JSES International最新文献

{"title":"Early and subsequent radiographic changes during the occurrence of osteochondritis dissecans of the elbow","authors":"Masatoshi Takahara MD, PhD ,&nbsp;Tomohiro Uno MD, PhD ,&nbsp;Tamotsu Kamishima MD, PhD ,&nbsp;Daiichiro Takahara MD ,&nbsp;Ryo Mitachi PT ,&nbsp;Hiroshi Satake MD, PhD ,&nbsp;Michiaki Takagi MD, PhD","doi":"10.1016/j.jseint.2025.03.015","DOIUrl":"10.1016/j.jseint.2025.03.015","url":null,"abstract":"<div><h3>Background</h3><div>Little is known about the radiographic changes before and after osteochondritis dissecans (OCD) occurrence. The aim was to clarify the earliest and subsequent radiographic changes.</div></div><div><h3>Methods</h3><div>Among 120 patients with capitellar OCD, we selected the patients who had consecutive radiographs of the elbow before and after OCD occurrence. We retrospectively clarified the earliest and subsequent changes.</div></div><div><h3>Results</h3><div>Four (3%) boys met the criteria. All four had been in baseball team and had medial elbow pain with medial epicondylar apophysitis. They had no lateral elbow pain or abnormal findings of the capitellum. After the mean of 3.5 months from initial presentation, OCD silently occurred in the capitellum at the mean age of 11.4 years. The earliest detectable radiographic change was subtle rarefaction at the ossifying subchondral bone surface in the lateral aspect of the capitellum; however, it was too subtle and limited to be recognizable as OCD. These features gradually became more evident and expanded, eventually leading to flattening and depression of the subchondral bone surface, accompanied by subchondral bone cysts surrounded by sclerotic bone. The capitellar lesions were diagnosed as early OCD.</div></div><div><h3>Discussion</h3><div>This is the first report to show the radiographic changes before and after OCD occurrence. The earliest change was subtle rarefaction. Repetitive forces on the preadolescent capitellum may cause stress injury at the secondary physis followed by rarefaction of the ossifying subchondral bone. Micromovements of the overlying cartilage would allow the side-by-side concurrence of subchondral bone cysts, resulting in subchondral depression, eventually leading to recognizable early OCD.</div></div>","PeriodicalId":34444,"journal":{"name":"JSES International","volume":"9 4","pages":"Pages 1406-1411"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144605978","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":"Changes in mental health and joint-specific patient-reported outcome measures following arthroscopic shoulder labral repair","authors":"Kristen E. Hines BS ,&nbsp;Natalie A. Lowenstein MPH ,&nbsp;Jillian L. Mazzocca BA ,&nbsp;Cale A. Jacobs PhD ,&nbsp;Elizabeth G. Matzkin MD","doi":"10.1016/j.jseint.2025.02.022","DOIUrl":"10.1016/j.jseint.2025.02.022","url":null,"abstract":"<div><h3>Background</h3><div>The purpose was to identify the effects of mental health on postoperative outcomes following arthroscopic labral repair. It was hypothesized that low preoperative mental health, measured by the Veterans RAND 12-Item Health Survey Mental Component Score (VR-12 MCS), would demonstrate inferior patient-reported outcome measures preoperatively and postoperatively, but that improvement would be similar.</div></div><div><h3>Methods</h3><div>Fifty subjects undergoing a primary arthroscopic anterior labral repair were included. Subjects completed the VR-12 MCS, Pain Visual Analog Scale (VAS) score, American Shoulder and Elbow Surgeons (ASES) score, and Single Assessment Numeric Evaluation (SANE) at 4 timepoints. Subjects with a VR-12 MCS score below 42.9 were classified to a low MCS cohort and those with a VR-12 MCS score above 42.9 were cataloged to a high MCS group. Patient-reported outcome measures were compared between the 2 groups.</div></div><div><h3>Results</h3><div>At mean follow-up of 18.7 months, ASES (<em>P</em> &lt; .001), VAS (low MCS <em>P</em> = .004; high MCS <em>P</em> &lt; .001), and SANE (<em>P</em> &lt; .001) scores significantly improved for both cohorts. The low MCS group had significantly lower ASES scores at both points (<em>P</em> = .01); however, the preoperative to postoperative change in ASES (<em>P</em> = .32) did not differ. VR-12 MCS scores remained constant in the high MCS cohort but significantly improved for the low MCS cohort (<em>P</em> = .01).</div></div><div><h3>Conclusion</h3><div>Patients in the low VR-12 MCS group had lower postoperative outcomes but demonstrated similar preoperative to postoperative improvements in ASES, SANE, and VAS to those in the high group. VR-12 MCS significantly improved for the low MCS group suggesting that low preoperative mental health scores should not be considered a contraindication for surgery and mental health scores are modifiable.</div></div>","PeriodicalId":34444,"journal":{"name":"JSES International","volume":"9 4","pages":"Pages 1154-1158"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144604953","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":"Blood loss, complications, and the role of suction drains in shoulder arthroplasty: a systematic review and meta-analysis","authors":"Luiz Henrique Oliveira Almeida MD ,&nbsp;Vitor La Banca MD ,&nbsp;Octavio Matsumoto MD ,&nbsp;Arthur Steven de Sá MD ,&nbsp;Ana Victória Palagi Viganó MD ,&nbsp;Gabriel Kalman MedStud ,&nbsp;Felipe Fernandes Gonzalez MD, MSc ,&nbsp;Guilherme Henrique Vieira Lima MD ,&nbsp;Joel Murachovsky MD, PhD ,&nbsp;Roberto Yukio Ikemoto MD, PhD","doi":"10.1016/j.jseint.2025.03.007","DOIUrl":"10.1016/j.jseint.2025.03.007","url":null,"abstract":"<div><h3>Background</h3><div>Total shoulder replacement, including both anatomic and reverse procedures are one of the treatment options for shoulder arthritis and proximal humerus fractures, with consistently favorable outcomes in terms of pain relief and function improvement. During surgery, some surgeons prefer to place suction drains in the deep tissue to prevent hematomas or seromas, thereby reducing risks like wound dehiscence and infections. However, the routine use of suction drains in other orthopedic surgeries, such as hip and knee arthroplasty, has been questioned, with studies suggesting they may lead to extended hospital stays and increased need for transfusions without significantly reducing complications. Given the conflicting evidence in the literature about suction drains in shoulder arthroplasty, this study aims to evaluate their efficacy in reducing complications and in consequence the need for hospital stay and reoperations.</div></div><div><h3>Methods</h3><div>This systematic review followed the Preferred Reporting Items for Systematic Reviews and Meta-analyses guidelines. The inclusion criteria encompassed studies comparing outcomes of patients undergoing shoulder arthroplasty (anatomic or reverse) with and without suction drains. Databases such as PubMed, Lilacs, Cochrane Library, and Scopus were searched, with no restrictions on language or publication date. Data extraction was performed for duration of hospital stay, transfusions, infections, wound dehiscence, reoperations, and hemoglobin changes. Meta-analyses were conducted using a random-effects model for mean differences (MDs) and odds ratios (ORs).</div></div><div><h3>Results</h3><div>Six studies with a total of 22,710 patients were included. The mean patient age was 68.8 years, with a slight female predominance. Anatomic and reverse shoulder arthroplasties were both commonly performed. There was no significant difference in hospital stay (MD: 8.78 hours), infection rates (OR: 0.64; 95% confidence intervals (CI): 0.30-1.35), or reoperation rates (OR: 1.62; 95% CI: 0.16-16.23) between patients with drains and those without. However, hemoglobin loss was significantly greater in the drain group (MD: 0.31; 95% CI: 0.02-0.60).</div></div><div><h3>Conclusion</h3><div>The use of suction drains in shoulder arthroplasty does not significantly reduce infection or wound-related complications and is associated with increased hemoglobin loss. These findings suggest that the routine use of drains in shoulder arthroplasty may not provide tangible benefits and should be reconsidered to optimize patient outcomes.</div></div>","PeriodicalId":34444,"journal":{"name":"JSES International","volume":"9 4","pages":"Pages 1266-1273"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144605099","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":"Tendon stump change as a risk factor for structural failure of arthroscopic rotator cuff repair","authors":"Jun Kawamata MD ,&nbsp;Shoji Fukuta MD, PhD ,&nbsp;Masashi Kano MD ,&nbsp;Kohei Yoshikawa MD ,&nbsp;Koichi Sairyo MD, PhD","doi":"10.1016/j.jseint.2025.02.011","DOIUrl":"10.1016/j.jseint.2025.02.011","url":null,"abstract":"<div><h3>Background</h3><div>This study aimed to identify risk factors for retear after arthroscopic rotator cuff repair (ARCR) using the suture bridge method and to assess the relation between preoperative and postoperative tendon condition and retear.</div></div><div><h3>Methods</h3><div>We retrospectively analyzed patients who underwent ARCR for a medium tear. Potential risk factors, including tear width, anteroposterior and medial-lateral tear width, atrophy, fatty degeneration, and condition of the tendon stump (Ishitani's classification and rotator cuff/deltoid muscle [C/D] ratio), were identified on magnetic resonance preoperatively. Magnetic resonance imaging was performed regularly after surgery, and the C/D ratio in the sutured cuff was evaluated. Shoulders that were Sugaya type I-III were classified as the repair group and those that were type IV or V as the retear group. Risk factors for retear were analyzed by univariable and multivariable analyses.</div></div><div><h3>Results</h3><div>We analyzed 175 patients in 183 shoulders. The overall retear rate was 13.1%. Multivariable analysis revealed medial-lateral width (odds ratio: 0.88; 95% confidence interval: 0.82-0.95; <em>P</em> &lt; .001) and C/D ratio (odds ratio: 0.30; 95% confidence interval: 0.16-0.58; <em>P</em> &lt; .001) as independent risk factors for retear. At 3 weeks postoperatively, the C/D ratio was significantly higher in the retear group (1.70 ± 1.47 vs. 0.84 ± 0.72; <em>P</em> = .002).</div></div><div><h3>Conclusions</h3><div>The C/D ratio and tear width were risk factors for retear after ARCR using the suture bridge method. The C/D ratio was higher in retear cases both preoperatively and postoperatively.</div></div>","PeriodicalId":34444,"journal":{"name":"JSES International","volume":"9 4","pages":"Pages 1118-1123"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144605132","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":"Feasibility of subantimicrobial-dose doxycycline for elbow tendinopathy","authors":"Brett G. Toresdahl MD ,&nbsp;Joshua Dines MD ,&nbsp;Harry G. Greditzer IV MD ,&nbsp;Andy O. Miller MD ,&nbsp;Miguel Otero PhD ,&nbsp;Jamie S. Egbert MPH ,&nbsp;Brianna Quijano MS ,&nbsp;Scott Rodeo MD","doi":"10.1016/j.jseint.2025.03.019","DOIUrl":"10.1016/j.jseint.2025.03.019","url":null,"abstract":"<div><h3>Background</h3><div>Elbow tendinopathy is a common condition among athletes and the general population and can result in significant disability and time loss from work. Despite traditional treatments, symptoms often persist for more than 6 months. Doxycycline has been suggested as having treatment potential for tendinopathy as a matrix metalloproteinase inhibitor. The objective of this study was to evaluate the feasibility of subantimicrobial dose (SD) doxycycline as a low-cost adjunctive treatment in the nonsurgical management of elbow tendinopathy.</div></div><div><h3>Methods</h3><div>Subjects received doxycycline 20 mg twice per day for 12 weeks in addition to standard of care, including a home exercise program and a counterforce brace. Any potential side effects were reported weekly, and the remaining pills were counted at 12 weeks. Patient-reported outcome measures were collected at baseline, 4, 8, and 12 weeks. Ultrasound, grip strength, and laboratory values were assessed at baseline and 12 weeks.</div></div><div><h3>Results</h3><div>Our sample consisted of 21 patients (average age 50.9 years, 57.1% male). The median weeks of elbow pain at baseline was 14 (interquartile range 15). SD doxycycline resulted in no significant side effects or changes to laboratory values. Median medication compliance was 96% by pill count. Patient-reported outcome measures and grip strength were recorded at multiple time points in the follow-up.</div></div><div><h3>Conclusion</h3><div>Patients with elbow tendinopathy tolerated SD doxycycline well and the majority were compliant with a twice-daily regimen for 12 weeks. Our cohort demonstrated improvements in symptoms and grip strength. Further research is needed to determine if SD doxycycline contributes to this improvement.</div></div>","PeriodicalId":34444,"journal":{"name":"JSES International","volume":"9 4","pages":"Pages 1412-1417"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144605407","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":"Do shoulder kinematics change after reverse total shoulder arthroplasty?","authors":"Itaru Kawashima MD, PhD ,&nbsp;Eric R. Wagner MD, MS ,&nbsp;Joseph J. King MD ,&nbsp;Zaamin B. Hussain MD, EdM ,&nbsp;Sameer R. Khawaja BS ,&nbsp;Jaden C. Hadrick BS ,&nbsp;Krishna N. Chopra MA ,&nbsp;Michael B. Gottschalk MD ,&nbsp;Scott A. Banks PhD ,&nbsp;Thomas W. Wright MD","doi":"10.1016/j.jseint.2025.04.025","DOIUrl":"10.1016/j.jseint.2025.04.025","url":null,"abstract":"<div><h3>Background</h3><div>Reverse total shoulder arthroplasty (rTSA) is believed to alter shoulder kinematics. However, it remains unclear whether the kinematic changes observed in shoulders following rTSA were present preoperatively or developed as a result of the surgery. Furthermore, the impact of preoperative scapulohumeral rhythm (SHR) on the postoperative SHR after rTSA is also poorly understood. The primary aim of this study was to compare shoulder kinematics before and after rTSA using the 3-dimensional (3D) to 2-dimensional model-image registration with dynamic digital radiography images. The secondary purpose was to evaluate whether preoperative SHR correlates with postoperative SHR after rTSA.</div></div><div><h3>Methods</h3><div>Twenty shoulders in 19 patients that underwent rTSA were included. Dynamic digital radiography images were performed preoperatively and 6 months or later postoperatively to assess shoulder motion during scapular plane abduction. 3D surface models of preoperative scapula and humerus, and postoperative scapula and humerus with implants were created from the preoperative and postoperative computed tomography images. Scapular and humeral kinematics were evaluated using a 3D to 2-dimensional model image registration method. Each kinematics parameter was calculated at 10° increments from 20° to 90° of humeral abduction. The mean SHR was also calculated from the humeral position at side to 90° or to the maximum humeral abduction if it was less than 90°. Linear mixed-effects models for repeated measures were used to compare kinematics at each humeral abduction between preoperative and postoperative conditions. The correlation between the preoperative mean SHR and the postoperative mean SHR was assessed using Pearson's product-moment correlation statistic.</div></div><div><h3>Results</h3><div>A significant postoperative increase in scapular posterior tilt was observed (<em>P</em> = .019). However, changes in SHR, scapular upward rotation, or scapular and humeral internal/external rotation from preoperative to postoperative conditions were not statistically significant. Additionally, a significant correlation was not detected between the preoperative and postoperative mean SHR.</div></div><div><h3>Conclusion</h3><div>rTSA significantly increases scapular posterior tilt postoperatively compared to the preoperative condition. However, significant changes from the preoperative to postoperative conditions were not demonstrated for other kinematic parameters.</div></div>","PeriodicalId":34444,"journal":{"name":"JSES International","volume":"9 4","pages":"Pages 1357-1364"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144605921","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":"Factors influencing online patient-reported ratings among shoulder surgeons","authors":"Krishna N. Chopra MA,&nbsp;Sameer R. Khawaja BS,&nbsp;Anna L. Gorsky BS,&nbsp;Nicole L. Greene BA,&nbsp;Frank L. Vazquez BS,&nbsp;Joanne Y. Zhou MD,&nbsp;Zaamin B. Hussain MD, MEd,&nbsp;Michael B. Gottschalk MD,&nbsp;Eric R. Wagner MD, MS","doi":"10.1016/j.jseint.2025.04.011","DOIUrl":"10.1016/j.jseint.2025.04.011","url":null,"abstract":"<div><h3>Background</h3><div>Patient-reported ratings serve as a model of satisfaction and can play a major role in patient recruitment. Many variables can influence ratings on physician review websites (PRWs), such as social media use, academic productivity, fellowship type, and practice setting. This study examines such factors and their relationship with average ratings and overall patient engagement on PRWs.</div></div><div><h3>Methods</h3><div>The American Shoulder and Elbow Surgeons directory was queried for all active members who completed either a shoulder and elbow or sports medicine fellowship in the United States. Each name was searched online for professional accounts, and the number of followers was recorded for each. A summated social media presence score was calculated to identify the top 15% of social media users in each cohort. The presence of a practice group or personal website was also recorded, as was a surgeon's practice setting (academic vs. private) and region of practice. H-index was searched on Scopus. Average ratings, number of reviews, and number of comments were collected from Healthgrades, Google Reviews, and Vitals.</div></div><div><h3>Results</h3><div>A total of 231 shoulder surgeons were included in this review. Compared to shoulder surgeons in academic practice, those in private practice had higher mean ratings and patient engagement on PRWs. When comparing fellowships, shoulder and elbow fellowship–trained surgeons had a greater mean number of ratings on Google than those who completed a sports medicine fellowship. The top 15% of social media users had higher average patient ratings and engagement on Healthgrades compared to the rest of the cohort. There was a positive association between h-index and average rating on Google. No significant associations were found between patient satisfaction and the prestige of medical school or residency program.</div></div><div><h3>Discussion</h3><div>Several variables can influence patient satisfaction by way of average ratings and engagement on PRWs. Prospective patients are much more likely to select surgeons with higher ratings; thus, shoulder surgeons can use this information to capitalize on opportunities to improve patient retention, recruitment, and overall patient satisfaction.</div></div>","PeriodicalId":34444,"journal":{"name":"JSES International","volume":"9 4","pages":"Pages 1371-1377"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144605972","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":"Preoperative education on pain self-management and opioid consumption does not significantly impact opioid use and disposal following shoulder arthroplasty: results of a prospective randomized controlled trial","authors":"Maria F. Bozoghlian MD ,&nbsp;Brady Wilkinson MD ,&nbsp;Katherine Hadlandsmyth PhD ,&nbsp;Natalie Glass PhD ,&nbsp;James V. Nepola MD ,&nbsp;Brendan M. Patterson MD, MPH","doi":"10.1016/j.jseint.2025.03.010","DOIUrl":"10.1016/j.jseint.2025.03.010","url":null,"abstract":"<div><h3>Background</h3><div>Prescription rates for opioid medications following orthopedic surgical procedures including shoulder arthroplasty continue to be high. In addition, only a small percentage of patients dispose of remaining opioid pills safely. The purpose of this study was to test the efficacy of preoperative education intervention on pain self-management, opioid consumption, and opioid disposal following shoulder arthroplasty.</div></div><div><h3>Methods</h3><div>A single-blinded prospective randomized trial was performed with subjects randomized to an education arm or a control arm and blinded to randomization status. The control group followed preoperative standard of care practices. The education group watched an educational video and received written educational material, focusing on pain self-management as well as responsible opioid use and disposal practices. Subjects in the education group were also provided with a prepaid and preaddressed envelope for opioid disposal. The primary outcome was the difference between groups in the proportion of patients who had 10 or more unused opioid pills remaining following surgery. The secondary outcome, opioid disposal rate, was also compared between groups. Comparisons were made using chi-square tests.</div></div><div><h3>Results</h3><div>A total of 127 participants were included for analysis. There were no significant differences between groups in age, body mass index, sex, smoking status, or type of procedure (anatomic vs. reverse shoulder arthroplasty) (all <em>P</em> &gt; .05). There was no significant difference in median opioid consumption with or without preoperative education (15 pills vs. 21 pills, respectively, <em>P</em> = .7). There was no significant difference between education and control groups in proportion of patients with ≥10 unused pills (73% vs. 78%, <em>P</em> = .569). There was no difference in the rate of opioid disposal between education and control groups (37% vs. 31%, respectively, <em>P</em> = .5). However, when stratified by age, participants &lt;70 years had significantly higher rates of disposal of unused opioids (49%) compared with those &gt;70 years (29%, <em>P</em> = .041).</div></div><div><h3>Discussion</h3><div>Preoperative education and standardized disposal methods did not significantly impact opioid consumption and disposal following shoulder arthroplasty. Given the lack of significant impact of preoperative education on opioid consumption, this study highlights the need to consider other interventions in the postoperative setting that could be more beneficial in aiding with decreased opioid consumption and in promoting opioid disposal. Furthermore, these results can help surgeons avoid overprescribing and can inform surgeons on which patients are more likely to dispose of unused opioids following surgery.</div></div>","PeriodicalId":34444,"journal":{"name":"JSES International","volume":"9 4","pages":"Pages 1274-1281"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144605100","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":"Assessment of educational YouTube videos on proximal humeral fracture treatment (YouTube videos on proximal humeral fractures)","authors":"Taewoong Chae BSc ,&nbsp;Brandon S. Chai ,&nbsp;Adrian L. Huang MBBChBAO, FRCSC","doi":"10.1016/j.jseint.2025.04.006","DOIUrl":"10.1016/j.jseint.2025.04.006","url":null,"abstract":"<div><h3>Background</h3><div>Social media platforms have become principal sources of information for patients to gather information before clinic visits. YouTube is a popular platform for educational videos, and since proximal humeral fractures (PHFs) are a common orthopedic trauma injury, this study aimed to assess the characteristics of YouTube videos on PHF and PHF treatment.</div></div><div><h3>Methods</h3><div>The terms “Proximal Humeral Fracture” and “Proximal Humeral Fracture Treatment” were used to gather the videos included in this study. Terms were searched programmatically using YouTube's search Application Program Interface. Top 50 videos from each search term were recorded and combined for a total of 100 videos. Duplicate videos were removed, and the remaining videos were rank ordered by the frequency and order of appearance from the initial search. Any non-English videos or videos irrelevant to the topic were excluded. The first 50 rank-order videos were included. Data collected were categorized into general parameters (eg, number of views, video length), source parameters (eg publisher affiliation, number of subscribers), and video content (eg, topic discussed, media type). Data were analyzed by 4 themes of basic information, information for health-care professionals, treatment, and rehabilitation. Each theme was further categorized by relevant subthemes.</div></div><div><h3>Results</h3><div>Publisher affiliation of the PHF videos was most commonly commercial (56%). Health-care professionals or students were the more common target audience (62%) than patients (36%). The predominant media type used in the videos was lecture-style presentation (52%), followed by demonstration (32%), and interviews (18%). Sixty-two percent of the videos discussed basic information on PHF, such as epidemiology or mechanism of injury. Treatment and rehabilitation were the most popular themes, both discussed in 80% of the videos. Among the subthemes, imaging and operative were the most popular subthemes discussed, discussed in 50% and 58% of the videos, respectively.</div></div><div><h3>Conclusion</h3><div>As YouTube is one of the most popular platforms on the Internet, this study assessed the YouTube videos regarding PHFs and their treatment. This study found the PHF videos to cover diverse topics and to be relevant to both patients and health-care professionals. Hence, they can serve as a valuable resource for patients to supplement information they receive from their care provider. However, as YouTube is a largely unregulated platform, there is a need to advocate for content creation from credible sources such as health-care facilities or providers.</div></div>","PeriodicalId":34444,"journal":{"name":"JSES International","volume":"9 4","pages":"Pages 1061-1068"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144604994","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":"Primary osteoarthritis of the shoulder: are there differences in scapular morphology, orientation, and rotator cuff action lines between patients and healthy controls?","authors":"Doruk Akgün MD ,&nbsp;Alp Paksoy MD ,&nbsp;Paul Siegert MD ,&nbsp;Isabella Weiß MD ,&nbsp;Philipp Moroder MD","doi":"10.1016/j.jseint.2025.03.021","DOIUrl":"10.1016/j.jseint.2025.03.021","url":null,"abstract":"<div><h3>Background</h3><div>There is currently no in depth description of glenoid vault morphology, the rotator cuff action lines, and scapulothoracic orientation in patients with shoulder osteoarthritis (OA). Therefore, the goal of this study was to provide a quantitative analysis of these parameters in Walch types A, B, and C, along with rotator cuff action lines, scapulothoracic orientation, and humeral head centering compared to healthy controls.</div></div><div><h3>Methods</h3><div>Patients who were treated for primary shoulder OA in our hospital between 2010 and 2018 were included in this retrospective case-control study. The cases were categorized into type A, B, and C according to their glenoid morphology on computed tomography using the modified Walch classification and compared with a healthy control group in a matched-pair analysis (matching by age, gender, and affected side). The glenoid version, glenoid inclination, glenohumeral and scapulohumeral head centering, neck angle, glenoid and humeral offset, subscapularis (SSC) and infraspinatus (ISP) tendon traction vectors, and an overall rotator cuff (RC) vector were measured in a standardized axial plane. The protraction, internal rotation, upward rotation, translation, and tilt of the scapula were also measured in three-dimensional reconstructions.</div></div><div><h3>Results</h3><div>A total of 59 shoulders in 47 patients were identified with the following distribution of Walch glenoid types: 24 type A, 30 type B, and 5 type C glenoids. Type A glenoids showed no differences compared to their control group except significantly higher SSC angle, higher resultant RC vector, and lower scapular tilt. Type B glenoids had higher glenoid version, lower glenoid inclination, higher SSC angle, lower ISP angle, higher resultant RC vector, and more posterior humeral offset in comparison with their control group. Scapulothoracic orientation measurements for type B glenoids indicated significantly reduced scapular internal and upward rotation, and lower scapular tilt compared to controls. Type C glenoids showed significantly higher glenoid version, lower glenoid inclination, higher posterior humeral offset, and lower ISP angle with no significant change in the resultant RC vector in comparison with their control group.</div></div><div><h3>Conclusion</h3><div>Patients with primary OA and glenoid type A barely show differences in scapular morphology and scapulathoracic orientation compared to a healthy control group. In contrast, patients with glenoid type B or C showed significant differences of scapulohumeral centering in glenoid version, humeral offset, and glenoid inclination compared to controls. Furthermore, despite the changes of SSP and ISP angles in type B glenoids, the humeral head stayed centered to the glenoid fossa.</div></div>","PeriodicalId":34444,"journal":{"name":"JSES International","volume":"9 4","pages":"Pages 1319-1326"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144605521","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}