Shoulder and Elbow最新文献_第6页

Inadequate cervicothoracic assessment is nearly universal for screening participants with lateral elbow tendinopathy: A systematic review of 208 randomized controlled trials. 对208项随机对照试验的系统回顾：在筛查肘关节外侧肌腱病变的参与者时，颈胸评估不充分几乎是普遍存在的。

IF 1.2

Shoulder and Elbow Pub Date : 2026-07-10 DOI: 10.1177/17585732261467932

Matthew R Schumacher, Emma K Bakken, Kaitlyn P Reynolds, Dylan R Elletson, Jody L Eckert

{"title":"Inadequate cervicothoracic assessment is nearly universal for screening participants with lateral elbow tendinopathy: A systematic review of 208 randomized controlled trials.","authors":"Matthew R Schumacher, Emma K Bakken, Kaitlyn P Reynolds, Dylan R Elletson, Jody L Eckert","doi":"10.1177/17585732261467932","DOIUrl":"10.1177/17585732261467932","url":null,"abstract":"Background: Lateral elbow tendinopathy (LET) is the most common musculoskeletal elbow disorder. Evidence suggests that cervicothoracic involvement often contributes to forearm symptoms and that addressing the spine improves clinical outcomes. This review aimed to evaluate screening methods for the cervicothoracic spine in randomized controlled trials (RCTs) that evaluated and treated LET.Methods: This review included RCTs from PubMed, CINAHL, and CENTRAL (inception to 10 June 2025) that evaluated conservative interventions for adults with a primary diagnosis of LET. Data on cervicothoracic spine screening methods were categorized into three levels: thorough (≥4 screening items), partial (1-3 items), or no screening. Frequencies reported the extent of screening across trials.Results: A total of 2744 articles were retrieved, and 208 RCTs were included for data extraction. Four (1.9%) RCTs adequately reported a thorough cervicothoracic screening process before diagnosing LET, based on predefined screening criteria. A total of six trials (2.9%) were partially screened, while many (95.2%) reported no screening.Discussion: Less than 2% of LET RCTs did not perform or explicitly report objective screening of the cervicothoracic region, highlighting a need for standardized screening protocols to better characterize participants in future research and clarify the role of the cervicothoracic spine in LET outcomes.","PeriodicalId":36705,"journal":{"name":"Shoulder and Elbow","volume":" ","pages":"17585732261467932"},"PeriodicalIF":1.2,"publicationDate":"2026-07-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13354582/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148424983","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

Preoperative thoracic kyphosis influences clinical outcomes and joint range of motion after reverse shoulder arthroplasty: A retrospective study from the FP-UCBM shoulder study group. 术前胸后凸影响肩关节置换术后的临床结果和关节活动范围：FP-UCBM肩关节研究组的回顾性研究。

IF 1.2

Shoulder and Elbow Pub Date : 2026-06-29 DOI: 10.1177/17585732261461573

Edoardo Franceschetti, Pietro Gregori, Mauro La Bruna, Fabrizio Russo, Giancarlo Giurazza, Andrea Tanzilli, Michele Paciotti, Umile Giuseppe Longo, Eiji Itoi, Rocco Papalia

{"title":"Preoperative thoracic kyphosis influences clinical outcomes and joint range of motion after reverse shoulder arthroplasty: A retrospective study from the FP-UCBM shoulder study group.","authors":"Edoardo Franceschetti, Pietro Gregori, Mauro La Bruna, Fabrizio Russo, Giancarlo Giurazza, Andrea Tanzilli, Michele Paciotti, Umile Giuseppe Longo, Eiji Itoi, Rocco Papalia","doi":"10.1177/17585732261461573","DOIUrl":"10.1177/17585732261461573","url":null,"abstract":"Background: This study explores the relationship between thoracic sagittal kyphotic alignment, quantified by the Cobb angle, and postoperative shoulder function, specifically assessing whether the presence and severity of thoracic kyphosis influence clinical outcomes and range of motion (ROM) in patients undergoing reverse shoulder arthroplasty (rTSA).Methods: A retrospective review was conducted on 110 patients who underwent rTSA from 2020 to 2022 at a single institution. Sagittal kyphosis was quantified on preoperative chest radiographs. Clinical outcomes were measured using the visual analog scale (VAS), constant score (CS), simple shoulder test, Single Assessment Numeric Evaluation (SANE) score, and pre- and postoperative ROM. Patients were separated into three groups based on Cobb angle severity (0-36°, 37-46°, ≥47°) and followed for a minimum follow-up of 2 years. A p-value <0.05 was considered statistically significant.Results: Patients with a Cobb angle ≥47° exhibited a significant reduction in flexion (132.7° vs 149.4° for Cobb ≤36°; p = 0.031) and abduction (122.9° vs 142.1°; p = 0.035). This group also showed lower mean CSs (75.1 vs 83.3; p = 0.048). No significant differences were observed among groups in SANE or VAS pain scores.Conclusion: Greater thoracic kyphosis is associated with reduced functional outcomes and diminished flexion and abduction following rTSA. These findings suggest that sagittal spinal alignment may influence postoperative shoulder performance.Level of evidence: Retrospective Cohort Comparison III.","PeriodicalId":36705,"journal":{"name":"Shoulder and Elbow","volume":" ","pages":"17585732261461573"},"PeriodicalIF":1.2,"publicationDate":"2026-06-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13314654/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148362735","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

Scapula-to-scapula tethering for the treatment of scapulothoracic abnormal motion: A novel technique and case series. 肩胛骨-肩胛骨系扎术治疗肩胸异常运动：一种新技术和病例系列。

IF 1.2

Shoulder and Elbow Pub Date : 2026-06-19 DOI: 10.1177/17585732261457826

Ryan S Lohre, Abdulaziz F Ahmed, Bassem T Elhassan

{"title":"Scapula-to-scapula tethering for the treatment of scapulothoracic abnormal motion: A novel technique and case series.","authors":"Ryan S Lohre, Abdulaziz F Ahmed, Bassem T Elhassan","doi":"10.1177/17585732261457826","DOIUrl":"https://doi.org/10.1177/17585732261457826","url":null,"abstract":"Background: Scapulothoracic abnormal motion (STAM) causes disabling scapular dyskinesis. Alternative, lower-risk strategies are needed. This study evaluates outcomes of scapula-to-scapula tethering (STST).Methods: This retrospective series included patients undergoing STST between 2016 and 2023. The technique tethers the scapulae in retraction with an Achilles allograft. Inclusion required deltoid strength ≥4/5, intact rotator cuff, failed nonoperative treatment without glenohumeral pathology. Patients were classified as structural or functional STAM, with functional cases subclassified as rigid, dancing, or severe anterior tilt. Outcomes included range of motion (forward elevation (FE), abduction, external and internal rotation), patient-reported outcomes (PROs: visual analog scale [VAS], subjective shoulder value [SSV], American shoulder and elbow surgeons [ASES] score), and complications defined as early (<3 months) or late (>3 months).Results: Twenty-seven patients (78% female; mean age 29 years; mean follow-up 29 months) were included: 10 structural, 17 functional (rigid = 5, dancing = 5, anterior tilt = 7). VAS, SSV, and ASES improved significantly. FE and abduction increased; rotation was unchanged. Three late graft failures occurred, two requiring reoperations.Conclusion: STST improved pain, function, and range of motion with low morbidity, suggesting it may be a practical alternative to scapulothoracic fusion. However, findings should be interpreted cautiously given the lack of a comparator group and differing follow-up. Severe anterior tilt may increase graft failure and reoperation risk.Level of evidence: IV; case series.","PeriodicalId":36705,"journal":{"name":"Shoulder and Elbow","volume":" ","pages":"17585732261457826"},"PeriodicalIF":1.2,"publicationDate":"2026-06-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13283615/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148303340","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

Long-term corticosteroid use elevates 90-day medical complications but not 5-year surgical complications after shoulder arthroplasty. 长期使用皮质类固醇会增加肩关节置换术后90天的并发症，但不会增加5年的手术并发症。

IF 1.2

Shoulder and Elbow Pub Date : 2026-06-16 DOI: 10.1177/17585732261460807

Joshua A Holmstrom, Annika N Hiredesai, Alejandro M Holle, Collin L Braithwaite, Jeffrey D Hassebrock

{"title":"Long-term corticosteroid use elevates 90-day medical complications but not 5-year surgical complications after shoulder arthroplasty.","authors":"Joshua A Holmstrom, Annika N Hiredesai, Alejandro M Holle, Collin L Braithwaite, Jeffrey D Hassebrock","doi":"10.1177/17585732261460807","DOIUrl":"https://doi.org/10.1177/17585732261460807","url":null,"abstract":"Background: Long-term corticosteroid (LTC) use is a known risk factor for adverse outcomes after various surgical procedures. However, the impact of LTC use on surgical complications after TSA remains underexplored. This study aims to assess the influence of LTC use on 90-day and 5-year complications following TSA.Methods: A retrospective cohort study utilizing the PearlDiver database was conducted. Patients undergoing primary TSA with a minimum 5-year follow-up were included. LTC users were propensity-matched 1:10 with controls based on demographic variables and comorbidities. Postoperative complications within 90 days of surgery and long-term complications within 5 years were compared between groups. Multivariable logistic regressions were used to compare complications controlling for demographic variables and comorbidities.Results: In a matched cohort of 556 LTC users to 4942 controls, corticosteroid users exhibited a 2.91-fold higher risk of pneumonia (95% CI: 1.69-4.80, p < 0.001) and a 2.19-fold higher risk of venous thromboembolism (VTE) (95% CI: 1.30-3.51, p = 0.001) within 90 days following TSA. No significant differences in 5-year surgical outcomes were observed.Discussion: LTC users are at a heightened risk for 90-day medical complications, including pneumonia and VTE following TSA. However, their 5-year risk of surgical complications was comparable to patients without LTC use.","PeriodicalId":36705,"journal":{"name":"Shoulder and Elbow","volume":" ","pages":"17585732261460807"},"PeriodicalIF":1.2,"publicationDate":"2026-06-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13272193/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148279211","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

Cross-cultural adaptation and validation of the Arabic version of the Pennsylvania Shoulder Score. 宾夕法尼亚肩部评分阿拉伯语版本的跨文化改编与验证。

IF 1.2

Shoulder and Elbow Pub Date : 2026-06-16 DOI: 10.1177/17585732261459310

Marc Boutros, Guy Awad, Caren Hassan, Shaza Hammad, Antonella Leba, Sami Kais, Sami Roukoz, Rami El Abiad

{"title":"Cross-cultural adaptation and validation of the Arabic version of the Pennsylvania Shoulder Score.","authors":"Marc Boutros, Guy Awad, Caren Hassan, Shaza Hammad, Antonella Leba, Sami Kais, Sami Roukoz, Rami El Abiad","doi":"10.1177/17585732261459310","DOIUrl":"https://doi.org/10.1177/17585732261459310","url":null,"abstract":"Background: The Pennsylvania Shoulder Score is a common patient-reported measure of shoulder pain, function, and satisfaction. Cross-cultural adaptation is essential for non-English-speaking populations.Methods: This prospective cross-sectional validation of the Arabic Pennsylvania Shoulder Score (PSS-AR) followed translation and cultural adaptation steps. Adults ≥18 years with shoulder pain/dysfunction were recruited from two outpatient clinics. Participants completed the PSS-AR (Pain 0-30; Satisfaction 0-10; Function 0-60; Total = sum, higher = better) and Arabic Simple Shoulder Test (SST-AR; 0-100). Readability was assessed using Automatic Arabic Readability Index (AARI). Stable participants repeated PSS-AR after 5-10 days.Results: 219 patients participated; 102 stable individuals completed retesting. AARI showed readability levels of grade 5.24 for PSS-AR and 2.92 for SST-AR, below the recommended sixth-grade threshold. Function showed excellent internal consistency (Cronbach's α=0.96). Exploratory factor analysis supported essential mono-dimensionality: Factor 1 explained 54.90% of variance (factor 2 + 5.19%; cumulative 60.09%) with loadings 0.47-0.85. Convergent validity with SST-AR was strong (Spearman ρ: Total 0.792, function 0.788, pain 0.538; all p < 0.0001). Test-retest reliability was excellent: ICC(2,1) = 0.95 (95% confidence interval 0.93-0.97). Mean change was minimal (Δ=-0.47 ± 9.36) without systematic shift (F = 0.09, p = 0.76). SEM was 4.98; MDC individual=13.80 and MDC_group=1.37.Conclusion: The PSS-AR is reliable, valid, and culturally appropriate for Arabic-speaking patients.","PeriodicalId":36705,"journal":{"name":"Shoulder and Elbow","volume":" ","pages":"17585732261459310"},"PeriodicalIF":1.2,"publicationDate":"2026-06-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13272198/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148279189","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 safety of percutaneous screw placement in reverse shoulder arthroplasty for fracture: A cadaveric study. 骨折反向肩关节置换术中经皮螺钉置入的安全性：一项尸体研究。

IF 1.2

Shoulder and Elbow Pub Date : 2026-06-16 DOI: 10.1177/17585732261457640

Ryan P Tantone, Alyssa Dobyns, Steven Regal

{"title":"The safety of percutaneous screw placement in reverse shoulder arthroplasty for fracture: A cadaveric study.","authors":"Ryan P Tantone, Alyssa Dobyns, Steven Regal","doi":"10.1177/17585732261457640","DOIUrl":"https://doi.org/10.1177/17585732261457640","url":null,"abstract":"Background: Cementless reverse shoulder arthroplasty (RSA) with percutaneous locking screw fixation is an increasingly utilized option for treatment of proximal humerus fractures. The safety of percutaneous screw placement in the humerus has not been well established. This study aims to evaluate the proximity of the axillary and radial nerves to percutaneous screw trajectories in RSA.Methods: A humeral fracture stem with percutaneous locking screws was implanted into six male cadaveric specimens. Screw holes were over-drilled, and distances from trocars and drill bits to the axillary and radial nerves were measured using precise calipers.Results: The drill bit was an average of 5.43 mm from the axillary nerve exiting the proximal cross-lock hole, with direct nerve penetration in one specimen. At the distal cross-lock hole, the drill bit was 1.45 mm from the radial nerve and pierced it in two specimens. The middle cross-lock hole showed no proximity to either nerve. Arm rotation did not affect these distances.Discussion: The axillary and radial nerves are near the proximal and distal locking screws in RSA fracture stems with cross-locking options. Surgeons should exercise caution when placing these screws to reduce nerve injury risk. Further clinical studies are needed to validate these findings.","PeriodicalId":36705,"journal":{"name":"Shoulder and Elbow","volume":" ","pages":"17585732261457640"},"PeriodicalIF":1.2,"publicationDate":"2026-06-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13272200/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148279179","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

Temporal trends and estimated lifetime attributable radiation risk of preoperative planning computed tomography for primary shoulder arthroplasty. 原发性肩关节置换术术前计划计算机断层扫描的时间趋势和估计的终生归因辐射风险。

IF 1.1

Shoulder and Elbow Pub Date : 2026-06-09 DOI: 10.1177/17585732261453604

Swara R Kalva, Dario Fucich, Arthur J Perry, Bradley Lezak, Joseph Torkieh, Tej Joshi, Mandeep S Virk, Young W Kwon, Jie J Yao

{"title":"Temporal trends and estimated lifetime attributable radiation risk of preoperative planning computed tomography for primary shoulder arthroplasty.","authors":"Swara R Kalva, Dario Fucich, Arthur J Perry, Bradley Lezak, Joseph Torkieh, Tej Joshi, Mandeep S Virk, Young W Kwon, Jie J Yao","doi":"10.1177/17585732261453604","DOIUrl":"https://doi.org/10.1177/17585732261453604","url":null,"abstract":"Background: Advantages of preoperative planning computed tomography (CT) scans for shoulder arthroplasty (SA) are known; however, risks of ionizing radiation exposure remain unknown. We retrospectively reviewed institutional trends in utilization and estimated radiation risk of preoperative planning CT scans obtained for SA.Methods: From 2016 to 2024, the annual percent incidence of SA patients that received a preoperative planning CT was determined. The National Academy of Sciences Biological Effects of Ionizing Radiation VII report on lifetime attributable risk (LAR) cancer incidences and received radiation dose were utilized to estimate patient-level LAR projections for 100 patients stratified by sex, age, and cancer type.Results: From 2016 to 2024, utilization of preoperative planning CT increased linearly (R2 = 0.78) from 53% to 66% of all SA patients. For all solid cancers, LAR (per 100,000 people) decreased as patient age increased, ranging from 73.1 to 9.6 for females and 40.7 to 31.4 for males (from the 50-59-year-old group to the 80-89 group). In the 60-69-year-old and 70-79-year-old groups, estimated thyroid and lung LARs were significantly higher in women.Discussion: Utilization of preoperative shoulder CT scans is increasing. Preoperative shoulder CT may be associated with a small but quantifiable projected cancer risk most pronounced in younger women.","PeriodicalId":36705,"journal":{"name":"Shoulder and Elbow","volume":" ","pages":"17585732261453604"},"PeriodicalIF":1.1,"publicationDate":"2026-06-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13249610/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148228590","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

Methodological considerations on-A supplement, not a substitute: Accuracy and completeness of ChatGPT responses for common elbow pathology". 方法学考虑-补充，而不是替代：常见肘部病理ChatGPT反应的准确性和完整性”。

IF 1.1

Shoulder and Elbow Pub Date : 2026-06-06 DOI: 10.1177/17585732261457815

Rishita Khurana, Amit Kumar

引用次数: 0

Does robust greater tuberosity repair affect the outcomes of reverse shoulder replacement in proximal humerus fractures? - A Bayesian network meta-analysis. 强健的大结节修复是否影响肱骨近端骨折反向肩关节置换术的疗效？-贝叶斯网络元分析。

IF 1.1

Shoulder and Elbow Pub Date : 2026-06-04 DOI: 10.1177/17585732261445869

Nikhil Ponugoti, Amr Selim, Almutasim Elhassan, Richard Jeavons

{"title":"Does robust greater tuberosity repair affect the outcomes of reverse shoulder replacement in proximal humerus fractures? - A Bayesian network meta-analysis.","authors":"Nikhil Ponugoti, Amr Selim, Almutasim Elhassan, Richard Jeavons","doi":"10.1177/17585732261445869","DOIUrl":"https://doi.org/10.1177/17585732261445869","url":null,"abstract":"Background: Proximal humerus fractures are common in older adults, and the role of greater tuberosity (GT) repair in reverse shoulder arthroplasty (RSA) remains debated. Some surgeons omit GT repair to simplify surgery, but the functional impact of not repairing it is unclear. This study compared outcomes of healed GT repair, non-healed repair, and no repair.Methods: A Preferred Reporting Items for Systematic reviews and Meta-Analysis (PRISMA)-compliant systematic review and meta-analysis (MEDLINE, Embase, Cochrane; inception - February 2025) included 20 Methodological Index for Non-Randomised Studies (MINORS)-appraised studies. Outcomes were Constant score and shoulder motion. Analyses comprised: (a) a frequentist network meta-analysis of healed, non-healed, and no repair; and (b) a Bayesian comparison of any repair versus no repair.Results: Among 1885 patients, healed repair produced higher Constant scores and better abduction, external rotation, and forward flexion than non-healed or no repair. Non-healed repair and no repair showed similar outcomes. Bayesian analysis confirmed functional benefits of GT repair. Implant type had no effect.Conclusions: GT repair improves postoperative function after RSA, with maximal benefit when healing occurs.","PeriodicalId":36705,"journal":{"name":"Shoulder and Elbow","volume":" ","pages":"17585732261445869"},"PeriodicalIF":1.1,"publicationDate":"2026-06-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13241388/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148200369","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 meta-analysis and systematic review of arthroscopic lower trapezius tendon transfer for massive irreparable rotator cuff tears. 关节镜下斜方肌腱转移治疗大量不可修复的肩袖撕裂的meta分析和系统综述。

IF 1.1

Shoulder and Elbow Pub Date : 2026-06-03 DOI: 10.1177/17585732261455827

Chang Hee Baek, Jung Gon Kim, Bo Taek Kim, Chaemoon Lim

{"title":"The meta-analysis and systematic review of arthroscopic lower trapezius tendon transfer for massive irreparable rotator cuff tears.","authors":"Chang Hee Baek, Jung Gon Kim, Bo Taek Kim, Chaemoon Lim","doi":"10.1177/17585732261455827","DOIUrl":"https://doi.org/10.1177/17585732261455827","url":null,"abstract":"Background: Lower trapezius tendon (LTT) was increasingly used to restore external rotation in massive irreparable posterosuperior rotator cuff tears (PSRCTs), yet its performance remained unclear.Methods: Following PRISMA 2020, PubMed, EMBASE, and Scopus were searched. Studies reporting ≥12-month outcomes after arthroscopically assisted LTT for irreparable PSRCTs were included; screened 259 records and retained 14 studies (433 shoulders) (PROSPERO CRD420251079171). Quality was assessed with MINORS and certainty with GRADE. Change scores for ER, FE, VAS, ASES, and Constant scores were pooled as standardized mean difference (SMDs); subgroup and leave-one-out analyses assessed heterogeneity, and publication bias was evaluated.Results: ER improved +27.9° (SMD 1.80, 95% CI 1.35-2.25; I 2 = 83.9%), FE +37.0° (SMD 1.10, 95% CI 0.73-1.47; I 2 = 82.8%), VAS -4.2 (SMD -2.23, 95% CI -2.57 to -1.89; I 2 = 72.7%), ASES +32.5 (SMD 1.95, 95% CI 1.35-2.54; I 2 = 84.9%), and Constant +22.7 (SMD 1.63, 95% CI 1.27-1.98; I 2 = 17.2%). Graft healing was 89.4% (9 studies; 317 shoulders; 80.6%-100%); complications occurred in 3.70%, reoperation in 3.46%, and conversion to reverse total shoulder arthroplasty in 2.08%.Discussion: Arthroscopically assisted LTT improved motion, pain, and function with high graft-healing and low complication rates, with outcomes consistent across grafts and ages.Level of evidence: Level IV; Meta-Analysis.","PeriodicalId":36705,"journal":{"name":"Shoulder and Elbow","volume":" ","pages":"17585732261455827"},"PeriodicalIF":1.1,"publicationDate":"2026-06-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13233602/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148200374","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