Shoulder and Elbow最新文献_第6页

ChatGPT provides acceptable responses to patient questions regarding common shoulder pathology. ChatGPT 可就患者提出的有关常见肩部病理的问题提供可接受的答复。

IF 1.5

Shoulder and Elbow Pub Date : 2024-09-25 DOI: 10.1177/17585732241283971

Umar Ghilzai, Benjamin Fiedler, Abdullah Ghali, Aaron Singh, Benjamin Cass, Allan Young, Adil Shahzad Ahmed

{"title":"ChatGPT provides acceptable responses to patient questions regarding common shoulder pathology.","authors":"Umar Ghilzai, Benjamin Fiedler, Abdullah Ghali, Aaron Singh, Benjamin Cass, Allan Young, Adil Shahzad Ahmed","doi":"10.1177/17585732241283971","DOIUrl":"10.1177/17585732241283971","url":null,"abstract":"Background: ChatGPT is rapidly becoming a source of medical knowledge for patients. This study aims to assess the completeness and accuracy of ChatGPT's answers to the most frequently asked patients' questions about shoulder pathology.Methods: ChatGPT (version 3.5) was queried to produce the five most common shoulder pathologies: biceps tendonitis, rotator cuff tears, shoulder arthritis, shoulder dislocation and adhesive capsulitis. Subsequently, it generated the five most common patient questions regarding these pathologies and was queried to respond. Responses were evaluated by three shoulder and elbow fellowship-trained orthopedic surgeons with a mean of 9 years of independent practice, on Likert scales for accuracy (1-6) and completeness (rated 1-3).Results: For all questions, responses were deemed acceptable, rated at least \"nearly all correct,\" indicated by a score of 5 or greater for accuracy, and \"adequately complete,\" indicated by a minimum of 2 for completeness. The mean scores for accuracy and completeness, respectively, were 5.5 and 2.6 for rotator cuff tears, 5.8 and 2.7 for shoulder arthritis, 5.5 and 2.3 for shoulder dislocations, 5.1 and 2.4 for adhesive capsulitis, 5.8 and 2.9 for biceps tendonitis.Conclusion: ChatGPT provides both accurate and complete responses to the most common patients' questions about shoulder pathology. These findings suggest that Large Language Models might play a role as a patient resource; however, patients should always verify online information with their physician.Level of evidence: Level V Expert Opinion.","PeriodicalId":36705,"journal":{"name":"Shoulder and Elbow","volume":" ","pages":"17585732241283971"},"PeriodicalIF":1.5,"publicationDate":"2024-09-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11559869/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142629945","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

Lateralization and inclination angle in reverse arthroplasty-what do we know? 反向关节成形术中的侧位和倾角--我们知道些什么？

IF 1.5

Shoulder and Elbow Pub Date : 2024-09-25 DOI: 10.1177/17585732241281910

Anders L Ekelund, Didier Poncet

引用次数: 0

Is revision to anatomic shoulder arthroplasty still an option? A systematic review. 解剖肩关节置换术的翻修仍是一种选择吗？系统综述。

IF 1.5

Shoulder and Elbow Pub Date : 2024-09-25 DOI: 10.1177/17585732241284512

Musab Gulzar, Kathryn M Welp, Michelle J Chang, Jarret M Woodmass, Jacob A Worden, Hayden L Cooke, Krishna N Chopra, Michael B Gottschalk, Eric R Wagner

{"title":"Is revision to anatomic shoulder arthroplasty still an option? A systematic review.","authors":"Musab Gulzar, Kathryn M Welp, Michelle J Chang, Jarret M Woodmass, Jacob A Worden, Hayden L Cooke, Krishna N Chopra, Michael B Gottschalk, Eric R Wagner","doi":"10.1177/17585732241284512","DOIUrl":"10.1177/17585732241284512","url":null,"abstract":"Background: With the historical complications when using total shoulder arthroplasty (TSA) to revise failed arthroplasties, and the success of the reverse prosthesis in the revision setting, the question arises whether revision to TSA is still a reasonable option? This systematic review examines revision to TSA and the factors associated with outcomes.Methods: A systematic review was performed for studies of TSA used to revise a failed hemiarthroplasty or TSA. The primary outcome was implant failure leading to a repeat revision arthroplasty. Secondary outcomes included visual analog scale (VAS) pain scores, shoulder motion and other clinical outcomes of shoulder function. Data were pooled to generate representative frequency-weighted means.Results: Thirteen studies were included, totaling 312 shoulders. Etiologies for revision included glenoid arthrosis (62%), glenoid component failure (36%), and other (2%). Of which, 39% of cases experienced complications and 12% required another arthroplasty revision. Secondary outcomes such as VAS pain, Constant, ASES and UCLA score improved, but none were statistically significant. Unsatisfactory outcomes were higher among patients with glenoid bone loss, instability, and soft tissue deficiencies.Discussion: Revision to anatomic TSA can be an acceptable option in certain patients. However, the high rate of complications and glenoid loosening, makes this a limited approach for a revision to anatomic TSA procedure.","PeriodicalId":36705,"journal":{"name":"Shoulder and Elbow","volume":" ","pages":"17585732241284512"},"PeriodicalIF":1.5,"publicationDate":"2024-09-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11559957/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142629953","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

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

IF 1.5

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

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

{"title":"Complications and revision rates after total shoulder arthroplasty are similar between patients with and without diabetes mellitus.","authors":"Ryan Sanii, Johnny Kasto, Joshua P Castle, Jordan Jay, Gabriel Burdick, Stephanie J Muh","doi":"10.1177/17585732241278207","DOIUrl":"10.1177/17585732241278207","url":null,"abstract":"Purpose: There is wide variability in the conclusions of studies examining the effects of diabetes mellitus (DM) on outcomes of shoulder arthroplasty (SA). The objective of this study was to determine if there are differences in complication profiles between patients with DM and those without undergoing anatomic and reverse total SA.Methods: A retrospective review of patients undergoing SA in a single center from January 2014 to December 2019 was performed. Patients were then stratified into two cohorts, patients with controlled DM (mean hemoglobin A1C < 7%) and those without. Outcomes analyzed included intraoperative complications, postoperative complications, and revision surgery rates. Emergency department (ED) visits and hospital readmissions within 30 days were also recorded.Results: A total of 595 patients underwent SA. No significant difference was found between the diabetes (n = 151) and control group (n = 444) with regard to length of stay (P = .168), complications (P = .286), infection rate (P = .977), 30-day ED visits (P = .789), and readmissions (P = .230). The average time to revision was 26.8 months in the diabetes group and 26.6 months in the control group (P = .989).Conclusions: Following SA patients with controlled DM showed no increased risk of postoperative infection, ED visitation,hospital readmission, and revision surgery rate when compared to non-diabetics.Level of evidence: Level III-retrospective cohort.","PeriodicalId":36705,"journal":{"name":"Shoulder and Elbow","volume":" ","pages":"17585732241278207"},"PeriodicalIF":1.5,"publicationDate":"2024-09-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11559953/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142629949","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The role of humerus cortical thickness in predicting osteoporosis in MR imaging. 肱骨皮质厚度在磁共振成像中预测骨质疏松症的作用。

IF 1.5

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

Sevde Nur Emir, Safiye Sanem Dereli Bulut

{"title":"The role of humerus cortical thickness in predicting osteoporosis in MR imaging.","authors":"Sevde Nur Emir, Safiye Sanem Dereli Bulut","doi":"10.1177/17585732241279090","DOIUrl":"10.1177/17585732241279090","url":null,"abstract":"Aim: This study aims to evaluate the efficacy of humerus cortical thickness on coronal T1-weighted images of the humerus in distinguishing patients with normal vs. abnormal bone mineral density (BMD).Methods: Patients (n:138) with shoulder magnetic resonance imaging (MRI) and dual-energy x-ray absorptiometry (DXA) scans were evaluated. Patients were grouped into normal and low BMD (osteopenia and osteoporosis) according to DXA. An average cortical bone thickness (CBTavg) and gauge cortical bone thickness (CBTg) were calculated from the proximal humerus on coronal T1W MRI. Sensitivity and specificity for the prediction of osteoporosis were determined for several cortical bone thickness thresholds.Results: Proximal humerus average cortical bone thickness measurements strongly correlated with DXA femur and lumbar scores (p < 0.01). Gauge cortical thickness measurements also correlated with DXA femur and lumbar scores (p < 0.01). Average cortical bone thickness measurement of 4.52 mm was determined to be a potential marker for predicting osteoporosis, with a sensitivity of 92.3% and a specificity of 84.9%.Conclusion: Average cortical bone thickness measurements obtained from shoulder MRI are correlated with DXA. It appears to be effective in differentiating patients with normal and abnormal BMD and may help to opportunistically predict patients with osteoporosis in a rapid, simple and practical way, potentially guiding further diagnostic assessments.","PeriodicalId":36705,"journal":{"name":"Shoulder and Elbow","volume":" ","pages":"17585732241279090"},"PeriodicalIF":1.5,"publicationDate":"2024-09-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11559878/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142629960","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The association between self-assessed improvement in mental health preceding rotator cuff repair and patient satisfaction: A retrospective cohort study. 肩袖修复术后自我评估的心理健康改善与患者满意度之间的关系：回顾性队列研究

IF 1.5

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

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

{"title":"The association between self-assessed improvement in mental health preceding rotator cuff repair and patient satisfaction: A retrospective cohort study.","authors":"Brady P Moore, Dexter Allen, David S Clark, Jeremy S Somerson","doi":"10.1177/17585732241274577","DOIUrl":"10.1177/17585732241274577","url":null,"abstract":"Background: The association between preoperative mental health trends and arthroscopic rotator cuff repair (RCR) outcomes and patient satisfaction has not been previously described. We investigated the association between a subjective change in preoperative mental health and patient-reported outcome measures (PROMs) and achievement of patient satisfaction and substantial clinical benefit (SCB), defined as an improvement of American Shoulder and Elbow Surgeons Standardized Shoulder Assessment score ≥ 17.5, following RCR.Methods: Among patients undergoing RCR, various PROMs were collected preoperatively and at follow-up intervals up to 2 years postoperatively. Patient satisfaction and achievement of SCB were analyzed relative to subjective reports of better, worse, or unchanged mental health in the year preceding RCR and preoperative PROMs.Results: Eighty-eight patients (47 male and 41 female) with a median age of 60.0 years (interquartile range (IQR), 10.0) were included in this study. All patients (n = 13) who reported improved mental health status preceding RCR had significantly better satisfaction (P = 0.03) and SCB (P ≤ 0.05) at 2 years postoperatively compared to patients who reported worse or unchanged mental status.Discussion: Subjective improvement in mental health status preceding arthroscopic RCR was associated with patient satisfaction and achievement of SCB at 2 years postoperatively.","PeriodicalId":36705,"journal":{"name":"Shoulder and Elbow","volume":" ","pages":"17585732241274577"},"PeriodicalIF":1.5,"publicationDate":"2024-08-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11562387/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142648962","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

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

IF 1.5

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

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

{"title":"Does the use of a tensioning device improve stability for suture fixation of glenoid bone constructs? A biomechanical analysis.","authors":"Kyle D Paul, Allen A Yazdi, David M Sylvester, Marshall D Williams, Mathew D Hargreaves, Amit M Momaya, Eugene W Brabston, Brent A Ponce","doi":"10.1177/17585732241276428","DOIUrl":"10.1177/17585732241276428","url":null,"abstract":"Purpose: The purpose of this study is to quantify the difference in biomechanical stability of suture button (SB) and suture tape cerclage (STC) constructs with hand tensioning versus device tensioning of anterior glenoid augmentation bone grafts in an anterior glenoid bone loss model.Methods: Artificial bone blocks with a density of 15 lb/ft3 (240.3 kg/m3) were used as models for glenoid fixation with bone graft. The biomechanical stability of SB and STC tensioned by hand was compared to those tensioned by a device. Average displacement (mm) following application of various forces (50, 100, 150, and 200 N) during a 7-phase, 100-cycle, stairstep cyclic loading protocol was recorded.Results: Both SB and STC fixation displayed significantly lower construct displacement at all tested forces when tensioned with a device versus hand (p < 0.001). Device-tensioned SB and STC were comparable in construct stability at forces below 100N. However, at forces above 100 N, device-tensioned SB exhibited significantly less displacement than device-tensioned STC.Discussion: Using a tensioning device for SB or STC fixation of a coracoid graft model results in less displacement and improved stability compared to hand tensioning. Biomechanically, a tensioning device enhances the stability of suture fixation in glenoid bone graft constructs.","PeriodicalId":36705,"journal":{"name":"Shoulder and Elbow","volume":" ","pages":"17585732241276428"},"PeriodicalIF":1.5,"publicationDate":"2024-08-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11568518/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142648953","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

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

IF 1.5

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

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

{"title":"Should I prescribe exercise to a patient with an immobilized shoulder? An electromyographic study in patients with unilateral shoulder pain and healthy volunteers.","authors":"Leonardo Intelangelo, Lassaga Ignacio, Cristian Mendoza, Iván Roulet, Daniel Jerez-Mayorga, Alexandre Carvalho Barbosa","doi":"10.1177/17585732241269145","DOIUrl":"10.1177/17585732241269145","url":null,"abstract":"Background: There is limited evidence about exercise performance during postoperative immobilization. This study aimed to quantify the muscle activity in the immobilized shoulder girdle in an abduction and neutral rotation position during a battery of contralateral activities and ipsilateral exercises of the upper limb in healthy volunteers and patients with unilateral shoulder pain (USP).Methods: Thirty participants were included and grouped as without (N = 17) or with USP (N = 13). Muscle activity (percentage of maximum voluntary isometric contraction (%MVIC)) of the serratus anterior (SA), upper trapezius (UT), lower trapezius (LT) and infraspinatus muscles was assessed during five contralateral activities (during comfortable speed, fast speed and comfortable speed with additional load) and seven ipsilateral exercises.Results: No differences in % MVIC were found between healthy volunteers and patients with USP on immobilized upper limb exercises and with the contralateral shoulder girdle. General muscle activity was low (<15% MVIC) to moderate (21-40% MVIC). This similarity was maintained at different speeds and with additional load. Adapted lawnmower exercise showed a favorable UT/LT activation ratio.Conclusion: The study results support the use of all evaluated shoulder exercises, as they have shown low muscle activity, which is important for early rehabilitation phases.","PeriodicalId":36705,"journal":{"name":"Shoulder and Elbow","volume":" ","pages":"17585732241269145"},"PeriodicalIF":1.5,"publicationDate":"2024-08-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11562157/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142649040","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

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

IF 1.5

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

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

{"title":"Should the beach chair position have national guidelines to reduce the risk of cerebrovascular complications? Results from a National Survey of Surgeons and Anaesthetists.","authors":"David Ensor, Stephen E Gwilym, Mohamed Imam, Simeon West, Ahmed Elgebaly, Tobias Baring","doi":"10.1177/17585732241269147","DOIUrl":"10.1177/17585732241269147","url":null,"abstract":"Background: The beach chair position is frequently used in UK shoulder surgeries, but cerebrovascular complications, while rare, can have severe consequences. No consensus exists on best practices due to limited evidence.Methods: An online cross-sectional survey was conducted with a convenience sampling method among the British Elbow and Shoulder Society and Regional Anaesthesia UK members to gauge the need for guidelines. It aims to assess the need for standardised guidelines, covering topics such as demographics, current clinical practises in anaesthetics and surgery and the prevalence of cerebrovascular complications post-surgery.Results: Of 534 respondents, 67% were anaesthetists and 33% surgeons. Twelve percent currently use local guidelines. 40% conduct all shoulder surgeries in the beach chair position. The most common bed angle is 45°, but 30% choose 60° or higher. 12.4% of respondents have local guidelines available. Only 20% of anaesthetists use cerebrovascular monitoring, with 6% of surgeons and 2% of anaesthetists reporting postoperative neurological issues. Eighty-five percent of respondents recommended the need for a national guidelines.Conclusions: Current practices in the use of beach chair position vary considerably. There is a desire from both surgeons and anaesthetists for a consensus approach to guideline development based on current available evidence and practice.","PeriodicalId":36705,"journal":{"name":"Shoulder and Elbow","volume":" ","pages":"17585732241269147"},"PeriodicalIF":1.5,"publicationDate":"2024-08-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11562325/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142649041","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

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

IF 1.5

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

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

{"title":"Characteristics of rehabilitation protocols following operative treatment of terrible triad elbow injuries and the influence of early motion: A systematic review and meta-analysis.","authors":"Joseph Larwa, Timothy R Buchanan, Rachel L Janke, Madison Q Burns, Logan Wright, Kevin A Hao, Robert J Cueto, Keegan M Hones, William R Aibinder, Thomas W Wright, Bradley S Schoch, Joseph J King","doi":"10.1177/17585732241269807","DOIUrl":"10.1177/17585732241269807","url":null,"abstract":"Background: As no consensus exists on the optimal postoperative rehabilitation protocol in terrible triad injuries, we sought to characterize the reported protocols and relate them to postoperative range of motion (ROM) measures and Mayo Elbow Performance Score (MEPS).Methods: A systematic review was performed by searching PubMed/MEDLINE, Embase, Web of Science, and Cochrane databases to identify articles on the operative treatment of terrible triad injuries reporting postoperative rehabilitation protocols were included. Included studies were descriptively summarized. Methodologic quality was assessed using the Methodological Index for Non-randomized Studies criteria. Meta-analysis compared postoperative ROM measures and the MEPS between patients initiating passive ROM exercises at ≤7 days vs. >7 days.Results: Our review included 36 articles with 1123 elbows (66% male, mean age: 43 years, follow-up: 27 months). Of the studies reporting physical therapy protocols, it was most commonly initiated at 7 days postoperatively (6/36, 17%), passive ROM exercises at 7 days (3/25, 12%), and active ROM at 21 days (4/26, 15%). On meta-analysis, early passive ROM initiation was not associated with improved elbow ROM or MEPS.Discussion: While rehabilitation protocols commonly advised passive ROM at one week post-operatively, meta-analysis did not support functional benefits of early passive ROM.Study design: Systematic Review; Level of evidence, 4.","PeriodicalId":36705,"journal":{"name":"Shoulder and Elbow","volume":" ","pages":"17585732241269807"},"PeriodicalIF":1.5,"publicationDate":"2024-08-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11562217/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142648951","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0