Shoulder and Elbow最新文献_第10页

Complications and revision rates after total shoulder arthroplasty are similar between patients with and without diabetes mellitus. 糖尿病患者和非糖尿病患者接受全肩关节置换术后的并发症和翻修率相似。

IF 1.5

Shoulder and Elbow Pub Date : 2024-09-25 DOI: 10.1177/17585732241278207

Ryan Sanii, Johnny Kasto, Joshua P Castle, Jordan Jay, Gabriel Burdick, Stephanie J Muh

{"title":"Complications and revision rates after total shoulder arthroplasty are similar between patients with and without diabetes mellitus.","authors":"Ryan Sanii, Johnny Kasto, Joshua P Castle, Jordan Jay, Gabriel Burdick, Stephanie J Muh","doi":"10.1177/17585732241278207","DOIUrl":"10.1177/17585732241278207","url":null,"abstract":"Purpose: There is wide variability in the conclusions of studies examining the effects of diabetes mellitus (DM) on outcomes of shoulder arthroplasty (SA). The objective of this study was to determine if there are differences in complication profiles between patients with DM and those without undergoing anatomic and reverse total SA.Methods: A retrospective review of patients undergoing SA in a single center from January 2014 to December 2019 was performed. Patients were then stratified into two cohorts, patients with controlled DM (mean hemoglobin A1C < 7%) and those without. Outcomes analyzed included intraoperative complications, postoperative complications, and revision surgery rates. Emergency department (ED) visits and hospital readmissions within 30 days were also recorded.Results: A total of 595 patients underwent SA. No significant difference was found between the diabetes (n = 151) and control group (n = 444) with regard to length of stay (P = .168), complications (P = .286), infection rate (P = .977), 30-day ED visits (P = .789), and readmissions (P = .230). The average time to revision was 26.8 months in the diabetes group and 26.6 months in the control group (P = .989).Conclusions: Following SA patients with controlled DM showed no increased risk of postoperative infection, ED visitation,hospital readmission, and revision surgery rate when compared to non-diabetics.Level of evidence: Level III-retrospective cohort.","PeriodicalId":36705,"journal":{"name":"Shoulder and Elbow","volume":" ","pages":"17585732241278207"},"PeriodicalIF":1.5,"publicationDate":"2024-09-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11559953/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142629949","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 role of humerus cortical thickness in predicting osteoporosis in MR imaging. 肱骨皮质厚度在磁共振成像中预测骨质疏松症的作用。

IF 1.5

Shoulder and Elbow Pub Date : 2024-09-11 DOI: 10.1177/17585732241279090

Sevde Nur Emir, Safiye Sanem Dereli Bulut

{"title":"The role of humerus cortical thickness in predicting osteoporosis in MR imaging.","authors":"Sevde Nur Emir, Safiye Sanem Dereli Bulut","doi":"10.1177/17585732241279090","DOIUrl":"10.1177/17585732241279090","url":null,"abstract":"Aim: This study aims to evaluate the efficacy of humerus cortical thickness on coronal T1-weighted images of the humerus in distinguishing patients with normal vs. abnormal bone mineral density (BMD).Methods: Patients (n:138) with shoulder magnetic resonance imaging (MRI) and dual-energy x-ray absorptiometry (DXA) scans were evaluated. Patients were grouped into normal and low BMD (osteopenia and osteoporosis) according to DXA. An average cortical bone thickness (CBTavg) and gauge cortical bone thickness (CBTg) were calculated from the proximal humerus on coronal T1W MRI. Sensitivity and specificity for the prediction of osteoporosis were determined for several cortical bone thickness thresholds.Results: Proximal humerus average cortical bone thickness measurements strongly correlated with DXA femur and lumbar scores (p < 0.01). Gauge cortical thickness measurements also correlated with DXA femur and lumbar scores (p < 0.01). Average cortical bone thickness measurement of 4.52 mm was determined to be a potential marker for predicting osteoporosis, with a sensitivity of 92.3% and a specificity of 84.9%.Conclusion: Average cortical bone thickness measurements obtained from shoulder MRI are correlated with DXA. It appears to be effective in differentiating patients with normal and abnormal BMD and may help to opportunistically predict patients with osteoporosis in a rapid, simple and practical way, potentially guiding further diagnostic assessments.","PeriodicalId":36705,"journal":{"name":"Shoulder and Elbow","volume":" ","pages":"17585732241279090"},"PeriodicalIF":1.5,"publicationDate":"2024-09-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11559878/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142629960","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 association between self-assessed improvement in mental health preceding rotator cuff repair and patient satisfaction: A retrospective cohort study. 肩袖修复术后自我评估的心理健康改善与患者满意度之间的关系：回顾性队列研究

IF 1.5

Shoulder and Elbow Pub Date : 2024-08-30 DOI: 10.1177/17585732241274577

Brady P Moore, Dexter Allen, David S Clark, Jeremy S Somerson

{"title":"The association between self-assessed improvement in mental health preceding rotator cuff repair and patient satisfaction: A retrospective cohort study.","authors":"Brady P Moore, Dexter Allen, David S Clark, Jeremy S Somerson","doi":"10.1177/17585732241274577","DOIUrl":"10.1177/17585732241274577","url":null,"abstract":"Background: The association between preoperative mental health trends and arthroscopic rotator cuff repair (RCR) outcomes and patient satisfaction has not been previously described. We investigated the association between a subjective change in preoperative mental health and patient-reported outcome measures (PROMs) and achievement of patient satisfaction and substantial clinical benefit (SCB), defined as an improvement of American Shoulder and Elbow Surgeons Standardized Shoulder Assessment score ≥ 17.5, following RCR.Methods: Among patients undergoing RCR, various PROMs were collected preoperatively and at follow-up intervals up to 2 years postoperatively. Patient satisfaction and achievement of SCB were analyzed relative to subjective reports of better, worse, or unchanged mental health in the year preceding RCR and preoperative PROMs.Results: Eighty-eight patients (47 male and 41 female) with a median age of 60.0 years (interquartile range (IQR), 10.0) were included in this study. All patients (n = 13) who reported improved mental health status preceding RCR had significantly better satisfaction (P = 0.03) and SCB (P ≤ 0.05) at 2 years postoperatively compared to patients who reported worse or unchanged mental status.Discussion: Subjective improvement in mental health status preceding arthroscopic RCR was associated with patient satisfaction and achievement of SCB at 2 years postoperatively.","PeriodicalId":36705,"journal":{"name":"Shoulder and Elbow","volume":" ","pages":"17585732241274577"},"PeriodicalIF":1.5,"publicationDate":"2024-08-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11562387/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142648962","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

Does the use of a tensioning device improve stability for suture fixation of glenoid bone constructs? A biomechanical analysis. 使用张力装置是否能提高盂骨结构缝合固定的稳定性？生物力学分析。

IF 1.5

Shoulder and Elbow Pub Date : 2024-08-30 DOI: 10.1177/17585732241276428

Kyle D Paul, Allen A Yazdi, David M Sylvester, Marshall D Williams, Mathew D Hargreaves, Amit M Momaya, Eugene W Brabston, Brent A Ponce

{"title":"Does the use of a tensioning device improve stability for suture fixation of glenoid bone constructs? A biomechanical analysis.","authors":"Kyle D Paul, Allen A Yazdi, David M Sylvester, Marshall D Williams, Mathew D Hargreaves, Amit M Momaya, Eugene W Brabston, Brent A Ponce","doi":"10.1177/17585732241276428","DOIUrl":"10.1177/17585732241276428","url":null,"abstract":"Purpose: The purpose of this study is to quantify the difference in biomechanical stability of suture button (SB) and suture tape cerclage (STC) constructs with hand tensioning versus device tensioning of anterior glenoid augmentation bone grafts in an anterior glenoid bone loss model.Methods: Artificial bone blocks with a density of 15 lb/ft3 (240.3 kg/m3) were used as models for glenoid fixation with bone graft. The biomechanical stability of SB and STC tensioned by hand was compared to those tensioned by a device. Average displacement (mm) following application of various forces (50, 100, 150, and 200 N) during a 7-phase, 100-cycle, stairstep cyclic loading protocol was recorded.Results: Both SB and STC fixation displayed significantly lower construct displacement at all tested forces when tensioned with a device versus hand (p < 0.001). Device-tensioned SB and STC were comparable in construct stability at forces below 100N. However, at forces above 100 N, device-tensioned SB exhibited significantly less displacement than device-tensioned STC.Discussion: Using a tensioning device for SB or STC fixation of a coracoid graft model results in less displacement and improved stability compared to hand tensioning. Biomechanically, a tensioning device enhances the stability of suture fixation in glenoid bone graft constructs.","PeriodicalId":36705,"journal":{"name":"Shoulder and Elbow","volume":" ","pages":"17585732241276428"},"PeriodicalIF":1.5,"publicationDate":"2024-08-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11568518/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142648953","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

Should I prescribe exercise to a patient with an immobilized shoulder? An electromyographic study in patients with unilateral shoulder pain and healthy volunteers. 我应该给肩部固定不动的患者开运动处方吗？对单侧肩痛患者和健康志愿者的肌电图研究。

IF 1.5

Shoulder and Elbow Pub Date : 2024-08-20 DOI: 10.1177/17585732241269145

Leonardo Intelangelo, Lassaga Ignacio, Cristian Mendoza, Iván Roulet, Daniel Jerez-Mayorga, Alexandre Carvalho Barbosa

{"title":"Should I prescribe exercise to a patient with an immobilized shoulder? An electromyographic study in patients with unilateral shoulder pain and healthy volunteers.","authors":"Leonardo Intelangelo, Lassaga Ignacio, Cristian Mendoza, Iván Roulet, Daniel Jerez-Mayorga, Alexandre Carvalho Barbosa","doi":"10.1177/17585732241269145","DOIUrl":"10.1177/17585732241269145","url":null,"abstract":"Background: There is limited evidence about exercise performance during postoperative immobilization. This study aimed to quantify the muscle activity in the immobilized shoulder girdle in an abduction and neutral rotation position during a battery of contralateral activities and ipsilateral exercises of the upper limb in healthy volunteers and patients with unilateral shoulder pain (USP).Methods: Thirty participants were included and grouped as without (N = 17) or with USP (N = 13). Muscle activity (percentage of maximum voluntary isometric contraction (%MVIC)) of the serratus anterior (SA), upper trapezius (UT), lower trapezius (LT) and infraspinatus muscles was assessed during five contralateral activities (during comfortable speed, fast speed and comfortable speed with additional load) and seven ipsilateral exercises.Results: No differences in % MVIC were found between healthy volunteers and patients with USP on immobilized upper limb exercises and with the contralateral shoulder girdle. General muscle activity was low (<15% MVIC) to moderate (21-40% MVIC). This similarity was maintained at different speeds and with additional load. Adapted lawnmower exercise showed a favorable UT/LT activation ratio.Conclusion: The study results support the use of all evaluated shoulder exercises, as they have shown low muscle activity, which is important for early rehabilitation phases.","PeriodicalId":36705,"journal":{"name":"Shoulder and Elbow","volume":" ","pages":"17585732241269145"},"PeriodicalIF":1.5,"publicationDate":"2024-08-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11562157/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142649040","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

Should the beach chair position have national guidelines to reduce the risk of cerebrovascular complications? Results from a National Survey of Surgeons and Anaesthetists. 沙滩椅体位是否应制定国家指南以降低脑血管并发症的风险？全国外科医生和麻醉师调查结果。

IF 1.5

Shoulder and Elbow Pub Date : 2024-08-16 DOI: 10.1177/17585732241269147

David Ensor, Stephen E Gwilym, Mohamed Imam, Simeon West, Ahmed Elgebaly, Tobias Baring

{"title":"Should the beach chair position have national guidelines to reduce the risk of cerebrovascular complications? Results from a National Survey of Surgeons and Anaesthetists.","authors":"David Ensor, Stephen E Gwilym, Mohamed Imam, Simeon West, Ahmed Elgebaly, Tobias Baring","doi":"10.1177/17585732241269147","DOIUrl":"10.1177/17585732241269147","url":null,"abstract":"Background: The beach chair position is frequently used in UK shoulder surgeries, but cerebrovascular complications, while rare, can have severe consequences. No consensus exists on best practices due to limited evidence.Methods: An online cross-sectional survey was conducted with a convenience sampling method among the British Elbow and Shoulder Society and Regional Anaesthesia UK members to gauge the need for guidelines. It aims to assess the need for standardised guidelines, covering topics such as demographics, current clinical practises in anaesthetics and surgery and the prevalence of cerebrovascular complications post-surgery.Results: Of 534 respondents, 67% were anaesthetists and 33% surgeons. Twelve percent currently use local guidelines. 40% conduct all shoulder surgeries in the beach chair position. The most common bed angle is 45°, but 30% choose 60° or higher. 12.4% of respondents have local guidelines available. Only 20% of anaesthetists use cerebrovascular monitoring, with 6% of surgeons and 2% of anaesthetists reporting postoperative neurological issues. Eighty-five percent of respondents recommended the need for a national guidelines.Conclusions: Current practices in the use of beach chair position vary considerably. There is a desire from both surgeons and anaesthetists for a consensus approach to guideline development based on current available evidence and practice.","PeriodicalId":36705,"journal":{"name":"Shoulder and Elbow","volume":" ","pages":"17585732241269147"},"PeriodicalIF":1.5,"publicationDate":"2024-08-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11562325/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142649041","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

Characteristics of rehabilitation protocols following operative treatment of terrible triad elbow injuries and the influence of early motion: A systematic review and meta-analysis. 可怕的肘关节三联症损伤手术治疗后康复方案的特点及早期运动的影响：系统回顾和荟萃分析。

IF 1.5

Shoulder and Elbow Pub Date : 2024-08-06 DOI: 10.1177/17585732241269807

Joseph Larwa, Timothy R Buchanan, Rachel L Janke, Madison Q Burns, Logan Wright, Kevin A Hao, Robert J Cueto, Keegan M Hones, William R Aibinder, Thomas W Wright, Bradley S Schoch, Joseph J King

{"title":"Characteristics of rehabilitation protocols following operative treatment of terrible triad elbow injuries and the influence of early motion: A systematic review and meta-analysis.","authors":"Joseph Larwa, Timothy R Buchanan, Rachel L Janke, Madison Q Burns, Logan Wright, Kevin A Hao, Robert J Cueto, Keegan M Hones, William R Aibinder, Thomas W Wright, Bradley S Schoch, Joseph J King","doi":"10.1177/17585732241269807","DOIUrl":"10.1177/17585732241269807","url":null,"abstract":"Background: As no consensus exists on the optimal postoperative rehabilitation protocol in terrible triad injuries, we sought to characterize the reported protocols and relate them to postoperative range of motion (ROM) measures and Mayo Elbow Performance Score (MEPS).Methods: A systematic review was performed by searching PubMed/MEDLINE, Embase, Web of Science, and Cochrane databases to identify articles on the operative treatment of terrible triad injuries reporting postoperative rehabilitation protocols were included. Included studies were descriptively summarized. Methodologic quality was assessed using the Methodological Index for Non-randomized Studies criteria. Meta-analysis compared postoperative ROM measures and the MEPS between patients initiating passive ROM exercises at ≤7 days vs. >7 days.Results: Our review included 36 articles with 1123 elbows (66% male, mean age: 43 years, follow-up: 27 months). Of the studies reporting physical therapy protocols, it was most commonly initiated at 7 days postoperatively (6/36, 17%), passive ROM exercises at 7 days (3/25, 12%), and active ROM at 21 days (4/26, 15%). On meta-analysis, early passive ROM initiation was not associated with improved elbow ROM or MEPS.Discussion: While rehabilitation protocols commonly advised passive ROM at one week post-operatively, meta-analysis did not support functional benefits of early passive ROM.Study design: Systematic Review; Level of evidence, 4.","PeriodicalId":36705,"journal":{"name":"Shoulder and Elbow","volume":" ","pages":"17585732241269807"},"PeriodicalIF":1.5,"publicationDate":"2024-08-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11562217/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142648951","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

Revision total elbow arthroplasty is associated with a high rate of 30-day complications: A descriptive analysis of a national database. 翻修全肘关节置换术的 30 天并发症发生率较高：全国数据库描述性分析。

IF 1.5

Shoulder and Elbow Pub Date : 2024-08-02 DOI: 10.1177/17585732241269001

Dany El-Najjar, Apoorva Mehta, Puneet Gupta, Joel R Peterson, Erick M Marigi, Brandon Rogalski, David P Trofa, William N Levine, Charles M Jobin

{"title":"Revision total elbow arthroplasty is associated with a high rate of 30-day complications: A descriptive analysis of a national database.","authors":"Dany El-Najjar, Apoorva Mehta, Puneet Gupta, Joel R Peterson, Erick M Marigi, Brandon Rogalski, David P Trofa, William N Levine, Charles M Jobin","doi":"10.1177/17585732241269001","DOIUrl":"10.1177/17585732241269001","url":null,"abstract":"Introduction: Revision total elbow arthroplasty (TEA) is indicated for component loosening, periprosthetic joint infection, and fractures. Previous investigations into revision TEA complications have small sample sizes and limited exploration of acute complications. This study aims to characterize the 30-day complications and associated demographics of patients undergoing revision TEA using a large national database.Methods: The 2015-2020 American College of Surgeons National Surgical Quality Improvement Program database was used to identify all revision TEA patients.Results: The analysis included 158 patients (average age 62.6 years). The overall complication rate was 13.9% (n = 22). The most common 30-day complications were organ/space surgical site infection (3.8%, n = 6), unplanned readmission (3.2%, n = 5), intraoperative or postoperative transfusion (3.2%, n = 5), and unplanned reoperation (1.9%, n = 3). Patients with a history of dyspnea or steroid/immunosuppressant use for a chronic condition had significantly higher rates of bleeding requiring transfusion (p = .029 and p = .021, respectively). Additionally, patients aged 80 years or older had a significantly higher rate of unplanned readmission (p = .032).Conclusion: Revision TEA has a 13.9% rate of complications within 30-days of surgery, with most involving surgical site infection, unplanned readmission, and blood transfusion.Level of evidence: IV.","PeriodicalId":36705,"journal":{"name":"Shoulder and Elbow","volume":" ","pages":"17585732241269001"},"PeriodicalIF":1.5,"publicationDate":"2024-08-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11562222/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142648864","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

Perioperative complications and readmission rates following total shoulder arthroplasty in patients aged 90 and older. 90 岁及以上患者接受全肩关节置换术后的围手术期并发症和再入院率。

IF 1.5

Shoulder and Elbow Pub Date : 2024-08-02 DOI: 10.1177/17585732241269174

Jacqueline G Tobin, Skye Jacobson, Nikhil Vallabhaneni, Lawrence C Vanderham, Alexander S Guareschi, Josef K Eichinger, Richard J Friedman

{"title":"Perioperative complications and readmission rates following total shoulder arthroplasty in patients aged 90 and older.","authors":"Jacqueline G Tobin, Skye Jacobson, Nikhil Vallabhaneni, Lawrence C Vanderham, Alexander S Guareschi, Josef K Eichinger, Richard J Friedman","doi":"10.1177/17585732241269174","DOIUrl":"10.1177/17585732241269174","url":null,"abstract":"Background: Previous literature has cited age as an independent risk factor for surgical outcomes following total shoulder arthroplasty (TSA). The purpose of this study is to determine the short-term outcomes of nonagenarians following primary TSA and compare them to younger cohorts.Methods: The Nationwide Readmission Database (NRD) was queried from 2010 to 2020 to identify patients who underwent a primary reverse or anatomic TSA (rTSA or aTSA). Cohorts were defined by those aged 70-74 (septuagenarians), 80-84 (octogenarians), or 90 and over (nonagenarians). The septuagenarians and octogenarians were matched 1:1 to the nonagenarians by the Charlson-Deyo Comorbidity Index (CCI), year of procedure, and sex. Length of hospital stay, readmission rate, and postoperative outcomes were collected.Results: Length of hospital stay, in-hospital death, 180-day mortality, 180-day readmission, and rate of medical complications were highest in the nonagenarians. Rates of periprosthetic fracture were highest in the nonagenarians. The number of total surgical complications was not significantly different between cohorts. The rate of revision within 180 days and discharge to rehabilitation facility was not significantly different between the three groups.Discussion: The nonagenarians are at an increased risk of medical complications, longer hospital stays, periprosthetic fractures, and death following TSA. Otherwise, nonagenarians have similar rates of total surgical complications to the septuagenarians and octogenarians.","PeriodicalId":36705,"journal":{"name":"Shoulder and Elbow","volume":" ","pages":"17585732241269174"},"PeriodicalIF":1.5,"publicationDate":"2024-08-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11568486/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142648858","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 association of rotator cuff muscle morphology and glenoid morphology in primary glenohumeral osteoarthritis. 原发性盂肱骨关节炎患者肩袖肌肉形态与盂状关节形态的关联。

IF 1.5

Shoulder and Elbow Pub Date : 2024-08-02 DOI: 10.1177/17585732241269193

Deniz Siso, Hwabok Wee, Padmavathi Ponnuru, Gregory S Lewis, Jing Du, Gary F Updegrove, April D Armstrong, Meghan E Vidt

{"title":"The association of rotator cuff muscle morphology and glenoid morphology in primary glenohumeral osteoarthritis.","authors":"Deniz Siso, Hwabok Wee, Padmavathi Ponnuru, Gregory S Lewis, Jing Du, Gary F Updegrove, April D Armstrong, Meghan E Vidt","doi":"10.1177/17585732241269193","DOIUrl":"10.1177/17585732241269193","url":null,"abstract":"Background: This retrospective study investigated associations of rotator cuff muscle atrophy (MA) and fatty infiltration (FI) with glenoid morphology.Methods: Patients with primary glenohumeral osteoarthritis who presented to Penn State Bone and Joint Institute's orthopaedic clinic from September 2002 to December 2019 as total shoulder arthroplasty (TSA) candidates were evaluated. MA was determined by the cross-sectional area of each rotator cuff muscle on pre-operative MR and CT scans. Fat-free muscle and FI areas were quantified using Hounsfield units (HU). Glenoid morphology was assessed using glenoid version and inclination and modified Walch classification.Results: Sixty-one patients (61 shoulders) were evaluated. B3 glenoids had a greater percent FI of supraspinatus (40.8 ± 7.3) versus A2 glenoids (31.6 ± 12.9, p = 0.032); infraspinatus and teres minor muscles (49.7 ± 9.1) versus A1 (31.1 ± 13.1, p = 0.039), A2 (30.2 ± 13.3, p = 0.028), and B1 glenoids (31.6 ± 11.9, p = 0.038); and subscapularis (36.7 ± 11.1) versus A2 glenoids (25.5 ± 14.7, p = 0.032). B2 glenoids had a larger area ratio of infraspinatus and teres minor to subscapularis (0.96 ± 0.16) than A1 (0.82 ± 0.13, p = 0.026) and A2 glenoids (0.57 ± 0.25, p = 0.038).Conclusion: B3 glenoids had a greater FI of all rotator cuff muscles. B2 glenoids had a larger relative size of infraspinatus and teres minor muscles than subscapularis.","PeriodicalId":36705,"journal":{"name":"Shoulder and Elbow","volume":" ","pages":"17585732241269193"},"PeriodicalIF":1.5,"publicationDate":"2024-08-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11562133/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142648994","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