Shoulder and Elbow最新文献_第9页

Editorial. 社论

IF 1.5

Shoulder and Elbow Pub Date : 2024-07-01 Epub Date: 2024-09-20 DOI: 10.1177/17585732241265663

Michael Thomas, Harvinder Singh

引用次数: 0

Achievement of the patient acceptable symptom state following total shoulder arthroplasty with nonspherical humeral head and inlay glenoid. 使用非球形肱骨头和镶嵌式盂成形术进行全肩关节成形术后，患者可接受的症状状态。

IF 1.5

Shoulder and Elbow Pub Date : 2024-06-18 DOI: 10.1177/17585732241262742

Andrew D Posner, Michael C Kuna, James M Puleo, Jeremy D Carroll, Ian D Hutchinson, Joseph P Zimmerman

{"title":"Achievement of the patient acceptable symptom state following total shoulder arthroplasty with nonspherical humeral head and inlay glenoid.","authors":"Andrew D Posner, Michael C Kuna, James M Puleo, Jeremy D Carroll, Ian D Hutchinson, Joseph P Zimmerman","doi":"10.1177/17585732241262742","DOIUrl":"10.1177/17585732241262742","url":null,"abstract":"Background: Total shoulder arthroplasty (TSA) with a nonspherical humeral head component and inlay glenoid is a bone preserving treatment for glenohumeral arthritis. This study aims to describe minimum two year patient reported outcomes, patient acceptable symptomatic state (PASS) achievement, and complications following TSA with this prosthesis.Methods: A retrospective review of patients undergoing TSA with nonspherical humeral head and inlay glenoid was performed. Outcomes included Single Assessment Numeric Evaluation (SANE) scores, American Shoulder and Elbow Surgeons (ASES) scores, and complications. SANE and ASES scores were compared to established PASS threshold values to determine PASS achievement.Results: 56 TSA in 53 patients were identified. The mean age was 64.5 years, 64% were male, and mean follow-up was 29.2 ± 4.9 months (24.0-42.8). Two complications (3.6%) were observed: one subscapularis tear requiring revision to reverse TSA and one traumatic minimally displaced greater tuberosity fracture successfully treated nonoperatively. The mean SANE score was 84.3 ± 16.9 (40-100) and 77% of patients surpassed the PASS threshold of 75.5. The mean ASES score was 85.3 ± 15.7 (40-100) and 77% of patients surpassed the PASS threshold of 76.Discussion: Patients undergoing TSA with a nonspherical humeral head and inlay glenoid demonstrated high PASS achievement rates and few complications at short-term follow-up.","PeriodicalId":36705,"journal":{"name":"Shoulder and Elbow","volume":" ","pages":"17585732241262742"},"PeriodicalIF":1.5,"publicationDate":"2024-06-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11577554/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142689084","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

Increased complications and similar patient recorded outcomes after shoulder arthroplasty in patients with functional somatic syndromes. 功能性躯体综合征患者肩关节置换术后并发症增加，但患者记录的疗效相似。

IF 1.5

Shoulder and Elbow Pub Date : 2024-05-30 DOI: 10.1177/17585732241258176

Michael A Gaudiani, Susan G Wager, Lawrence C Enweze, Matthew A Gasparro, Spencer R Brown, Tala Al-Saghir, Katherine M Keith, Johnny K Kasto, Stephanie J Muh, Jared M Mahylis

{"title":"Increased complications and similar patient recorded outcomes after shoulder arthroplasty in patients with functional somatic syndromes.","authors":"Michael A Gaudiani, Susan G Wager, Lawrence C Enweze, Matthew A Gasparro, Spencer R Brown, Tala Al-Saghir, Katherine M Keith, Johnny K Kasto, Stephanie J Muh, Jared M Mahylis","doi":"10.1177/17585732241258176","DOIUrl":"10.1177/17585732241258176","url":null,"abstract":"Background: The purpose of this study was to compare patient-reported outcomes measures, complication rates, and return to hospital in a cohort of patients undergoing anatomic total shoulder arthroplasty (aTSA) or reverse total shoulder arthroplasty (rTSA) with at least one functional somatic syndrome (FSS) to a control cohort.Methods: A retrospective review identifying patients who underwent rTSA or aTSA from 2015 to 2022 was performed. Patients with one or more FSS diagnosis (irritable bowel syndrome, chronic headache, chronic low back pain, or fibromyalgia) were compared against a control cohort. Demographic data, comorbidities, operative data, and patient recorded outcomes including Patient-Reported Outcomes Measurement Information System (PROMIS) Upper Extremity (UE), Pain Interference (PI), and Depression (D) were collected. A 1:1 propensity matching to control for age, gender, and body mass index was performed.Results: A total of 54 patients in the FSS cohort and 125 control patients without FSS were included. The FSS cohort had significantly higher rates of depression (p < 0.001), anxiety (p < 0.001), and postoperative complications (35.2% vs. 14.4%, p = 0.002). No significant differences in change in PROMIS-UE, -PI, and -D scores or proportion meeting minimal clinically important difference were seen at one year among the propensity-matched cohort.Discussion: Patients with FSS undergoing shoulder arthroplasty had higher rates of complications; however, PROMIS scores were similar between cohorts.Level of evidence: Level III.","PeriodicalId":36705,"journal":{"name":"Shoulder and Elbow","volume":" ","pages":"17585732241258176"},"PeriodicalIF":1.5,"publicationDate":"2024-05-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11562329/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142648954","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

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