Shoulder and Elbow最新文献

{"title":"Gender influence on career trajectory as a shoulder and elbow surgeon.","authors":"Christopher W Haff, Justin T Childers, Jessica M Forbes, Benjamin T Lack, Garrett R Jackson, Vani J Sabesan","doi":"10.1177/17585732241310513","DOIUrl":"10.1177/17585732241310513","url":null,"abstract":"<p><strong>Background: </strong>Women continue to make up a minority of orthopedic surgeons, especially shoulder and elbow surgeons. There exists no study that investigates the effect of gender on one's academic career as a shoulder and elbow orthopedic surgeon, which was the purpose of this cross-sectional study.</p><p><strong>Methods: </strong>The American Shoulder and Elbow Surgeons website was used to identify surgeons. Demographics, education, and current professional roles were obtained using the websites of institutions, hospital employers, physicians, LinkedIn, and Doximity. Research productivity metrics were obtained using SCOPUS and Google Scholar. Outcome measures included current academic/leadership roles, and research productivity. Statistical analysis was performed using the Chi-squared test and Mann-Whitney <i>U</i> test.</p><p><strong>Results: </strong>Totally, 893 surgeons were identified, 60 being female (6.7%). Males had a significantly higher average <i>h</i>-index (<i>P </i>= 0.003), total number of publications (<i>P </i>= 0.019), citations (<i>P </i>= 0.03) and ASES membership ranks than female surgeons (<i>P </i>= 0.037; <i>P </i>= 0.004). There were no significant differences between genders in current professional or leadership roles.</p><p><strong>Discussion: </strong>Female surgeons had a significantly lower number of citations, publications, and <i>h</i>-index but equal leadership positions such as fellowship director, residency director, chief of service, and department chair compared to their male counterparts.</p><p><strong>Level of evidence: </strong>Level III, cross-sectional study.</p>","PeriodicalId":36705,"journal":{"name":"Shoulder and Elbow","volume":" ","pages":"17585732241310513"},"PeriodicalIF":1.5,"publicationDate":"2025-01-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11758429/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143047921","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":"Outcomes of utilizing double-incision technique with combination of cortical button and interference screw fixation for distal biceps rupture: A case series.","authors":"Brandon T Fisher, Alexander Cm Chong, Kevin P Feltz, Howard T Berglund, Jason L Hurd","doi":"10.1177/17585732241312212","DOIUrl":"10.1177/17585732241312212","url":null,"abstract":"<p><strong>Background: </strong>Distal biceps tendon rupture is an injury that causes a significant reduction in strength and endurance. Combined cortical button and interference screw fixation has been utilized via single-incision technique. There are limited data describing this technique utilizing a double-incision approach. This study describes patient outcomes for primary distal biceps repair with combined cortical button and interference screw fixation via double-incision approach.</p><p><strong>Methods: </strong>This is a case series analysis of patients within a single Midwest institution between January 2006 and February 2020. We examined patient demographics, intraoperative efficiency variables, patient outcomes, and postoperative complications.</p><p><strong>Results: </strong>Sixty-two cases were included (62 males; 44 acute complete ruptures, 1 acute partial rupture, 8 chronic complete ruptures, 9 chronic partial ruptures). Average operative time was 48 ± 23 min. Nonformal manner postoperative range of motion (ROM) results show 89%-92% within satisfactory elbow ROM parameters. There were two reported postoperative complications, but no instances of neurapraxia, wound dehiscence, synostosis, proximal radius fracture, or fixation failure.</p><p><strong>Conclusion: </strong>The findings of this study demonstrate that the described technique is safe, reliable, and effective. This will help surgeons determine the best method of fixation and approach with the goal of minimizing postoperative complications in patients with distal biceps ruptures.</p>","PeriodicalId":36705,"journal":{"name":"Shoulder and Elbow","volume":" ","pages":"17585732241312212"},"PeriodicalIF":1.5,"publicationDate":"2025-01-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11755422/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143047922","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":"Assessment of upper extremity functional capacity in following osteosynthesis for upper limb fractures using a novel method for determining total reachable workspace.","authors":"Felipe de Souza Serenza, Marília Manuella Simões Augusto Rizzato, Fernando Vieira, Kevin James McQuade, Anamaria Siriani de Oliveira","doi":"10.1177/17585732241313363","DOIUrl":"10.1177/17585732241313363","url":null,"abstract":"<p><strong>Objective: </strong>This study aimed to assess reachable workspace (RWS) in patients post-osteosynthesis of shoulder, elbow, or wrist fractures and explore correlations with self-reported function and kinesiophobia.</p><p><strong>Design: </strong>An observational case-control study compared patients with fractures to a control group, utilizing questionnaires and 3D kinematic data.</p><p><strong>Participants: </strong>The sample included 66 individuals who had undergone osteosynthesis: 21 with shoulder fractures, 10 with elbow fractures, and 22 with wrist fractures. A control group of 23 participants without upper limb pathologies was also established. Inclusion criteria were ages 18-80 and recent surgery; exclusions were previous upper limb surgeries, cervical pathologies, systemic diseases or nerve injuries.</p><p><strong>Main outcome measure: </strong>RWS, the three-dimensional volume the hand can reach, was measured with participants standing. Kinesiophobia was assessed using the Tampa Scale of Kinesiophobia (TKS), and physical disability and pain were measured using the DASH questionnaire and the Numeric Pain Rating Scale (NPRS).</p><p><strong>Results: </strong>Fracture groups exhibited significant RWS reductions (62-85%) compared to the control group, with no significant differences among the fracture types. RWS showed a high correlation with TKS (R = 0.77) and a moderate correlation with DASH (R = 0.52).</p><p><strong>Conclusion: </strong>RWS is a promising biomechanical parameter for assessing upper limb function post-fracture, aiding in refining rehabilitation protocols.</p>","PeriodicalId":36705,"journal":{"name":"Shoulder and Elbow","volume":" ","pages":"17585732241313363"},"PeriodicalIF":1.5,"publicationDate":"2025-01-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11752143/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143030022","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":"Results of open reduction and internal fixation of proximal humerus fractures using a proximal humeral plating system with smooth pegs.","authors":"Christoffer Kjaer, Magnus Hillblom, Emma Lenholm, Helena Boström Windhamre, Anders Ekelund","doi":"10.1177/17585732241309582","DOIUrl":"10.1177/17585732241309582","url":null,"abstract":"<p><strong>Background: </strong>The aim of this study was to evaluate clinical results and complication rate in patients with proximal humeral fracture treated with Anatomical Locking Plate System (A.L.P.S.) Proximal Humeral Plating System with smooth pegs.</p><p><strong>Methods: </strong>Retrospective evaluation of 116 consecutive patients treated with A.L.P.S. Proximal Humeral Plating System. Shoulder function was evaluated by Constant score and disabilities of arm, shoulder and hand (DASH). Furthermore, European Quality of life 5 Dimensions (EQ-5D) and single shoulder value (SSV) were assessed. Fractures were classified according to Neer.</p><p><strong>Results: </strong>Fifty-two patients were included with a mean follow-up of 49 months. Mean Constant score was 62.8. Mean DASH was 17, and the mean EQ-5D was 0.91. According to Neer classification 63% (<i>n</i> = 33) of the fractures were two-part, 31% (<i>n</i> = 16) three-part, and 6% (<i>n</i> = 3) four-part fractures. Peg penetration was registered in 13 cases (25%, <i>n</i> = 52). In total a reoperation rate of 23% (<i>n</i> = 12) and an overall complication rate of 37% (<i>n</i> = 19) were recorded.</p><p><strong>Discussion/conclusion: </strong>Open reduction and plate fixation with the A.L.P.S. Proximal Humeral Plating System with smooth pegs provides a stable fixation with good clinical outcome and complication and reoperation rates in line with previous studies with plates using screws in the humeral head.</p>","PeriodicalId":36705,"journal":{"name":"Shoulder and Elbow","volume":" ","pages":"17585732241309582"},"PeriodicalIF":1.5,"publicationDate":"2025-01-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11736732/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143013156","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":"Full-thickness arthroscopic rotator cuff repair demonstrates low repair failure rates and high return to sport rates in patients aged 30 years and under at 9-year follow-up: A single-center case series.","authors":"Anna M Ifarraguerri, Alexander N Berk, Kennedy K Gachigi, Michael S Collins, Aseel Dib, Patrick Siparsky, Shadley Schiffern, Nady Hamid, Anthony Martin, Bryan M Saltzman","doi":"10.1177/17585732241312192","DOIUrl":"10.1177/17585732241312192","url":null,"abstract":"<p><strong>Purpose: </strong>The purpose of this study is to assess the long-term clinical complications, outcomes, and return to sport (RTS) rates in patients aged 30 or younger with a primary full-thickness arthroscopic rotator cuff repair (ARCR).</p><p><strong>Methods: </strong>All patients who underwent a primary full-thickness ARCR at age 30 years or younger from 2003 to 2021 with a minimum of a 2-year follow-up were included. Complications, repeat surgeries, and return to sport rates were collected.</p><p><strong>Results: </strong>32 patients underwent primary full-thickness rotator cuff repair with a mean follow-up of 9.3[2.7-17.9] years. 5(15.6%) patients had postoperative shoulder stiffness, and persistent postoperative shoulder pain was reported in 4(12.5%) patients. There were 3(9.4%) reported repair failures, with complete rotator cuff re-tears reported in 2(6.3%) shoulders and partial rotator cuff re-tear in 1(3.1%) shoulder. There were 4(12.5%) reoperations at an average of 8.7[0.65-22.7] months from primary rotator cuff repair and 2(6.3%) revision rotator cuff repairs. There was a 78.6% RTS rate at an average of 6.5[4-12] months postoperatively, with 8(72.7%) athletes returning to the sport at the same level they initially participated in pre-surgery.</p><p><strong>Conclusion: </strong>Patients aged 30 and under who underwent full-thickness ARCR experienced promising clinical outcomes at an average 9-year follow-up.</p><p><strong>Study design: </strong>Retrospective Case Series; Level of Evidence, 4.</p>","PeriodicalId":36705,"journal":{"name":"Shoulder and Elbow","volume":" ","pages":"17585732241312192"},"PeriodicalIF":1.5,"publicationDate":"2025-01-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11726496/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142985033","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":"Trends in treatment and epidemiology of radial head fractures.","authors":"Kassem Ghayyad, Saumya Kapoor, Tyler F Beaudoin, Apurvakumar Patel, Luke S Oh, Daryl C Osbahr, G Russell Huffman, Amir R Kachooei","doi":"10.1177/17585732241303156","DOIUrl":"10.1177/17585732241303156","url":null,"abstract":"<p><strong>Objective: </strong>We aimed to assess the recent trends in the demographics of radial head and neck fractures and their management based on displacement.</p><p><strong>Methods: </strong>TriNetX was queried for cases from 1 January 2017, through 31 December 2022. ICD diagnosis codes were used to define patient cohorts with radial head or neck fractures. CPT codes were searched to determine the operative patient cohorts. All cases not included under any CPT codes were defined as the nonoperative cohort.</p><p><strong>Results: </strong>A total of 103,432 patients were included. The female-to-male ratio was 4:3. The average age of individuals with radial head fractures was 43 ± 25 years, with a greater age in the replacement cohort compared to the fixation group. The incidence rates of displaced and nondisplaced fractures were similar across the years. Nonoperative management was overwhelmingly preferred over operative management. Regarding operative management, internal fixation rates were higher than replacement rates.</p><p><strong>Conclusion: </strong>The trend of fracture incidence and the type of operative management has remained constant over the past 6 years. However, an increase in the number of radial head replacements is expected with an aging population. Moreover, radial head and neck fractures are among the benign injuries most frequently managed nonoperatively.</p>","PeriodicalId":36705,"journal":{"name":"Shoulder and Elbow","volume":" ","pages":"17585732241303156"},"PeriodicalIF":1.5,"publicationDate":"2025-01-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11713945/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142972452","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":"Correlation of scapular Dyskinesia and hand grip strength in students with smartphone addiction pursuing a bachelor's degree in healthcare profession education.","authors":"Mamta Shetty, Sreemaya Sathyadas, Aliza Sabu Thomas, Liya Jayan Veenedathu, Revati Vichare, Prathna Thakkar, Adnyey Surve","doi":"10.1177/17585732241309088","DOIUrl":"10.1177/17585732241309088","url":null,"abstract":"<p><strong>Background: </strong>Hand grip strength is a critical indicator of upper extremity function, especially important in healthcare professions. Effective upper extremity function relies on proximal stability from the scapula and distal mobility from hand actions. This study aimed to examine the relationship between scapular dyskinesia and hand grip strength in healthcare students with smartphone addiction.</p><p><strong>Methodology: </strong>A descriptive cross-sectional study was conducted with 63 students with smartphone addiction. Scapular dyskinesia was measured using Lateral Scapular Slide Test (LSST) at neutral, 45 and 90 degrees. Hand grip strength was measured using the Jamar Hydraulic hand dynamometer. The Short version of Smartphone Addiction Scale (SAS-SV) questionnaire assessed the severity of smartphone addiction, while the Disability of Arm, Shoulder and Hand (DASH) questionnaire evaluated the impact on upper extremity function.</p><p><strong>Results: </strong>A negative correlation was found between LSST at 45degrees and hand grip strength. However, no significant correlation was observed between SAS-SV, DASH, and scapular dyskinesia.</p><p><strong>Conclusion: </strong>Findings of the present study report a negative association between scapular dyskinesia at 45 degrees of LSST and hand grip strength. This suggests greater the scapular dyskinesis, lower will be the hand grip strength.</p>","PeriodicalId":36705,"journal":{"name":"Shoulder and Elbow","volume":" ","pages":"17585732241309088"},"PeriodicalIF":1.5,"publicationDate":"2025-01-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11707764/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142956333","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":"Stress shielding in reverse shoulder arthroplasty using a proximally coated stem for proximal humeral fractures: Does it have clinical relevance?","authors":"Francesc Goñalons-Giol, Cristina Ventura-Parellada, Javier Alonso-Rodríguez-Piedra, Xavier Llorens-Martínez, Ferran Gàmez-Baños, José-María Mora-Guix","doi":"10.1177/17585732241309899","DOIUrl":"https://doi.org/10.1177/17585732241309899","url":null,"abstract":"<p><strong>Objectives: </strong>To evaluate the clinical significance of stress shielding in patients who have undergone an uncemented reverse shoulder arthroplasty (RSA) with a proximally coated stem for complex proximal humeral fractures (PHF) comprising 3 or 4 parts, assessed at 2 years postoperatively. Additionally, this study aims to examine the correlation between tuberosity healing and clinical outcomes.</p><p><strong>Methods: </strong><b>Setting:</b> Single Centre.<b>Patient Selection Criteria:</b> 43 patients underwent surgery involving a cementless RSA with an anatomical stem (Mini Stem of Zimmer Biomet ^® Comprehensive System) following an acute 3- or 4-part or 4-part with luxation PHF within 4 weeks of injury. Patients who were excluded from the study included those who passed away, did not have a minimum 2-year follow-up, or had undergone cemented RSAs or alternative humeral components, as well as those who required RSA due to fracture sequelae.<b>Outcome Measures and Comparisons:</b> Stress shielding, tuberosity healing and its positioning were evaluated. Clinical-functional assessments were made using the Constant and ASES scores. Furthermore, quality of life assessments, including QuickDASH score, SF-12, satisfaction test (SANE) and Visual Analogue Scale (VAS) were performed.</p><p><strong>Results: </strong>Of the total shoulders, 6 (13.9%) were excluded, leaving 37 PHFs that met the inclusion criteria. The mean age at the time of surgery was 72 years (range, 61-85). Stress shielding was observed in 31 shoulders (83.8%). There was no observed correlation between stress shielding and clinical-functional or quality of life assessments. The greater tuberosity in patients without stress shielding was found to be above the tray (66.7%) (<i>P</i> < 0.05). Tuberosity healing was observed in 94.6% (35/37) of the shoulders.</p><p><strong>Conclusions: </strong>No significant clinical difference was observed between patients with and without stress shielding in terms of short-term functional outcomes. Successful consolidation of the tuberosities can be attained even in cases with notable stress shielding.</p><p><strong>Level of evidence: </strong>Level IV; Case Series; Treatment study.</p>","PeriodicalId":36705,"journal":{"name":"Shoulder and Elbow","volume":" ","pages":"17585732241309899"},"PeriodicalIF":1.5,"publicationDate":"2025-01-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11705294/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142956335","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":"Limited health literacy in shoulder and elbow patients.","authors":"Melissa A Wright, Danielle S Shapiro, Aman Chopra, Anand M Murthi","doi":"10.1177/17585732231197171","DOIUrl":"10.1177/17585732231197171","url":null,"abstract":"<p><strong>Background: </strong>The aim of this study was to evaluate health literacy in orthopedic shoulder and elbow patients.</p><p><strong>Methods: </strong>This retrospective cross-sectional study included all new English-speaking adult patients presenting to two fellowship-trained shoulder and elbow surgeons from October 2020-July 2021. Patients who did not complete the Brief Health Literacy Screen Tool (BRIEF) were excluded, leaving 594 patients. Patient demographics and patient-reported outcome scores were also collected.</p><p><strong>Results: </strong>Average BRIEF score was 18.7 (range, 4-20), with limited health literacy (BRIEF <17) in 84 patients (14.1%). Patients with limited health literacy were significantly older (58 ± 18 vs. 54 ± 15 years, p = 0.03), less likely to be employed (34 [40%] vs. 332 [65%], p < 0.001), and less likely to have private insurance (35 [42%] vs. 330 [65%], p < 0.001). Average area deprivation index percentile was significantly higher (more deprivation) with limited (38 ± 20) compared to adequate health literacy (32 ± 21; p = 0.027). PROMIS physical (40.5 ± 8.5 vs. 45.5 ± 7.6, p = 0.001) and mental health scores (46.9 ± 10.5 vs. 51.0 ± 8.6, p = 0.015) and pain visual analog scale scores (5.3 ± 2.9 vs. 4.6 ± 2.7, p = 0.017) were significantly worse with limited health literacy.</p><p><strong>Discussion: </strong>Limited health literacy is present in shoulder and elbow patients and may affect patient-reported outcomes. Surgeons must recognize this in order to provide high-level equitable care.</p><p><strong>Level of evidence: </strong>Level III, retrospective cohort.</p>","PeriodicalId":36705,"journal":{"name":"Shoulder and Elbow","volume":"194 1","pages":"36-42"},"PeriodicalIF":1.5,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11755593/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74237326","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":"Is the use of abduction pillows crucial for post-operative rehabilitation following reverse total shoulder arthroplasty?","authors":"Mark M Cullen, Eric Warren, Eoghan T Hurley, Daniel E Goltz, Samuel Lorentz, Bryan S Crook, Kwabena Adu-Kwarteng, Jay M Levin, Christopher S Klifto, Oke A Anakwenze","doi":"10.1177/17585732241309019","DOIUrl":"10.1177/17585732241309019","url":null,"abstract":"<p><strong>Background: </strong>Surgeons often use abduction pillows after reverse total shoulder arthroplasty (rTSA), but evidence for their benefits is limited. This study compares outcomes for patients using a sling with or without an abduction pillow post-operatively.</p><p><strong>Methods: </strong>A retrospective review was conducted on patients undergoing primary rTSA. Patients were grouped based on post-operative use of an abduction pillow or not. Data was collected at 6 weeks, 3 months, 6 months, 1 year, and final follow-up. Primary outcomes included rates of post-operative dislocation, range of motion, and patient-reported outcomes.</p><p><strong>Results: </strong>Patients using an abduction pillow showed reduced forward flexion at 3 months (120° vs. 139°, p = 0.002) and 6 months (135° vs. 147°, p = 0.049). At 6 weeks, abduction was lower in the pillow group (90° vs. 124°, p = 0.01). There were no significant differences in other range-of-motion metrics or patient-reported outcomes. Using no pillow did not increase dislocation risk (OR: 1.67, p = 0.60), infection, readmission, revision, or repeat surgery rates.</p><p><strong>Conclusions: </strong>Post-operative sling use without an abduction pillow after rTSA appears safe, with no increase in complications and similar patient satisfaction and outcomes.</p><p><strong>Level of evidence: </strong>Therapeutic Level III.</p>","PeriodicalId":36705,"journal":{"name":"Shoulder and Elbow","volume":" ","pages":"17585732241309019"},"PeriodicalIF":1.5,"publicationDate":"2024-12-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11683843/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142915868","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}