Shoulder and Elbow最新文献_第7页

Re-tear following rotator cuff repair: Do functional outcomes predict success? 肩袖修复术后再次撕裂：功能结果是否预示着成功？

IF 1.5

Shoulder and Elbow Pub Date : 2024-11-06 DOI: 10.1177/17585732241267222

Nathan Angerett, Timothy Maurer, Rex Lutz, Tia Alexander, Leighann Krasney, Matthew Kelly

{"title":"Re-tear following rotator cuff repair: Do functional outcomes predict success?","authors":"Nathan Angerett, Timothy Maurer, Rex Lutz, Tia Alexander, Leighann Krasney, Matthew Kelly","doi":"10.1177/17585732241267222","DOIUrl":"10.1177/17585732241267222","url":null,"abstract":"Purpose: The purpose of this study is to compare functional outcomes between patients who were found to have a retear on ultrasound versus those with an intact repair following arthroscopic rotator cuff repair.Methods: Retrospective cohort study comparing functional outcomes of 84 patients who underwent arthroscopic rotator cuff repair and were found to have a retear versus those who did not experience a retear. Functional outcomes included American Shoulder and Elbow Surgeons (ASES) score, Simple Shoulder Test, strength and active range of motion (AROM) assessed preoperatively and postoperatively at 3 and 6 months.Results: Patients without a retear by 6 months demonstrated greater improvements in internal rotation at 3 months (2.3° of mean change, p = 0.0356), as well as greater improvements in external rotation range of motion (8.8° of mean change, p = 0.0210) between 3 and 6 months as compared to those patients who did experience a retear. Both groups showed decreased pain scores and increased ASES scores at all points postoperatively.Conclusions: Our study found statistically significant improvements in internal rotation at 3 months, and external rotation between 3 and 6 months in the non-retear group. No differences in functional outcomes existed between at final follow-up.","PeriodicalId":36705,"journal":{"name":"Shoulder and Elbow","volume":" ","pages":"17585732241267222"},"PeriodicalIF":1.5,"publicationDate":"2024-11-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11559716/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142629958","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

Bone block options for treating glenoid bone loss and glenohumeral instability: A systematic review. 治疗盂骨缺失和盂肱不稳定的骨块方案：系统综述。

IF 1.5

Shoulder and Elbow Pub Date : 2024-11-03 DOI: 10.1177/17585732241293763

Damon V Briggs, Eoghan T Hurley, Eric Warren, Alaowei Y Amanah, Jay M Levin, Brian C Lau, Jonathan F Dickens, Christopher S Klifto, Oke Anakwenze

{"title":"Bone block options for treating glenoid bone loss and glenohumeral instability: A systematic review.","authors":"Damon V Briggs, Eoghan T Hurley, Eric Warren, Alaowei Y Amanah, Jay M Levin, Brian C Lau, Jonathan F Dickens, Christopher S Klifto, Oke Anakwenze","doi":"10.1177/17585732241293763","DOIUrl":"10.1177/17585732241293763","url":null,"abstract":"Background: To systematically review the literature assessing glenoid bone loss restoration by different bone block options and compare their dimensions.Methods: Systematic examination of articles in PubMed and EMBASE databases was performed per the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines to find studies of bone grafts for treating anterior glenohumeral instability. Statistical analyses were conducted via Review Manager, and a p-value of <0.05 was statistically significant.Results: Our review included 25 studies evaluating 870 shoulders. Traditional arc Latarjet (TL) had more depth than congruent arc Latarjet (CAL; p = 0.003). The coronal radii of curvature of TL, CAL, distal tibia, and iliac crest bone blocks were similar to native glenoid (p = 0.400, 0.817, 0.467, 0.216, respectively). CAL coracoid bone blocks restored significantly more glenoid surface area (30.3%) than TL bone blocks (p = 0.012). The glenoid width and surface area restoration by distal clavicle bone blocks were equivalent to TL (p = 0.058 and p = 0.103, respectively).Discussion: The CAL technique restored higher percentages of glenoid surface area than TL but has less depth, which may increase fracture risk during screw insertion. The distal clavicle bone block is a suitable substitute to TL as it was equivalent regarding glenoid width and surface area restoration.","PeriodicalId":36705,"journal":{"name":"Shoulder and Elbow","volume":" ","pages":"17585732241293763"},"PeriodicalIF":1.5,"publicationDate":"2024-11-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11559950/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142629943","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

Clinical significance of upper arm motor nerve conduction velocity in cubital tunnel syndrome. 肘隧道综合征上臂运动神经传导速度的临床意义。

IF 1.5

Shoulder and Elbow Pub Date : 2024-10-25 DOI: 10.1177/17585732241293360

Kazuya Uehara, Takahiro Hashimoto, Kiminori Yukata, Yasuaki Imajo, Masahiro Funaba, Kenzo Fujii, Takashi Sakai

{"title":"Clinical significance of upper arm motor nerve conduction velocity in cubital tunnel syndrome.","authors":"Kazuya Uehara, Takahiro Hashimoto, Kiminori Yukata, Yasuaki Imajo, Masahiro Funaba, Kenzo Fujii, Takashi Sakai","doi":"10.1177/17585732241293360","DOIUrl":"10.1177/17585732241293360","url":null,"abstract":"Background: Retrograde denervation occurs in severe entrapment neuropathy. This study aimed to investigate changes in motor nerve conduction velocity (MNCV) at the upper arm, specifically proximal to the elbow, in cubital tunnel syndrome (CuTS) and to correlate these changes with preoperative severity and postoperative outcomes.Methods: We retrospectively reviewed 95 elbows with 81 patients with CuTS for preoperative severity, and then 67 elbows with 60 of these patients who underwent anterior subcutaneous transposition surgery for postoperative outcome, classified into favorable and unfavorable groups according to Messina grade.Results: The reduction of upper arm MNCV was correlated with aging, decreased compound muscle action potentials of abductor digiti minimi muscle, loss of sensory nerve action potentials, and modified McGowan grade. Postoperative assessment revealed lower MNCV values in the \"unfavorable\" group compared to the \"favorable\" group at 1 month, 6 months, and the last follow up. At each time point, the optimal cut-off value of upper arm MNCV for predicting postoperative outcomes was 54.1 m/s.Discussion: Upper arm MNCV might be a useful predictor of poor surgical outcome. Ulnar nerve MNCV at the upper arm should be measured alongside routine assessment of MNCV at the elbow and forearm, especially in clinically severe cases considering surgery.","PeriodicalId":36705,"journal":{"name":"Shoulder and Elbow","volume":" ","pages":"17585732241293360"},"PeriodicalIF":1.5,"publicationDate":"2024-10-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11559839/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142629947","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

Outcomes at mean follow-up of four years following AO type-C distal humerus fractures managed with fixation or arthroplasty. AO-C 型肱骨远端骨折经固定或关节成形术治疗后，平均随访四年的结果。

IF 1.5

Shoulder and Elbow Pub Date : 2024-10-24 DOI: 10.1177/17585732241283909

James Allen, Luke Budworth, Paul Cowling, Charlotte Tunstall, David Limb, Sam Vollans

{"title":"Outcomes at mean follow-up of four years following AO type-C distal humerus fractures managed with fixation or arthroplasty.","authors":"James Allen, Luke Budworth, Paul Cowling, Charlotte Tunstall, David Limb, Sam Vollans","doi":"10.1177/17585732241283909","DOIUrl":"10.1177/17585732241283909","url":null,"abstract":"Aim: To compare outcomes between open reduction internal fixation (ORIF), total elbow replacement (TER) and distal humerus hemiarthroplasty (DHH) for AO type-C (AOC) fractures of the distal humerus in patients aged 50 years or older.Methods: A retrospective analysis of acute AOC distal humerus fractures in patients aged 50 years or older between 2016 and 2022. Outcomes measured: Oxford Elbow Score (OES), Mayo Elbow Performance Score (MEPS), complication rate, re-operation rate and range of movement (ROM).Results: Sixty-five patients met the inclusion criteria (20 males, 45 females). Mean age was 64.4, 77.1 and 61.3 years old for ORIF, TER and DHH respectively. Logistic model analysis revealed a statistically significant increased complication rate in the ORIF group compared to the TER and DHH groups (ORIF vs TER p = 0.01; ORIF vs DHH p = 0.048). There was a higher re-operation rate in the ORIF group compared to the DHH group (p = 0.03). There were no differences in OES, MEPS or ROM between groups.Discussion: This supports the use of TER in elderly patients with AOC distal humerus fractures. In the younger patient, DHH may have lower rates of complications and re-operations compared to ORIF, but function remains similar. We propose a prospective randomised control trial.","PeriodicalId":36705,"journal":{"name":"Shoulder and Elbow","volume":" ","pages":"17585732241283909"},"PeriodicalIF":1.5,"publicationDate":"2024-10-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11559901/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142629956","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 pre-operative patient expectations on the outcome after total shoulder arthroplasty: A systematic review. 患者术前期望对全肩关节置换术后效果的影响：系统综述。

IF 1.5

Shoulder and Elbow Pub Date : 2024-10-15 DOI: 10.1177/17585732241282021

Anke Claes, Annelien De Mesel, Olivier Verborgt, Filip Struyf

{"title":"Effects of pre-operative patient expectations on the outcome after total shoulder arthroplasty: A systematic review.","authors":"Anke Claes, Annelien De Mesel, Olivier Verborgt, Filip Struyf","doi":"10.1177/17585732241282021","DOIUrl":"10.1177/17585732241282021","url":null,"abstract":"Aim: To synthesize the evidence considering effects of pre-operative patient expectations on the post-operative outcomes in patients with total shoulder arthroplasty.Methods: PubMed, Web of Science and Cochrane were searched for relevant studies. Studies before 2000 were excluded. Studies examining effects of pre-operative patient expectations on post-operative outcome in adults who had undergone total shoulder arthroplasty were included if at least one of the following treatment outcomes should have been measured: shoulder function, range of motion, shoulder pain, activities of daily living, muscle strength, patient satisfaction, or quality of life. After screening 875 studies four studies were included. Relevant data was extracted in a standardized way. Quality assessment was performed through QUIPS and EBRO methods. Both were performed by two independent reviewers.Results: All 4 studies had a high risk of bias and level of evidence B. Moderate evidence was found regarding the absence of an association between greater pre-operative patient expectations and numerous outcome measures. All other associations yielded conflicting or preliminary evidence.Discussion: Informing patients about what can be expected can be of great importance. Evidence lacking. To confirm or reject the findings of this systematic review, future research should focus on high-quality research with validated research protocols.","PeriodicalId":36705,"journal":{"name":"Shoulder and Elbow","volume":" ","pages":"17585732241282021"},"PeriodicalIF":1.5,"publicationDate":"2024-10-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11559730/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142629951","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

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

IF 1.5

Shoulder and Elbow Pub Date : 2024-10-10 DOI: 10.1177/17585732241281743

Lisa Pitt, Bruno Mazuquin, Chris Littlewood

{"title":"What influences the decision to undergo rotator cuff repair surgery: A survey of clinician's perspectives.","authors":"Lisa Pitt, Bruno Mazuquin, Chris Littlewood","doi":"10.1177/17585732241281743","DOIUrl":"10.1177/17585732241281743","url":null,"abstract":"Background: Many factors may influence a patient's decision to undergo rotator cuff repair surgery. The aim of this survey was to understand from a clinician's perspective how different factors influence the likelihood of a patient undergoing a repair.Methods: An online survey presenting a range of clinical scenarios was distributed through professional networks to understand how each patient related factor influenced the likelihood of a patient undergoing a rotator cuff repair.Results: One hundred three clinicians completed the survey. Clinicians indicated that patients were more likely to undergo a repair if they were younger, had a traumatic or larger tear, high pain levels (64.1%), high functional demands (93.2%), and arm weakness (86.4%). Surgery was less likely in older patients who had degenerative or smaller tears, diabetics (62.1%), smokers (78.9%) and those with high body mass index (57.3%). 74.8% of clinicians indicated a repair was more likely if the patient expected that surgery was required to improve symptoms.Discussion: From a clinician's perspective, the decision to undergo surgery is complex, it is influenced by onset, age, tear size and other health related factors. Patient expectations of treatment also appear to influence the decision, and this is an area that needs further exploration.","PeriodicalId":36705,"journal":{"name":"Shoulder and Elbow","volume":" ","pages":"17585732241281743"},"PeriodicalIF":1.5,"publicationDate":"2024-10-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11559883/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142636129","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Variations in treatment approaches for patients with scapula alata - A national survey across public hospitals in Denmark. 肩胛骨突出症患者治疗方法的差异--丹麦公立医院全国调查。

IF 1.5

Shoulder and Elbow Pub Date : 2024-10-04 DOI: 10.1177/17585732241285330

Kirstine Lyngsøe Hvidberg, Cecilie Rud Budtz, Grethe Aalkjær, Søren Villumsen, Brian Elmengaard, David Høyrup Christiansen, Helle Kvistgaard Østergaard

{"title":"Variations in treatment approaches for patients with scapula alata - A national survey across public hospitals in Denmark.","authors":"Kirstine Lyngsøe Hvidberg, Cecilie Rud Budtz, Grethe Aalkjær, Søren Villumsen, Brian Elmengaard, David Høyrup Christiansen, Helle Kvistgaard Østergaard","doi":"10.1177/17585732241285330","DOIUrl":"10.1177/17585732241285330","url":null,"abstract":"Introduction: Scapula alata (SA) is a condition characterized by medial winging and reduced upward rotation of the scapula during arm elevation, leading to impaired shoulder function. This study aimed to assess diagnostic and treatment approaches for SA in public hospitals in Denmark.Materials and methods: A cross-sectional survey was undertaken using a self-administered questionnaire to healthcare professionals across departments in public hospitals in Denmark. The survey investigated diagnostic practices, including referral to electroneurography (ENG), ICD-10 coding and local treatment practices.Results: A total of 20 hospital departments completed the questionnaire. Six hospitals use ENG as part of their diagnostic practice. Six different ICD-10 codes were reported for SA. Annual patient numbers ranged from 0 to 20, with four hospitals accounting for most of the patients. Doctors and physiotherapists are the primary healthcare providers involved in the diagnostic and treatment process. Only four hospitals reported written local guidelines for SA treatment. Treatment approaches included exercise therapy, brace treatment, surgery, and in some cases, a waiting approach.Conclusion: The survey revealed significant variations in diagnostic and treatment practices for SA across Denmark. This emphasizes the need for further research and national and international consensus, including standardized guidelines for diagnostics and treatment practices.","PeriodicalId":36705,"journal":{"name":"Shoulder and Elbow","volume":" ","pages":"17585732241285330"},"PeriodicalIF":1.5,"publicationDate":"2024-10-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11559738/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142629975","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

Clinical outcomes of a novel 'all-suture' fixation for valgus-impacted proximal humeral fractures. 一种新型“全缝合”固定治疗外翻冲击肱骨近端骨折的临床效果。

IF 1.5

Shoulder and Elbow Pub Date : 2024-10-01 Epub Date: 2023-06-26 DOI: 10.1177/17585732231184208

Chad Brooker-Thompson, Hariharan Mohan, Neil Chotai, Toby Baring

{"title":"Clinical outcomes of a novel 'all-suture' fixation for valgus-impacted proximal humeral fractures.","authors":"Chad Brooker-Thompson, Hariharan Mohan, Neil Chotai, Toby Baring","doi":"10.1177/17585732231184208","DOIUrl":"10.1177/17585732231184208","url":null,"abstract":"Background: Conventional techniques for the fixation of displaced proximal humeral fractures include the use of locking plates, intramedullary nailing, hemiarthroplasty and reverse shoulder replacement. Valgus-impacted fractures are a common subtype of proximal humeral fracture, but there are few publications concerning the outcomes of treatment. This study aims to review outcomes following an 'all-suture' technique for this fracture subtype without the use of transosseous sutures.Methods: All patients over the age of 18 who presented with 3- or 4-part valgus-impacted proximal humeral fractures and who underwent 'all-suture' repair at our centre were included. We reviewed their post-operative imaging and collected data on post-operative complications and patient-reported outcome measures.Results: We identified 15 patients who had undergone all-suture fixation. The cohort's mean age was 56. Eleven patients were female. Eight patients had 3-part fractures and seven patients had 4-part fractures. There were no major post-operative complications. All fractures united. The mean Oxford Shoulder Score was 43.7 and the mean Single Assessment Numerical Evaluation score was 85.9 at the final follow-up.Discussion: Our results suggest that all-suture fixation of proximal humeral fractures presents an attractive alternative to conventional techniques, whilst avoiding complications relating to metalwork implantation.","PeriodicalId":36705,"journal":{"name":"Shoulder and Elbow","volume":"28 1","pages":"605-610"},"PeriodicalIF":1.5,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11622391/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81383694","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

Chest wall soft tissue thickness is associated with humeral shaft non-union: A radiographic study. 胸壁软组织厚度与肱骨不愈合有关：影像学研究。

IF 1.5

Shoulder and Elbow Pub Date : 2024-10-01 Epub Date: 2023-08-01 DOI: 10.1177/17585732231190325

Alex Chowdhury, Kizzie A Peters, Henry B Colaço, Iain Ar MacLeod

{"title":"Chest wall soft tissue thickness is associated with humeral shaft non-union: A radiographic study.","authors":"Alex Chowdhury, Kizzie A Peters, Henry B Colaço, Iain Ar MacLeod","doi":"10.1177/17585732231190325","DOIUrl":"10.1177/17585732231190325","url":null,"abstract":"Background: Anecdotally, upper truncal obesity and large breasts have often been associated with inferior outcomes from non-operative management of diaphyseal humerus fractures. However, this assertion is without basis in the literature.Aims: To produce radiographic measurements of chest wall soft tissue thickness (STT) and determine association with non-union in diaphyseal humerus fractures.Methods: Two hundred and seventeen consecutive non-operative humeral shaft fractures were included. Radiographic STT measurements were taken at three standardised points (upper, middle and lower) using a simple reproducible method, with ratios derived (dividing these figures by the mid-humerus diameter). Bivariate and multivariable analyses were used to assess association with non-union.Results: There were 58 (26.7%) cases of non-union. On multivariable analysis, the middle (odds ratio (OR) 1.39, p < 0.001) and lower (OR 1.23, p = 0.009) STT measurements were independently associated with non-union. Additionally, the middle (OR 1.85, p < 0.001) and lower (OR 1.47, p < 0.001) STT ratios were independently associated with non-union. A receiver operating characteristic curve determined a threshold value of a middle STT ratio of ≥ 3 (OR 3.73, p < 0.001, sensitivity 69.0%, specificity 62.3%), which was independently associated with non-union.Conclusion: Chest wall STT is independently associated with humeral shaft non-union. Threshold values can assist in decision making for these fractures.","PeriodicalId":36705,"journal":{"name":"Shoulder and Elbow","volume":"29 1","pages":"611-620"},"PeriodicalIF":1.5,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11622316/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91241754","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

Photodynamic therapy for Cutibacterium acnes decolonization of the shoulder dermis. 光动力疗法治疗痤疮角质杆菌肩部真皮去殖。

IF 1.5

Shoulder and Elbow Pub Date : 2024-10-01 Epub Date: 2023-08-07 DOI: 10.1177/17585732231192856

John G Horneff, Alayna Vaughan, Manan Patel, Thema Nicholson, Serge Tzeuton, Mark Lazarus, Surena Namdari, Joseph A Abboud

{"title":"Photodynamic therapy for Cutibacterium acnes decolonization of the shoulder dermis.","authors":"John G Horneff, Alayna Vaughan, Manan Patel, Thema Nicholson, Serge Tzeuton, Mark Lazarus, Surena Namdari, Joseph A Abboud","doi":"10.1177/17585732231192856","DOIUrl":"10.1177/17585732231192856","url":null,"abstract":"Introduction: Cutibacterium acnes (C. acnes) is a common source of infection in shoulder surgery. 5-Aminolevulinic acid (5-ALA) is a naturally occurring metabolite of C. acnes that creates an exothermic reaction when activated by blue light. The purpose of this study was to evaluate the efficacy of preoperative photodynamic therapy using topical 5-ALA to decrease C. acnes colonization.Methods: Patients were randomized to receive topical 5-ALA skin solution activated by blue light photodynamic therapy or standard of care preoperative skin preparation. Prior to skin incision, two punch biopsy specimens were taken from the portal sites and were incubated for 13 days. Culture positivity rate, days until positive, and semiquantitative growth classification were analyzed.Results: Fifty patients undergoing arthroscopic shoulder surgery were randomized. The overall positive culture rate was 54%. All cultures were positive for C. acnes except for one. Sixty-four percent of standard preparation patients and 44% of investigational group patients had at least one positive culture for C. acnes. There was no significant difference between groups in patients with at least one positive C. acnes culture (p = 0.49).Conclusion: The use of photodynamic therapy undergoing arthroscopic shoulder surgery did not significantly reduce colonization of C. acnes as compared to standard preparation.Level of evidence: Level II.","PeriodicalId":36705,"journal":{"name":"Shoulder and Elbow","volume":"98 1","pages":"635-640"},"PeriodicalIF":1.5,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11622339/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77227226","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