulder joint, the current status of preoperative planning, the reasons to engage with preoperative planning, the execution tools available as an extension of preoperative planning, and the future of intraoperative execution technologies associated with planning. Preoperative planning is the foundation of prospective advances in these so-called enabling technologies and the future of preoperative planning will be shaped by a desire to continue to optimize execution techniques in shoulder arthroplasty, with the ultimate goal of using these techniques to achieve improved patient outcomes.</div></div>","PeriodicalId":34444,"journal":{"name":"JSES International","volume":"9 3","pages":"Pages 954-959"},"PeriodicalIF":0.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143942866","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":"Arthroscopic intra-articular vs. subpectoral biceps tenodesis with concomitant rotator cuff repair leads to equivocal MCID achievement","authors":"Dylan N. Greif MD ,&nbsp;Hashim J.F. Shaikh BS ,&nbsp;Devon E. Anderson MD, PhD ,&nbsp;Robert Bronstein MD ,&nbsp;Gregg T. Nicandri MD, PhD ,&nbsp;Brian D. Giordano MD ,&nbsp;Ilya Voloshin MD ,&nbsp;Michael D. Maloney MD ,&nbsp;Sandeep Mannava MD, PhD","doi":"10.1016/j.jseint.2025.01.020","DOIUrl":"10.1016/j.jseint.2025.01.020","url":null,"abstract":"<div><h3>Background</h3><div>Pathologies involving the long head of the biceps brachii tendon often accompany rotator cuff tears, contributing to increased physical pain. Disagreement exists in the literature regarding the outcomes of open subpectoral vs. arthroscopic biceps tenodesis during concomitant arthroscopic rotator cuff repair (ARCR), with limited studies assessing Patient-Reported Outcomes Measurement Information System (PROMIS) in this context. This study aims to evaluate a cohort undergoing open subpectoral vs. arthroscopic intra-articular biceps tenodesis with concomitant ARCR, examining differences in PROMIS outcomes and the ability to achieve a minimal clinically important difference (MCID). We hypothesize there is not a significant difference in attaining MCID for PROMIS outcomes between open subpectoral and arthroscopic intra-articular biceps tenodesis during ARCR.</div></div><div><h3>Methods</h3><div>A retrospective analysis was conducted on patients undergoing ARCR with concurrent biceps tenodesis. Patient-reported outcomes, including PROMIS Depression, Pain Interference, and Physical Function scores, were retrospectively reviewed. The patient cohort was stratified into two groups based on the type of biceps tenodesis performed. MCID was defined as half the standard deviation of the average preoperative scores for each cohort. Regression analysis was performed to control for the influence of confounding variables. Statistical significance was determined at a <em>P</em> value threshold of &lt;.05.</div></div><div><h3>Results</h3><div>A total of 197 patients were included for final data analysis. 100 patients underwent arthroscopic biceps tenodesis and 97 patients who underwent open biceps tenodesis, with average follow-up 2.39 vs. 2.21 years, respectively. Bivariate analysis showed no significant differences between subpectoral and arthroscopic cohorts in demographic or clinical variables. Both groups exhibited significant improvement at the final follow-up in all three PROMIS domains without statistically significant intergroup differences. Multivariate analysis identified racial and insurance disparities in preoperative scores but not in postoperative outcomes. Logistic regression indicated PROMIS domains and anchor usage predicted MCID, with no significant difference based on biceps tenodesis type.</div></div><div><h3>Conclusion</h3><div>This study suggests that open subpectoral vs. arthroscopic intra-articular biceps tenodesis during concomitant ARCR does not significantly impact PROMIS outcomes or the likelihood of achieving MCID.</div></div>","PeriodicalId":34444,"journal":{"name":"JSES International","volume":"9 3","pages":"Pages 728-734"},"PeriodicalIF":0.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143942940","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}