Hss Journal最新文献

{"title":"Preoperative GLP-1 Receptor Agonist Use Is Not Associated With Complications in Non-Obese Patients Undergoing Total Shoulder Arthroplasty: A Propensity Score Matched Large Database Analysis.","authors":"Alexander E White, Tyler Khilnani, Argen Omurzakov, Arsen M Omurzakov, Samuel A Taylor","doi":"10.1177/15563316261439127","DOIUrl":"10.1177/15563316261439127","url":null,"abstract":"<p><strong>Background: </strong>As the demand for total shoulder arthroplasty (TSA) increases, it is imperative to optimize preoperative risk factors. While glucagon-like peptide-1 receptor agonists (GLP-1 RAs) are used for glycemic control or weight management in patients with obesity or diabetes, the impact of preoperative use on postoperative TSA outcomes in non-obese patients is unknown.</p><p><strong>Purpose: </strong>We sought to answer the question: Does preoperative use of GLP-1 RAs lead to increased risk of medical or surgical complications after TSA?</p><p><strong>Methods: </strong>We conducted a retrospective cohort study using data from the TriNetX Network to analyze non-obese patients (BMI <30 kg/m²) who underwent anatomic or reverse shoulder arthroplasty between 2013 (the inception of the network) and January 2024 and had at least 1 year of follow up. Patients were categorized by preoperative GLP-1 RA use and matched 1:1 using propensity scores to balance the cohorts based on demographic variables and comorbidities. Outcomes assessed at 90 days and 1 year included revision surgery, emergency department visits, readmission, venous thromboembolism, pulmonary embolism, acute kidney injury, prosthetic joint stiffness, postoperative rotator cuff tear, dislocation, periprosthetic fracture or joint infection, surgical site infection, aspiration, cardiac arrest, and blood transfusion.</p><p><strong>Results: </strong>Among 108 352 non-obese patients, 845 used GLP-1 RAs preoperatively. After propensity score matching, 845 patients remained in each cohort with no significant baseline differences. In the 90 day postoperative period, there were no significant differences in any medical complications between the GLP-1 RA and control groups. Similarly, at 1 year, there were no significant differences in any medical or surgical complications between groups.</p><p><strong>Conclusion: </strong>This retrospective cohort study found that preoperative GLP-1 RA use in non-obese TSA patients was not associated with an increased rate of major postoperative medical or surgical complications.</p><p><strong>Level of evidence: </strong>Level III: retrospective cohort study.</p>","PeriodicalId":35357,"journal":{"name":"Hss Journal","volume":" ","pages":"15563316261439127"},"PeriodicalIF":1.3,"publicationDate":"2026-04-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13056801/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147646075","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Letter to the Editor: Challenges of Using Administrative Data to Study Pediatric Tibial Tubercle Fracture-Associated Compartment Syndrome.","authors":"Marko Bašković, Domagoj Pešorda","doi":"10.1177/15563316261433582","DOIUrl":"10.1177/15563316261433582","url":null,"abstract":"","PeriodicalId":35357,"journal":{"name":"Hss Journal","volume":" ","pages":"15563316261433582"},"PeriodicalIF":1.3,"publicationDate":"2026-04-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13046693/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147623801","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Fixation of Basicervical Hip Fractures: Are Outcomes Distinct from Neighboring Valgus Neck and Intertrochanteric Fractures?","authors":"Benjamin Hammond, Chloe Fong, Dillon Murugesan, Abhishek Ganta, Sanjit Konda, Kenneth Egol","doi":"10.1177/15563316261429896","DOIUrl":"10.1177/15563316261429896","url":null,"abstract":"<p><strong>Background: </strong>Basicervical (BC) hip fractures represent a unique proximal femur fracture pattern for which the optimal treatment approach remains uncertain.</p><p><strong>Purpose: </strong>We sought to evaluate demographic, perioperative, and outcome differences among patients with BC (31B3), intertrochanteric (IT; 31A1.2), and valgus femoral neck (VFN; 31B1.1) fractures treated with internal fixation.</p><p><strong>Methods: </strong>We conducted a retrospective review using prospectively collected data from October 2014 to March 2025 from a hip fracture database comprising 2 urban trauma centers. Patients with AO/OTA-classified 31B3, 31A1.2, or 31B1.1 fractures treated with non-arthroplasty fixation were included. Demographics, comorbidities, fracture characteristics, surgical constructs, and short- and long-term outcomes were compared. Multivariate regressions adjusted for baseline health and procedure type.</p><p><strong>Results: </strong>Of the 875 patients who met inclusion criteria, 122 had BC fractures, 523 had IT fractures, and 230 had VFN fractures. Patients with BC fractures were significantly younger than those with IT fractures; they had higher American Society of Anaesthesiologist scores and a greater proportion of household ambulators compared to those with VFN fractures, but were otherwise similar in comorbidity status. The BC cohort had significantly more minor in-hospital complications compared to the VFN cohort, even after multivariate adjustment. No significant differences were observed in 30-day mortality or major complications. Long-term outcomes were comparable across all groups. No significant differences in short- or long-term outcomes were observed across surgical constructs within the BC cohort.</p><p><strong>Conclusion: </strong>Despite differing in baseline health status and surgical fixation strategies, BC fractures demonstrated comparable long-term outcomes to IT and VFN fractures. However, higher rates of minor complications in the BC group, even after adjustment, highlight a potentially greater perioperative risk. These findings suggest that while fixation may be effective long-term, further research is warranted to optimize acute management strategies for this anatomically and clinically distinct fracture pattern.</p><p><strong>Level of evidence: </strong>Level IV: Prognostic retrospective study.</p>","PeriodicalId":35357,"journal":{"name":"Hss Journal","volume":" ","pages":"15563316261429896"},"PeriodicalIF":1.3,"publicationDate":"2026-03-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13021536/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147575632","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Thomas A. Sculco, MD: A Commitment to Diversity and Inclusion.","authors":"Charles N Cornell","doi":"10.1177/15563316261433546","DOIUrl":"10.1177/15563316261433546","url":null,"abstract":"","PeriodicalId":35357,"journal":{"name":"Hss Journal","volume":" ","pages":"15563316261433546"},"PeriodicalIF":1.3,"publicationDate":"2026-03-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12995729/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147487685","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Advances in Stereotactic Navigation for Primary Spine and Pelvis Tumor Resection and Reconstruction: A Systematic Review.","authors":"Tejas Subramanian, Alexander R Oles, George Li, Sree M Vemu, Junho Song, Stephane Owusu-Sarpong, Max Vaynrub, Takashi Hirase","doi":"10.1177/15563316261418705","DOIUrl":"10.1177/15563316261418705","url":null,"abstract":"<p><strong>Background: </strong>Primary spine/pelvic tumors are aggressive, and en bloc resection is often essential. While stereotactic navigation is increasingly used for instrumentation in spine surgery, its specific role in tumor resection remains incompletely defined.</p><p><strong>Purpose: </strong>We sought to describe (1) reported rates of achieving negative margins, (2) local recurrence, (3) complications attributed to navigation, and (4) comparative outcomes from studies involving nonnavigated controls.</p><p><strong>Methods: </strong>We conducted a systematic review according to preferred reporting items for systematic reviews and meta-analysis guidelines. Databases were queried for studies investigating the use of stereotactic navigation in primary spine/pelvic tumor surgery. Outcomes including surgical margin status, local recurrence, and complications were extracted and qualitatively synthesized using a best-evidence approach.</p><p><strong>Results: </strong>Twenty-one studies with 240 patients were included. The mean patient age was 46 years with follow-up of 33.4 months. Tumors were most often located in the sacrum/pelvis (81.3%), followed by the thoracic (8.3%), cervical (5.8%), and lumbar spine (4.6%). Chordoma (31.7%) and chondrosarcoma (27.1%) were the most frequently reported types. Negative surgical margins were achieved in 88.3% of cases. Local recurrence was reported in 16% of patients, with the highest observed in chondrosarcoma (32.4%). Complications occurred in 30.3% of patients; however, only 1% (2 cases) were attributed to navigation use. Two comparative studies examining navigated versus nonnavigated cohorts suggested improved bony margins and lower recurrence risk with navigation.</p><p><strong>Conclusion: </strong>Early studies suggest that stereotactic navigation may be a feasible and safe adjunct for the resection of primary spine/pelvic tumors, particularly in achieving adequate bony margins. However, the current evidence is limited to small retrospective studies with heterogeneity in methodology, tumor type, and follow-up.</p><p><strong>Level of evidence: </strong>Level IV: Systematic review of level-III and level-IV studies.</p>","PeriodicalId":35357,"journal":{"name":"Hss Journal","volume":" ","pages":"15563316261418705"},"PeriodicalIF":1.3,"publicationDate":"2026-03-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12995738/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147487663","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Corrigendum to \"Robotic-Assisted Arthroscopy Promises Enhanced Procedural Efficiency, Visualization, and Control but Must Overcome Barriers to Adoption\".","authors":"","doi":"10.1177/15563316261427116","DOIUrl":"10.1177/15563316261427116","url":null,"abstract":"<p><p>[This corrects the article DOI: 10.1177/15563316251340983.].</p>","PeriodicalId":35357,"journal":{"name":"Hss Journal","volume":" ","pages":"330"},"PeriodicalIF":1.3,"publicationDate":"2026-03-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12979209/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147463797","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Does Patella Alta Influence Trochlear Morphology in Pediatric Patients with Cerebral Palsy? Associations with Age and Functional Status.","authors":"Giulia Beltrame, Patrick P Nian, Samuel A Beber, Zhenkun Gu, Marco Crippa, Shae K Simpson, Minah Waraich, Paulo R P Selber, Daniel W Green","doi":"10.1177/15563316261419038","DOIUrl":"10.1177/15563316261419038","url":null,"abstract":"<p><strong>Background: </strong>Patella alta is common in children with cerebral palsy (CP), often resulting from quadriceps spasticity and tendon elongation. In typically developing children, patella alta is linked to trochlear dysplasia and instability. Whether these associations exist in CP, and how they vary with age and functional ability, has not been established.</p><p><strong>Purpose: </strong>We sought to determine whether patella alta is associated with alterations in trochlear morphology in ambulatory children with CP and to evaluate the influence of age and functional severity.</p><p><strong>Methods: </strong>We conducted a retrospective study of pediatric patients under the age of 18 diagnosed with hemiplegic or diplegic CP. We included patients classified as Gross Motor Function Classification System levels I to III to ensure relative ambulatory function and minimize confounding due to severe joint contractures. Inclusion criteria included patients who had had a lateral radiograph of the knee and axial computed tomography scans of the distal femur and proximal tibia showing the anterior tibial tuberosity. Eligible patients were identified through a comprehensive search of the institutional electronic medical record system between 2016 and 2024.</p><p><strong>Results: </strong>Of the 164 patients identified, 31 were included based on available imaging suitable for the assessment of both patellar height and trochlear morphology; 6 of these patients were excluded due to poor image quality, resulting in a final cohort of 25 patients and 48 limbs. Patella alta was identified in 17 knees (35.4%). No differences in trochlear morphology were observed between groups or across functional levels. In both groups, older age correlated with features of physiologic trochlear development, including increased trochlear groove depth and narrower sulcus angle. in patients with patella alta, age also correlated with greater tibial tubercle to trochlear groove (TT-TG) distance.</p><p><strong>Conclusion: </strong>Patella alta was not associated with trochlear dysplasia in ambulatory children with CP. However, its persistent presence may alter patellofemoral alignment through age-related increases in TT-TG distance, contributing to pain or instability, highlighting the need for longitudinal studies and early recognition in clinical care.</p><p><strong>Level of evidence: </strong>Level IV, Retrospective Prognostic Study.</p>","PeriodicalId":35357,"journal":{"name":"Hss Journal","volume":" ","pages":"15563316261419038"},"PeriodicalIF":1.3,"publicationDate":"2026-02-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12932131/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147310693","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"\"Rice Body\"-Like Synovial Particles on Magnetic Resonance Imaging: What Is the Spectrum of Diagnoses?","authors":"Hoiwan Cheung, Thomas W Bauer, Yoshimi Endo","doi":"10.1177/15563316251413271","DOIUrl":"10.1177/15563316251413271","url":null,"abstract":"<p><strong>Background: </strong>\"Rice body\" describes the gross appearance of hyperplastic synovial villi that develop into rice-like fibrinous loose bodies. Rice bodies have historically been associated with tuberculosis and inflammatory arthritis, but no retrospective studies have correlated their magnetic resonance imaging (MRI) appearances to histology or to the underlying diagnoses.</p><p><strong>Purpose: </strong>We sought to correlate the appearance on MRI of rice body-like particles with histology and describe the associated diagnoses.</p><p><strong>Methods: </strong>We conducted a retrospective cross-sectional study of MRI reports in our institutional imaging database in which a radiologist described \"rice bodies.\" The search was performed by a keyword search for \"rice,\" ultimately yielding a total of 100 patients between June 1992 and July 2022. Patients were excluded if their MRI was not available for retrospective review or if there was insufficient follow-up to establish a clear underlying diagnosis. Cases were included if the MRI finding of rice bodies was confirmed by retrospective review of the images and there was clinical follow-up or surgery with histology establishing the underlying diagnosis.</p><p><strong>Results: </strong>Of the 52 patients who met inclusion criteria and were enrolled in our retrospective study, 37% (19/52) had prior surgery, 73% (14/19) being arthroplasty. Diagnoses associated with rice body-like particles on MRI were inflammatory arthritis (52%; 27/52), infection (25%; 13/52), synovial chondromatosis (8%; 4/52), osteoarthritis (6%; 3/52), bursitis (6%; 3/52), and adverse local tissue reaction (4%; 2/52). Among 13 infections, only 1 was mycobacterial while 46% (6/13) were staphylococcal and 31% (4/13) were culture-negative. In the presence of arthroplasty, rice body-like particles were associated with infection in 71% (10/14), followed by adverse local tissue reaction (14%; 2/14), 46% (24/52) underwent surgery after MRI, and 45% (10/22) had rice bodies confirmed on histology.</p><p><strong>Conclusion: </strong>Our retrospective findings suggest that rice body-like synovial particles on MRI are not specific to tuberculosis and inflammatory arthritis. Other diagnoses may also be considered, particularly nonmycobacterial infection when there is an arthroplasty.</p><p><strong>Level of evidence: </strong>Level IV: retrospective cross-sectional study.</p>","PeriodicalId":35357,"journal":{"name":"Hss Journal","volume":" ","pages":"15563316251413271"},"PeriodicalIF":1.4,"publicationDate":"2026-02-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12913045/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146228961","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Maintaining Consistent Quality Amidst Change.","authors":"Charles N Cornell","doi":"10.1177/15563316261417328","DOIUrl":"10.1177/15563316261417328","url":null,"abstract":"","PeriodicalId":35357,"journal":{"name":"Hss Journal","volume":" ","pages":"15563316261417328"},"PeriodicalIF":1.4,"publicationDate":"2026-02-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12882834/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146150796","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Translation, Cross-Cultural Adaptation, and Psychometric Evaluation of the Hospital for Special Surgery Pediatric Functional Activity Brief Scale (HSS Pedi-FABS) for Turkish Children and Adolescents.","authors":"Ilke Coskun Benlidayi, Aylin Sariyildiz, Volkan Deniz, Ezgi Nur Sayici, Ruth H Jones, Peter D Fabricant","doi":"10.1177/15563316251412832","DOIUrl":"10.1177/15563316251412832","url":null,"abstract":"<p><strong>Background: </strong>Evaluating physical activity in children is crucial for determining functional limitations and promoting healthy growth. The Hospital for Special Surgery Pediatric Functional Activity Brief Scale (HSS Pedi-FABS) is a valid, concise tool that assesses activity levels of children and adolescents participating in sports. There is currently no validated Turkish version.</p><p><strong>Purpose: </strong>We sought to (1) translate and cross-culturally adapt the HSS Pedi-FABS into Turkish and (2) evaluate the scale's psychometric properties in a Turkish pediatric and adolescent population.</p><p><strong>Methods: </strong>The HSS Pedi-FABS was translated and culturally adapted following established guidelines. Physically active, healthy, and Turkish-speaking children and adolescents aged 8 to 17 years were included in the study. The exclusion criteria were as follows: (1) orthopedic/neurological conditions limiting functional activity, (2) language difficulties that could limit comprehension, (3) cognitive impairments, (4) illiteracy, (5) major organ failure, (6) malignancy, and (7) refusal to participate. Psychometric evaluation included internal consistency (Cronbach's α), test-retest (<i>t</i>1-<i>t</i>2) reliability (intraclass correlation coefficient), construct validity (correlation with existing physical activity questionnaires), and floor/ceiling effects.</p><p><strong>Results: </strong>Fifty-five participants were included in the study. The Turkish version of the HSS Pedi-FABS (Turkish HSS Pedi-FABS) showed good internal and excellent test-retest reliability. Construct validity was demonstrated with strong correlations between the Turkish questionnaire and comparator instruments. No floor or ceiling effects were found as the minimum score was observed in <15% of participants (5.5% at <i>t</i>1) and the maximum score was not observed.</p><p><strong>Conclusion: </strong>The Turkish HSS Pedi-FABS is a valid and reliable instrument for assessing physical activity in healthy children and adolescents. It can be used for both clinical and research purposes.</p><p><strong>Level of evidence: </strong>Level II: validation study.</p>","PeriodicalId":35357,"journal":{"name":"Hss Journal","volume":" ","pages":"15563316251412832"},"PeriodicalIF":1.4,"publicationDate":"2026-02-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12882842/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146150794","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}