Shoulder and Elbow最新文献_第4页

Acute distal biceps tendon rupture repair comparing single versus double-incision technique: A retrospective study with follow-up. 急性二头肌远端肌腱断裂修复单切口与双切口技术的比较：回顾性随访研究。

IF 1.5

Shoulder and Elbow Pub Date : 2025-07-07 DOI: 10.1177/17585732251352745

Gard Kallhovd, Stein Atle Lie, Johannes Cornelis Schrama, Pål Høvding, Yngvar Krukhaug

{"title":"Acute distal biceps tendon rupture repair comparing single versus double-incision technique: A retrospective study with follow-up.","authors":"Gard Kallhovd, Stein Atle Lie, Johannes Cornelis Schrama, Pål Høvding, Yngvar Krukhaug","doi":"10.1177/17585732251352745","DOIUrl":"10.1177/17585732251352745","url":null,"abstract":"Background: Single-incision (SI) and double-incision (DI) techniques are used for acute distal biceps tendon rupture repair. The purpose of this retrospective cohort study with follow-up was to examine if there is a difference between the techniques on early- and long-term outcomes.Methods: Hospital records from Haukeland University Hospital, Norway, (2007-2017) involving acute distal biceps tendon rupture repair matching inclusion criteria were analysed. Follow-up included assessing symptomatic and functional outcome, quality-of-life outcome (QuickDASH and EQ-5D), visual assessment scale (pain), and subjective health score. A smoking history was obtained.Results: We included 102 elbows in 100 patients, 99 males. Overall early complication rate was higher for the SI technique compared to the DI technique (25/43 vs. 11/58; p < 0.001). Long-term complications showed no statistically significant difference between the SI and DI technique (12/43 vs. 8/58; p = 0.078). The pronation range of motion favoured the SI technique compared to the DI technique (89.3° vs. 85.1°; p = 0.014). Supination strength favoured the DI technique compared to the SI technique (98.7 vs. 94.5; p = 0.030). Supination strength favoured non-smokers compared to former smokers (99.5 vs. 93.2; p = 0.009). The two techniques had similar quality-of-life outcomes.Conclusion: The DI technique has a lower risk of short-term complications. Both techniques have comparable symptomatic, functional, and quality-of-life long-term outcomes.","PeriodicalId":36705,"journal":{"name":"Shoulder and Elbow","volume":" ","pages":"17585732251352745"},"PeriodicalIF":1.5,"publicationDate":"2025-07-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12234512/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144601791","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

Mediators and moderators of scapular focused interventions on shoulder disability in individuals with chronic shoulder pain: Secondary analysis of a randomized controlled trial. 慢性肩关节疼痛患者肩关节失能的调节因子和调节因子：一项随机对照试验的二次分析

IF 1.5

Shoulder and Elbow Pub Date : 2025-07-07 DOI: 10.1177/17585732251354920

Danilo Harudy Kamonseki, Daniel Cury Ribeiro, Melina Nevoeiro Haik, Larissa Pechincha Ribeiro, Rafaela Firmino Almeida, Paula Rezende Camargo

{"title":"Mediators and moderators of scapular focused interventions on shoulder disability in individuals with chronic shoulder pain: Secondary analysis of a randomized controlled trial.","authors":"Danilo Harudy Kamonseki, Daniel Cury Ribeiro, Melina Nevoeiro Haik, Larissa Pechincha Ribeiro, Rafaela Firmino Almeida, Paula Rezende Camargo","doi":"10.1177/17585732251354920","DOIUrl":"10.1177/17585732251354920","url":null,"abstract":"Objective: To explore potential mediators of treatment effect and moderators of scapular-focused interventions on shoulder disability at 12-week follow-up in patients with chronic shoulder pain.Design: Secondary analysis of a randomized controlled trial that compared the effects of scapular movement training with standardized exercises.Methods: Sixty-four participants with chronic shoulder pain were enrolled in the trial, of whom 58 completed the 12-week follow-up and were included in these analyses. Shoulder disability was assessed with Disabilities of the Arm, Shoulder and Hand (DASH) questionnaire. Potential mediators were scapular upward rotation, kinesiophobia, and fear avoidance beliefs. Potential moderators were kinesiophobia, fear avoidance beliefs, and duration of symptoms.Results: Kinesiophobia, fear avoidance, and scapular upward rotation did not (p >0 .05) mediate the effects of scapular focused interventions on shoulder disability. Our sensitivity analyses indicated that the findings are likely to change because there were some small residual confounding factors between those mediators and the shoulder disability scores at 12 weeks. Kinesiophobia, fear avoidance, and duration of symptoms did not moderate the effects of the intervention on shoulder disability.Conclusions: Kinesiophobia, fear avoidance, duration of symptoms, and scapular upward rotation did not mediate or moderate the effects of scapular-focused interventions on shoulder disability at 12-week follow-up.","PeriodicalId":36705,"journal":{"name":"Shoulder and Elbow","volume":" ","pages":"17585732251354920"},"PeriodicalIF":1.5,"publicationDate":"2025-07-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12234523/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144601792","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

Three-dimensional range of motion of the clavicle, scapula, and humerus during functional reach in adults aged 45-75. 45-75岁成人功能伸展期间锁骨、肩胛骨和肱骨的三维活动范围。

IF 1.5

Shoulder and Elbow Pub Date : 2025-07-02 DOI: 10.1177/17585732251352452

Liza Am Pain, Ross Baker, Qazi Zain Sohail, Debbie Hebert, Anne Mr Agur

{"title":"Three-dimensional range of motion of the clavicle, scapula, and humerus during functional reach in adults aged 45-75.","authors":"Liza Am Pain, Ross Baker, Qazi Zain Sohail, Debbie Hebert, Anne Mr Agur","doi":"10.1177/17585732251352452","DOIUrl":"10.1177/17585732251352452","url":null,"abstract":"Background: Given the limited data regarding three-dimensional clavicular/scapular/humeral rotations of pain-free shoulders in older adults, additional data is required for surgical planning and rehabilitation goal-setting in this population. This observational study aims to provide normative data regarding three-dimensional clavicular/scapular/humeral range required for daily activities in 45-75 year-old individuals.Methods: Three-dimensional clavicular/scapular/humeral joint ranges were simultaneously recorded using digitization methods. Descriptive statistics were quantified during six functional reaching positions (n = 40 shoulders) for 45-75 year-old participants. Clavicular/scapular/humeral rotations that contributed to the total angle of humeral elevation in flexion, abduction, and during hand-to-head reaching were calculated.Results: Specific movement patterns were identified in each of the six reaching positions. Normative data for \"clavicular elevation:scapular lateral rotation:humeral elevation\" ratios were 1°:2°:9° (flexion), 1°:3°:10° (hand-to-head; scapular-plane humeral elevation), and 1°:3°:11° (abduction).Discussion: Coronal plane clavicular/scapular/humeral rotations contributed to arm elevation height. Transverse plane rotations contributed to positioning the arm toward/away from midline. Sagittal plane clavicular/scapular/humeral rotations contributed to arm positioning in-front/behind the body and subacromial joint alignment. This normative data regarding simultaneous three-dimensional clavicular/scapular/humeral rotations during functional reach enables comparative analysis when evaluating shoulder pain/pathology in older adults.","PeriodicalId":36705,"journal":{"name":"Shoulder and Elbow","volume":" ","pages":"17585732251352452"},"PeriodicalIF":1.5,"publicationDate":"2025-07-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12222106/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144576545","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

Increased complications and similar patient recorded outcomes after shoulder arthroplasty in patients with functional somatic syndromes. 功能性躯体综合征患者肩关节置换术后并发症增加，但患者记录的疗效相似。

IF 1.5

Shoulder and Elbow Pub Date : 2025-07-01 Epub Date: 2024-05-30 DOI: 10.1177/17585732241258176

Michael A Gaudiani, Susan G Wager, Lawrence C Enweze, Matthew A Gasparro, Spencer R Brown, Tala Al-Saghir, Katherine M Keith, Johnny K Kasto, Stephanie J Muh, Jared M Mahylis

{"title":"Increased complications and similar patient recorded outcomes after shoulder arthroplasty in patients with functional somatic syndromes.","authors":"Michael A Gaudiani, Susan G Wager, Lawrence C Enweze, Matthew A Gasparro, Spencer R Brown, Tala Al-Saghir, Katherine M Keith, Johnny K Kasto, Stephanie J Muh, Jared M Mahylis","doi":"10.1177/17585732241258176","DOIUrl":"10.1177/17585732241258176","url":null,"abstract":"Background: The purpose of this study was to compare patient-reported outcomes measures, complication rates, and return to hospital in a cohort of patients undergoing anatomic total shoulder arthroplasty (aTSA) or reverse total shoulder arthroplasty (rTSA) with at least one functional somatic syndrome (FSS) to a control cohort.Methods: A retrospective review identifying patients who underwent rTSA or aTSA from 2015 to 2022 was performed. Patients with one or more FSS diagnosis (irritable bowel syndrome, chronic headache, chronic low back pain, or fibromyalgia) were compared against a control cohort. Demographic data, comorbidities, operative data, and patient recorded outcomes including Patient-Reported Outcomes Measurement Information System (PROMIS) Upper Extremity (UE), Pain Interference (PI), and Depression (D) were collected. A 1:1 propensity matching to control for age, gender, and body mass index was performed.Results: A total of 54 patients in the FSS cohort and 125 control patients without FSS were included. The FSS cohort had significantly higher rates of depression (p < 0.001), anxiety (p < 0.001), and postoperative complications (35.2% vs. 14.4%, p = 0.002). No significant differences in change in PROMIS-UE, -PI, and -D scores or proportion meeting minimal clinically important difference were seen at one year among the propensity-matched cohort.Discussion: Patients with FSS undergoing shoulder arthroplasty had higher rates of complications; however, PROMIS scores were similar between cohorts.Level of evidence: Level III.","PeriodicalId":36705,"journal":{"name":"Shoulder and Elbow","volume":" ","pages":"298-307"},"PeriodicalIF":1.5,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11562329/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142648954","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

What influences the decision to undergo rotator cuff repair surgery: A survey of clinician's perspectives. 是什么影响了接受肩袖修复手术的决定？临床医生观点调查。

IF 1.1

Shoulder and Elbow Pub Date : 2025-07-01 Epub Date: 2024-10-10 DOI: 10.1177/17585732241281743

Lisa Pitt, Bruno Mazuquin, Chris Littlewood

{"title":"What influences the decision to undergo rotator cuff repair surgery: A survey of clinician's perspectives.","authors":"Lisa Pitt, Bruno Mazuquin, Chris Littlewood","doi":"10.1177/17585732241281743","DOIUrl":"10.1177/17585732241281743","url":null,"abstract":"Background: Many factors may influence a patient's decision to undergo rotator cuff repair surgery. The aim of this survey was to understand from a clinician's perspective how different factors influence the likelihood of a patient undergoing a repair.Methods: An online survey presenting a range of clinical scenarios was distributed through professional networks to understand how each patient related factor influenced the likelihood of a patient undergoing a rotator cuff repair.Results: One hundred three clinicians completed the survey. Clinicians indicated that patients were more likely to undergo a repair if they were younger, had a traumatic or larger tear, high pain levels (64.1%), high functional demands (93.2%), and arm weakness (86.4%). Surgery was less likely in older patients who had degenerative or smaller tears, diabetics (62.1%), smokers (78.9%) and those with high body mass index (57.3%). 74.8% of clinicians indicated a repair was more likely if the patient expected that surgery was required to improve symptoms.Discussion: From a clinician's perspective, the decision to undergo surgery is complex, it is influenced by onset, age, tear size and other health related factors. Patient expectations of treatment also appear to influence the decision, and this is an area that needs further exploration.","PeriodicalId":36705,"journal":{"name":"Shoulder and Elbow","volume":" ","pages":"341-347"},"PeriodicalIF":1.1,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11559883/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142636129","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Achievement of the patient acceptable symptom state following total shoulder arthroplasty with nonspherical humeral head and inlay glenoid. 使用非球形肱骨头和镶嵌式盂成形术进行全肩关节成形术后，患者可接受的症状状态。

IF 1.5

Shoulder and Elbow Pub Date : 2025-07-01 Epub Date: 2024-06-18 DOI: 10.1177/17585732241262742

Andrew D Posner, Michael C Kuna, James M Puleo, Jeremy D Carroll, Ian D Hutchinson, Joseph P Zimmerman

{"title":"Achievement of the patient acceptable symptom state following total shoulder arthroplasty with nonspherical humeral head and inlay glenoid.","authors":"Andrew D Posner, Michael C Kuna, James M Puleo, Jeremy D Carroll, Ian D Hutchinson, Joseph P Zimmerman","doi":"10.1177/17585732241262742","DOIUrl":"10.1177/17585732241262742","url":null,"abstract":"Background: Total shoulder arthroplasty (TSA) with a nonspherical humeral head component and inlay glenoid is a bone preserving treatment for glenohumeral arthritis. This study aims to describe minimum two year patient reported outcomes, patient acceptable symptomatic state (PASS) achievement, and complications following TSA with this prosthesis.Methods: A retrospective review of patients undergoing TSA with nonspherical humeral head and inlay glenoid was performed. Outcomes included Single Assessment Numeric Evaluation (SANE) scores, American Shoulder and Elbow Surgeons (ASES) scores, and complications. SANE and ASES scores were compared to established PASS threshold values to determine PASS achievement.Results: 56 TSA in 53 patients were identified. The mean age was 64.5 years, 64% were male, and mean follow-up was 29.2 ± 4.9 months (24.0-42.8). Two complications (3.6%) were observed: one subscapularis tear requiring revision to reverse TSA and one traumatic minimally displaced greater tuberosity fracture successfully treated nonoperatively. The mean SANE score was 84.3 ± 16.9 (40-100) and 77% of patients surpassed the PASS threshold of 75.5. The mean ASES score was 85.3 ± 15.7 (40-100) and 77% of patients surpassed the PASS threshold of 76.Discussion: Patients undergoing TSA with a nonspherical humeral head and inlay glenoid demonstrated high PASS achievement rates and few complications at short-term follow-up.","PeriodicalId":36705,"journal":{"name":"Shoulder and Elbow","volume":" ","pages":"308-315"},"PeriodicalIF":1.5,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11577554/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142689084","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Outpatient shoulder arthroplasty: An updated systematic review, meta-analysis, and trial sequential analysis on clinical outcomes and cost-effectiveness. 门诊肩关节置换术：关于临床结果和成本效益的最新系统综述、荟萃分析和试验序贯分析。

IF 1.5

Shoulder and Elbow Pub Date : 2025-06-25 DOI: 10.1177/17585732251349754

Ahmed Al-Saadawi, Sam Tehranchi, Richard Benson, David Rose, Obinna Jude Nzeako

{"title":"Outpatient shoulder arthroplasty: An updated systematic review, meta-analysis, and trial sequential analysis on clinical outcomes and cost-effectiveness.","authors":"Ahmed Al-Saadawi, Sam Tehranchi, Richard Benson, David Rose, Obinna Jude Nzeako","doi":"10.1177/17585732251349754","DOIUrl":"10.1177/17585732251349754","url":null,"abstract":"Background: Outpatient shoulder arthroplasty has become increasingly popular in recent years. The aim of this study was to compare clinical outcomes and procedural costs between outpatient and inpatient shoulder arthroplasty.Methods: Five databases were searched from their inception to November 7th, 2024. Meta-analysis and trial sequential analysis were conducted to compare complications, readmission, revision surgery, and emergency department attendance between the two approaches. Procedural costs were reported descriptively.Results: Thirty-four studies were included in the review. The meta-analysis revealed that medical complications (OR: 0.59, P = 0.0004) were significantly lower in the outpatient setting. No significant differences in total complications (OR: 0.74, P = 0.06), surgical complications (OR: 0.90, P = 0.59), readmission (OR: 1.08, P = 0.67), revision surgery (OR: 0.85, P = 0.15), or emergency department attendance (OR: 0.93, P = 0.68) were observed between the two approaches. The trial sequential analysis indicated that only the meta-analysis of total complications met the required information size to be considered conclusive and not at risk of random error. Outpatient surgery was associated with significantly lower procedural costs.Conclusion: Outpatient shoulder arthroplasty is cost-effective and can yield non-inferior outcomes compared to the inpatient approach. However, further research is required to strengthen the evidence base.Level of evidence: IV.","PeriodicalId":36705,"journal":{"name":"Shoulder and Elbow","volume":" ","pages":"17585732251349754"},"PeriodicalIF":1.5,"publicationDate":"2025-06-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12202397/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144530102","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

Optimizing lateralization and distalization shoulder angles in shoulder arthroplasty: A systematic review of functional outcomes and complication. 优化肩关节置换术中的侧位和远位肩关节角度：功能结果和并发症的系统回顾。

IF 1.5

Shoulder and Elbow Pub Date : 2025-06-25 DOI: 10.1177/17585732251351864

Mohamed A Khalafallah, Ahmed R Shehata, Mahmoud M Sharf Eldeen, Hossam Hamdy Abdelbaset, Ahmed H Harfoush, Ahmed Mohamed, Ahmed Sa Osman, Athanasios Kalogeropoulos, Malak Waleed, Ali Narvani, Mohamed A Imam

{"title":"Optimizing lateralization and distalization shoulder angles in shoulder arthroplasty: A systematic review of functional outcomes and complication.","authors":"Mohamed A Khalafallah, Ahmed R Shehata, Mahmoud M Sharf Eldeen, Hossam Hamdy Abdelbaset, Ahmed H Harfoush, Ahmed Mohamed, Ahmed Sa Osman, Athanasios Kalogeropoulos, Malak Waleed, Ali Narvani, Mohamed A Imam","doi":"10.1177/17585732251351864","DOIUrl":"10.1177/17585732251351864","url":null,"abstract":"Background: The lateralization shoulder angle (LSA) and distalization shoulder angle (DSA) are critical factors in predicting postoperative complications in shoulder surgeries. This study investigates the impact of LSA and DSA variations on functional outcomes and complications in shoulder surgery.Methods: A systematic literature search was conducted in PubMed, Scopus, Web of Science, and the Cochrane Library up to December 2024. The primary outcomes evaluated included the impact of LSA and DSA on postoperative functional outcomes, complication rates, optimal angular parameters, and biomechanical implications.Results: We included 14 high-quality studies encompassing 8372 patients. The synthesis demonstrated that maintaining an LSA within the optimal range of 75° to 95° is consistently linked to improved functional scores and enhanced active external rotation. Similarly, a DSA range of 40° to 65° is associated with superior anterior active elevation and abduction. The interplay between LSA and DSA is crucial, as balanced adjustments of these angles optimize deltoid tension and shoulder biomechanics, reducing the risk of different complications.Discussion: Maintaining the LSA between 75° and 95° and the DSA between 40° and 65° significantly enhances functional outcomes and shoulder mobility following arthroplasty. Future research should aim to validate these optimal ranges.","PeriodicalId":36705,"journal":{"name":"Shoulder and Elbow","volume":" ","pages":"17585732251351864"},"PeriodicalIF":1.5,"publicationDate":"2025-06-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12198150/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144530129","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

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

IF 1.5

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

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

{"title":"A UK-based consensus exercise to determine the most acceptable method of suprascapular nerve block injection for people consulting with rotator cuff disorders.","authors":"Neil Smith, Dr Caroline Miller, Dr Steve Gwilym, Emma L Healey","doi":"10.1177/17585732251350116","DOIUrl":"10.1177/17585732251350116","url":null,"abstract":"Introduction: Suprascapular nerve block (SSNB) injections are used to treat shoulder pain in clinical practice. Its effectiveness compared to other shoulder pain relieving injections requires evaluation in high quality clinical trials. A range of different methods are used for SSNB injections. This study aimed to gain expert consensus on the most acceptable method of delivering SSNB injection in a future comparative clinical trial.Methods: Between October 2023 and May 2024, we conducted a three stage, online, modified Delphi survey with NHS clinicians who currently perform SSNB injections in the United Kingdom.Results: Thirty-eight NHS registered healthcare professionals completed Stage 1, 34 completed Stage 2 and 25 completed Stage 3. Anatomical land-marked and ultrasound guided SSNB injection methods reached consensus as acceptable to use in a multi-centre clinical trial. Targeting the supraspinatus fossa (SSF) or the suprascapular notch (SSN) reached consensus as acceptable. Finally, Kenalog (40 mg) or Depo-medrone (40 mg) combined with either Bupivacaine 0.25% (5-10 ml), Bupivacaine 0.5% (5 ml to10 ml), Lidocaine 1% (5-10 ml) all reached consensus as acceptable injectates.Conclusions: This consensus study has provided valuable information from expert NHS clinicians to help determine the method of SSNB injection delivery in the conduct of a future clinical trial.","PeriodicalId":36705,"journal":{"name":"Shoulder and Elbow","volume":" ","pages":"17585732251350116"},"PeriodicalIF":1.5,"publicationDate":"2025-06-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12187709/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144508696","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

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

IF 1.5

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

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

{"title":"Management of acute septic native elbow arthritis - a systematic review.","authors":"Dylan Mistry, Chetan Khatri, Madeleine Bickley, Gunaratnam Shyamalan, Shahbaz Malik, Robert Jordan","doi":"10.1177/17585732251351944","DOIUrl":"10.1177/17585732251351944","url":null,"abstract":"Background: Elbow septic arthritis makes up about 6-9% of all septic arthritis cases. Optimum management and outcomes are extrapolated from other large joints and there is very scarce literature specifically for the elbow joint. This systematic review aims to analyse the available evidence on the management and outcomes of native septic arthritis of the elbow.Methods: A review using PRISMA guidelines was conducted of three databases. Adult patients suffering from native elbow septic arthritis were included. Outcomes of interest included functional outcomes and complications.Results: About 11 studies with 47 patients were included. The most common causative organism was staphylococcus aureus. About 46 patients were managed with surgery, either arthroscopic or open. About 17 patients, across three studies, had a Mayo Elbow Performance Score reported ranging from 70.0-100.0 and 77% of patients regained range of motion. About 12.9% of patients returned to theatre during their initial infection, 5% of patients developed a repeat infection and there was a 7% mortality rate.Discussions: This review shows good outcomes for this group of patients, however there is a group who are at risk of significant morbidity and mortality. Further evidence is needed to identify how to optimise treatment in this subset.","PeriodicalId":36705,"journal":{"name":"Shoulder and Elbow","volume":" ","pages":"17585732251351944"},"PeriodicalIF":1.5,"publicationDate":"2025-06-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12187696/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144508697","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0