Shoulder and Elbow最新文献_第7页

Routine gross pathology analysis of the humeral head after shoulder arthroplasty lacks cost-effectiveness and clinical utility. 肩关节置换术后肱骨头的常规大体病理分析缺乏成本效益和临床实用性。

IF 1.1

Shoulder and Elbow Pub Date : 2026-06-02 DOI: 10.1177/17585732261456264

Erik R Nakken, Renee Megwa, Zhaorui Wang, William R Aibinder

{"title":"Routine gross pathology analysis of the humeral head after shoulder arthroplasty lacks cost-effectiveness and clinical utility.","authors":"Erik R Nakken, Renee Megwa, Zhaorui Wang, William R Aibinder","doi":"10.1177/17585732261456264","DOIUrl":"https://doi.org/10.1177/17585732261456264","url":null,"abstract":"Background: Shoulder arthroplasty is increasingly common, and the humeral head is routinely sent for pathologic evaluation post-operatively. Prior work has questioned the cost-effectiveness of this practice. The purpose of this study was to assess whether routine gross pathology of the humeral head after shoulder arthroplasty is cost-effective and clinically impactful.Methods: Primary total shoulder arthroplasty and hemiarthroplasty cases performed at a single tertiary institution from 2013 to 2024 were reviewed. Surgeon pre-operative diagnoses were compared with gross pathology findings to assess diagnostic agreement and any resulting change in patient care. Pathology costs were estimated using the 2024B Centers for Medicare and Medicaid Services fee schedule.Results: A total of 1274 cases met the inclusion criteria. Agreement between surgeon and pathology diagnoses was 95.6%, with 4.4% discordance. No discordant findings resulted in altered clinical management. The total pathology cost was $20,778.94, averaging $371.05 per discordant diagnosis.Discussion: Surgeon and pathologist diagnoses of humeral head pathology after shoulder arthroplasty show an exceedingly high agreement rate of 95.6%. Importantly, none of the 56 diagnoses in disagreement led to a change in patient care. Routine gross pathologic evaluation of the humeral head after shoulder arthroplasty shows limited clinical utility and is not cost-effective.Level of evidence: Level IV, Economic analysis.","PeriodicalId":36705,"journal":{"name":"Shoulder and Elbow","volume":" ","pages":"17585732261456264"},"PeriodicalIF":1.1,"publicationDate":"2026-06-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13229899/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148164847","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

Unstable distal clavicle fractures: Outcomes of internal fixation of clavicle and coracoclavicular stabilization. 不稳定锁骨远端骨折：锁骨内固定和喙锁骨稳定的结果。

IF 1.1

Shoulder and Elbow Pub Date : 2026-06-02 DOI: 10.1177/17585732261456152

Jacquelyn J Xu, Brian O Molokwu, Roban Shabbir-Hussain, C Lucas Myerson, Young W Kwon, Mandeep S Virk

{"title":"Unstable distal clavicle fractures: Outcomes of internal fixation of clavicle and coracoclavicular stabilization.","authors":"Jacquelyn J Xu, Brian O Molokwu, Roban Shabbir-Hussain, C Lucas Myerson, Young W Kwon, Mandeep S Virk","doi":"10.1177/17585732261456152","DOIUrl":"https://doi.org/10.1177/17585732261456152","url":null,"abstract":"Background: This study evaluates outcomes following internal fixation of unstable distal clavicle fractures (DCFs) with or without coracoclavicular (CC) stabilization.Methods: A retrospective review was conducted for patients who underwent open repair of unstable DCFs at a single institution from 2017 to 2024. Fixation techniques included locking plate alone (P) or plate with CC stabilization [transcoracoid suture button (P + B), coracoid anchor (P + A)]. Collected variables included demographics, clinical details, patient-reported outcome measurement information system (PROMIS) scores, American Shoulder and Elbow Surgeons (ASES) scores, and Visual Analog Scale (VAS) Pain.Results: Seventeen patients with DCFs (17 shoulders;11 males, 6 females; mean age 45 [23-78] years) were followed for an average of 32.0 (3.4-69.3) months. Fixation groups included P (6), P + B (8), and P + A (3). Neer types included IIA (4), IIB (6), and V (7). Mean outcome scores were PROMIS upper extremity 49.2 ± 10.5, pain interference 47.0 ± 7.2, pain intensity 39.3 ± 7.0, ASES 89.3 ± 14.3, and VAS 1.5 ± 2.2. Three patients (18%) experienced postoperative issues: plate prominence (2) and shoulder stiffness (1); none required reoperation.Discussion: The addition of CC stabilization to locking plate fixation in high-risk unstable DCFs results in favorable outcomes and predictable healing rates.Level of evidence: IV, case series.","PeriodicalId":36705,"journal":{"name":"Shoulder and Elbow","volume":" ","pages":"17585732261456152"},"PeriodicalIF":1.1,"publicationDate":"2026-06-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13229901/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148164866","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

Extended oral antibiotic prophylaxis does not reduce periprosthetic joint infection after primary outpatient total shoulder arthroplasty: A matched cohort analysis. 延长口服抗生素预防不能减少初次门诊全肩关节置换术后假体周围关节感染：一项匹配队列分析。

IF 1.2

Shoulder and Elbow Pub Date : 2026-05-30 DOI: 10.1177/17585732261451169

Bradley J Lauck, Nicholas C Bank, William R Davis, Charles B Colson, Stephen Himmelberg, Brian R Waterman, Alan W Reynolds

{"title":"Extended oral antibiotic prophylaxis does not reduce periprosthetic joint infection after primary outpatient total shoulder arthroplasty: A matched cohort analysis.","authors":"Bradley J Lauck, Nicholas C Bank, William R Davis, Charles B Colson, Stephen Himmelberg, Brian R Waterman, Alan W Reynolds","doi":"10.1177/17585732261451169","DOIUrl":"10.1177/17585732261451169","url":null,"abstract":"Background: Over the last decade, total shoulder arthroplasty (TSA) has increasingly transitioned to the outpatient setting, where postoperative care pathways inherently limit the ability to deliver a full 24 hour course of intravenous antibiotic prophylaxis. Despite guideline recommendations, extended oral antibiotic prophylaxis is variably used after outpatient TSA, with limited evidence supporting this practice.Methods: A retrospective cohort study using the TriNetX database identified patients undergoing primary outpatient TSA between 2015 and 2025. Patients were stratified by receipt of extended oral antibiotic prophylaxis. Propensity score matching yielded two cohorts of 2647 patients each. Outcomes included periprosthetic joint infection (PJI), surgical site infection (SSI), all-cause revision, wound disruption, and emergency department utilization at 90 days and 1 year. Risk ratios (RRs) with 95% confidence intervals (CIs) were calculated.Results: At 90 days, there were no significant differences in PJI (0.9% vs 0.5%; RR 1.20, 95% CI 0.96-3.84) or SSI (0.8% vs 0.5%; RR 1.67, 95% CI 0.82-3.40). At 1 year, PJI (1.6% vs 1.2%; RR 1.34, 95% CI 0.85-2.12) and SSI (1.1% vs 0.8%; RR 1.14, 95% CI 0.79-2.42) rates remained comparable between groups.Discussion: Extended oral antibiotic prophylaxis did not reduce infection-related outcomes following primary outpatient TSA.Level of evidence: III, Retrospective cohort study.","PeriodicalId":36705,"journal":{"name":"Shoulder and Elbow","volume":" ","pages":"17585732261451169"},"PeriodicalIF":1.2,"publicationDate":"2026-05-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13222218/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148144736","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

Effects of a triple adjuvant combination of buprenorphine, clonidine, and dexamethasone on duration of brachial plexus blocks for upper extremity surgery: A prospective, randomized clinical trial. 丁丙诺啡、克拉定和地塞米松三联剂对上肢手术臂丛阻滞持续时间的影响：一项前瞻性、随机临床试验。

IF 1.1

Shoulder and Elbow Pub Date : 2026-05-23 DOI: 10.1177/17585732261453602

Nicholas Yonan, Samuel Mircoff, Sara Winfrey, William Adams, Julius Pawlowski, Legia Mondesir, John Jaworowicz, Umar Kamal, Dane Salazar, Nickolas Garbis, Audrice Francois

{"title":"Effects of a triple adjuvant combination of buprenorphine, clonidine, and dexamethasone on duration of brachial plexus blocks for upper extremity surgery: A prospective, randomized clinical trial.","authors":"Nicholas Yonan, Samuel Mircoff, Sara Winfrey, William Adams, Julius Pawlowski, Legia Mondesir, John Jaworowicz, Umar Kamal, Dane Salazar, Nickolas Garbis, Audrice Francois","doi":"10.1177/17585732261453602","DOIUrl":"https://doi.org/10.1177/17585732261453602","url":null,"abstract":"Background: Interscalene brachial plexus blocks (ISB) are commonly used as a perioperative pain strategy for shoulder arthroscopy. Though bupivacaine is the current standard of care for analgesia, adjuvant therapies including buprenorphine, clonidine, and dexamethasone (BCD) have each demonstrated analgesic benefits. This randomized controlled trial evaluated whether combining these three adjuvants with bupivacaine prolongs analgesia and reduces opioid consumption compared with bupivacaine alone for single-shot ISB.Methods: This single-blinded, randomized controlled trial, 127 adult patients undergoing shoulder arthroscopy at a single academic center who received either Plain-BPV (n = 66) or BPV-BCD (n = 61). Visual analog scale (VAS) pain scores and opioid consumption, measured in morphine milligram equivalents (MME), were assessed at 2-, 24-, and 48-h postoperatively.Results: Demographics and operative characteristics were similar between groups. At 24 h, BPV-BCD significantly reduced pain scores compared with Plain-BPV (3.2 vs. 5.0 VAS; p < 0.001). Opioid consumption was also lower with BPV-BCD (4.4 vs. 7.8 MME; p = 0.001).Conclusions: Combining BCD with bupivacaine for single-shot ISB significantly lowered 24-h pain scores and opioid requirements. These findings highlight the potential efficacy of this combination to optimize pain management following shoulder arthroscopy.","PeriodicalId":36705,"journal":{"name":"Shoulder and Elbow","volume":" ","pages":"17585732261453602"},"PeriodicalIF":1.1,"publicationDate":"2026-05-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13198526/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148017809","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

Sleep quality after shoulder arthroplasty - A systematic review. 肩关节置换术后睡眠质量的系统评价。

IF 1.2

Shoulder and Elbow Pub Date : 2026-05-23 DOI: 10.1177/17585732261450975

Kalter Hali, Marc A Manzo, Sean Mckellar, Matthew J Raleigh, Ujash Sheth

{"title":"Sleep quality after shoulder arthroplasty - A systematic review.","authors":"Kalter Hali, Marc A Manzo, Sean Mckellar, Matthew J Raleigh, Ujash Sheth","doi":"10.1177/17585732261450975","DOIUrl":"10.1177/17585732261450975","url":null,"abstract":"Background: Shoulder arthroplasty has been shown to improve pain and function. However, its effect on postoperative sleep quality remains poorly defined. The purpose of this systematic review is to summarize changes in sleep quality after shoulder arthroplasty.Methods: MEDLINE, Embase and Web of Science were searched from database inception to 31 October 2025, for studies reporting postoperative sleep outcomes following primary shoulder arthroplasty with at least one reported postoperative sleep-related outcome. Due to heterogeneity amongst studies and outcomes, results were synthesized descriptively.Results: Eighteen studies comprising 2512 patients were included. Preoperative sleep disturbance was highly prevalent (84-97%). Minimal improvement in sleep quality was reported within the first 6 weeks postoperatively, followed by a marked improvement by 6 months. This was generally sustained at longer follow-up. However, 13-16% of patients reported persistent difficulties sleeping comfortably. Seventeen studies (94%) reported subjective sleep outcomes, while only two studies (11%) reported on objective sleep measures using wearable devices.Conclusion: Shoulder arthroplasty is generally associated with meaningful improvement in sleep quality between 6 weeks and 6 months postoperatively, with improvements plateauing thereafter. The existing literature is limited by heavy reliance on subjective, often non-validated, sleep measures and a paucity of objective sleep data.","PeriodicalId":36705,"journal":{"name":"Shoulder and Elbow","volume":" ","pages":"17585732261450975"},"PeriodicalIF":1.2,"publicationDate":"2026-05-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13198522/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148017801","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

Mid-term outcome of elbow hemiarthroplasty performed in a tertiary elbow hub. 在第三肘关节中心进行肘关节半置换术的中期结果。

IF 1.2

Shoulder and Elbow Pub Date : 2026-05-22 DOI: 10.1177/17585732261453537

Akram Hagos, Fiona Ashton, Richard Murphy, Joideep Phadnis

{"title":"Mid-term outcome of elbow hemiarthroplasty performed in a tertiary elbow hub.","authors":"Akram Hagos, Fiona Ashton, Richard Murphy, Joideep Phadnis","doi":"10.1177/17585732261453537","DOIUrl":"10.1177/17585732261453537","url":null,"abstract":"Background: Elbow hemiarthroplasty (EHA) is a surgical option for managing acute, non-reconstructable distal humerus fractures in elderly and low-demand patients. In England, due to its low-volume nature, EHA is now centralised to designated regional hubs. This study evaluates medium-term clinical and radiological outcomes of EHA performed in a high-volume tertiary elbow hub.Methods: A retrospective review of consecutive patients treated with EHA for acute distal humeral fracture between 2016 and 2024 was performed. Clinical and radiological outcomes were assessed, and all complications and re-operations were documented. Subgroup analysis compared outcomes for tertiary versus local referrals and for patients aged <80 versus ≥80 years.Results: Fifty-five patients, including 50 (91%) females with a mean age of 75 (57-93), were included. Median time to surgery was 8 days (6-12). Thirty cases (55%) were external referrals. Clinical outcome data were available for 44 patients. Mean follow-up was 44 months (13-101). Median Oxford Elbow Score 44 (40-46) and visual analogue scale 1 (0-2), with a mean flexion arc of 123° (70°-140°). The overall complication rate was 16%, with a 4% re-operation rate (2 patients). No cases of implant loosening or instability were recorded, and no cases required revision surgery.Discussion: Centralised EHA for acute distal humeral trauma demonstrates consistent, good clinical outcomes and a favourable complication profile when compared to the literature and national registry data. These findings support the centralisation of low-volume arthroplasty to hub units.","PeriodicalId":36705,"journal":{"name":"Shoulder and Elbow","volume":" ","pages":"17585732261453537"},"PeriodicalIF":1.2,"publicationDate":"2026-05-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13198525/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148017813","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 effectiveness of physiotherapy-led non-surgical and perioperative interventions for glenohumeral osteoarthritis: A systematic review. 物理治疗主导的非手术和围手术期干预治疗盂肱骨关节炎的有效性：一项系统综述。

IF 1.2

Shoulder and Elbow Pub Date : 2026-05-22 DOI: 10.1177/17585732261450961

Daha Garba Muhammad, Nadine E Foster, Mickylle Pelaez, Karina O'Leary, Ilana N Ackerman, Jonathan G Quicke

{"title":"The effectiveness of physiotherapy-led non-surgical and perioperative interventions for glenohumeral osteoarthritis: A systematic review.","authors":"Daha Garba Muhammad, Nadine E Foster, Mickylle Pelaez, Karina O'Leary, Ilana N Ackerman, Jonathan G Quicke","doi":"10.1177/17585732261450961","DOIUrl":"10.1177/17585732261450961","url":null,"abstract":"Background: Physiotherapists are commonly involved in the management of adults with glenohumeral osteoarthritis (GHOA), to improve symptoms or restore function after surgery. This systematic review investigated the effectiveness of physiotherapist-led interventions in adults with GHOA including rotator cuff arthropathy (RCA).Method: We conducted a comprehensive systematic review (PROSPERO Registration: CRD42022318534) searching PubMed, Cochrane, CINAHL, EMBASE and PEDro databases from inception up until June 2025. Articles were included if they were randomised controlled trials (RCTs) involving adults aged ≥45 years with GHOA including RCA across non-surgical and perioperative settings where interventions were led by physiotherapists and articles reported pain or functional outcomes, or adverse events. Results were narratively synthesised.Results: Of 582 articles identified, four RCTs were eligible and included in the review. Each focussed on postoperative physiotherapist-led interventions and none were placebo-controlled. Low-certainty evidence showed no between-group differences in patient outcomes at any time point between postoperative physiotherapist-led interventions delivered early (within the first 6 weeks) versus delayed interventions delivered after 6 weeks. Evidence from the remaining findings of this review is of very low certainty.Conclusion: The evidence base about the effectiveness of physiotherapist-led interventions for GHOA and RCA is extremely limited and of poor quality. No published RCTs have evaluated physiotherapist-led interventions for patients with GHOA undergoing non-surgical care. High-quality, adequately powered RCTs are required to determine effectiveness of physiotherapist-led interventions for GHOA and RCA and inform evidence-based care.","PeriodicalId":36705,"journal":{"name":"Shoulder and Elbow","volume":" ","pages":"17585732261450961"},"PeriodicalIF":1.2,"publicationDate":"2026-05-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13198524/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148017859","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 is the incidence of total elbow arthroplasty after intra-articular versus extra-articular distal humerus open reduction and internal fixation? 肱骨远端关节内切开复位内固定后全肘关节置换术与关节外切开复位内固定后全肘关节置换术的发生率是多少？

IF 1.1

Shoulder and Elbow Pub Date : 2026-05-20 DOI: 10.1177/17585732261451863

Katherine Ferry, Sabrina M Pescatore, Jeremy Somerson

{"title":"What is the incidence of total elbow arthroplasty after intra-articular versus extra-articular distal humerus open reduction and internal fixation?","authors":"Katherine Ferry, Sabrina M Pescatore, Jeremy Somerson","doi":"10.1177/17585732261451863","DOIUrl":"https://doi.org/10.1177/17585732261451863","url":null,"abstract":"Introduction: Distal humerus fractures are rare but technically challenging. Intra-articular patterns may predispose patients to post-traumatic osteoarthritis, potentially requiring total elbow arthroplasty (TEA). This study compared TEA incidence after intra- versus extra-articular distal humerus fracture fixation across age groups.Methods: The TriNetX database (2006-2026) was queried for patients undergoing open reduction and internal fixation (ORIF) of distal humerus fractures. Patients were stratified into younger (10-40 years) and older (>50 years) cohorts and classified as extra-articular (current procedural terminology (CPT) 24545) or intra-articular (CPT 24546, 24586, 24579). Cohorts were 1:1 propensity-matched for demographics and comorbidities. Younger patients were analyzed as a combined cohort. Kaplan-Meier analysis estimated TEA incidence at 1, 3, 5, and 10 years.Results: In the older cohort (2181 patients/group; mean age ∼70 years), intra-articular fractures demonstrated significantly higher TEA conversion at 1 year (3.9% vs. 1.6%), 3 years (4.3% vs. 2.1%), 5 years (4.3% vs. 2.1%), and 10 years (4.4% vs. 2.2%) (all ps < 0.05; odds ratio: 2.02-2.46). Kaplan-Meier analysis confirmed lower TEA-free survival in intra-articular patients (p < 0.001). TEA conversion remained rare in younger patients (1.04% at 10 years).Conclusion: TEA conversion after distal humerus ORIF is uncommon overall but varies by age and fracture pattern, supporting individualized counseling.Level of evidence: Level III, Prognostic.","PeriodicalId":36705,"journal":{"name":"Shoulder and Elbow","volume":" ","pages":"17585732261451863"},"PeriodicalIF":1.1,"publicationDate":"2026-05-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13190375/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148017781","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

Response to Letter to the Editor regarding "Arthroscopic versus mini-open rotator cuff repair: A meta-analysis". 关于“关节镜与迷你开放式肩袖修复：荟萃分析”致编辑的回复。

IF 1.1

Shoulder and Elbow Pub Date : 2026-05-19 DOI: 10.1177/17585732261451501

Marc Boutros, Guy Awad, Ali Hamyeh, Bassem Elhassan

引用次数: 0

Clinical and radiographic outcomes of revision to reverse shoulder arthroplasty with an augmented baseplate in the setting of glenoid bone loss. 肱骨盂骨丢失情况下加强型钢板反向肩关节置换术的临床和影像学结果。

IF 1.1

Shoulder and Elbow Pub Date : 2026-05-16 DOI: 10.1177/17585732261449624

Adam Z Khan, Liam T Kane, Alayna Vaughan, Mark D Lazarus, Gerald R Williams, Surena Namdari

{"title":"Clinical and radiographic outcomes of revision to reverse shoulder arthroplasty with an augmented baseplate in the setting of glenoid bone loss.","authors":"Adam Z Khan, Liam T Kane, Alayna Vaughan, Mark D Lazarus, Gerald R Williams, Surena Namdari","doi":"10.1177/17585732261449624","DOIUrl":"https://doi.org/10.1177/17585732261449624","url":null,"abstract":"Background: In revision to reverse shoulder arthroplasty (RSA), improper correction of glenoid deformity can result in over-medialization, baseplate fixation compromise, or variation in baseplate inclination or version. This study assessed clinical and radiographic outcomes of a non-custom augmented baseplate in the setting of revision to RSA.Methods: This was a retrospective cohort study of patients who underwent revision to RSA (from a prior shoulder arthroplasty procedure) with an augmented baseplate with a minimum 2-year follow-up. Radiographic and clinical outcomes were assessed.Results: Revision to RSA with a baseplate augment was performed in 25 patients (age 68.2 ± 8.9 years). There was improvement in elevation (98 to 146, p < 0.001), external rotation (28 to 39, p = 0.032), American Shoulder and Elbow Surgeon score (36.5 to 75.4, p < 0.001), Single Alpha Numeric Evaluation score (30.1 to 70.0, p < 0.001), and Visual Analog Pain Score (6.2 to 2.3, p < 0.001). One patient had radiographic evidence of baseplate mechanical failure (4%), two cases had postoperative instability (8%), and two cases had periprosthetic humerus fractures (8%).Discussion: In the setting of glenoid bone loss and revision to RSA, baseplate full and half-wedge \"off-the-shelf\" augments provide favorable short-term outcomes with a low rate of baseplate failure (4%) at a mean 2.7-year follow-up.Level of evidence: Level IV, retrospective cohort study.","PeriodicalId":36705,"journal":{"name":"Shoulder and Elbow","volume":" ","pages":"17585732261449624"},"PeriodicalIF":1.1,"publicationDate":"2026-05-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13179934/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147976170","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