Shoulder and Elbow最新文献

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":"Background: 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.Methods: 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.Results: 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 (p < 0.001), anxiety (p < 0.001), and postoperative complications (35.2% vs. 14.4%, p = 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.Discussion: Patients with FSS undergoing shoulder arthroplasty had higher rates of complications; however, PROMIS scores were similar between cohorts.Level of evidence: Level III.","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":"Background: 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.Methods: 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.Results: 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.Discussion: Patients undergoing TSA with a nonspherical humeral head and inlay glenoid demonstrated high PASS achievement rates and few complications at short-term follow-up.","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

A UK-based consensus exercise to determine the most acceptable method of suprascapular nerve block injection for people consulting with rotator cuff disorders. 一项基于英国的共识练习，以确定肩胛上神经阻滞注射最可接受的方法，用于咨询肩袖疾病的人。

IF 1.5

Shoulder and Elbow Pub Date : 2025-06-24 DOI: 10.1177/17585732251350116

Neil Smith, Dr Caroline Miller, Dr Steve Gwilym, Emma L Healey

{"title":"A UK-based consensus exercise to determine the most acceptable method of suprascapular nerve block injection for people consulting with rotator cuff disorders.","authors":"Neil Smith, Dr Caroline Miller, Dr Steve Gwilym, Emma L Healey","doi":"10.1177/17585732251350116","DOIUrl":"10.1177/17585732251350116","url":null,"abstract":"Introduction: Suprascapular nerve block (SSNB) injections are used to treat shoulder pain in clinical practice. Its effectiveness compared to other shoulder pain relieving injections requires evaluation in high quality clinical trials. A range of different methods are used for SSNB injections. This study aimed to gain expert consensus on the most acceptable method of delivering SSNB injection in a future comparative clinical trial.Methods: Between October 2023 and May 2024, we conducted a three stage, online, modified Delphi survey with NHS clinicians who currently perform SSNB injections in the United Kingdom.Results: Thirty-eight NHS registered healthcare professionals completed Stage 1, 34 completed Stage 2 and 25 completed Stage 3. Anatomical land-marked and ultrasound guided SSNB injection methods reached consensus as acceptable to use in a multi-centre clinical trial. Targeting the supraspinatus fossa (SSF) or the suprascapular notch (SSN) reached consensus as acceptable. Finally, Kenalog (40 mg) or Depo-medrone (40 mg) combined with either Bupivacaine 0.25% (5-10 ml), Bupivacaine 0.5% (5 ml to10 ml), Lidocaine 1% (5-10 ml) all reached consensus as acceptable injectates.Conclusions: This consensus study has provided valuable information from expert NHS clinicians to help determine the method of SSNB injection delivery in the conduct of a future clinical trial.","PeriodicalId":36705,"journal":{"name":"Shoulder and Elbow","volume":" ","pages":"17585732251350116"},"PeriodicalIF":1.5,"publicationDate":"2025-06-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12187709/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144508696","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

Management of acute septic native elbow arthritis - a systematic review. 急性化脓性肘关节炎的治疗-系统回顾。

IF 1.5

Shoulder and Elbow Pub Date : 2025-06-24 DOI: 10.1177/17585732251351944

Dylan Mistry, Chetan Khatri, Madeleine Bickley, Gunaratnam Shyamalan, Shahbaz Malik, Robert Jordan

{"title":"Management of acute septic native elbow arthritis - a systematic review.","authors":"Dylan Mistry, Chetan Khatri, Madeleine Bickley, Gunaratnam Shyamalan, Shahbaz Malik, Robert Jordan","doi":"10.1177/17585732251351944","DOIUrl":"10.1177/17585732251351944","url":null,"abstract":"Background: Elbow septic arthritis makes up about 6-9% of all septic arthritis cases. Optimum management and outcomes are extrapolated from other large joints and there is very scarce literature specifically for the elbow joint. This systematic review aims to analyse the available evidence on the management and outcomes of native septic arthritis of the elbow.Methods: A review using PRISMA guidelines was conducted of three databases. Adult patients suffering from native elbow septic arthritis were included. Outcomes of interest included functional outcomes and complications.Results: About 11 studies with 47 patients were included. The most common causative organism was staphylococcus aureus. About 46 patients were managed with surgery, either arthroscopic or open. About 17 patients, across three studies, had a Mayo Elbow Performance Score reported ranging from 70.0-100.0 and 77% of patients regained range of motion. About 12.9% of patients returned to theatre during their initial infection, 5% of patients developed a repeat infection and there was a 7% mortality rate.Discussions: This review shows good outcomes for this group of patients, however there is a group who are at risk of significant morbidity and mortality. Further evidence is needed to identify how to optimise treatment in this subset.","PeriodicalId":36705,"journal":{"name":"Shoulder and Elbow","volume":" ","pages":"17585732251351944"},"PeriodicalIF":1.5,"publicationDate":"2025-06-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12187696/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144508697","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

Proximal ulna fracture dislocation: Review of current concepts and surgical management. 尺骨近端骨折脱位：当前概念和手术治疗的回顾。

IF 1.5

Shoulder and Elbow Pub Date : 2025-06-20 DOI: 10.1177/17585732251348668

Fiona Ashton, Joideep Phadnis

引用次数: 0

Epidemiology and time trends of isolated greater tuberosity fractures from 1944 to 2020 - A cohort study in Malmö, Sweden. 1944 - 2020年孤立性大结节骨折的流行病学和时间趋势——瑞典Malmö的一项队列研究。

IF 1.5

Shoulder and Elbow Pub Date : 2025-05-30 DOI: 10.1177/17585732251344547

Anton Cederwall, Björn E Rosengren, Henrik G Ahlborg

{"title":"Epidemiology and time trends of isolated greater tuberosity fractures from 1944 to 2020 - A cohort study in Malmö, Sweden.","authors":"Anton Cederwall, Björn E Rosengren, Henrik G Ahlborg","doi":"10.1177/17585732251344547","DOIUrl":"10.1177/17585732251344547","url":null,"abstract":"Background: Although up to 25% of proximal humeral fractures are isolated greater tuberosity fractures (IGTFs), comprehensive epidemiological data are lacking.Objectives: Describe the epidemiology and time trends of IGTF in Malmö, Sweden, 1944-2020.Methods: We identified IGTF in Malmö residents (≥18 years) by reviewing relevant radiology examinations during 17 sample years from 1944 to 2020. Fractures were classified according to the Mutch classification.Results: In total, 614 IGTF (60% women) were identified (mean age women 60 (SD 16), men 48 (SD 16)). Among individuals <50 years, the incidence was lower in women than men (9 95% confidence interval (CI) 7-10] vs 15 [95% CI 13-18] per 100,000 persons years) whereas the reverse was found in individuals ≥50 years (36 [95% CI 30-42] vs 19 [16-23]). No statistically significant time trends in the incidence rate were observed from year 1944 to 2020. We identified 45% avulsion-, 44% split- and 11% depression-fractures.Conclusions: IGTF is more common in men than women in age-group <50 years, while the opposite is found in age-group ≥50 years. No statistically significant time trend was observed in IGTF incidence from 1944 to 2020 in Malmö, Sweden.","PeriodicalId":36705,"journal":{"name":"Shoulder and Elbow","volume":" ","pages":"17585732251344547"},"PeriodicalIF":1.5,"publicationDate":"2025-05-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12126461/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144209805","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

Measurement properties of core outcomes in patients with tennis elbow. 网球肘患者核心预后的测量特性。

IF 1.5

Shoulder and Elbow Pub Date : 2025-05-29 DOI: 10.1177/17585732251344264

Håkon Sveinall, Jens Ivar Brox, Kaia B Engebretsen, Aasne Fenne Hoksrud, Cecilie Røe, Marianne Bakke Johnsen

{"title":"Measurement properties of core outcomes in patients with tennis elbow.","authors":"Håkon Sveinall, Jens Ivar Brox, Kaia B Engebretsen, Aasne Fenne Hoksrud, Cecilie Røe, Marianne Bakke Johnsen","doi":"10.1177/17585732251344264","DOIUrl":"10.1177/17585732251344264","url":null,"abstract":"Background: The Patient-Rated Tennis Elbow Evaluation (PRTEE), pain on gripping, pain-free, and maximum grip strength are widely used outcomes for tennis elbow. This study tested the measurement properties with a prospective test-retest study design.Methods: 100 participants with tennis elbow were included. The reliability, internal consistency, validity, responsiveness, and the Minimal Important Change (MIC) were evaluated.Results: The reliability of all measures was acceptable. 8/15 PRTEE items were below the criteria for content validity. For PRTEE total score (0-100), the smallest detectable change 95% (SDC95%) was 17 points, and for the pain and function subscales (0-50) 8 and 12. For pain on gripping (0-10), the SDC95% was 4, and 6.4 kg for pain-free grip strength and 8.4 kg for maximum grip strength. The MIC for PRTEE total score was 9 points, 11 for pain and 4 for function. The MIC was 3.5 for pain on gripping, and 6.5 kg and 1 kg for pain-free and maximum grip strength. Construct validity was confirmed for PRTEE, pain-free grip strength, and pain on gripping. PRTEE pain and pain-free grip strength were responsive.Conclusion: All measurements were reliable. PRTEE had questionable content validity. The interpretation of MIC is challenging due to large measurement errors.","PeriodicalId":36705,"journal":{"name":"Shoulder and Elbow","volume":" ","pages":"17585732251344264"},"PeriodicalIF":1.5,"publicationDate":"2025-05-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12122481/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144200338","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

Partial repair versus superior capsule reconstruction in managing massive rotator cuff tears. A meta-analysis of the current evidence. 部分修复与上囊重建治疗大面积肩袖撕裂。对现有证据的荟萃分析。

IF 1.5

Shoulder and Elbow Pub Date : 2025-05-29 DOI: 10.1177/17585732251345137

Mohamed A Khalafallah, Mohamed I Mohamed, Mohamed M Farrag, Hazem A Bishara, Duncan Muir, Ali Narvani, Emilio Calvo, Mohamed A Imam

{"title":"Partial repair versus superior capsule reconstruction in managing massive rotator cuff tears. A meta-analysis of the current evidence.","authors":"Mohamed A Khalafallah, Mohamed I Mohamed, Mohamed M Farrag, Hazem A Bishara, Duncan Muir, Ali Narvani, Emilio Calvo, Mohamed A Imam","doi":"10.1177/17585732251345137","DOIUrl":"10.1177/17585732251345137","url":null,"abstract":"Background: Rotator cuff tear (RCT) is a common musculoskeletal condition. Managing RCTs can be challenging. Initial treatments typically involve conservative approaches such as physical therapy and corticosteroid injections. This meta-analysis compared the functional and clinical outcomes of two surgical techniques, Partial Repair (PR) and Superior Capsular Reconstruction (SCR), for managing rotator cuff tears.Methods: The search included studies published in PubMed, Scopus, Web of Science, and Cochrane Library databases from 2013 to 2023. Studies comparing SCR with PR techniques in rotator cuff tear patients were included. Primary outcome was Constant shoulder score.Results: Four cohort studies, totaling 235 patients, were included and analysed. There were no statistically significant differences between SCR and PR groups in constant shoulder score (P = 0.12), disabilities of the arm, shoulder, and hand (P = 0.42), acromiohumeral distance (P = 0.61), re-operation rate (P = 0.33), forward flexion (P = 0.73), and Visual Analog Score (VAS) score (P = 0.69). Heterogeneity was observed in some outcomes.Discussion: Based on the available low level of evidence and observed heterogeneity, this meta-analysis did not identify significant disparities in functional and clinical outcomes between SCR and PR. Further high-quality clinical trials with larger sample sizes are warranted to confirm these findings.","PeriodicalId":36705,"journal":{"name":"Shoulder and Elbow","volume":" ","pages":"17585732251345137"},"PeriodicalIF":1.5,"publicationDate":"2025-05-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12122475/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144200339","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

Return to sport after shoulder arthroplasty: The role of fast-track rehabilitation in reverse shoulder arthroplasty. 肩关节置换术后恢复运动：快速康复在反向肩关节置换术中的作用。

IF 1.5

Shoulder and Elbow Pub Date : 2025-05-27 DOI: 10.1177/17585732251345323

Francesco Franceschi, Luca Saccone, Edoardo Giovannetti de Sanctis, Angelo Baldari, Gian Mauro De Angelis d'Ossat, Luca La Verde, Alessio Palumbo, Pier Paolo Ciampa, Antonio Caldaria

{"title":"Return to sport after shoulder arthroplasty: The role of fast-track rehabilitation in reverse shoulder arthroplasty.","authors":"Francesco Franceschi, Luca Saccone, Edoardo Giovannetti de Sanctis, Angelo Baldari, Gian Mauro De Angelis d'Ossat, Luca La Verde, Alessio Palumbo, Pier Paolo Ciampa, Antonio Caldaria","doi":"10.1177/17585732251345323","DOIUrl":"10.1177/17585732251345323","url":null,"abstract":"Introduction: Shoulder arthroplasty, encompassing Total Shoulder Arthroplasty (TSA) and Reverse Shoulder Arthroplasty (RSA), has become an essential treatment for severe glenohumeral arthritis and complex rotator cuff pathologies. This study evaluated and compared clinical outcomes and return-to-sport rates in TSA patients following standard rehabilitation protocol and RSA patients following fast rehabilitation protocol.Material and methods: This retrospective study analyzed 44 patients (TSA: 13; RSA: 31) treated between 2020 and 2023 with at least 12 months of follow-up. Participants engaged in regular upper-extremity sports preoperatively. Patients in the TSA group followed a standard rehabilitation protocol, whereas those in the RSA group were assigned a new standardized fast rehabilitation protocol. Clinical outcomes were assessed using the Constant-Murley Score (CS), Visual Analogue Scale (VAS) for pain, and return-to-sport rates.Results: TSA patients showed a 100% return-to-sport rate, significantly higher than the 54.84% rate for RSA patients (p < 0.05). Functional outcomes were better in TSA (CS: 81 ± 13.18) compared to RSA (CS: 76.54 ± 8.3, p > 0.05). Within the RSA group, those who resumed sports had significantly higher CS scores (79.59 ± 7.41) than non-returners (73.21 ± 8.64, p < 0.05). Postoperative VAS was similarly low in both groups.Conclusion: TSA patients exhibited superior return-to-sport rates and functional outcomes compared to RSA patients, highlighting TSA's biomechanical advantages.","PeriodicalId":36705,"journal":{"name":"Shoulder and Elbow","volume":" ","pages":"17585732251345323"},"PeriodicalIF":1.5,"publicationDate":"2025-05-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12116477/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144182475","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

The use of pyrocarbon as a bearing surface in shoulder arthroplasty: A systematic review and meta-analysis. 在肩关节置换术中使用焦碳作为承载面：系统回顾和荟萃分析。

IF 1.5

Shoulder and Elbow Pub Date : 2025-05-27 DOI: 10.1177/17585732251345077

Geoffrey W Schemitsch, Patrick Carroll, Patrick Henry, Diane Nam, Ujash Sheth

{"title":"The use of pyrocarbon as a bearing surface in shoulder arthroplasty: A systematic review and meta-analysis.","authors":"Geoffrey W Schemitsch, Patrick Carroll, Patrick Henry, Diane Nam, Ujash Sheth","doi":"10.1177/17585732251345077","DOIUrl":"10.1177/17585732251345077","url":null,"abstract":"Background: Pyrocarbon has been trialed as an alternative bearing surface to metal for young active patients with glenohumeral joint arthritis. The aim of this study was to systematically review and summarize the available evidence on reported outcomes of pyrocarbon implants in shoulder arthroplasty.Methods: A systematic review was conducted according and reported according to standardized guidelines. Patient demographics, complications, implant survivorship and patient-reported outcome measures were extracted and included in the quantitative analysis. Outcome data was summarized with weighted mean differences and proportions.Results: Fifteen studies were included with 904 patients and a median follow-up of 38 months. The pooled mean range of motion improvement was 43.9 degrees (95% confidence interval [95% CI] 36.7-51.2) in forward elevation and 24.1 degrees (95% CI 18.4-29.9) in external rotation. Pooled mean Constant Score improvement was 34.7 (95% CI 29.4-40.1) and Subjective Shoulder Value improvement was 40.6 (95% CI 33.4-47.8). The overall pooled re-operation rate was 8.03% (95% CI 5%-12.7%).Discussion: Pyrocarbon shoulder implants demonstrated improvements in functional outcomes with low revision rates at early- to mid-term follow-up. Further well-designed prospective studies with long-term follow-up are required to verify the safety and efficacy of pyrocarbon implants in shoulder arthroplasty.","PeriodicalId":36705,"journal":{"name":"Shoulder and Elbow","volume":" ","pages":"17585732251345077"},"PeriodicalIF":1.5,"publicationDate":"2025-05-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12116484/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144181290","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