Shoulder and Elbow最新文献_第8页

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

IF 1.5

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

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

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

引用次数: 0

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

IF 1.5

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

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

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

引用次数: 0

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

IF 1.5

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

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

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

引用次数: 0

Revision total elbow arthroplasty is associated with a high rate of 30-day complications: A descriptive analysis of a national database. 翻修全肘关节置换术的 30 天并发症发生率较高：全国数据库描述性分析。

IF 1.5

Shoulder and Elbow Pub Date : 2024-08-02 DOI: 10.1177/17585732241269001

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

{"title":"Revision total elbow arthroplasty is associated with a high rate of 30-day complications: A descriptive analysis of a national database.","authors":"Dany El-Najjar, Apoorva Mehta, Puneet Gupta, Joel R Peterson, Erick M Marigi, Brandon Rogalski, David P Trofa, William N Levine, Charles M Jobin","doi":"10.1177/17585732241269001","DOIUrl":"10.1177/17585732241269001","url":null,"abstract":"Introduction: Revision total elbow arthroplasty (TEA) is indicated for component loosening, periprosthetic joint infection, and fractures. Previous investigations into revision TEA complications have small sample sizes and limited exploration of acute complications. This study aims to characterize the 30-day complications and associated demographics of patients undergoing revision TEA using a large national database.Methods: The 2015-2020 American College of Surgeons National Surgical Quality Improvement Program database was used to identify all revision TEA patients.Results: The analysis included 158 patients (average age 62.6 years). The overall complication rate was 13.9% (n = 22). The most common 30-day complications were organ/space surgical site infection (3.8%, n = 6), unplanned readmission (3.2%, n = 5), intraoperative or postoperative transfusion (3.2%, n = 5), and unplanned reoperation (1.9%, n = 3). Patients with a history of dyspnea or steroid/immunosuppressant use for a chronic condition had significantly higher rates of bleeding requiring transfusion (p = .029 and p = .021, respectively). Additionally, patients aged 80 years or older had a significantly higher rate of unplanned readmission (p = .032).Conclusion: Revision TEA has a 13.9% rate of complications within 30-days of surgery, with most involving surgical site infection, unplanned readmission, and blood transfusion.Level of evidence: IV.","PeriodicalId":36705,"journal":{"name":"Shoulder and Elbow","volume":" ","pages":"17585732241269001"},"PeriodicalIF":1.5,"publicationDate":"2024-08-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11562222/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142648864","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

Perioperative complications and readmission rates following total shoulder arthroplasty in patients aged 90 and older. 90 岁及以上患者接受全肩关节置换术后的围手术期并发症和再入院率。

IF 1.5

Shoulder and Elbow Pub Date : 2024-08-02 DOI: 10.1177/17585732241269174

Jacqueline G Tobin, Skye Jacobson, Nikhil Vallabhaneni, Lawrence C Vanderham, Alexander S Guareschi, Josef K Eichinger, Richard J Friedman

{"title":"Perioperative complications and readmission rates following total shoulder arthroplasty in patients aged 90 and older.","authors":"Jacqueline G Tobin, Skye Jacobson, Nikhil Vallabhaneni, Lawrence C Vanderham, Alexander S Guareschi, Josef K Eichinger, Richard J Friedman","doi":"10.1177/17585732241269174","DOIUrl":"10.1177/17585732241269174","url":null,"abstract":"Background: Previous literature has cited age as an independent risk factor for surgical outcomes following total shoulder arthroplasty (TSA). The purpose of this study is to determine the short-term outcomes of nonagenarians following primary TSA and compare them to younger cohorts.Methods: The Nationwide Readmission Database (NRD) was queried from 2010 to 2020 to identify patients who underwent a primary reverse or anatomic TSA (rTSA or aTSA). Cohorts were defined by those aged 70-74 (septuagenarians), 80-84 (octogenarians), or 90 and over (nonagenarians). The septuagenarians and octogenarians were matched 1:1 to the nonagenarians by the Charlson-Deyo Comorbidity Index (CCI), year of procedure, and sex. Length of hospital stay, readmission rate, and postoperative outcomes were collected.Results: Length of hospital stay, in-hospital death, 180-day mortality, 180-day readmission, and rate of medical complications were highest in the nonagenarians. Rates of periprosthetic fracture were highest in the nonagenarians. The number of total surgical complications was not significantly different between cohorts. The rate of revision within 180 days and discharge to rehabilitation facility was not significantly different between the three groups.Discussion: The nonagenarians are at an increased risk of medical complications, longer hospital stays, periprosthetic fractures, and death following TSA. Otherwise, nonagenarians have similar rates of total surgical complications to the septuagenarians and octogenarians.","PeriodicalId":36705,"journal":{"name":"Shoulder and Elbow","volume":" ","pages":"17585732241269174"},"PeriodicalIF":1.5,"publicationDate":"2024-08-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11568486/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142648858","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The association of rotator cuff muscle morphology and glenoid morphology in primary glenohumeral osteoarthritis. 原发性盂肱骨关节炎患者肩袖肌肉形态与盂状关节形态的关联。

IF 1.5

Shoulder and Elbow Pub Date : 2024-08-02 DOI: 10.1177/17585732241269193

Deniz Siso, Hwabok Wee, Padmavathi Ponnuru, Gregory S Lewis, Jing Du, Gary F Updegrove, April D Armstrong, Meghan E Vidt

{"title":"The association of rotator cuff muscle morphology and glenoid morphology in primary glenohumeral osteoarthritis.","authors":"Deniz Siso, Hwabok Wee, Padmavathi Ponnuru, Gregory S Lewis, Jing Du, Gary F Updegrove, April D Armstrong, Meghan E Vidt","doi":"10.1177/17585732241269193","DOIUrl":"10.1177/17585732241269193","url":null,"abstract":"Background: This retrospective study investigated associations of rotator cuff muscle atrophy (MA) and fatty infiltration (FI) with glenoid morphology.Methods: Patients with primary glenohumeral osteoarthritis who presented to Penn State Bone and Joint Institute's orthopaedic clinic from September 2002 to December 2019 as total shoulder arthroplasty (TSA) candidates were evaluated. MA was determined by the cross-sectional area of each rotator cuff muscle on pre-operative MR and CT scans. Fat-free muscle and FI areas were quantified using Hounsfield units (HU). Glenoid morphology was assessed using glenoid version and inclination and modified Walch classification.Results: Sixty-one patients (61 shoulders) were evaluated. B3 glenoids had a greater percent FI of supraspinatus (40.8 ± 7.3) versus A2 glenoids (31.6 ± 12.9, p = 0.032); infraspinatus and teres minor muscles (49.7 ± 9.1) versus A1 (31.1 ± 13.1, p = 0.039), A2 (30.2 ± 13.3, p = 0.028), and B1 glenoids (31.6 ± 11.9, p = 0.038); and subscapularis (36.7 ± 11.1) versus A2 glenoids (25.5 ± 14.7, p = 0.032). B2 glenoids had a larger area ratio of infraspinatus and teres minor to subscapularis (0.96 ± 0.16) than A1 (0.82 ± 0.13, p = 0.026) and A2 glenoids (0.57 ± 0.25, p = 0.038).Conclusion: B3 glenoids had a greater FI of all rotator cuff muscles. B2 glenoids had a larger relative size of infraspinatus and teres minor muscles than subscapularis.","PeriodicalId":36705,"journal":{"name":"Shoulder and Elbow","volume":" ","pages":"17585732241269193"},"PeriodicalIF":1.5,"publicationDate":"2024-08-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11562133/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142648994","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

Responsiveness and clinically important differences of the Western Ontario Rotator Cuff (WORC) Index in surgical and non-surgical treatment groups with different follow-up periods: A systematic review and meta-analysis. 西安大略肩袖（WORC）指数在不同随访期的手术组和非手术治疗组中的反应性和临床重要差异：系统回顾和荟萃分析。

IF 1.5

Shoulder and Elbow Pub Date : 2024-08-01 DOI: 10.1177/17585732241268631

Maryam Farzad, Hassan Jafari, Joy C MacDermid, Milad Ataeian

{"title":"Responsiveness and clinically important differences of the Western Ontario Rotator Cuff (WORC) Index in surgical and non-surgical treatment groups with different follow-up periods: A systematic review and meta-analysis.","authors":"Maryam Farzad, Hassan Jafari, Joy C MacDermid, Milad Ataeian","doi":"10.1177/17585732241268631","DOIUrl":"10.1177/17585732241268631","url":null,"abstract":"Background: This study reviews and meta-analyzes the responsiveness and minimal clinically important difference (MCID) of the Western Ontario Rotator Cuff (WORC) Index for various patient populations and treatment durations.Methods: A comprehensive search in PubMed, Embase, Web of Science, and CINAHL identified studies on the responsiveness or MCID of the WORC in shoulder conditions. Two authors independently screened articles. Study quality was appraised using COSMIN and GRADE guidelines. Responsiveness was evaluated using anchor-based MCID and distribution-based standardized mean differences (SMDs) computed with Hedges' g. A random-effect model addressed study variability, and heterogeneity was assessed with the chi-squared test and I² statistic.Results: The 12 studies yielded high-quality evidence supporting the WORC's responsiveness. A meta-analysis of 1326 observations revealed a significant overall effect size (SMD) of 0.91 (95% CI: 0.56 to 1.26; p < 0.0001), with high heterogeneity (I² = 91.2%). Subgroup analyses showed larger effect sizes for long-term follow-ups (SMD = 1.28) and surgical treatments (SMD = 1.14). The average MCID was 17 for conservative treatments within six months, 26 for surgical procedures, and 29 for follow-ups over six months.Conclusion: The WORC measures improvements in rotator cuff conditions, with varying MCID values for different treatments and durations.","PeriodicalId":36705,"journal":{"name":"Shoulder and Elbow","volume":" ","pages":"17585732241268631"},"PeriodicalIF":1.5,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11577551/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142689088","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The association between the insurance provider and rates of surgical stabilization for the treatment of glenohumeral dislocation: A nationwide retrospective analysis. 保险提供方与手术稳定治疗盂肱关节脱位率之间的关系：全国范围内的回顾性分析。

IF 1.5

Shoulder and Elbow Pub Date : 2024-07-26 DOI: 10.1177/17585732241264170

J Alex Albright, Patrick S Barhouse, Rory A Byrne, Nishant Jayachandran, Surya Khatri, Keaton Andra, Edward J Testa, Alan H Daniels, Brett D Owens

{"title":"The association between the insurance provider and rates of surgical stabilization for the treatment of glenohumeral dislocation: A nationwide retrospective analysis.","authors":"J Alex Albright, Patrick S Barhouse, Rory A Byrne, Nishant Jayachandran, Surya Khatri, Keaton Andra, Edward J Testa, Alan H Daniels, Brett D Owens","doi":"10.1177/17585732241264170","DOIUrl":"10.1177/17585732241264170","url":null,"abstract":"Background: Public insurance has recently been associated with a decreased likelihood of receiving surgery to address glenohumeral instability in several state-specific analyses. The purpose of this study is to expand this literature and analyze this association in a nationwide sample.Methods: A national insurance claims database was used to identify shoulder dislocations between 2011 through 2019. Patients were stratified by insurance status (Medicaid or commercial) and age (5-24, 25-44, and 45-64 years). Billing codes were used to identify surgical stabilization and recurrent dislocations. Multivariable logistic regression was performed to compare the likelihood of surgical stabilization and recurrent instability.Results: Of 292 672 patients, those with Medicaid were 48% less likely to receive surgery within 30 days, 32% less likely within 1 year, and 31% less likely within 2 years of their dislocation. When compared to those with commercial insurance, patients aged 45-64 years with Medicaid were the least likely to undergo surgery to address their shoulder instability (OR = 0.51, 95% CI, 0.40-0.65, p < 0.001).Conclusion: Patients with Medicaid insurance are less likely to have their glenohumeral dislocation managed surgically, highlighting the limited healthcare access of patients with Medicaid insurance.","PeriodicalId":36705,"journal":{"name":"Shoulder and Elbow","volume":" ","pages":"17585732241264170"},"PeriodicalIF":1.5,"publicationDate":"2024-07-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11568519/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142648967","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

Appraisal of ChatGPT's responses to common patient questions regarding Tommy John surgery. 评估 ChatGPT 对患者有关汤米-约翰手术常见问题的答复。

IF 1.5

Shoulder and Elbow Pub Date : 2024-07-01 Epub Date: 2024-09-20 DOI: 10.1177/17585732241259754

Ariana L Shaari, Adam N Fano, Oke Anakwenze, Christopher Klifto

{"title":"Appraisal of ChatGPT's responses to common patient questions regarding Tommy John surgery.","authors":"Ariana L Shaari, Adam N Fano, Oke Anakwenze, Christopher Klifto","doi":"10.1177/17585732241259754","DOIUrl":"https://doi.org/10.1177/17585732241259754","url":null,"abstract":"Background: Artificial intelligence (AI) has progressed at a fast pace. ChatGPT, a rapidly expanding AI platform, has several growing applications in medicine and patient care. However, its ability to provide high-quality answers to patient questions about orthopedic procedures such as Tommy John surgery is unknown. Our objective is to evaluate the quality of information provided by ChatGPT 3.5 and 4.0 in response to patient questions regarding Tommy John surgery.Methods: Twenty-five patient questions regarding Tommy John surgery were posed to ChatGPT 3.5 and 4.0. Readability was assessed via Flesch Kincaid Reading Ease, Flesh Kinkaid Grade Level, Gunning Fog Score, Simple Measure of Gobbledygook, Coleman Liau, and Automated Readability Index. The quality of each response was graded using a 5-point Likert scale.Results: ChatGPT generated information at an educational level that greatly exceeds the recommended level. ChatGPT 4.0 produced slightly better responses to common questions regarding Tommy John surgery with fewer inaccuracies than ChatGPT 3.5.Conclusion: Although ChatGPT can provide accurate information regarding Tommy John surgery, its responses may not be easily comprehended by the average patient. As AI platforms become more accessible to the public, patients must be aware of their limitations.","PeriodicalId":36705,"journal":{"name":"Shoulder and Elbow","volume":"16 4","pages":"429-435"},"PeriodicalIF":1.5,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11418706/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142355692","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

Erratum to The fifty most cited publications in shoulder arthroplasty research. 肩关节置换术研究中被引用次数最多的五十篇论文》勘误。

IF 1.5

Shoulder and Elbow Pub Date : 2024-07-01 Epub Date: 2022-09-04 DOI: 10.1177/17585732221124203

引用次数: 0