Shoulder and Elbow最新文献_第8页

30-Day complications, operative time, and overnight admission following elective elbow arthroscopy. 选择性肘关节镜手术后的 30 天并发症、手术时间和住院时间。

IF 1.5

Shoulder and Elbow Pub Date : 2024-04-29 DOI: 10.1177/17585732241249393

Dany El-Najjar, Apoorva Mehta, Puneet Gupta, Joel R Peterson, Brandon Rogalski, Erick M Marigi, Bryan M Saltzman, Charles M Jobin, David P Trofa

{"title":"30-Day complications, operative time, and overnight admission following elective elbow arthroscopy.","authors":"Dany El-Najjar, Apoorva Mehta, Puneet Gupta, Joel R Peterson, Brandon Rogalski, Erick M Marigi, Bryan M Saltzman, Charles M Jobin, David P Trofa","doi":"10.1177/17585732241249393","DOIUrl":"10.1177/17585732241249393","url":null,"abstract":"Background: Although arthroscopic procedures are generally considered safer than open procedures, they are not without complications. This study's purpose is to characterize patient demographics, medical complications, overnight admissions, and prolonged operative times for patients undergoing elective elbow arthroscopy using a national database.Methods: This retrospective study used the ACS NSQIP database with data from 2015 to 2020. Patients undergoing elbow arthroscopy were identified, and those undergoing emergent surgery were excluded. Patient demographics, clinical characteristics, medical comorbidities, 30-day complications, overnight admission rates, and operative times were recorded and analyzed.Results: Overall, 815 patients undergoing elective elbow arthroscopy were included. The mean age was 46.8 years. Mean BMI was 29.7 kg/m2, and 75.2% (n = 613) were male sex. The most common comorbidity was smoking (14.8%, n = 121). The cumulative complication rate was 2.5% (n = 20). The most common complication was surgical site infection (n = 7, 0.9%). 10.7% of patients required at least one overnight hospital stay. 20.2% of patients had a prolonged operative time ≥ 120 min.Conclusion: Elbow arthroscopy is not without complications and morbidity despite being a minimally invasive procedure and advances made in surgical technique. Surgeons should use this information to facilitate shared-surgical decision making, preoperative patient counselling, and preoperative patient optimization.","PeriodicalId":36705,"journal":{"name":"Shoulder and Elbow","volume":" ","pages":"17585732241249393"},"PeriodicalIF":1.5,"publicationDate":"2024-04-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11562297/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142648948","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 double-lasso loop technique of Biceps tenodesis has lower displacement after cyclic loading, compared to interference screw fixation: Biomechanical analysis in an ovine model. 与干涉螺钉固定相比，二头肌肌腱固定双套索袢技术在循环加载后具有更低的位移:羊模型的生物力学分析。

IF 1.5

Shoulder and Elbow Pub Date : 2023-12-01 Epub Date: 2022-04-27 DOI: 10.1177/17585732221095766

Bryon Jx Teo, Andy Yew, Marcus Wei Ping Tan, Siaw Meng Chou, Denny Tjiauw Tjoen Lie

{"title":"The double-lasso loop technique of Biceps tenodesis has lower displacement after cyclic loading, compared to interference screw fixation: Biomechanical analysis in an ovine model.","authors":"Bryon Jx Teo, Andy Yew, Marcus Wei Ping Tan, Siaw Meng Chou, Denny Tjiauw Tjoen Lie","doi":"10.1177/17585732221095766","DOIUrl":"10.1177/17585732221095766","url":null,"abstract":"Background: Biceps tenodesis is an effective treatment for symptomatic long head of biceps tendon pathology. Recently the arthroscopic \"double lasso-loop\" suture anchor (DLSA) technique was described, advantaged by reduced cost, complexity, and operative time. We aimed to compare the in vitro strength of DLSA with conventional interference screws (IS).Methods: A biomechanical analysis was conducted on 14 sheep shoulders (8 DLSA, 6 IS), consisting of a 500-cycle cyclic loading experiment of 5-70 N and ultimate failure load (UFL) test where each specimen was pulled until failure. Displacement (mm) was recorded every 100 cycles, while stiffness and UFL were observed.Results: Cyclic displacement was significantly lower with DLSA at 100 cycles, but not above. During the UFL test, IS was stiffer (27.68 ± 6.56 N/mm versus 14.10 ± 5.80 N/mm, p = .005) and had higher UFL (453.67 ± 148.55 N versus 234.22 ± 44.57 N, p = .001) than DLSA. All DLSA failures occurred with suture/anchor pull-out, while all IS constructs failed at the muscle/tendon.Discussion: Comparison of the novel DLSA technique with a traditional IS method found lower initial displacement. While our IS constructs could withstand higher UFL, peak load characteristics of DLSA were similar to previous ovine studies. Hence, the DLSA technique is a viable alternative to IS for biceps tenodesis with its purported non-biomechanical advantages.","PeriodicalId":36705,"journal":{"name":"Shoulder and Elbow","volume":"15 6","pages":"602-609"},"PeriodicalIF":1.5,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10656979/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138048098","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 ‘Does primary treatment of proximal humerus fractures show favourable functional outcomes over secondary treatment with reverse shoulder arthroplasty?' 对“肱骨近端骨折的初级治疗是否比反向肩关节置换术的二级治疗显示出更好的功能预后?”

Shoulder and Elbow Pub Date : 2023-11-02 DOI: 10.1177/17585732231211479

Reinier WA Spek, David Ring, Michel PJ van den Bekerom

引用次数: 0

Editorial. 社论。

IF 1.5

Shoulder and Elbow Pub Date : 2023-11-01 Epub Date: 2023-11-05 DOI: 10.1177/17585732231210073

Michael Thomas

引用次数: 0

Sternoclavicular joint reconstruction for traumatic acute and chronic anterior and posterior instability: Patient-reported outcomes at a minimum of 2 years 创伤性急性和慢性前后不稳定的胸锁关节重建:至少2年患者报告的结果

Shoulder and Elbow Pub Date : 2023-11-01 DOI: 10.1177/17585732231209967

Jeremy S Somerson, Kate M Parker, Winston J Warme

{"title":"Sternoclavicular joint reconstruction for traumatic acute and chronic anterior and posterior instability: Patient-reported outcomes at a minimum of 2 years","authors":"Jeremy S Somerson, Kate M Parker, Winston J Warme","doi":"10.1177/17585732231209967","DOIUrl":"https://doi.org/10.1177/17585732231209967","url":null,"abstract":"Background Instability of the sternoclavicular joint (SCJ) is a rare problem that is often treated closed, with few published outcomes of surgical treatment with tendon graft reconstruction. Methods We reviewed a consecutive series of patients who underwent tendon graft reconstruction for SCJ instability over a 7-year period. Cases with acute fractures or fewer than 2 years of follow-up were excluded. Pre- and postoperative function and pain were assessed using Single assessment numeric evaluation (SANE), simple shoulder test (SST), and visual analog scale (VAS) outcome measures. Results Thirty cases were included, with 27 (90%) available for follow-up at a minimum of 2 years postoperatively. SANE scores improved from a median of 40 to 90. SST scores improved from a median of 3 positive responses to a median of 12 on a 12-point scale. VAS scores decreased from a median of 7 to 0 points. One patient underwent reoperation for recurrent instability and wound dehiscence. Three (11%) patients did not achieve a minimum 30% of maximum possible improvement in SST scores. Conclusions Tendon graft reconstruction for SCJ instability is a safe procedure with a low complication rate and statistically and clinically significant improvements in patient-reported outcome measures at 2-year minimum follow-up. Level of evidence Level IV: Therapeutic.","PeriodicalId":36705,"journal":{"name":"Shoulder and Elbow","volume":"212 5","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135371351","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 1

Functional outcomes of reverse total shoulder arthroplasty in Boileau class 1 and class 2 proximal humeral fracture sequelae: A meta-analysis and systematic review. Boileau 1级和2级肱骨近端骨折后遗症的反向全肩关节置换术的功能结果:荟萃分析和系统回顾。

IF 1.5

Shoulder and Elbow Pub Date : 2023-11-01 Epub Date: 2022-03-29 DOI: 10.1177/17585732221088496

Nina Chua, James R Onggo, Mithun Nambiar, Jason D Onggo, Kemble K Wang, Richard Pennington, Raphael Hau

{"title":"Functional outcomes of reverse total shoulder arthroplasty in Boileau class 1 and class 2 proximal humeral fracture sequelae: A meta-analysis and systematic review.","authors":"Nina Chua, James R Onggo, Mithun Nambiar, Jason D Onggo, Kemble K Wang, Richard Pennington, Raphael Hau","doi":"10.1177/17585732221088496","DOIUrl":"10.1177/17585732221088496","url":null,"abstract":"Background: Reverse total shoulder arthroplasty (RTSA) is an increasingly popular salvage treatment option for proximal humeral fracture (PHF) sequelae. This meta-analysis aimed to conduct a pooled analysis of functional outcomes of RTSA in PHF sequelae, with subgroup analysis comparing between intracapsular (Class 1) and extracapsular (Class 2) PHF sequelae.Methods: A multi-database search (PubMed, OVID, EMBASE) was performed according to PRISMA guidelines on 27th July 2020. Data from all published literature meeting inclusion criteria were extracted and analysed.Findings: Eleven studies were included, comprising 359 shoulders (167 Class 1 and 192 Class 2). The mean age was 68.2 years, and the mean time between injury and surgery was 49 months, (1-516 months). Constant score and forward flexion improved by 31.8 (95%CI: 30.5-33.1, p < 0.001) and 60o (95%CI: 58o-62o, p < 0.001) respectively between pre-operative and post-operative values for both groups. Constant scores were better in Class 1 patients (MD = 3.60, 95%CI: 1.0-6.2, p < 0.001) pre-operatively and post-operatively (MD = 7.4, 95%CI: 5.8-9.0, p < 0.001). Forward flexion was significantly better in Class 1 patients (MD = 13o, 95%CI: 7o-17o, p < 0.001) pre-operatively, but was slightly better in Class 2 patients post-operatively (MD = 7o, 95%CI: 4o-10o, p < 0.001). Overall complication rate was 16.8%.Conclusion: Salvage RTSA is effective for PHF sequelae, with multiple factors contributing to the high complication rate.","PeriodicalId":36705,"journal":{"name":"Shoulder and Elbow","volume":"15 3 Suppl","pages":"43-53"},"PeriodicalIF":1.5,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10649513/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136399648","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

Angled BIO-RSA leads to better inclination and clinical outcomes compared to Standard BIO-RSA and eccentric reaming: A comparative study. 与标准BIO-RSA和偏心扩眼相比，角度BIO-RSA具有更好的倾斜度和临床效果:一项比较研究

IF 1.5

Shoulder and Elbow Pub Date : 2023-11-01 Epub Date: 2021-12-13 DOI: 10.1177/17585732211067156

Edoardo Franceschetti, Edoardo Giovannetti de Sanctis, Pietro Gregori, Michele Paciotti, Alessio Palumbo, Francesco Franceschi

{"title":"Angled BIO-RSA leads to better inclination and clinical outcomes compared to Standard BIO-RSA and eccentric reaming: A comparative study.","authors":"Edoardo Franceschetti, Edoardo Giovannetti de Sanctis, Pietro Gregori, Michele Paciotti, Alessio Palumbo, Francesco Franceschi","doi":"10.1177/17585732211067156","DOIUrl":"10.1177/17585732211067156","url":null,"abstract":"Background: Two surgical techniques were compared : Standard BIO-RSA, performed with a glenoid eccentric reaming along with a cylindric bone graft augmentation vs. the Angled BIO-RSA, performed with a glenoid concentric reaming and a defect correction with an angled bone graft.Methods: Patients undergoing RSA from January 2016 to April 2019, with one of the two techniques being performed, were retrospectively reviewed. Glenoids were classified according to Favard. Clinical (Constant-Murley, VAS and ROM) and radiographic (superior tilt correction) data were collected pre-operatively and at 12 months post-operatively.Results: 141 shoulders were included. Angled BIO-RSA group showed statistically significant better outcomes in terms of forward flexion (149.9° Vs 139.3°) and abduction (136.4° Vs 126.7°). The use of an Angled BIO-RSA showed a statistically significant better superior tilt correction (1.252° Vs 4.09°). Angled BIO-RSA, leads to a better inclination correction and a mean postoperative tilt value inferior to 5° in E1 and E3 differently from standard BIO-RSA.Discussion: Both techniques were able to correct glenoid superior inclination with excellent postoperative short-term results. However, angled BIO-RSA technique appears to be more effective in ensuring a correct inclination of the prosthetic glenoid component with better clinical outcomes.","PeriodicalId":36705,"journal":{"name":"Shoulder and Elbow","volume":"1 1","pages":"35-42"},"PeriodicalIF":1.5,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10649506/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41776563","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 Optimal Construct to Reduce Failure in Arthroscopic Four Anchor Rotator Cuff Repair? 什么是减少关节镜下四锚式肩袖修复失败的最佳构造?

IF 1.5

Shoulder and Elbow Pub Date : 2023-11-01 Epub Date: 2022-02-01 DOI: 10.1177/17585732221076066

Andrea H Johnson, Michaline West, M Brook Fowler, Benjamin M Petre, Justin J Turcotte, Daniel E Redziniak

{"title":"What is the Optimal Construct to Reduce Failure in Arthroscopic Four Anchor Rotator Cuff Repair?","authors":"Andrea H Johnson, Michaline West, M Brook Fowler, Benjamin M Petre, Justin J Turcotte, Daniel E Redziniak","doi":"10.1177/17585732221076066","DOIUrl":"10.1177/17585732221076066","url":null,"abstract":"Background: Re-tear following rotator cuff repair (RCR) is a concerning complication that can lead to poor patient outcomes and necessitate the need for revision surgery. The purpose of our study was to look at the combined construct of knotted vs. knotless medial row and suture vs. suture tape, focusing primarily on re-tear rates following surgery.Methods: A retrospective observational study of 343 consecutive patients undergoing arthroscopic double row, 4-anchor rotator cuff repair from February 2014 to March 2020 was conducted. Univariate and multivariate statistics were used to assess differences in demographics, comorbidities and tear characteristics between patients who experienced a symptomatic re-tear and those who did not.Results: The overall symptomatic re-tear rate was 7.6%. Patients who had a knotted medial row repair had a significantly lower rate of re-tear (4.7 vs. 11.3%, p = 0.022). Patients that had a knotted medial row and suture tape repair were significantly less likely to experience a re-tear (OR: 0.180, p = 0.001).Discussion: The use of suture tape and a knotted medial row repair decreases the incidence of symptomatic re-tear following rotator cuff repair. The combined construct of suture tape and a knotted medial row in rotator cuff repair decreases the risk for symptomatic re-tear following surgery.","PeriodicalId":36705,"journal":{"name":"Shoulder and Elbow","volume":"1 1","pages":"33-39"},"PeriodicalIF":1.5,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10649482/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42082505","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

Obesity negatively affects outcomes following arthroscopic rotator cuff repair at four-year follow-up. 在四年的随访中，肥胖对关节镜下肩袖修复后的预后有负面影响。

IF 1.5

Shoulder and Elbow Pub Date : 2023-11-01 Epub Date: 2022-04-24 DOI: 10.1177/17585732221095846

Nata Parnes, John P Scanaliato, John C Dunn, Walter A Fink, Alexis Sandler, Austin B Fares

{"title":"Obesity negatively affects outcomes following arthroscopic rotator cuff repair at four-year follow-up.","authors":"Nata Parnes, John P Scanaliato, John C Dunn, Walter A Fink, Alexis Sandler, Austin B Fares","doi":"10.1177/17585732221095846","DOIUrl":"10.1177/17585732221095846","url":null,"abstract":"Introduction: The purpose is to evaluate the influence of obesity (BMI 30 to 39.9 kg/m2) on surgical outcomes following arthroscopic rotator cuff repair surgery.Materials and methods: A retrospective review was performed examining the outcomes of arthroscopic rotator cuff repair in both a normal weight (BMI 18.5 to 24.9 kg/m2) and an obese (BMI 30 to 39.9 kg/m2) patient population, specifically looking at functional outcomes and range of motion. Secondary variables analyzed were surgical time, complications, and medical comorbidities.Results: 52 normal weight patients (mean BMI 23.7 ± 2.1) and 59 obese patients (mean BMI 34.0 ± 2.4) were included. Both groups demonstrated statistically significant improvements in VAS, SANE and ASES scores (P < 0.0001), however there were significantly better outcomes in the normal weight group in VAS (0.56 ± 0.96 vs 1.42 ± 2.22; P = 0.0108), ASES (96.1 ± 5.8 vs 90.6 ± 15.6; P = 0.0192), and internal rotation (9.2 ± 3.0 vs 10.9 ± 2.3; P = 0.0010). Additionally, the obese cohort had more complications, longer surgical times, and a greater comorbid background.Conclusions: Obesity is associated with significantly more comorbid conditions, surgical complications, longer surgical time, and worse patient reported outcomes than normal weight patients undergoing arthroscopic rotator cuff repair.","PeriodicalId":36705,"journal":{"name":"Shoulder and Elbow","volume":"15 4 Suppl","pages":"46-52"},"PeriodicalIF":1.5,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10649479/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136399650","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 impact of sleep apnea on primary reverse shoulder arthroplasty for the treatment of glenohumeral osteoarthritis. 睡眠呼吸暂停对原发性肩关节置换治疗肩关节骨性关节炎的影响。

IF 1.5

Shoulder and Elbow Pub Date : 2023-11-01 Epub Date: 2022-03-23 DOI: 10.1177/17585732221089262

Nicolás Valentino, Kevin Moattari, Adam M Gordon, Asad M Ashraf, Ramin Sadeghpour, Afshin E Razi

{"title":"The impact of sleep apnea on primary reverse shoulder arthroplasty for the treatment of glenohumeral osteoarthritis.","authors":"Nicolás Valentino, Kevin Moattari, Adam M Gordon, Asad M Ashraf, Ramin Sadeghpour, Afshin E Razi","doi":"10.1177/17585732221089262","DOIUrl":"10.1177/17585732221089262","url":null,"abstract":"Introduction: As the prevalence of sleep apnea (SA) increases nationwide, large sample sized studies following primary reverse shoulder arthroplasty (RSA) in SA patients are scarce. Therefore, this study evaluated whether SA is associated with 1) longer in-hospital lengths of stay (LOS) 2) readmissions 3) medical complications and 4) costs.Methods: A retrospective nationwide Medicare analysis from 2005 to 2014 was performed. Inclusion criteria were patients with SA undergoing RSA for the treatment of glenohumeral osteoarthritis. Study group patients were 1:5 ratio matched to controls yielding 6241 patients in the study and 31,179 in the comparison cohort. Logistic regression was used to calculate odds-ratios (OR) for readmissions and complications. A p-value less than 0.004 was significant.Results: SA patients had significantly longer in-hospital LOS compared to their counterparts (3-days versus 2-days, p < 0.0001), but similar rates of 90-day readmissions (7.98% vs. 6.54%; OR: 1.00, p = 0.907). Patients with SA had significantly greater incidence and odds of 90-day medical complications (13.36% vs. 7.29%; OR: 1.42, p < 0.0001) and significantly higher 90-day costs ($16,529.16 vs. $14,789.15, p < 0.0001).Conclusion: Patients with SA undergoing primary RSA for the treatment of glenohumeral OA have longer in-hospital LOS, increased medical complications, and costs of care. Readmissions were not more common.Level of evidence: III.","PeriodicalId":36705,"journal":{"name":"Shoulder and Elbow","volume":"15 3 Suppl","pages":"54-59"},"PeriodicalIF":1.5,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10649509/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136399649","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