Shoulder and Elbow最新文献_第2页

Angular stable intramedullary nail versus locking plate fixation of osteoporotic surgical neck proximal humerus fractures: A biomechanical comparison.

IF 1.5

Shoulder and Elbow Pub Date : 2025-03-13 DOI: 10.1177/17585732251324497

Eric Samuelson, Elizabeth Lyden, Hani Haider, Armodios M Hatzidakis, Timothy Lackner, Bradford Zitsch, Edward V Fehringer

{"title":"Angular stable intramedullary nail versus locking plate fixation of osteoporotic surgical neck proximal humerus fractures: A biomechanical comparison.","authors":"Eric Samuelson, Elizabeth Lyden, Hani Haider, Armodios M Hatzidakis, Timothy Lackner, Bradford Zitsch, Edward V Fehringer","doi":"10.1177/17585732251324497","DOIUrl":"https://doi.org/10.1177/17585732251324497","url":null,"abstract":"Background: Our study's purpose was to compare biomechanical performances of a proximal humerus locking plate (PHLP) with an antegrade intramedullary nail (IMN) in an osteoporotic two-part surgical neck proximal humerus fracture model.Methods: Simulated fractures were made through the surgical neck of synthetic osteoporotic humeri. One group had identical transverse fractures instrumented with a PHLP with seven screws (PHLP-7; n = 4), a PHLP with nine screws (PHLP-9; n = 2), or an IMN (n = 4). Each underwent pre-fatigue testing, an identical fatigue protocol, and post-fatigue testing. A second high oblique fracture line was tested identically with PHLP-9 (n = 4) and IMN (n = 4) constructs.Results: Statistical analyses of transverse specimen pre-fatigue stiffness revealed that the PHLP-7 and PHLP-9 were stiffer in anteroposterior bending and torsion compared to the IMN. There was no difference between the three constructs in varus-valgus bending or compression. Post-fatigue stiffness comparisons revealed no difference between the three constructs. For the oblique fracture, pre-fatigue differences were found with the IMN stiffer in varus-valgus bending and the PHLP-9 stiffer in torsion.Discussion: The biomechanical performance of an angular-stable proximal humeral nail design was comparable, especially following fatigue, to locked plate/screw constructs in a synthetic osteoporotic two-part surgical neck proximal humerus fracture model.","PeriodicalId":36705,"journal":{"name":"Shoulder and Elbow","volume":" ","pages":"17585732251324497"},"PeriodicalIF":1.5,"publicationDate":"2025-03-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11907631/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143651295","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

Absolute and relative reliability of Pressure Pain Threshold (PPT) assessment in patients with nonspecific shoulder pain.

IF 1.5

Shoulder and Elbow Pub Date : 2025-02-26 DOI: 10.1177/17585732251319739

Kyriakos Pavlou, Antonis Constantinou, Christos Savva, George M Pamboris, Panagiotis Kyriakou, George Ploutarchou, Christos Karagiannis, Vasileios Korakakis

{"title":"Absolute and relative reliability of Pressure Pain Threshold (PPT) assessment in patients with nonspecific shoulder pain.","authors":"Kyriakos Pavlou, Antonis Constantinou, Christos Savva, George M Pamboris, Panagiotis Kyriakou, George Ploutarchou, Christos Karagiannis, Vasileios Korakakis","doi":"10.1177/17585732251319739","DOIUrl":"https://doi.org/10.1177/17585732251319739","url":null,"abstract":"This study investigates the intra- and interrater reliability of Pressure Pain Threshold assessments in patients with nonspecific shoulder pain, focusing on chronic and subacute stages. A sample of 26 adults was evaluated using a mechanical algometer across six anatomical points. Intrarater and interrater reliability were calculated using the intraclass correlation coefficient (ICC), standard error of measurement, and minimal detectable change (MDC). Results demonstrated almost perfect reliability for both intrarater (ICC range: 0.96-0.99) and interrater (ICC range: 0.92-0.99) assessments. Standard error of measurement and MDC values for intrarater reliability showed clinically acceptable error, except for the upper trapezius and mid-deltoid, where MDC value exceeded 25% of the grand mean, suggesting reduced precision between nonspecific shoulder pain stages. For interrater reliability, the adductor pollicis brevis, upper trapezius, and infraspinatus also showed less precision, with MDC values exceeding 25% of the grand mean, particularly in chronic patients. Despite these findings, no significant differences were observed between the subacute and chronic groups. While relative reliability was high, the findings highlight the need for caution in interpreting absolute reliability, especially for inter-rater assessments at specific muscle sites.","PeriodicalId":36705,"journal":{"name":"Shoulder and Elbow","volume":" ","pages":"17585732251319739"},"PeriodicalIF":1.5,"publicationDate":"2025-02-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11866336/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143543815","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

Improved healing and functional outcome is seen at 12 months after injecting leukocyte rich-PRP in arthroscopically repaired labrum: A case-control study.

IF 1.5

Shoulder and Elbow Pub Date : 2025-02-24 DOI: 10.1177/17585732251319259

Sheikh Azharuddin, Nitesh Gahlot, Abhay Elhence, Pawan Garg, Saptarshi Mandal, Suvinay Saxena

{"title":"Improved healing and functional outcome is seen at 12 months after injecting leukocyte rich-PRP in arthroscopically repaired labrum: A case-control study.","authors":"Sheikh Azharuddin, Nitesh Gahlot, Abhay Elhence, Pawan Garg, Saptarshi Mandal, Suvinay Saxena","doi":"10.1177/17585732251319259","DOIUrl":"10.1177/17585732251319259","url":null,"abstract":"Introduction: A study with the hypothesis: platelet-rich plasma (PRP) injection into labrum repair will produce better healing response and improved functional outcome in patients of recurrent shoulder dislocation treated with arthroscopic Bankart repair.Methods: Arthroscopically repaired recurrent shoulder dislocation patients. Group 1 (cases): administered LR-PRP injection. Group 2 (controls): not received PRP injection. The injection was given arthroscopically at the labrum-bone interface after repair was completed.Results: A total of 40 patients: 20 in group I (cases) and 20 in group II (controls). The mean age was 26 ± 6 years; 36 patients (90%) were male and 4 patients (10%) were female. All three scores showed improvement at follow-up evaluation inside the groups (P < .001). Individual score improvement was more in group I, the difference was statistically significant for the American Shoulder and Elbow Surgeon (ASES) and Disabilities of the Arm, Shoulder and Hand (DASH) scores (P < .05). The CSS was also higher in group I (93.2 ± 2.8) at follow-up as compared to group II (91.5 ± 2.7, P = .063). Follow-up magnetic resonance imaging (MRI) evaluation showed improvement in labral height (P < .05), Labrum height glenoid index (P > .05), and Labral slope (P < .05) in both the groups, the increase was more in group I as compared to group II.Conclusion: PRP injection at the labrum-bone interface provides a better healing response in the labrum and better functional outcomes at 12 months after arthroscopic bankart repair.Level of evidence: Level III, case-control study.","PeriodicalId":36705,"journal":{"name":"Shoulder and Elbow","volume":" ","pages":"17585732251319259"},"PeriodicalIF":1.5,"publicationDate":"2025-02-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11848860/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143504508","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

Epidemiology of acromioclavicular joint separations presenting to emergency departments in the United States between 2004 and 2023.

IF 1.5

Shoulder and Elbow Pub Date : 2025-02-16 DOI: 10.1177/17585732251320015

Peter Boufadel, Mohamad Y Fares, Mohammad Daher, Ryan Lopez, Adam Z Khan, Joseph A Abboud

{"title":"Epidemiology of acromioclavicular joint separations presenting to emergency departments in the United States between 2004 and 2023.","authors":"Peter Boufadel, Mohamad Y Fares, Mohammad Daher, Ryan Lopez, Adam Z Khan, Joseph A Abboud","doi":"10.1177/17585732251320015","DOIUrl":"10.1177/17585732251320015","url":null,"abstract":"Introduction: Acromioclavicular (AC) joint separation is a common injury that results from direct or indirect trauma to the shoulder. The purpose of this study was to explore the incidence, demographic variations, and injury mechanisms of AC joint separations in the United States from 2004 to 2023.Methods: The National Electronic Injury Surveillance System database was queried to identify all patients who visited participating emergency departments between 2004 and 2023 and were diagnosed with an AC joint separation. Examined variables included age, sex, year, and injury mechanisms. National injury estimates were calculated using sample weights. Annual incidence rates were calculated using U.S. Census population estimates.Results: A total of 4163 AC joint separations were recorded, representing an estimated 196,983 injuries. The overall incidence rate was 3.1 per 100,000 person-years. The highest incidence of AC joint separations was among patients aged 10 to 30 years (47.6%), and the majority of patients were male (83.9%). Sports-related injuries had a significantly greater incidence rate compared to transportation-related and fall-related injuries (p < 0.001). The most common injury mechanisms involved bicycles (15.9%), football (10.5%), stairs/steps (6.0%), and snowboarding (5.8%).Conclusion: The incidence of AC joint separations has increased over the past two decades, with the majority caused by sports-related and transportation-related injuries.Level of Evidence: III.","PeriodicalId":36705,"journal":{"name":"Shoulder and Elbow","volume":" ","pages":"17585732251320015"},"PeriodicalIF":1.5,"publicationDate":"2025-02-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11831612/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143450505","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

Stress shielding influences shoulder function after reverse shoulder arthroplasty using a short stem at minimum 2 years follow-up and can be predicted using a preoperative planning software: A retrospective cohort study.

IF 1.5

Shoulder and Elbow Pub Date : 2025-02-06 DOI: 10.1177/17585732251314386

Edoardo Franceschetti, Pietro Gregori, Alice Laudisio, Chiara De Andreis, Giovanni Perricone, Giancarlo Giurazza, Michele Paciotti, Umile Giuseppe Longo, Rocco Papalia

{"title":"Stress shielding influences shoulder function after reverse shoulder arthroplasty using a short stem at minimum 2 years follow-up and can be predicted using a preoperative planning software: A retrospective cohort study.","authors":"Edoardo Franceschetti, Pietro Gregori, Alice Laudisio, Chiara De Andreis, Giovanni Perricone, Giancarlo Giurazza, Michele Paciotti, Umile Giuseppe Longo, Rocco Papalia","doi":"10.1177/17585732251314386","DOIUrl":"10.1177/17585732251314386","url":null,"abstract":"Background: The aim of the study was to assess if 3D CT-scan-based planification of distal filling ratio (DFR) is accurate when compared to postoperative DFR calculated on plain X-rays. A secondary aim was to investigate if an association between clinical outcomes and the degree of stress shielding (SS) exists.Methods: Fifty patients with short-stem reverse shoulder arthroplasties, preoperative CT scans, and a minimum 24-month radiographic follow-up were included in the study. At 24 months follow-up, all patients were evaluated by assessing the postoperative filling ratios, the 3D DFRs, the simple shoulder test, Constant-Murley score, and visual analogue scale through a prospectively data collection and statistically analyzed.Results: A correlation between the 3D DFR and SS onset (rs 0.54; P < 0.001), and between postoperative DFR and SS (rs 0.71; P < 0.001), was found. The 3D DFR and the postoperative DFR were correlated (rs 0.89; P < 0.0001). SS negatively affects the postoperative range of motion, decreasing the forward elevation of the shoulder.Conclusion: The calculation of DFR based on 3D CT planning is a good predictor of humeral SS after short-stem RTAs. The presence of SS decreases clinical outcomes by lowering the anterior elevation of the shoulder.Level of evidence: Case series.","PeriodicalId":36705,"journal":{"name":"Shoulder and Elbow","volume":" ","pages":"17585732251314386"},"PeriodicalIF":1.5,"publicationDate":"2025-02-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11803596/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143383861","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

Patterns of management for post-traumatic elbow stiffness: A comparative study of open and arthroscopic approaches.

IF 1.5

Shoulder and Elbow Pub Date : 2025-02-06 DOI: 10.1177/17585732251316466

Apurvakumar Patel, Kerollos G Ibrahim, Olamide Oshikoya, Matthew Conlon, Jason Epstein, Amir R Kachooei

{"title":"Patterns of management for post-traumatic elbow stiffness: A comparative study of open and arthroscopic approaches.","authors":"Apurvakumar Patel, Kerollos G Ibrahim, Olamide Oshikoya, Matthew Conlon, Jason Epstein, Amir R Kachooei","doi":"10.1177/17585732251316466","DOIUrl":"10.1177/17585732251316466","url":null,"abstract":"Background: Post-traumatic elbow stiffness (PTES) often results in significant functional impairment. Open elbow arthrolysis (OEA) and arthroscopic elbow arthrolysis (AEA) are two surgical management options. This study aimed to compare the incidence, demographics, and treatment patterns of patients with PTES undergoing OEA and AEA from 2014 to 2023.Methods: A retrospective analysis was conducted using the TriNetX database. Patients diagnosed with elbow stiffness (ICD-10 codes M25.621, M25.622, M25.629) were included. Rates of OEA (CPT 24149, 24006) and AEA (CPT 29837, 29838) were identified. Demographic characteristics and simultaneous surgical procedures were assessed.Results: A total of 30,624 patients were diagnosed with PTES, with 848 undergoing OEA (2.8%) and 361 undergoing AEA (1.2%). The mean age for OEA patients was 44.3 ± 17.6 years, while AEA patients had a mean age of 37.9 ± 18.9 years. OEA was more common in males (61.2%) and non-Hispanic/Latino patients (68.3%). AEA showed higher rates in younger patients and non-Hispanic/Latino individuals (72.7%).Discussion: The study highlights a preference for OEA in older patients with complex conditions, while AEA is more common in younger patients. Despite the growing trend toward minimally invasive techniques, OEA remains prevalent. Further research is needed to understand the drivers of these trends.","PeriodicalId":36705,"journal":{"name":"Shoulder and Elbow","volume":" ","pages":"17585732251316466"},"PeriodicalIF":1.5,"publicationDate":"2025-02-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11803594/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143383859","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

Arthroscopic rotator cuff repair with bioinductive patch achieves equivalent patient-reported outcomes and retear rate at 1 year.

IF 1.5

Shoulder and Elbow Pub Date : 2025-02-06 DOI: 10.1177/17585732251317954

Joshua P Castle, Johnny K Kasto, Eric X Jiang, Michael A Gaudiani, Trevor D Wolterink, Taylor Timoteo, Jacob Best, Shariff K Bishai, Patricia A Kolowich, Stephanie J Muh

{"title":"Arthroscopic rotator cuff repair with bioinductive patch achieves equivalent patient-reported outcomes and retear rate at 1 year.","authors":"Joshua P Castle, Johnny K Kasto, Eric X Jiang, Michael A Gaudiani, Trevor D Wolterink, Taylor Timoteo, Jacob Best, Shariff K Bishai, Patricia A Kolowich, Stephanie J Muh","doi":"10.1177/17585732251317954","DOIUrl":"10.1177/17585732251317954","url":null,"abstract":"Purpose: The purpose of this study was to evaluate the safety and efficacy of a bioinductive patch augmentation following arthroscopic rotator cuff repair (RCR) in terms of patient-reported outcomes, motion, and complications stratified by tear size.Methods: A retrospective review of patients undergoing primary RCR with and without bioinductive bovine collagen patch augmentation for supraspinatus/infraspinatus tears from 2014 to 2022 at two centers was performed. Exclusion criteria included: age <18 years, revisions, or lack of 6-month postoperative follow-up. Patients were propensity-score matched 2:1 to patch-augmented patients based on age, sex, BMI, and tear size. Outcomes were compared between the patch and control groups after being stratified by tear size.Results: A total of 125 patients patch augmented RCRs were matched to 250 controls. No significant differences in demographics or comorbidities between groups. Following stratification by tear size, VAS for partial and small/medium tears in the patch cohorts were lower (p = 0.02) at 3 months. Functional scores were not statistically different. Patch-augmented partial and small/medium tears showed increased forward elevation (p < 0.05) at 1-year follow-up. Retear rates were statistically similar.Conclusions: Bioinductive patch augmentation demonstrates equivalent outcomes for pain and function, retear rate, but is associated with improved forward elevation up to 1-year for partial and small/medium tears.Level of evidence: Level III, retrospective cohort study.","PeriodicalId":36705,"journal":{"name":"Shoulder and Elbow","volume":" ","pages":"17585732251317954"},"PeriodicalIF":1.5,"publicationDate":"2025-02-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11803597/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143383858","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

Response to the Letter-to-the-Editor by Dr H Duansuperwong and Prof. V Wiwanitkit.

IF 1.5

Shoulder and Elbow Pub Date : 2025-02-03 DOI: 10.1177/17585732251317590

Umar Ghilzai

引用次数: 0

ChatGPT and common shoulder pathology. ChatGPT 和常见的肩部病变。

IF 1.5

Shoulder and Elbow Pub Date : 2025-02-02 DOI: 10.1177/17585732251317503

Hinpetch Daungsupawong, Viroj Wiwanitkit

引用次数: 0

Shear wave elastography of the deltoid muscle in healthy volunteers - quantifying age-dependent normal values. 健康志愿者三角肌的剪切波弹性成像--量化与年龄相关的正常值。

IF 1.5

Shoulder and Elbow Pub Date : 2025-02-02 DOI: 10.1177/17585732251315952

David V Ivanov, Jacob E Voelkel, Hugo Giambini, Joaquin Sanchez-Sotelo, Jaydev K Dave, Tobias Kummer

{"title":"Shear wave elastography of the deltoid muscle in healthy volunteers - quantifying age-dependent normal values.","authors":"David V Ivanov, Jacob E Voelkel, Hugo Giambini, Joaquin Sanchez-Sotelo, Jaydev K Dave, Tobias Kummer","doi":"10.1177/17585732251315952","DOIUrl":"10.1177/17585732251315952","url":null,"abstract":"Introduction: Reverse shoulder arthroplasty (RSA) is performed for various shoulder pathologies. Inadequate tensioning of the deltoid muscle can lead to complications, highlighting the need for optimization. Preoperative quantification of deltoid health may improve operative execution and outcomes. Shear wave elastography (SWE) quantifies stiffness as a marker for muscle health and tensioning. This study establishes normal reference values for the deltoid in healthy individuals.Methods: 40 participants were enrolled, 10 in each 18-30, 31-40, 41-55, and 55 + age groups. Two operators performed SWE in 3 deltoid regions, and the intra- and inter-operator agreement was assessed.Results: Mean values were 23.2 ± 4.6, 26.4 ± 5.6, and 17.9 ± 5.2 kPa for the anterior, lateral, and posterior regions. The posterior region did not show any age dependency. However, there were significant differences between the age groups of 18-30 and 55 + years in the anterior (19.7 ± 3.7 vs. 26.7 ± 5.3 kPa) and lateral (22.0 ± 5.4 vs. 30.2 ± 8.8 kPa). Intra-operator reliability ranged from 0.45 to 0.60, and inter-reader agreement from 0.57 to 0.85.Conclusion: This study provides reference values of deltoid stiffness which could serve as a comparison with clinical measurements for RSA operative planning and execution and prediction of surgical outcomes.","PeriodicalId":36705,"journal":{"name":"Shoulder and Elbow","volume":" ","pages":"17585732251315952"},"PeriodicalIF":1.5,"publicationDate":"2025-02-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11789036/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143190808","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