Shoulder and Elbow最新文献

{"title":"Exploring options in revision shoulder arthroplasty: Is a humeral stem necessary in revision reverse shoulders?","authors":"Ofer Levy, Luis Natera, Agneish Dutta, Carlo Ambrosini, Paolo Consigliere","doi":"10.1177/17585732261440361","DOIUrl":"https://doi.org/10.1177/17585732261440361","url":null,"abstract":"<p><strong>Background: </strong>Traditionally, revision of stemmed arthroplasty necessitated the use of longer stem. In young patients, preservation of bone stock is crucial for possible further operations and prevent stress shielding and further bone loss.</p><p><strong>Aim: </strong>To analyse the clinical and radiological outcomes of a series of patients who underwent revision shoulder arthroplasty, in whom the primary implant was stemmed total shoulder arthroplasty (TSA) and the implant for revision surgery was a stemless metaphyseal reverse TSA without a stem expanding to the humeral diaphysis.</p><p><strong>Methods: </strong>Between 2010 and 2020, 10 patients (6M; 4F) underwent revision arthroplasty from long stemmed to short metaphyseal stemless rTSA due to pain and disfunction, implant instability and dislocation, cases of loosening and infection. The mean age at surgery was 67 ± 12.2 years. The stemmed implants revised were from different design and manufacturers (Biomet, Lima, Zimmer and Exactech). Impaction with bone graft substitute was used in all cases to fill the void on the humeral side together with antibiotic impregnated Calcium sulfate (Stimulan) beads, in infection cases or in suspicion of low-grade infection. Patients were assessed clinically with the Constant score (CS), Subjective Shoulder Value (SSV), Satisfaction and Radiologic assessment at 3, 6 and 12 months post-operatively, and annually thereafter.</p><p><strong>Results: </strong>The mean follow-up was 69 months (24-144). Mean CS improved from 16.2 (4-35) to 72.1 (67-85), age/sex adjusted CS from 20.4 to 98.5 (<i>p</i> < 0.005). The mean SSV increased from 0.5/10 pre-operatively to 9/10 in the last follow-up. All the patients showed improvements in pain Range of motion and function. Post revision the metaphyseal stemless implants showed solid fixation in the humerus without any lucent lines, loosening, subsidence or evidence of stress shielding, with good new bone formation and filling of the intramedullary canal. In two patients, an implant tilt with perforation of the lateral cortex occurred in the first three weeks post-operatively due to weak cortical bone. The implants settled and remained stable in its new tilted position with conservative treatment, with new bone that was formed around the implants with solid long-term fixation.</p><p><strong>Conclusions: </strong>Revision of a long-stemmed prosthesis with a stemless-metaphyseal one is feasible and a better option, if the metaphyseal cortical envelope is preserved on removal of the stemmed implant. Good outcome is achieved with good fixation of the stemless-metaphyseal implant and preservation of bone stock. However, implant design is pivotal in achieving immediate stability, resistance to torque and good stress distribution. The use of these implants in revision surgery enables surgeons to take 'a step back' in the patient's journey, preserve and 'create' more bone stock.</p>","PeriodicalId":36705,"journal":{"name":"Shoulder and Elbow","volume":" ","pages":"17585732261440361"},"PeriodicalIF":1.1,"publicationDate":"2026-05-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13176128/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147964940","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}

{"title":"Recurrent anterior sternoclavicular joint instability secondary to clavicle fracture malunion treated by corrective clavicle osteotomy using 3D patient-specific guides and anterior sternoclavicular joint stabilisation.","authors":"Graham Tytherleigh-Strong, Felix Morris, Francesca Hill","doi":"10.1177/17585732261448866","DOIUrl":"https://doi.org/10.1177/17585732261448866","url":null,"abstract":"<p><strong>Introduction: </strong>A midshaft clavicle fracture malunion can result in significant alteration to shoulder girdle biomechanics with increased load and torque across the SCJ, this can result in secondary damage to the SCJ capsule and instability.We undertook a corrective clavicle osteotomy using 3D patient-specific guides (3DPSG) with an SCJ stabilisation in a series of patients with SCJ instability secondary to clavicle malunion.</p><p><strong>Materials & methods: </strong>Between September 2021 and December 2024 patients with SCJ instability secondary to a clavicle malunion that underwent corrective osteotomy and SCJ stabilisation were reviewed.</p><p><strong>Results: </strong>A total of 5 patients were available for follow-up. The mean age at surgery was 25.8 years (16-35) and the mean follow-up was 35.4 months (24-48).At final follow-up the Quick-DASH had dropped 32.72 (27.3-40.9) to 6.8 (0-4.5), Rockwood SCJ had risen 9.6 (9-11) to 15 (15), OSIS had risen 24.8 (18-31) to 47.6 (47-48) and the SANE had risen 48 (45-55) to 99 (95-100). All the SCJs were stable.</p><p><strong>Conclusion: </strong>A corrective clavicle osteotomy using 3DPSG with an SCJ stabilisation for patients with anterior SCJ instability secondary to clavicle malunion provides satisfactory results in terms of clinical outcome and joint stability.</p><p><strong>Level of evidence: </strong>IV - Case Series.</p>","PeriodicalId":36705,"journal":{"name":"Shoulder and Elbow","volume":" ","pages":"17585732261448866"},"PeriodicalIF":1.1,"publicationDate":"2026-05-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13176135/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147965038","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}

{"title":"Prognostic value of one-week postoperative pain for early recovery after total shoulder arthroplasty.","authors":"Germain Craddock, Chimdindu Obinero, Keegan McKellar, Kai Zhu, Mahdi Mazeh, Johnny Kasto, Jared M Mahylis, Anton Khlopas, Stephanie Muh","doi":"10.1177/17585732261447366","DOIUrl":"https://doi.org/10.1177/17585732261447366","url":null,"abstract":"<p><strong>Introduction: </strong>Predicting recovery after total shoulder arthroplasty (TSA) remains challenging. While very early postoperative pain (24-48 h) has been linked to outcomes, this metric is rarely available in routine practice. The one-week visit is more universally captured, yet its prognostic value has not been systematically evaluated.</p><p><strong>Methods: </strong>We retrospectively reviewed patients who underwent anatomic or reverse TSA (2016-2021). At one week, patients were classified as <i>Minor Pain</i> (Visual Analog Scale (VAS) ≤ 3) or <i>Major Pain</i> (VAS ≥ 7); those with intermediate scores (VAS 4-6) were excluded. Outcomes included VAS, Patient-Reported Outcomes Measurement Information System (PROMIS)-Upper Extremity (UE), PROMIS-Pain Interference (PI), PROMIS-Depression (D), and active range of motion at six weeks, three months, six months, one year, and ≥2 years. Minimal clinically important difference (MCID) thresholds identified clinically meaningful improvement.</p><p><strong>Results: </strong>Among 217 patients (162 Minor, 55 Major Pain), higher one-week pain was associated with worse VAS, PROMIS-PI, and PROMIS-UE scores through six months (all <i>p</i> < .05), but differences resolved by one year. MCID analyses revealed faster early gains in Minor Pain patients, while Major Pain patients improved more gradually but continued progressing over time.</p><p><strong>Conclusion: </strong>One-week postoperative pain is associated with early recovery patterns after TSA and may inform counseling, rehabilitation, and early pain management.</p><p><strong>Level of evidence: </strong>Level III, retrospective cohort study.</p>","PeriodicalId":36705,"journal":{"name":"Shoulder and Elbow","volume":" ","pages":"17585732261447366"},"PeriodicalIF":1.1,"publicationDate":"2026-05-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13176120/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147964941","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}

{"title":"Preoperative glenoid retroversion does not influence postoperative outcomes or glenoid lateralization after reverse shoulder arthroplasty at a minimum 2-year follow-up: A retrospective cohort study from the FP-UCBM Shoulder Study Group.","authors":"Michele Paciotti, Antonino De Rosa, Stefano Di Fabio, Marco Edoardo Cardinale, Pietro Gregori, Edoardo Franceschetti, Mauro Ciuffreda, Giovanni Perricone, Giancarlo Giurazza, Rocco Papalia","doi":"10.1177/17585732261450197","DOIUrl":"https://doi.org/10.1177/17585732261450197","url":null,"abstract":"&lt;p&gt;&lt;strong&gt;Introduction: &lt;/strong&gt;In glenohumeral osteoarthritis, progressive bone erosion often leads to posterior humeral head subluxation and increased glenoid retroversion. Correcting this deformity represents a major challenge in reverse shoulder arthroplasty (RSA), where surgical techniques commonly aim to restore neutral glenoid orientation (0°). Evidence regarding the influence of preoperative glenoid retroversion on postoperative outcomes remains limited. This study aimed to evaluate whether clinical and functional outcomes at a minimum 2-year follow-up differ according to preoperative glenoid retroversion in patients undergoing reverse total shoulder arthroplasty (RTSA) with systematic intraoperative correction to neutral.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Methods: &lt;/strong&gt;A total of 161 patients undergoing RTSA were retrospectively reviewed. Preoperative planning was performed using 3D software to restore neutral glenoid orientation via the bony-increased offset reverse shoulder arthroplasty technique. Glenoid retroversion was measured preoperatively on CT scans using the Friedman method, while postoperative glenoid version was assessed on axillary radiographs to confirm neutral orientation. Patients were stratified into two groups based on preoperative retroversion (&lt;10° and ≥10°). Clinical outcomes and range of motion at a minimum follow-up of 24 months were compared between groups. Glenoid lateralization was assessed radiographically using the glenoid lateralization angle (GLA). Group comparisons were performed using the Mann-Whitney U test, and correlations were assessed using Spearman analysis. A p-value &lt; 0.05 was considered statistically significant.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Results: &lt;/strong&gt;After exclusion of four patients with postoperative complications, 157 patients were included in the final analysis. The mean postoperative glenoid version was 0.35° ± 0.8° (range, -1° to +2°). No significant differences were observed in any clinical outcome between patients with &lt;10° and ≥10° of preoperative glenoid retroversion, and no significant correlations were found between preoperative retroversion and postoperative outcomes. Radiographic analysis confirmed restoration of near-neutral glenoid version in all patients and demonstrated comparable glenoid lateralization between groups, with no significant differences in the GLA.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Conclusion: &lt;/strong&gt;In glenohumeral osteoarthritis, the most common pattern of bone loss results in increased glenoid retroversion and posterior humeral head subluxation. It remains debated whether, when applying standard correction techniques aimed at restoring neutral glenoid version, the severity of preoperative glenoid retroversion influences postoperative outcomes. The findings of this study indicate that, when RSA is performed with restoration of neutral glenoid version, postoperative clinical and functional outcomes are independent of the degree of preoperative glenoid retroversion.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Level of evidence: &lt;/st","PeriodicalId":36705,"journal":{"name":"Shoulder and Elbow","volume":" ","pages":"17585732261450197"},"PeriodicalIF":1.1,"publicationDate":"2026-05-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13167916/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147943103","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}

{"title":"Pyrocarbon shoulder hemiarthroplasty: A surgical technique.","authors":"Andrew McBride, Elliott D'Costa, Phillip Duke, Mark Ross","doi":"10.1177/17585732261445928","DOIUrl":"10.1177/17585732261445928","url":null,"abstract":"<p><p>Pyrocarbon shoulder hemiarthroplasty has been shown to reduce glenoid erosion that occurs with metal hemiarthroplasty and avoid the risk of glenoid loosening in total shoulder replacement. We have been using pyrocarbon hemiarthroplasty in our unit since 2014. We have developed a systematic reproducible surgical technique that reliably restores the anatomy of the proximal humerus and avoids overstuffing. Here, we describe our technique and present the results of a joint registry comparison of survivorship to the other classes of shoulder arthroplasty.</p>","PeriodicalId":36705,"journal":{"name":"Shoulder and Elbow","volume":" ","pages":"17585732261445928"},"PeriodicalIF":1.1,"publicationDate":"2026-05-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13161067/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147933939","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}

{"title":"When appropriately indicated, isolated arthroscopic Bankart repair remains an excellent option for anterior glenohumeral instability in athletes.","authors":"Juan Bautista Luco, Catalina Larrague, Rodrigo Brandariz, Ignacio Tanoira, Luciano Rossi, Maximiliano Ranalletta","doi":"10.1177/17585732261446218","DOIUrl":"https://doi.org/10.1177/17585732261446218","url":null,"abstract":"<p><strong>Background: </strong>Outcomes after isolated arthroscopic Bankart repair (ABR) depend on patient selection in athletes.</p><p><strong>Methods: </strong>Retrospective cohort of athletes <30 years undergoing isolated ABR (2017-2020) with minimum 4-year follow-up. Exclusions: >10% glenoid bone loss, off-track Hill-Sachs, humeral avulsion of the glenohumeral ligament, superior labrum from anterior to posterior/posterior labral tears, prior surgery, hyperlaxity, multidirectional instability, acute bony Bankart, and collision sports. Outcomes: return to sport (RTS), Rowe, Subjective Shoulder Value (SSV), and Athletic Shoulder Outcome Scoring System (ASOSS). Recurrence was dislocation or clinically verified subluxation. Kaplan-Meier recurrence-free survival (RFS) and crude Cox regression by sport type were used.</p><p><strong>Results: </strong>215 athletes met eligibility criteria and underwent isolated ABR; 205 completed follow-up; median age 20 years. Mean follow-up was 5.87 years (range: 4.0-7.75). RTS was 93.2%, and 86.8% returned to preinjury level at 5.09 ± 1.03 months. Rowe improved 45→95, SSV 50→90, and ASOSS 53→93 (all <i>p < .</i>001). Rowe minimal clinically important difference was achieved by 94.6% and ASOSS PASS by 100%. RFS was 95.5% at 4 years and 93.1% at 6 years; contact-overhead athletes showed lower RFS (HR 2.5; <i>p</i> = .03).</p><p><strong>Conclusion: </strong>Isolated ABR in selected athletes younger than 30 years was associated with a high rate of RTS, excellent functional outcomes, and a low recurrence rate at mid-term follow-up.</p><p><strong>Level of evidence: </strong>IV.</p>","PeriodicalId":36705,"journal":{"name":"Shoulder and Elbow","volume":" ","pages":"17585732261446218"},"PeriodicalIF":1.1,"publicationDate":"2026-05-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13144293/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147844023","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}

{"title":"One-stage vs. two-stage revision for periprosthetic joint infection after total elbow arthroplasty: A systematic review and meta-analysis.","authors":"Robert Hwang, Al-Achraf Khoriati, James Conville, Max Paley, Ali Narvani, Tony Antonios, Mohamed Imam","doi":"10.1177/17585732261435127","DOIUrl":"https://doi.org/10.1177/17585732261435127","url":null,"abstract":"<p><strong>Background: </strong>Revisions for periprosthetic joint infection following total elbow arthroplasty (TEA) can be performed using one- or two-stage protocols. Evidence remains inconclusive regarding which approach results in lower reinfection rates. This study aimed to compare reinfection outcomes. Secondary outcomes were planned but not analysed due to limited data.</p><p><strong>Methods: </strong>PubMed, MEDLINE, Embase, and the Cochrane Library were searched for studies reporting reinfection following one- or two-stage TEA revision. Two reviewers independently extracted data, with discrepancies resolved by a third reviewer. Pooled reinfection rates were calculated using random effects models.</p><p><strong>Results: </strong>Four studies (16 patients) reported one-stage revision, with a pooled reinfection rate of 18.8% (95% CI: 3.75-57.7%) and no heterogeneity (I² = 0%). Fifteen studies (235 patients) reported two-stage revision, with a pooled reinfection rate of 22.0% (95% CI: 13.0-34.3%) and low heterogeneity (I² = 10%). Sensitivity analysis excluding one outlier increased the rate to 24.3% (95% CI: 14.7-37.4%).</p><p><strong>Conclusion: </strong>Evidence comparing one- and two-stage revision for infected TEA is limited. Pooled reinfection rates were numerically similar, but data are insufficient to determine comparative effectiveness. Prospective studies are required.</p>","PeriodicalId":36705,"journal":{"name":"Shoulder and Elbow","volume":" ","pages":"17585732261435127"},"PeriodicalIF":1.1,"publicationDate":"2026-05-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13144291/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147843954","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}

{"title":"Management of cubital tunnel syndrome - A survey of UK specialist clinical practice.","authors":"Marcus Bateman, Emma Bamford, Nick Johnson, Amol Tambe","doi":"10.1177/17585732261446140","DOIUrl":"https://doi.org/10.1177/17585732261446140","url":null,"abstract":"<p><strong>Introduction: </strong>The purpose of this survey was to establish the current UK practice in managing patients with cubital tunnel syndrome (CuTS), in order to design a future research trial on the effectiveness of night splints.</p><p><strong>Methods: </strong>We conducted a closed survey of the surgeon membership of the British Elbow & Shoulder Society and British Society for Surgery of the Hand in 2025.</p><p><strong>Results: </strong>We received 137 valid responses. The minimum criteria for diagnosis were intermittent sensory loss in the ring and little fingers (74%) and positive Tinel's test (63%). Nerve tests were required by 59%, with 72% of those accepting mild slowing of the ulnar nerve as diagnostic and 28% moderate slowing as the diagnostic threshold. The criteria for surgery were heterogenous. Only 15% trial night splints before surgery and 50% never recommend them. The criteria for urgent surgery were muscle wasting (77%), sensory deficit with objective motor weakness (72%), ulnar clawing (66%), severe nerve conduction loss (62%).</p><p><strong>Discussion: </strong>This survey highlights the lack of routine use of night splints and need for a high-quality effectiveness trial. The findings provide a snapshot of current UK practice that may be used to plan future trials involving patients with CuTS.</p>","PeriodicalId":36705,"journal":{"name":"Shoulder and Elbow","volume":" ","pages":"17585732261446140"},"PeriodicalIF":1.1,"publicationDate":"2026-05-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13139318/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147844042","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}

{"title":"Adherence to clinical guidelines in treating degenerative disorders of the supraspinatus tendon: A descriptive baseline analysis of surgical vs. conservative approaches in a 12-month observational study.","authors":"Christopher J Hodgetts, Karl Vincent, Lee Daffin, Yvonne Learmonth","doi":"10.1177/17585732261442570","DOIUrl":"10.1177/17585732261442570","url":null,"abstract":"<p><strong>Background: </strong>Shoulder pain (SP) is prevalent, costly, and linked to low quality of life, high pain levels, disability, and mental health issues. Despite guidelines, orthopaedic surgeons vary in surgical indicators and clinical decision-making. This study investigates if clinicians adhere to guidelines in an observational study.</p><p><strong>Methods: </strong>In a French prospective multicentre study, four clinicians assessed patients with shoulder pain, recommended surgery or conservative management, and followed up at 4, 6, and 12 months. Comparative demographic and clinical data were used at baseline. Participants receiving surgery or conservative care within diagnostic and pain severity categories were compared to guidelines. An attrition analyses compared participants at baseline and 12-month follow-up.</p><p><strong>Results: </strong>Of 189 participants, the majority of impingement and tendinopathy diagnoses were managed conservatively. More full-thickness tear diagnoses were recommended for surgical repair, and those recommended for surgery had more severe pain. Participants with high SMS completion (≥80%) and low SMS completion (<80%) were similar at baseline (based on age, sex, education, pain severity, duration, and disability) and at 12-month follow-up.</p><p><strong>Conclusion: </strong>Clinicians recommended treatment in line with guidelines, emphasising rotator cuff tear presence and high pain intensity. Patients recommended surgery differed from those recommended conservative management, so future analyses should compare these treatment groups.</p>","PeriodicalId":36705,"journal":{"name":"Shoulder and Elbow","volume":" ","pages":"17585732261442570"},"PeriodicalIF":1.2,"publicationDate":"2026-05-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13139314/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147843987","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}

{"title":"Correlation between preexisting frailty and patient satisfaction following conservative treatment of proximal humerus fractures.","authors":"Tomás Tavella, J Bautista Luco, Facundo Galich, Catalina Larrague, Luciano Rossi, Ignacio Tanoira, Maximiliano Ranalletta","doi":"10.1177/17585732261443635","DOIUrl":"https://doi.org/10.1177/17585732261443635","url":null,"abstract":"<p><p>Proximal humerus fractures are common fragility fractures in older adults and are frequently managed nonoperatively. However, the relationship between frailty and outcomes after conservative treatment remains unclear. This study evaluated the association between frailty status and patient satisfaction, quality of life, and functional outcomes at 12 months after conservative treatment of proximal humerus fractures in patients older than 65 years. A secondary aim was to assess the association between satisfaction and functional outcomes. We performed a retrospective cohort study of prospectively collected data from consecutive patients treated conservatively between August 2021 and May 2023. Frailty was assessed using the FRAIL scale within the first 7 days after fracture, and patients were classified as frail (FRAIL ≥3) or non frail (FRAIL ≤2). Outcomes at 12 months included SANE, ASES, Constant-Murley, and EuroQol scores. Seventy-three patients were included: 55 non frail and 18 frail. No significant differences were observed between frail and non frail patients in SANE, EuroQol, ASES, or Constant-Murley scores at 12 months. A positive association between SANE and ASES scores was observed. These findings should be interpreted cautiously given the limited sample size and baseline differences between groups.</p>","PeriodicalId":36705,"journal":{"name":"Shoulder and Elbow","volume":" ","pages":"17585732261443635"},"PeriodicalIF":1.1,"publicationDate":"2026-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13132990/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147821764","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}