Shoulder and Elbow最新文献

筛选
英文 中文
Outcomes of anatomic versus reverse shoulder arthroplasty for B2 & B3 glenoids with an intact rotator cuff: An updated systematic review and proportional meta-analysis. 完整肩袖的B2和B3肩关节解剖与反向肩关节置换术的结果:一项最新的系统综述和比例荟萃分析。
IF 1.5
Shoulder and Elbow Pub Date : 2025-07-17 DOI: 10.1177/17585732251359590
Hasan Aleisawi, Colin Kruse, Nicholas Nucci, Nasser Alturki, Hassaan Abdel Khalik, George S Athwal, Moin Khan
{"title":"Outcomes of anatomic versus reverse shoulder arthroplasty for B2 & B3 glenoids with an intact rotator cuff: An updated systematic review and proportional meta-analysis.","authors":"Hasan Aleisawi, Colin Kruse, Nicholas Nucci, Nasser Alturki, Hassaan Abdel Khalik, George S Athwal, Moin Khan","doi":"10.1177/17585732251359590","DOIUrl":"10.1177/17585732251359590","url":null,"abstract":"<p><strong>Background: </strong>It is unclear whether anatomic total shoulder arthroplasty (aTSA) or reverse total shoulder arthroplasty (rTSA) produces better outcomes in patients with Walch type B2 and B3 glenoids. The purpose of this systematic review was to examine the clinical and functional outcomes of anatomic and reverse shoulder arthroplasty in patients with B2 or B3 glenoids and preserved rotator cuff musculature.</p><p><strong>Methods: </strong>A comprehensive literature search of MEDLINE, EMBASE, and COCHRANE library was performed from the database inception through November 12, 2023.</p><p><strong>Results: </strong>There were 36 studies included in the final analysis. A total of 1349 shoulders underwent aTSA, while 478 shoulders underwent rTSA. The mean active range of motion improvements for patients undergoing aTSA and rTSA were similar, as were improvements in American Shoulder and Elbow Surgeons, Constant and Visual Analogue Scale scores. The pooled complication rate for aTSA was 7.8% (95% CI, 4.7%-11.4%) and for rTSA was 4.4% (95% CI, 2.8%-6.9%). For revision rates, aTSA had a pooled rate of 5.2% (95% CI, 3.3%-7.1%) whereas rTSA had a revision rate of 1.6% (95%CI, 1.1%-3.8%).</p><p><strong>Discussion: </strong>Based on the available data, both aTSA and rTSA effectively improved range of motion and patient-reported outcomes in patients with Walch B2 and B3 glenoids. However, aTSA demonstrated a higher complication rate (7.8% vs 4.5%) and a higher revision rate (5.2% versus 1.6%) compared to rTSA. Given the potential for bias in the included studies, these findings should be interpreted with caution.</p><p><strong>Level of evidence: </strong>III.</p>","PeriodicalId":36705,"journal":{"name":"Shoulder and Elbow","volume":" ","pages":"17585732251359590"},"PeriodicalIF":1.5,"publicationDate":"2025-07-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12274211/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144676050","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}
引用次数: 0
Cutibacterium acnes in confirmed and probable deep shoulder infections. 痤疮表皮杆菌在确诊和可能的深肩感染。
IF 1.5
Shoulder and Elbow Pub Date : 2025-07-17 DOI: 10.1177/17585732251359946
Per Malmberg, Lena Serrander, Vendela M Scheer, Jens Nestorson, Johan H Scheer
{"title":"<i>Cutibacterium acnes</i> in confirmed and probable deep shoulder infections.","authors":"Per Malmberg, Lena Serrander, Vendela M Scheer, Jens Nestorson, Johan H Scheer","doi":"10.1177/17585732251359946","DOIUrl":"10.1177/17585732251359946","url":null,"abstract":"<p><strong>Introduction: </strong><i>Cutibacterium acnes</i> is frequently detected in tissue cultures of the shoulder, often in the absence of clear signs of infection. The aim of this retrospective study was to investigate the extent to which this bacterium appeared as the sole identifiable source of confirmed deep postoperative infections.</p><p><strong>Methods: </strong>From a database containing all positive deep tissue cultures from the shoulder region at our department between 2015 and 2021. In total, 106 cases in which ≥2 positive cultures of the same bacterium were identified. Medical records were subsequently reviewed for evidence of a confirmed infection, defined as having ≥2 positive cultures of the same species alongside either a draining sinus or pus observed intraoperatively.</p><p><strong>Results: </strong><i>C acnes</i> was commonly detected in 63% of cases. Polymicrobial growth was identified in 21/106 cases. In confirmed infections, <i>C acnes</i> was the sole identifiable pathogen in 32% of cases. Beyond 3 months postoperatively both monomicrobial cases of <i>C acnes</i> and <i>Staphylococcus aureus</i> were identified in confirmed infections. Men were more likely to exhibit <i>C acnes</i> growth (<i>p</i> = 0.012).</p><p><strong>Conclusion: </strong><i>C acnes</i> is a clinically relevant pathogen, albeit slow growing, and is capable of independently causing significant deep surgical site infections.</p>","PeriodicalId":36705,"journal":{"name":"Shoulder and Elbow","volume":" ","pages":"17585732251359946"},"PeriodicalIF":1.5,"publicationDate":"2025-07-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12274329/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144676048","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}
引用次数: 0
Impact of PROFHER on trends in proximal humerus fracture treatment in the United States. PROFHER对美国肱骨近端骨折治疗趋势的影响。
IF 1.5
Shoulder and Elbow Pub Date : 2025-07-16 DOI: 10.1177/17585732251359178
J Sam Cheesman, Calvin H Englert, Qian Yang, Jung U Yoo, Omar F Nazir, Adam J Mirarchi
{"title":"Impact of PROFHER on trends in proximal humerus fracture treatment in the United States.","authors":"J Sam Cheesman, Calvin H Englert, Qian Yang, Jung U Yoo, Omar F Nazir, Adam J Mirarchi","doi":"10.1177/17585732251359178","DOIUrl":"10.1177/17585732251359178","url":null,"abstract":"<p><strong>Background: </strong>PROximal Fracture of the Humerus Evaluation by Randomization (PROFHER) was a randomized control trial (RCT) published in 2015 comparing outcomes of operative versus nonoperative treatment of proximal humerus fractures (PHFs), finding no difference in Oxford Shoulder Scores between operative and nonoperative groups at 2 and 5 years. This study investigated changes in PHF treatment patterns by American orthopedic surgeons after the publication of PROFHER in 2015.</p><p><strong>Methods: </strong>Using the PearlDiver database, patients aged 16 years or older with closed PHFs without associated dislocation or pathologic fracture etiology between 2011 and 2019 were identified. Patients who underwent operative treatment, including open reduction internal fixation (ORIF), total shoulder arthroplasty (TSA), and hemiarthroplasty, were identified via current procedural terminology (CPT) codes. Data were analyzed using simple linear regression and piecewise linear regression to assess changes in rates of surgical management of PHFs starting in 2015.</p><p><strong>Results: </strong>Simple linear regression analysis showed increases in total operative treatment, with increased rates of ORIF and TSA; hemiarthroplasty rates decreased. Piecewise linear regression showed no significant change in the rate of treatment per year after 2015 for total operative treatment, ORIF, or TSA.</p><p><strong>Conclusions: </strong>PROFHER did not significantly impact rates of operative treatments for PHFs in the United States.</p><p><strong>Level of evidence: </strong>Level III; Retrospective Case-Control Design Using Large Database; Prognosis Study.</p>","PeriodicalId":36705,"journal":{"name":"Shoulder and Elbow","volume":" ","pages":"17585732251359178"},"PeriodicalIF":1.5,"publicationDate":"2025-07-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12267209/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144676049","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}
引用次数: 0
Acute distal biceps tendon rupture repair comparing single versus double-incision technique: A retrospective study with follow-up. 急性二头肌远端肌腱断裂修复单切口与双切口技术的比较:回顾性随访研究。
IF 1.5
Shoulder and Elbow Pub Date : 2025-07-07 DOI: 10.1177/17585732251352745
Gard Kallhovd, Stein Atle Lie, Johannes Cornelis Schrama, Pål Høvding, Yngvar Krukhaug
{"title":"Acute distal biceps tendon rupture repair comparing single versus double-incision technique: A retrospective study with follow-up.","authors":"Gard Kallhovd, Stein Atle Lie, Johannes Cornelis Schrama, Pål Høvding, Yngvar Krukhaug","doi":"10.1177/17585732251352745","DOIUrl":"10.1177/17585732251352745","url":null,"abstract":"<p><strong>Background: </strong>Single-incision (SI) and double-incision (DI) techniques are used for acute distal biceps tendon rupture repair. The purpose of this retrospective cohort study with follow-up was to examine if there is a difference between the techniques on early- and long-term outcomes.</p><p><strong>Methods: </strong>Hospital records from Haukeland University Hospital, Norway, (2007-2017) involving acute distal biceps tendon rupture repair matching inclusion criteria were analysed. Follow-up included assessing symptomatic and functional outcome, quality-of-life outcome (QuickDASH and EQ-5D), visual assessment scale (pain), and subjective health score. A smoking history was obtained.</p><p><strong>Results: </strong>We included 102 elbows in 100 patients, 99 males. Overall early complication rate was higher for the SI technique compared to the DI technique (25/43 vs. 11/58; <i>p</i> < 0.001). Long-term complications showed no statistically significant difference between the SI and DI technique (12/43 vs. 8/58; <i>p</i> = 0.078). The pronation range of motion favoured the SI technique compared to the DI technique (89.3° vs. 85.1°; <i>p</i> = 0.014). Supination strength favoured the DI technique compared to the SI technique (98.7 vs. 94.5; <i>p</i> = 0.030). Supination strength favoured non-smokers compared to former smokers (99.5 vs. 93.2; <i>p</i> = 0.009). The two techniques had similar quality-of-life outcomes.</p><p><strong>Conclusion: </strong>The DI technique has a lower risk of short-term complications. Both techniques have comparable symptomatic, functional, and quality-of-life long-term outcomes.</p>","PeriodicalId":36705,"journal":{"name":"Shoulder and Elbow","volume":" ","pages":"17585732251352745"},"PeriodicalIF":1.5,"publicationDate":"2025-07-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12234512/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144601791","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}
引用次数: 0
Mediators and moderators of scapular focused interventions on shoulder disability in individuals with chronic shoulder pain: Secondary analysis of a randomized controlled trial. 慢性肩关节疼痛患者肩关节失能的调节因子和调节因子:一项随机对照试验的二次分析
IF 1.5
Shoulder and Elbow Pub Date : 2025-07-07 DOI: 10.1177/17585732251354920
Danilo Harudy Kamonseki, Daniel Cury Ribeiro, Melina Nevoeiro Haik, Larissa Pechincha Ribeiro, Rafaela Firmino Almeida, Paula Rezende Camargo
{"title":"Mediators and moderators of scapular focused interventions on shoulder disability in individuals with chronic shoulder pain: Secondary analysis of a randomized controlled trial.","authors":"Danilo Harudy Kamonseki, Daniel Cury Ribeiro, Melina Nevoeiro Haik, Larissa Pechincha Ribeiro, Rafaela Firmino Almeida, Paula Rezende Camargo","doi":"10.1177/17585732251354920","DOIUrl":"10.1177/17585732251354920","url":null,"abstract":"<p><strong>Objective: </strong>To explore potential mediators of treatment effect and moderators of scapular-focused interventions on shoulder disability at 12-week follow-up in patients with chronic shoulder pain.</p><p><strong>Design: </strong>Secondary analysis of a randomized controlled trial that compared the effects of scapular movement training with standardized exercises.</p><p><strong>Methods: </strong>Sixty-four participants with chronic shoulder pain were enrolled in the trial, of whom 58 completed the 12-week follow-up and were included in these analyses. Shoulder disability was assessed with Disabilities of the Arm, Shoulder and Hand (DASH) questionnaire. Potential mediators were scapular upward rotation, kinesiophobia, and fear avoidance beliefs. Potential moderators were kinesiophobia, fear avoidance beliefs, and duration of symptoms.</p><p><strong>Results: </strong>Kinesiophobia, fear avoidance, and scapular upward rotation did not (<i>p</i> >0 .05) mediate the effects of scapular focused interventions on shoulder disability. Our sensitivity analyses indicated that the findings are likely to change because there were some small residual confounding factors between those mediators and the shoulder disability scores at 12 weeks. Kinesiophobia, fear avoidance, and duration of symptoms did not moderate the effects of the intervention on shoulder disability.</p><p><strong>Conclusions: </strong>Kinesiophobia, fear avoidance, duration of symptoms, and scapular upward rotation did not mediate or moderate the effects of scapular-focused interventions on shoulder disability at 12-week follow-up.</p>","PeriodicalId":36705,"journal":{"name":"Shoulder and Elbow","volume":" ","pages":"17585732251354920"},"PeriodicalIF":1.5,"publicationDate":"2025-07-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12234523/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144601792","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}
引用次数: 0
Three-dimensional range of motion of the clavicle, scapula, and humerus during functional reach in adults aged 45-75. 45-75岁成人功能伸展期间锁骨、肩胛骨和肱骨的三维活动范围。
IF 1.5
Shoulder and Elbow Pub Date : 2025-07-02 DOI: 10.1177/17585732251352452
Liza Am Pain, Ross Baker, Qazi Zain Sohail, Debbie Hebert, Anne Mr Agur
{"title":"Three-dimensional range of motion of the clavicle, scapula, and humerus during functional reach in adults aged 45-75.","authors":"Liza Am Pain, Ross Baker, Qazi Zain Sohail, Debbie Hebert, Anne Mr Agur","doi":"10.1177/17585732251352452","DOIUrl":"10.1177/17585732251352452","url":null,"abstract":"<p><strong>Background: </strong>Given the limited data regarding three-dimensional clavicular/scapular/humeral rotations of pain-free shoulders in older adults, additional data is required for surgical planning and rehabilitation goal-setting in this population. This observational study aims to provide normative data regarding three-dimensional clavicular/scapular/humeral range required for daily activities in 45-75 year-old individuals.</p><p><strong>Methods: </strong>Three-dimensional clavicular/scapular/humeral joint ranges were simultaneously recorded using digitization methods. Descriptive statistics were quantified during six functional reaching positions (<i>n</i> = 40 shoulders) for 45-75 year-old participants. Clavicular/scapular/humeral rotations that contributed to the total angle of humeral elevation in flexion, abduction, and during hand-to-head reaching were calculated.</p><p><strong>Results: </strong>Specific movement patterns were identified in each of the six reaching positions. Normative data for \"clavicular elevation:scapular lateral rotation:humeral elevation\" ratios were 1°:2°:9° (flexion), 1°:3°:10° (hand-to-head; scapular-plane humeral elevation), and 1°:3°:11° (abduction).</p><p><strong>Discussion: </strong>Coronal plane clavicular/scapular/humeral rotations contributed to arm elevation height. Transverse plane rotations contributed to positioning the arm toward/away from midline. Sagittal plane clavicular/scapular/humeral rotations contributed to arm positioning in-front/behind the body and subacromial joint alignment. This normative data regarding simultaneous three-dimensional clavicular/scapular/humeral rotations during functional reach enables comparative analysis when evaluating shoulder pain/pathology in older adults.</p>","PeriodicalId":36705,"journal":{"name":"Shoulder and Elbow","volume":" ","pages":"17585732251352452"},"PeriodicalIF":1.5,"publicationDate":"2025-07-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12222106/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144576545","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}
引用次数: 0
Increased complications and similar patient recorded outcomes after shoulder arthroplasty in patients with functional somatic syndromes. 功能性躯体综合征患者肩关节置换术后并发症增加,但患者记录的疗效相似。
IF 1.5
Shoulder and Elbow Pub Date : 2025-07-01 Epub Date: 2024-05-30 DOI: 10.1177/17585732241258176
Michael A Gaudiani, Susan G Wager, Lawrence C Enweze, Matthew A Gasparro, Spencer R Brown, Tala Al-Saghir, Katherine M Keith, Johnny K Kasto, Stephanie J Muh, Jared M Mahylis
{"title":"Increased complications and similar patient recorded outcomes after shoulder arthroplasty in patients with functional somatic syndromes.","authors":"Michael A Gaudiani, Susan G Wager, Lawrence C Enweze, Matthew A Gasparro, Spencer R Brown, Tala Al-Saghir, Katherine M Keith, Johnny K Kasto, Stephanie J Muh, Jared M Mahylis","doi":"10.1177/17585732241258176","DOIUrl":"10.1177/17585732241258176","url":null,"abstract":"<p><strong>Background: </strong>The purpose of this study was to compare patient-reported outcomes measures, complication rates, and return to hospital in a cohort of patients undergoing anatomic total shoulder arthroplasty (aTSA) or reverse total shoulder arthroplasty (rTSA) with at least one functional somatic syndrome (FSS) to a control cohort.</p><p><strong>Methods: </strong>A retrospective review identifying patients who underwent rTSA or aTSA from 2015 to 2022 was performed. Patients with one or more FSS diagnosis (irritable bowel syndrome, chronic headache, chronic low back pain, or fibromyalgia) were compared against a control cohort. Demographic data, comorbidities, operative data, and patient recorded outcomes including Patient-Reported Outcomes Measurement Information System (PROMIS) Upper Extremity (UE), Pain Interference (PI), and Depression (D) were collected. A 1:1 propensity matching to control for age, gender, and body mass index was performed.</p><p><strong>Results: </strong>A total of 54 patients in the FSS cohort and 125 control patients without FSS were included. The FSS cohort had significantly higher rates of depression (<i>p</i> < 0.001), anxiety (<i>p</i> < 0.001), and postoperative complications (35.2% vs. 14.4%, <i>p</i> = 0.002). No significant differences in change in PROMIS-UE, -PI, and -D scores or proportion meeting minimal clinically important difference were seen at one year among the propensity-matched cohort.</p><p><strong>Discussion: </strong>Patients with FSS undergoing shoulder arthroplasty had higher rates of complications; however, PROMIS scores were similar between cohorts.</p><p><strong>Level of evidence: </strong>Level III.</p>","PeriodicalId":36705,"journal":{"name":"Shoulder and Elbow","volume":" ","pages":"298-307"},"PeriodicalIF":1.5,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11562329/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142648954","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}
引用次数: 0
Achievement of the patient acceptable symptom state following total shoulder arthroplasty with nonspherical humeral head and inlay glenoid. 使用非球形肱骨头和镶嵌式盂成形术进行全肩关节成形术后,患者可接受的症状状态。
IF 1.5
Shoulder and Elbow Pub Date : 2025-07-01 Epub Date: 2024-06-18 DOI: 10.1177/17585732241262742
Andrew D Posner, Michael C Kuna, James M Puleo, Jeremy D Carroll, Ian D Hutchinson, Joseph P Zimmerman
{"title":"Achievement of the patient acceptable symptom state following total shoulder arthroplasty with nonspherical humeral head and inlay glenoid.","authors":"Andrew D Posner, Michael C Kuna, James M Puleo, Jeremy D Carroll, Ian D Hutchinson, Joseph P Zimmerman","doi":"10.1177/17585732241262742","DOIUrl":"10.1177/17585732241262742","url":null,"abstract":"<p><strong>Background: </strong>Total shoulder arthroplasty (TSA) with a nonspherical humeral head component and inlay glenoid is a bone preserving treatment for glenohumeral arthritis. This study aims to describe minimum two year patient reported outcomes, patient acceptable symptomatic state (PASS) achievement, and complications following TSA with this prosthesis.</p><p><strong>Methods: </strong>A retrospective review of patients undergoing TSA with nonspherical humeral head and inlay glenoid was performed. Outcomes included Single Assessment Numeric Evaluation (SANE) scores, American Shoulder and Elbow Surgeons (ASES) scores, and complications. SANE and ASES scores were compared to established PASS threshold values to determine PASS achievement.</p><p><strong>Results: </strong>56 TSA in 53 patients were identified. The mean age was 64.5 years, 64% were male, and mean follow-up was 29.2 ± 4.9 months (24.0-42.8). Two complications (3.6%) were observed: one subscapularis tear requiring revision to reverse TSA and one traumatic minimally displaced greater tuberosity fracture successfully treated nonoperatively. The mean SANE score was 84.3 ± 16.9 (40-100) and 77% of patients surpassed the PASS threshold of 75.5. The mean ASES score was 85.3 ± 15.7 (40-100) and 77% of patients surpassed the PASS threshold of 76.</p><p><strong>Discussion: </strong>Patients undergoing TSA with a nonspherical humeral head and inlay glenoid demonstrated high PASS achievement rates and few complications at short-term follow-up.</p>","PeriodicalId":36705,"journal":{"name":"Shoulder and Elbow","volume":" ","pages":"308-315"},"PeriodicalIF":1.5,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11577554/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142689084","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}
引用次数: 0
Outpatient shoulder arthroplasty: An updated systematic review, meta-analysis, and trial sequential analysis on clinical outcomes and cost-effectiveness. 门诊肩关节置换术:关于临床结果和成本效益的最新系统综述、荟萃分析和试验序贯分析。
IF 1.5
Shoulder and Elbow Pub Date : 2025-06-25 DOI: 10.1177/17585732251349754
Ahmed Al-Saadawi, Sam Tehranchi, Richard Benson, David Rose, Obinna Jude Nzeako
{"title":"Outpatient shoulder arthroplasty: An updated systematic review, meta-analysis, and trial sequential analysis on clinical outcomes and cost-effectiveness.","authors":"Ahmed Al-Saadawi, Sam Tehranchi, Richard Benson, David Rose, Obinna Jude Nzeako","doi":"10.1177/17585732251349754","DOIUrl":"10.1177/17585732251349754","url":null,"abstract":"<p><strong>Background: </strong>Outpatient shoulder arthroplasty has become increasingly popular in recent years. The aim of this study was to compare clinical outcomes and procedural costs between outpatient and inpatient shoulder arthroplasty.</p><p><strong>Methods: </strong>Five databases were searched from their inception to November 7<sup>th</sup>, 2024. Meta-analysis and trial sequential analysis were conducted to compare complications, readmission, revision surgery, and emergency department attendance between the two approaches. Procedural costs were reported descriptively.</p><p><strong>Results: </strong>Thirty-four studies were included in the review. The meta-analysis revealed that medical complications (OR: 0.59, P = 0.0004) were significantly lower in the outpatient setting. No significant differences in total complications (OR: 0.74, P = 0.06), surgical complications (OR: 0.90, P = 0.59), readmission (OR: 1.08, P = 0.67), revision surgery (OR: 0.85, P = 0.15), or emergency department attendance (OR: 0.93, P = 0.68) were observed between the two approaches. The trial sequential analysis indicated that only the meta-analysis of total complications met the required information size to be considered conclusive and not at risk of random error. Outpatient surgery was associated with significantly lower procedural costs.</p><p><strong>Conclusion: </strong>Outpatient shoulder arthroplasty is cost-effective and can yield non-inferior outcomes compared to the inpatient approach. However, further research is required to strengthen the evidence base.</p><p><strong>Level of evidence: </strong>IV.</p>","PeriodicalId":36705,"journal":{"name":"Shoulder and Elbow","volume":" ","pages":"17585732251349754"},"PeriodicalIF":1.5,"publicationDate":"2025-06-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12202397/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144530102","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}
引用次数: 0
Optimizing lateralization and distalization shoulder angles in shoulder arthroplasty: A systematic review of functional outcomes and complication. 优化肩关节置换术中的侧位和远位肩关节角度:功能结果和并发症的系统回顾。
IF 1.5
Shoulder and Elbow Pub Date : 2025-06-25 DOI: 10.1177/17585732251351864
Mohamed A Khalafallah, Ahmed R Shehata, Mahmoud M Sharf Eldeen, Hossam Hamdy Abdelbaset, Ahmed H Harfoush, Ahmed Mohamed, Ahmed Sa Osman, Athanasios Kalogeropoulos, Malak Waleed, Ali Narvani, Mohamed A Imam
{"title":"Optimizing lateralization and distalization shoulder angles in shoulder arthroplasty: A systematic review of functional outcomes and complication.","authors":"Mohamed A Khalafallah, Ahmed R Shehata, Mahmoud M Sharf Eldeen, Hossam Hamdy Abdelbaset, Ahmed H Harfoush, Ahmed Mohamed, Ahmed Sa Osman, Athanasios Kalogeropoulos, Malak Waleed, Ali Narvani, Mohamed A Imam","doi":"10.1177/17585732251351864","DOIUrl":"10.1177/17585732251351864","url":null,"abstract":"<p><strong>Background: </strong>The lateralization shoulder angle (LSA) and distalization shoulder angle (DSA) are critical factors in predicting postoperative complications in shoulder surgeries. This study investigates the impact of LSA and DSA variations on functional outcomes and complications in shoulder surgery.</p><p><strong>Methods: </strong>A systematic literature search was conducted in PubMed, Scopus, Web of Science, and the Cochrane Library up to December 2024. The primary outcomes evaluated included the impact of LSA and DSA on postoperative functional outcomes, complication rates, optimal angular parameters, and biomechanical implications.</p><p><strong>Results: </strong>We included 14 high-quality studies encompassing 8372 patients. The synthesis demonstrated that maintaining an LSA within the optimal range of 75° to 95° is consistently linked to improved functional scores and enhanced active external rotation. Similarly, a DSA range of 40° to 65° is associated with superior anterior active elevation and abduction. The interplay between LSA and DSA is crucial, as balanced adjustments of these angles optimize deltoid tension and shoulder biomechanics, reducing the risk of different complications.</p><p><strong>Discussion: </strong>Maintaining the LSA between 75° and 95° and the DSA between 40° and 65° significantly enhances functional outcomes and shoulder mobility following arthroplasty. Future research should aim to validate these optimal ranges.</p>","PeriodicalId":36705,"journal":{"name":"Shoulder and Elbow","volume":" ","pages":"17585732251351864"},"PeriodicalIF":1.5,"publicationDate":"2025-06-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12198150/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144530129","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}
引用次数: 0
0
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
确定
请完成安全验证×
相关产品
×
本文献相关产品
联系我们:info@booksci.cn Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号:604180095
Book学术官方微信