Shoulder and Elbow最新文献

{"title":"Restoring the anatomic tension relationship of the long head of the biceps during tenodesis: A prospective, randomized controlled trial.","authors":"Hassan Farooq, Amir M Boubekri, Andrew Chen, Samuel Mircoff, Nickolas G Garbis, Michael Scheidt, Dane H Salazar","doi":"10.1177/17585732261470106","DOIUrl":"10.1177/17585732261470106","url":null,"abstract":"<p><strong>Introduction: </strong>Long head of the biceps (LHB) tendinopathy a common source debilitating shoulder pain. Biceps tenodesis is reserved for patients who fail conservative management, but the optimal tensioning technique remains unclear. This study compared outcomes following standard anatomic landmark-based versus patient-specific anatomic tensioning. We hypothesized that anatomic tensioning would yield decreased pain and superior patient outcomes.</p><p><strong>Methods: </strong>A single-blinded randomized control trial (RCT) was conducted at a level-1 trauma center between October 2020 and December 2022. One hundred and sixty patients (56% male) were randomized to undergo standard landmark-based (control, 81) or patient-specific anatomic tensioning techniques (intervention, 79). American Shoulder and Elbow Surgeons (ASES) score, visual analog scale (VAS) pain score, and range of motion (ROM) were compared at 2 weeks, 6 weeks, 3 months, 6 months, and 1 year, postoperatively.</p><p><strong>Results: </strong>At final postoperative follow-up, ASES scores, VAS scores, forward flexion, external rotation were similar between cohorts (<i>p = .</i>604, 0.308, 0.171, and 0.726, respectively). At 6 weeks, the intervention group demonstrated higher ASES scores (mean difference, 9.1; 95 CI: [0.1, 18.0]; <i>p = .</i>048).</p><p><strong>Discussion: </strong>Both biceps tenodesis tensioning techniques are acceptable in the management of LHB tendinopathy. Patient-specific tensioning may provide earlier functional improvement for patients desiring accelerated rehabilitation.</p>","PeriodicalId":36705,"journal":{"name":"Shoulder and Elbow","volume":" ","pages":"17585732261470106"},"PeriodicalIF":1.2,"publicationDate":"2026-07-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13388499/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148563217","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":"Hormone replacement therapy and complications after primary total shoulder arthroplasty.","authors":"Hailey Ninness, Chandler Catanzaro, Matthew Guareschi, Brandon L Rogalski, Josef K Eichinger, Richard J Friedman","doi":"10.1177/17585732261468740","DOIUrl":"10.1177/17585732261468740","url":null,"abstract":"<p><strong>Background: </strong>Hormone replacement therapy (HRT) is commonly prescribed to alleviate symptoms of menopause. Incidence of women undergoing total shoulder arthroplasty (TSA) continues to rise, yet the impact of HRT on primary TSA outcomes remains unclear. The purpose of this study is to examine the effects of HRT on postoperative complications following primary TSA.</p><p><strong>Methods: </strong>The PearlDiver Mariner database was queried for menopausal aged females undergoing primary TSA between 2010 and 2023. Patients with prior history of breast cancer, deep vein thrombosis (DVT), pulmonary embolism, or stroke were excluded. Patients prescribed HRT within 365 days preoperatively were propensity score matched 1:1 to non-users. Chi-square analysis and multivariable logistic regression were used to evaluate associations between HRT use and postoperative complications. Statistical significance was defined as <i>p < .</i>05.</p><p><strong>Results: </strong>HRT users had lower incidence of acute kidney injury (AKI) (<i>p = .</i>02) at 180 days and lower incidence of AKI (<i>p = .</i>03) and pneumonia (<i>p = .</i>04) at 365 days. HRT was found to be independently predictive of decreased rates of AKI (<i>p = .</i>03), UTI (<i>p = .</i>02), pneumonia (<i>p = .</i>01), and transfusion (<i>p = .</i>01) following TSA.</p><p><strong>Conclusion: </strong>HRT was found to be independently associated with reduced medical complications following primary TSA and was not associated with surgical complications following primary TSA.</p><p><strong>Level of evidence: </strong>Level III - Retrospective cohort study.</p>","PeriodicalId":36705,"journal":{"name":"Shoulder and Elbow","volume":" ","pages":"17585732261468740"},"PeriodicalIF":1.2,"publicationDate":"2026-07-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13388488/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148563196","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":"Avulsion fracture of the coracoid process at the coracoclavicular ligament attachment associated with distal clavicle fracture: A case report.","authors":"Kazuki Yamamoto, So Minokawa, Satoshi Miyake, Terufumi Shibata, Yozo Shibata, Teruaki Izaki","doi":"10.1177/17585732261469144","DOIUrl":"10.1177/17585732261469144","url":null,"abstract":"<p><p>Avulsion fractures of the coracoid process at the coracoclavicular ligament attachment are extremely rare and typically occur as part of a double disruption of the superior shoulder suspensory complex. No previous reports have included longitudinal imaging assessments or patient-reported outcome measures (PROMs) for this fracture pattern. We describe a 59-year-old man with a distal clavicle fracture associated with an avulsion fracture at the coracoid base involving the conoid ligament. Surgical fixation was performed using a CW plate for the clavicle and a suture anchor for the coracoid fragment. Progressive healing was observed at 3 months, and complete union was achieved by 6 months. At 12 months, the patient demonstrated excellent functional recovery with full PROMs. This case suggests that anatomical reconstruction may be a reasonable treatment option.</p>","PeriodicalId":36705,"journal":{"name":"Shoulder and Elbow","volume":" ","pages":"17585732261469144"},"PeriodicalIF":1.2,"publicationDate":"2026-07-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13380645/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148521153","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":"Microfracture for glenohumeral cartilage defects: Short- to mid-term results. A systematic review and meta-analysis.","authors":"Jaydeep Dhillon, Christopher Bui, Kaitlin Williams, Kohl Kirby, Christopher McCrum, Lauren Hansen, Cay Mierisch","doi":"10.1177/17585732261469823","DOIUrl":"10.1177/17585732261469823","url":null,"abstract":"<p><strong>Background: </strong>Articular cartilage defects of the glenohumeral joint are challenging in young, active patients, where microfracture-a common first-line marrow-stimulation technique-has uncertain efficacy and long-term durability in the shoulder. This study evaluates the clinical outcomes of patients undergoing treatment with microfracture for chondral lesions of the glenohumeral joint.</p><p><strong>Methods: </strong>A systematic review was conducted according to Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. PubMed, Embase, and Cochrane Library were searched through January 2026. Patient-reported outcomes (PROs), reoperation rates, complications, and radiographic outcomes were assessed.</p><p><strong>Results: </strong>Eight Level IV studies comprising 171 shoulders met the inclusion criteria. Mean age was 50.4 years with a 97.5-month follow-up. Significant improvements occurred in the American Shoulder and Elbow Score (+20.3 points), Visual Analogue Scale for pain (-2.2 points), and Single Assessment Numeric Evaluation scores. Pooled reoperation rate was 20.9% (95% CI 14.2-29.7%). No procedure-related complications were reported. Two studies noted radiographic progression of osteoarthritis despite clinical improvement.</p><p><strong>Discussion: </strong>Microfracture provides consistent short- to mid-term improvements in PROs and appears safe for glenohumeral cartilage defects. However, the evidence is limited to Level IV studies, and concerns remain regarding long-term durability and progression of osteoarthritis.</p>","PeriodicalId":36705,"journal":{"name":"Shoulder and Elbow","volume":" ","pages":"17585732261469823"},"PeriodicalIF":1.2,"publicationDate":"2026-07-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13380649/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148521217","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":"Radiographic criteria and results of bone graft incorporation in bony increased-offset reverse shoulder arthroplasty: A systematic review.","authors":"Antonino De Rosa, Marco Edoardo Cardinale, Stefano Di Fabio, Michele Paciotti, Edoardo Franceschetti, Mauro Ciuffreda, Pietro Gregori, Umile Giuseppe Longo, Rocco Papalia","doi":"10.1177/17585732261469868","DOIUrl":"10.1177/17585732261469868","url":null,"abstract":"<p><strong>Background: </strong>Structural bone grafting to address glenoid bone defects in reverse shoulder arthroplasty (RSA) has become increasingly common, allowing restoration of lateralization, tilt, and version. Despite its advantages, graft-related radiographic alterations are frequently reported, while mechanical failure remains relatively uncommon. Interpretation of these findings is limited by the absence of standardized methods for postoperative graft evaluation.</p><p><strong>Methods: </strong>This systematic review was conducted according to PRISMA guidelines. PubMed, Scopus, and Google Scholar were searched up to February 8, 2026. Studies evaluating structural glenoid bone grafting in RSA with postoperative radiographic assessment of graft incorporation or failure were included. Two reviewers independently screened studies and extracted data regarding patient characteristics, graft features, imaging modalities, radiographic criteria, and graft-related complications. Methodological quality was assessed using the Newcastle-Ottawa Scale and RoB 2 tool.</p><p><strong>Results: </strong>Nineteen studies including 962 shoulders were analyzed. Radiographic assessment was reported at the latest available follow-up, with a mean of 40 months but ranging widely across studies (7 to 152 months). Standard radiographs were the most used imaging modality, followed by CT. Radiographic evaluation criteria were heterogeneous, most frequently based on radiolucent lines, graft thickness changes, or graft lysis. Radiographic signs suggestive of graft resorption were observed in 6.3% of shoulders, whereas graft failure associated with mechanical loosening occurred in 1.9%.Scapular notching was reported in 32.8% of cases.</p><p><strong>Discussion: </strong>Postoperative graft evaluation remains highly variable across studies, relying predominantly on qualitative radiographic parameters without standardized definitions. Importantly, radiographic signs suggestive of graft resorption were observed in 6.3% of cases, whereas true mechanical failure occurred in only 1.9%, indicating that many radiographic changes may reflect biological remodeling rather than clinically significant compromise.</p>","PeriodicalId":36705,"journal":{"name":"Shoulder and Elbow","volume":" ","pages":"17585732261469868"},"PeriodicalIF":1.2,"publicationDate":"2026-07-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13379518/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148497901","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":"Preoperative acromiohumeral distance does not influence clinical outcomes after middle trapezius tendon transfer for irreparable supraspinatus tears.","authors":"Chang Hee Baek, Bo Taek Kim, Jung Gon Kim, Chaemoon Lim, Seung Jin Kim","doi":"10.1177/17585732261467977","DOIUrl":"10.1177/17585732261467977","url":null,"abstract":"<p><strong>Purpose: </strong>This study compared clinical outcomes after arthroscopically assisted middle trapezius tendon (MTT) transfer for irreparable supraspinatus tears (ISTs) between patients with Hamada grade 1 (acromiohumeral distance (AHD) > 6 mm) and those with Hamada grade 2 (AHD ≤ 6 mm).</p><p><strong>Methods: </strong>A retrospective review was conducted of patients who underwent MTT transfer for ISTs between December 2019 and November 2023. Inclusion criteria included symptomatic tears with severe retraction, advanced fatty infiltration, and minimal glenohumeral osteoarthritis. Clinical outcomes assessed were visual analog scale (VAS), American Shoulder and Elbow Surgeons (ASES), Constant score, range of motion (ROM), and muscle strength, while radiographic evaluation included AHD and Hamada grade.</p><p><strong>Results: </strong>Of 124 eligible patients, 112 were analyzed after excluding 12 for incomplete data or loss to follow-up, including 92 with Hamada grade 1 (mean follow-up, 30.6 ± 14.8 months) and 20 with grade 2 (28.6 ± 12.3 months). Both groups showed significant improvements in VAS, ASES, constant scores, forward elevation, and abduction (all <i>p</i> < .001), with no significant between-group differences in pain, functional scores, ROM, or strength at final follow-up (all <i>p</i> > .05). Despite between-group differences in AHD and Hamada grade, AHD did not change significantly within either group.</p><p><strong>Conclusion: </strong>MTT transfer provides significant pain relief and clinical improvement in patients with ISTs, regardless of preoperative AHD. Postoperative pain, functional scores, ROM, and muscle strength were comparable between Hamada grade 1 and Hamada grade 2 patients at final follow-up.</p><p><strong>Level of evidence: </strong>IV, retrospective case series.</p>","PeriodicalId":36705,"journal":{"name":"Shoulder and Elbow","volume":" ","pages":"17585732261467977"},"PeriodicalIF":1.2,"publicationDate":"2026-07-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13375233/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148473293","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":"Validity and robustness of an AI-based tool for the assessment of shoulder joint range of motion in patients with shoulder pathologies.","authors":"Romina Willi, Eva Schulz, David Rode, Tim Schneller, Philipp Moroder, Laurent Audigé, Mario Bizzini, Nicola A Maffiuletti","doi":"10.1177/17585732261468616","DOIUrl":"10.1177/17585732261468616","url":null,"abstract":"<p><strong>Aim: </strong>Shoulder dysfunction commonly limits daily activities and independence. Evaluation of shoulder range of motion (ROM) is essential for diagnosis, treatment planning, and rehabilitation. This study evaluated the validity and robustness of Maia, an artificial intelligence-based video analysis tool, compared with optical motion capture (OMC; gold standard) and visual estimation by a shoulder surgeon (standard of care, SOC).</p><p><strong>Methods: </strong>Thirty-six patients with unilateral shoulder conditions (rotator cuff lesions, instability or ligament rupture) performed shoulder movements. ROM was measured simultaneously using Maia, OMC and SOC. Criterion validity was assessed by comparing Maia and SOC to OMC. Robustness to small camera misalignment was evaluated by testing Maia under optimal and 10°-offset camera positions. Agreement was assessed using Bland-Altman limits of agreement (LOA) and linear mixed models.</p><p><strong>Results: </strong>Maia showed small mean differences relative to OMC and no significant measurement differences. In contrast, SOC overestimated ROM for flexion and internal rotation with the shoulder abducted to 90° (high internal rotation). Bland-Altman LOA for Maia were approximately ±20° for most movements and exceeded ±30° for internal rotation, indicating substantial variability at the individual level despite small average differences between methods. Maia's performance remained stable under small camera misalignment.</p><p><strong>Conclusion: </strong>Findings suggest Maia provides clinically useful shoulder ROM estimates under controlled conditions and may be suitable for longitudinal monitoring or telehealth applications, with limitations for internal rotation.</p>","PeriodicalId":36705,"journal":{"name":"Shoulder and Elbow","volume":" ","pages":"17585732261468616"},"PeriodicalIF":1.2,"publicationDate":"2026-07-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13375232/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148473276","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":"Selective serotonin reuptake inhibitors and complications following primary total shoulder arthroplasty.","authors":"Hailey Ninness, Brandon L Rogalski, Brent Ponce, Josef K Eichinger, Richard J Friedman","doi":"10.1177/17585732261468342","DOIUrl":"10.1177/17585732261468342","url":null,"abstract":"<p><strong>Background: </strong>Selective serotonin reuptake inhibitors (SSRIs) are commonly prescribed medications; however, they have been associated with increased bleeding risk. Total shoulder arthroplasty (TSA) literature remains lacking. The purpose of this study is to examine the effect of SSRI on postoperative hematologic and surgical complications following primary TSA.</p><p><strong>Methods: </strong>The PearlDiver Mariner database was queried for patients undergoing primary TSA. SSRI cohort consisted of patients prescribed an SSRI within 365 days preoperatively. Propensity score matching was performed to yield the non-SSRI cohort. Chi-square analysis assessed complication rates, and multivariable logistic regression determined whether SSRI use independently predicted complications. Significance was defined as <i>p</i> < 0.05.</p><p><strong>Results: </strong>Following chi-square analysis, SSRI cohort demonstrated higher rates of transfusion at 90 days (1.10% vs. 0.90%, <i>p</i> = 0.01) and 1 year (1.66% vs 1.44%, <i>p</i> = 0.04) postoperatively. SSRI cohort had higher rates of revision TSA (3.57% vs. 3.17%, <i>p</i> = 0.003) and mechanical failure (1.70% vs. 1.50%, <i>p</i> = 0.034) at 5 years postoperatively. After multivariable regression, SSRI cohort was not independently predictive of any postoperative complications.</p><p><strong>Conclusion: </strong>SSRI was not independently predicative of any postoperative hematological or surgical complications following primary TSA. Therefore, SSRI use in TSA appears to be safe to take preoperatively and does not increase complications.</p><p><strong>Level of evidence: </strong>Level III - Retrospective cohort study.</p>","PeriodicalId":36705,"journal":{"name":"Shoulder and Elbow","volume":" ","pages":"17585732261468342"},"PeriodicalIF":1.2,"publicationDate":"2026-07-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13375230/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148473267","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":"Non-spherical head designs in total shoulder arthroplasty: A systematic review of clinical and biomechanical data.","authors":"Mohammad Daher, Tarek Haj Shehadeh, Tarishi Parmar, Anthony Miniaci, Joseph A Abboud, Hafiz F Kassam","doi":"10.1177/17585732261468714","DOIUrl":"10.1177/17585732261468714","url":null,"abstract":"<p><strong>Background: </strong>Biomechanical studies have shown that non-spherical (NS) humeral head designs in total shoulder arthroplasty (TSA) may provide superior restoration of native anatomy, improved mechanics, and enhanced stability when compared with spherical heads. This systematic review critically evaluates the literature on NS designs in anatomic TSA.</p><p><strong>Methods: </strong>Following the PRISMA guidelines, PubMed, Cochrane, and Google Scholar (pages 1-20) were searched from inception till November 2025. Extracted data included biomechanical data such as glenohumeral kinematics, range of motion (ROM), anatomic replication, contact mechanics, and coverage, and clinical data such as radiographic outcomes, ROM, patient-reported outcome measures (PROMs), and implant-related complications.</p><p><strong>Results: </strong>Twelve biomechanical and nine clinical studies comprising a total of 647 patients were included. Most of the biomechanical data were contradictory with some studies reporting no differences in the assessed outcomes between the designs, while most reported it to be better in NS head designs. Coverage was uniformly reported to be better with NS head designs. As for clinical data, radiographic outcomes, ROM, and PROMs all improved post-operatively with one study reporting better ROM in patients with NS TSA compared to the standard TSA.</p><p><strong>Conclusion: </strong>Biomechanical and clinical data report similar and sometimes improved outcomes in using non-spherical head designs for TSA.</p><p><strong>Level of evidence: </strong>III.</p>","PeriodicalId":36705,"journal":{"name":"Shoulder and Elbow","volume":" ","pages":"17585732261468714"},"PeriodicalIF":1.2,"publicationDate":"2026-07-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13375231/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148473326","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":"Septuagenarians versus octogenarians in elective upper extremity procedures.","authors":"Po Hsun Ku, Yeashin Nur, Jared Sasaki, Margot Richards, Ethan Parisier, Abdullah Uddin, Daniel Zelazny","doi":"10.1177/17585732261467911","DOIUrl":"10.1177/17585732261467911","url":null,"abstract":"<p><strong>Background: </strong>With a rapidly aging American population, elective shoulder procedures are increasingly performed in older adults. Prior studies have largely focused on total shoulder arthroplasty, leaving limited data on outcomes across a broader range of elective shoulder procedures. This study aimed to compare postoperative outcomes between septuagenarians and octogenarians undergoing elective shoulder surgery.</p><p><strong>Methods: </strong>The American College of Surgeons National Surgical Quality Improvement Program database (2011-2022) was queried for patients aged 70-89 years undergoing elective shoulder procedures, and patients were stratified into septuagenarians (70-79 years) and octogenarians (80-89 years). Multivariable logistic regression analyses adjusted for demographic and clinical covariates were used to assess postoperative outcomes.</p><p><strong>Results: </strong>A total of 12,099 patients were included, comprising 10,810 septuagenarians (89%) and 1289 octogenarians (11%). After adjustment, octogenarians had higher odds of unplanned readmission (OR 1.57, 95% CI 1.04-2.29; <i>p</i> = 0.026) and non-home discharge (OR 2.44, 95% CI 1.57-3.72; <i>p</i> < 0.001). No significant differences were observed in overall complications, reoperation, or 30-day mortality.</p><p><strong>Discussion: </strong>Octogenarians undergoing elective shoulder procedures are at increased risk for readmission and non-home discharge despite similar short-term complication rates. These findings underscore the importance of perioperative planning and discharge optimization in this population.</p>","PeriodicalId":36705,"journal":{"name":"Shoulder and Elbow","volume":" ","pages":"17585732261467911"},"PeriodicalIF":1.2,"publicationDate":"2026-07-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13354589/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148424951","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}