Shoulder and Elbow最新文献

{"title":"A supplement, not a substitute: Accuracy and completeness of ChatGPT responses for common elbow pathology.","authors":"Benjamin Fiedler, Umar Ghilzai, Abdullah Ghali, Phillip Goldman, Pablo Coello, Michael B Gottschalk, Eric R Wagner, Adil Shahzad Ahmed","doi":"10.1177/17585732251365178","DOIUrl":"https://doi.org/10.1177/17585732251365178","url":null,"abstract":"<p><strong>Hypothesis: </strong>Large language models (LLMs) like ChatGPT have increasingly been used as online resources for patients with orthopedic conditions. Yet there is a paucity of information assessing the ability of LLMs to accurately and completely answer patient questions. The present study comparatively assessed both ChatGPT 3.5 and GPT-4 responses to frequently asked questions on common elbow pathologies, scoring for accuracy and completeness. It was hypothesized that ChatGPT 3.5 and GPT-4 would demonstrate high levels of accuracy for the specific query asked, but some responses would lack completeness, and GPT-4 would yield more accurate and complete responses than ChatGPT 3.5.</p><p><strong>Methods: </strong>ChatGPT was queried to identify five most common elbow pathologies (lateral epicondylitis, medial epicondylitis, cubital tunnel syndrome, distal biceps rupture, elbow arthritis). ChatGPT was then queried on the five most frequently asked questions for each elbow pathology. These 25 total questions were then individually asked of ChatGPT 3.5 and GPT-4. Responses were recorded and scored on 6-point Likert scale for accuracy and 3-point Likert scale for completeness by three fellowship-trained upper extremity orthopedic surgeons. ChatGPT 3.5 and GPT-4 responses were compared for each pathology using two-tailed <i>t</i>-tests.</p><p><strong>Results: </strong>Average accuracy scores for ChatGPT 3.5 ranged from 4.80 to 4.87. Average GPT-4 accuracy scores ranged from 4.80 to 5.13. Average completeness scores for ChatGPT 3.5 ranged from 2.13 to 2.47, and average completeness scores for GPT-4 ranged from 2.47 to 2.80. Total average accuracy for ChatGPT 3.5 was 4.83, and total average accuracy for GPT-4 was 5.0 (<i>p</i> = 0.05). Total average completeness for ChatGPT 3.5 was 2.35, and total average completeness for GPT-4 was 2.66 (<i>p</i> = 0.01).</p><p><strong>Conclusion: </strong>ChatGPT 3.5 and GPT-4 are capable of providing accurate and complete responses to frequently asked patient questions, with GPT-4 providing superior responses. Large language models like ChatGPT have potential to serve as a reliable online resource for patients with elbow conditions.</p>","PeriodicalId":36705,"journal":{"name":"Shoulder and Elbow","volume":" ","pages":"17585732251365178"},"PeriodicalIF":1.1,"publicationDate":"2025-10-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12500603/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145253054","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}

{"title":"Virtual orthopaedic clinic follow-up for upper limb arthroplasty in a tertiary referral centre.","authors":"Jack Thomson, Amanda Denton, Will Rudge, David Butt, Deborah Higgs, Mark Falworth, Addie Majed","doi":"10.1177/17585732251380457","DOIUrl":"10.1177/17585732251380457","url":null,"abstract":"<p><strong>Aim: </strong>Follow-up for upper limb arthroplasty often requires costly and long-distance travel for patients. This pilot study outlines the process of implementing a virtual clinic (VC) review pathway, and assesses patient satisfaction, safety and costs.</p><p><strong>Methods: </strong>Trust ethics approval was sought prior to implementation. The VC review pathway involved a locally performed X-ray, requested by the general practitioner, followed by a proforma-based telephone questionnaire with a clinical nurse specialist. Following the VC appointment, a telephone satisfaction survey was performed, which included overall satisfaction, a friends and family test, and time for feedback. Conversion back to traditional clinic review and adverse events were recorded.</p><p><strong>Results: </strong>Eighty-four patients were reviewed out of 101 invited. Of those, 89% reported the VC was the same or better than standard follow-up and 93% would recommend the VC to friends or family. There were no adverse events or missed diagnoses recorded.</p><p><strong>Discussion: </strong>This pilot study supports the introduction of a VC review pathway, which provides high satisfaction, reduced cost and no adverse events. Clarifying challenges highlighted by GPs and patients will improve uptake of the pathway. Our institution is now preparing to expand the pathway model to other disciplines.</p>","PeriodicalId":36705,"journal":{"name":"Shoulder and Elbow","volume":" ","pages":"17585732251380457"},"PeriodicalIF":1.1,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12488605/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145233513","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}

{"title":"Surgical treatment of elbow flexion contracture due to brachial plexus birth injury: A systematic review and meta-analysis.","authors":"Irene Escudero, Javier Gutierrez-Pereira, Jorge Salvador, Alfonso Ley, Antonio Garcia-Lopez","doi":"10.1177/17585732251380555","DOIUrl":"10.1177/17585732251380555","url":null,"abstract":"<p><strong>Background: </strong>This study aimed to evaluate the effectiveness of surgical treatments for elbow flexion contracture in patients with brachial plexus birth injury (BPBI), as well as to assess postoperative complications-specifically, loss of elbow flexion-associated with these interventions. A systematic review and meta-analysis were conducted to compare pre- and postoperative outcomes across different surgical techniques.</p><p><strong>Methods: </strong>A systematic search was performed in PubMed, Scopus, and Embase. Eight case series were included, reporting on anterior release, olecranon resection, biceps tendon lengthening, and gradual arthrodiastasis. Mean differences in elbow extension gain and 95% confidence intervals (CIs) were calculated. Subgroup analyses considered follow-up duration and age at surgery.</p><p><strong>Results: </strong>Out of 2700 initially screened articles, eight were included. The mean gain in elbow extension was 29.69° (CI: 23.69-35.53, <i>p</i> < .00001). Gradual arthrodiastasis achieved the highest improvement (47.00°, CI: 37.08-56.92), followed by anterior release (30.36°, CI: 26.56-34.16). Subgroup analysis showed better outcomes in the 12-36 month follow-up group (29.83°, CI: 22.66-37.01). Furthermore, patients over 18 years of age showed the greatest improvement (47.00°, CI: 37.08-59.92); however, this result is based solely on a single study that utilized gradual arthrodiastasis, thereby limiting its generalizability .No significant loss of elbow flexion was observed.</p><p><strong>Discussion: </strong>Surgical interventions significantly improve elbow extension in BPBI patients. Gradual arthrodiastasis is the most effective, though variability in techniques limits direct comparison. Standardized protocols and long-term prospective studies are needed.</p>","PeriodicalId":36705,"journal":{"name":"Shoulder and Elbow","volume":" ","pages":"17585732251380555"},"PeriodicalIF":1.1,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12488615/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145233487","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}

{"title":"Abstracts for the 37th Annual Scientific Meeting BESS 2025.","authors":"","doi":"10.1177/17585732251371373","DOIUrl":"https://doi.org/10.1177/17585732251371373","url":null,"abstract":"","PeriodicalId":36705,"journal":{"name":"Shoulder and Elbow","volume":"17 1 Suppl","pages":"S11-S60"},"PeriodicalIF":1.1,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12489235/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145233577","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}

{"title":"Pipelining patterns in the shoulder and elbow surgery fellowship match: An analysis from 2018 to 2024.","authors":"Suleiman Y Sudah, Anisha Tyagi, Kathryn Whitelaw, Tej Joshi, Brett D Haislup, Ryan Lohre, Bassem Elhassan, Surena Namdari, Mariano E Menendez","doi":"10.1177/17585732251378703","DOIUrl":"10.1177/17585732251378703","url":null,"abstract":"&lt;p&gt;&lt;strong&gt;Introduction: &lt;/strong&gt;Pipelining is defined as the concentration of positions filled by graduates from the same or overlapping training programs. For fellowships, a history of high-quality fellows from a particular residency program may foster confidence and a preference for matching additional candidates from that program. Similarly, applicants may favorably rank programs at which previous co-residents or faculty mentors have had positive experiences. In light of the growing interest in promoting diversity and inclusion in the application process, this study evaluates the prevalence of pipelining and residency program representation within shoulder and elbow surgery fellowships. The purpose of this study is to quantify pipelining trends in shoulder and elbow fellowship matches between 2018 and 2024.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Methods: &lt;/strong&gt;We analyzed match data from the San Francisco Match from 2018 to 2024, encompassing allopathic (MD), osteopathic (DO), and international medical graduates (IMGs), and excluded programs with less than 5 years of match data. Pipelining ratios (PRs) were calculated using the formula: PR = 1 - (number of unique residency programs matched / total number of fellowship positions available) and compared among programs and US regions. A PR of 1 indicates 100% pipelining, while a PR of 0 signifies no pipelining. The representation ratio (RR) was calculated and defined as the number of residents from a particular residency who matched into a specific fellowship divided by the total number of matched residents from the respective residency.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Results: &lt;/strong&gt;A total of 250 matched applicants (210 MD, 20 DO, and 20 IMG), originating from 142 unique residency programs were evaluated across 26 fellowship programs. The most highly represented allopathic residencies included Thomas Jefferson (n = 9; 3.6%), University of Rochester (n = 6; 2.4%), and St Louis University School of Medicine (n = 5; 2.0%). The mean PR across all fellowships was 0.06 ± 0.08 (p = 0.0006), ranging from 0 (n = 15) to 0.32 (n = 1). The highest PR values were observed for Thomas Jefferson (0.32), Washington University (0.21), University of Florida (0.17), and Florida Orthopedic Institute (0.15). The highest RR values were observed for Baylor residents matching at University of Washington (0.50), Thomas Jefferson residents matching at Thomas Jefferson (0.44), and University of Rochester residents matching at Union Memorial (0.33). Overall, nearly 58% of the fellowship programs demonstrated no evidence of pipleining and the remaining 42% exhibited either minimal to relatively higher levels of pipelining.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Conclusion: &lt;/strong&gt;There is wide variability in the rate of pipelining in shoulder and elbow surgery fellowships. Despite study limitations, including the relatively short observation period and absence of granular data on applicant/program rank order and reasons for rank decisions, this data contributes to greater transpar","PeriodicalId":36705,"journal":{"name":"Shoulder and Elbow","volume":" ","pages":"17585732251378703"},"PeriodicalIF":1.1,"publicationDate":"2025-09-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12443730/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145114383","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}

{"title":"A service evaluation of a newly implemented Advanced Physiotherapy Practitioner led shoulder instability service.","authors":"Amy Banning, Catharine Sian Macrae, Elizabeth Ratcliffe, Dana Maki","doi":"10.1177/17585732251377775","DOIUrl":"10.1177/17585732251377775","url":null,"abstract":"<p><p>The National Health Service (NHS) faces restricted capacity for first reviews of orthopaedic patients. Advanced Physiotherapy Practitioners (APP) offer an effective alternative to doctor consultations, potentially increasing capacity and promoting efficient use of resources. A new APP-led service for shoulder instability was established on this basis, aiming to promote adherence to recommended care pathways, and increase patient satisfaction.  This service evaluation assesses the APP service. Methods included comparing data from the same 6-month period in consecutive years. Wait times from A&E to the first appointment and adherence to care pathways were measured. Process mapping was conducted. Patient satisfaction was measured and thematically analysed qualitatively. Results demonstrated reduction in wait times by 6 days in the APP led service, with 100% patient satisfaction. Adherence to the care pathway improved; all patients under the age of 25 received appointments within 6 weeks, and early imaging referrals increased by 40%.  In conclusion, the APP-led service decreased wait time and enhanced adherence to care recommendations, with high patient satisfaction. This supports the use of physiotherapists in delivering care in this cohort of patients. Future service improvements could focus on raising awareness of referral processes to maximise service use.</p>","PeriodicalId":36705,"journal":{"name":"Shoulder and Elbow","volume":" ","pages":"17585732251377775"},"PeriodicalIF":1.1,"publicationDate":"2025-09-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12443728/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145114422","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}

{"title":"Ultrasound shear wave elastography - a reliable protocol for the assessment of the stiffness of the supraspinatus tendon.","authors":"Martin Black, Gordon Lumsden, Ron Dodenhoff","doi":"10.1177/17585732251376351","DOIUrl":"10.1177/17585732251376351","url":null,"abstract":"<p><strong>Background: </strong>The continued evolution of shear wave elastography (SWE) in the measurement of supraspinatus tendon stiffness can assist in both rehabilitation and surgical monitoring with the potential to improve patient outcomes. It can provide non-invasive, quantitative data of elastic properties of tendons which are altered in the presence of pathological change. This study evaluates the inter- and intra-rater reliability of a standardised SWE assessment protocol of the supraspinatus tendon.</p><p><strong>Methods: </strong>Shear wave velocity (SWV, m/s) values of 52 healthy, asymptomatic supraspinatus tendons were recorded using SWE. Two raters scanned each tendon on two separate occasions, seven days apart, using a strict protocol.</p><p><strong>Results: </strong>Intraclass correlation coefficient (ICC) for inter-rater reliability was 0.78. Intra-rater reliability was 0.81 for rater one and 0.89 for rater two, respectively. Minimal detectable change (MDC₉₅) ranged between 1.28 and 1.82 m/s for intra- and inter-rater reliability. Mean SWV values (m/s) for rater one were 9.08 ± 1.44 and 9.29 ± 1.48; and for rater two 8.72 ± 1.35 and 8.87 ± 1.43, for trial one and two.</p><p><strong>Conclusion: </strong>The results demonstrate reliable SWV measurements between and within raters in the supraspinatus tendon, providing normative values and a protocol which may be utilised clinically.<b>Level of evidence:</b> Level III Diagnostic Study.</p>","PeriodicalId":36705,"journal":{"name":"Shoulder and Elbow","volume":" ","pages":"17585732251376351"},"PeriodicalIF":1.1,"publicationDate":"2025-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12436326/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145081938","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}

{"title":"Young age, female sex, smoking, and worse area deprivation index associated with prolonged postoperative opioid use after rotator cuff repair.","authors":"Michael A Gaudiani, Julio Nerys-Figueroa, Alexander Jurayj, Susan G Wager, Hari Kadakolh, Hussein Hamade, Noah Hodson, Johnny Kasto, Eric C Makhni, Jared M Mahylis, Stephanie J Muh","doi":"10.1177/17585732251374300","DOIUrl":"10.1177/17585732251374300","url":null,"abstract":"<p><strong>Background: </strong>Oral opioid analgesia is commonly used for postoperative pain control in arthroscopic rotator cuff repair (RCR). Concerns about opioid side effects and potential abuse persist. This study aimed to identify risk factors for prolonged opioid use (POU) after RCR and assess its impact on patient-reported outcomes.</p><p><strong>Methods: </strong>A retrospective chart review included patients over 18 years old who underwent primary arthroscopic RCR and had at least one preoperative and postoperative patient-reported outcomes measurement information system (PROMIS) score. POU was defined as at least one opioid prescription refill more than 30 days postoperatively. Demographic characteristics, clinical outcomes, and PROMIS scores up to one year postoperatively were collected.</p><p><strong>Results: </strong>A total of 318 patients were included, and 38 had POU. Logistic regression identified opioid refill within 30 days after surgery, younger age, female sex, smoking, higher area deprivation index, and higher preoperative PROMIS depression score was associated with POU. Patients with POU had higher reoperation rates (15.8% vs. 5.4%; <i>P</i> = 0.015) and worse PROMIS pain interference and PROMIS upper extremity scores postoperatively.</p><p><strong>Conclusion: </strong>Risk factors for POU after arthroscopic RCR include younger age, female sex, smoking, depression, higher area deprivation, and early opioid refill. POU correlated with higher reoperation rates and poorer postoperative outcomes.</p>","PeriodicalId":36705,"journal":{"name":"Shoulder and Elbow","volume":" ","pages":"17585732251374300"},"PeriodicalIF":1.1,"publicationDate":"2025-09-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12432011/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145065413","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}

{"title":"Routine use of patient specific instruments in reverse shoulder arthroplasty produces significant improvements in the inclination profile of the glenoid component.","authors":"George Lee, Walid Dudin, Angelos Assiotis, Adam Rumian, Clarence Yeoh, Akash Soogumbur, Simran Sahota, Harpal Uppal","doi":"10.1177/17585732251371304","DOIUrl":"10.1177/17585732251371304","url":null,"abstract":"<p><strong>Introduction: </strong>The outcome of reverse shoulder arthroplasty (RSA) is strongly correlated to the accuracy of implantation, particularly with regard to inclination of the glenoid component. 3D planning has become more prevalent and with this has come the development of patient-specific instruments (PSI). In our centre, since 2019, all elective RSAs have been planned with a 3D printed PSI. We hypothesised that PSI has improved the inclination of the glenoid component since its introduction.</p><p><strong>Methodology: </strong>Retrospective analysis identified 50 elective RSAs pre and post the use of PSI. Post-operative radiographs were assessed in the anterior-posterior orientation to identify an inclination angle by two investigators.</p><p><strong>Findings: </strong>The interrater reliability (ICC 3K) between the two investigators was 0.960 (CI 0.94-0.97). The mean inclination of the none PSI group was +7.53° (SD ±14.31) while the mean inclination of the PSI group was +2.95° (SD ±7.82) (<i>p</i> = 0.0498).</p><p><strong>Conclusion: </strong>This study demonstrates that routine use of an additional intra-operative adjunct, such as a PSI jig for all cases of RSA should be considered, to improve the ability of the surgeon to reproduce the surgical plan faithfully.</p>","PeriodicalId":36705,"journal":{"name":"Shoulder and Elbow","volume":" ","pages":"17585732251371304"},"PeriodicalIF":1.1,"publicationDate":"2025-09-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12432012/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145065374","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}

{"title":"Short to mid-term functional outcomes of stemless anatomical total shoulder arthroplasty in patients over 70 years of age.","authors":"Joost Ip Willems, Frank Kj Kolhoff, Mees Wiersma, Inger N Sierevelt, Tjarco Dw Alta, Arthur van Noort","doi":"10.1177/17585732251375941","DOIUrl":"10.1177/17585732251375941","url":null,"abstract":"<p><strong>Introduction: </strong>Anatomical total shoulder arthroplasty (ATSA) is the gold standard for treating primary glenohumeral osteoarthritis (GHOA) in patients with an intact rotator cuff. Recently, reverse total shoulder arthroplasty (RTSA) is increasingly used in patients over 70. Stemless ATSA designs aim to reduce stem-related complications and simplify revisions. This study evaluates functional outcomes and complication rates of stemless ATSA in patients aged 70+ with an intact rotator cuff and at least two years of follow-up.</p><p><strong>Methods: </strong>Forty-three patients met the inclusion criteria. Outcomes were assessed using the Oxford shoulder score (OSS), subjective shoulder value (SSV), and numeric rating scale (NRS) for pain at rest and during activity. Postoperative complications were documented.</p><p><strong>Results: </strong>Thirty-three patients completed follow-up (mean 49.2 months). OSS improved by a mean of 21.7 points (median 48, IQR 42.5-48). SSV increased by 49.5%, NRS pain decreased by 5.7 (rest) and 6.8 (activity), all statistically significant (P < 0.001). Complications included one revision for rotator cuff failure (3%) and one asymptomatic biceps tenodesis failure. No outcome differences were found between age groups 70-79 and 80+.</p><p><strong>Conclusion: </strong>Stemless ATSA in patients aged 70+ with an intact rotator cuff yields significant functional improvement and low complication rates at short- to mid-term follow-up.</p>","PeriodicalId":36705,"journal":{"name":"Shoulder and Elbow","volume":" ","pages":"17585732251375941"},"PeriodicalIF":1.1,"publicationDate":"2025-09-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12423090/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145065435","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}