Journal of Shoulder and Elbow Surgery最新文献

{"title":"Clinical features and radiological findings of congenital proximal radioulnar synostosis with special reference to radial head dislocation type and ankylosed position.","authors":"Ryo Hosomi, Takehiko Takagi, Atsuhito Seki, Shinichiro Takayama","doi":"10.1016/j.jse.2025.04.003","DOIUrl":"10.1016/j.jse.2025.04.003","url":null,"abstract":"<p><strong>Background: </strong>Congenital proximal radioulnar synostosis (PRUS) presents with diverse patterns, including variations in the range of synostosis and the type of radial head dislocation, as well as differences in the ankylosed position. However, detailed proportions and correlations among them remain unclear due to small sample sizes in previous reports. This study aimed to investigate the clinical features and radiological findings of congenital PRUS, with special reference to the type of radial head dislocation and ankylosed position.</p><p><strong>Methods: </strong>We retrospectively examined 232 patients (366 limbs) with congenital PRUS using medical records from our institute between 2002 and 2018. We extracted patient profile data and analyzed correlations among the ankylosed position, type of radial head dislocation, and range of synostosis.</p><p><strong>Results: </strong>Among the 366 limbs examined, 68% showed ankylosis in pronation, 19% in a neutral position, 4% in supination, and 9% exhibited incomplete fusion. Regarding radial head dislocation, 54% of the limbs had posterior dislocation, 26% had anterior dislocation, and 21% showed no dislocation. Analysis of the range of synostosis revealed that 10% of the limbs had severe synostosis (>20%), 56% had moderate synostosis (10%-20%), 15% had mild synostosis (<10%), 10% had synchondrosis, and 9% had incomplete fusion. A significant correlation was found between the type of radial head dislocation and the ankylosed position (P < .001). Residual analysis showed that specific combinations contributed notably to this correlation. These combinations included posterior dislocation of the radial head and pronated ankylosis, anterior dislocation of the radial head and neutral-positioned ankylosis, and the absence of radial head dislocation and incomplete fusion. Regarding the correlation between the type of radial head dislocation and the range of synostosis, a significant difference was observed among the 3 groups classified by the type of radial head dislocation (P < .001). The posterior dislocation group exhibited a significantly wider range of fusion than the anterior dislocation (P < .001) and nondislocation groups (P < .001). However, no significant difference was found between the anterior dislocation and nondislocation groups (P = .53).</p><p><strong>Conclusions: </strong>The majority of limbs with posterior dislocation of the radial head showed ankylosis in pronation, whereas limbs with anterior dislocation of the radial head exhibited ankylosis in a neutral position. These findings may help us understand the pathophysiology of congenital PRUS.</p>","PeriodicalId":50051,"journal":{"name":"Journal of Shoulder and Elbow Surgery","volume":" ","pages":""},"PeriodicalIF":2.9,"publicationDate":"2025-05-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144086976","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Myosteatosis and skeletal muscle atrophy, but not fibrosis, are correlated with increasing tear sizes of full-thickness rotator cuff tears.","authors":"Juliana Ibarra, Helen E Rueckert, Lindsey Ruderman, Abigail Leinroth, Troy Tabarestani, Jay Levin, Chad E Cook, Christopher S Klifto, Matthew J Hilton, Oke Anakwenze","doi":"10.1016/j.jse.2025.03.040","DOIUrl":"10.1016/j.jse.2025.03.040","url":null,"abstract":"<p><strong>Background: </strong>Rotator cuff tears (RCTs) are a common shoulder pathology associated with degenerative muscle changes, including fatty accumulation (myosteatosis), muscle atrophy, and fibrosis. The purpose of this study was to utilize immunohistochemistry to analyze muscle changes associated with RCT and compare histologic features with magnetic resonance imaging results across all RCT types and sizes.</p><p><strong>Methods: </strong>Rotator cuff muscle biopsies were obtained from 99 patients undergoing shoulder surgery. Twenty-nine patients without an RCT served as controls. Biopsy specimens were stained using LipidTOX to examine myosteatosis, while LAMININ and FIBRONECTIN immunohistochemistry staining were used to quantify myofiber cross-sectional area and fibrotic tissue abundance, respectively. Rotator cuff muscles were graded according to Goutallier classification.</p><p><strong>Results: </strong>Myosteatosis was significantly higher in full-thickness tears compared with control no-tears (P = .0016) and partial-thickness tears (P = .0050). Massive full-thickness tears had significantly more myosteatosis than controls (P = .0019) and partial-thickness tears (P = .0037). Muscle biopsies from patients with a Goutallier classification of 2+ had significantly more myosteatosis than those with a Goutallier classification of 0 (P = .0001). Muscle biopsy specimens from full-thickness tears had significantly smaller myofiber cross-sectional areas when compared with partial-thickness tears (P < .0001) and controls (P < .0001). The extent of FIBRONECTIN abundance did not differ between groups.</p><p><strong>Conclusion: </strong>With the largest known collection of human rotator cuff muscle specimens for histologic analysis, we found full-thickness tears develop significantly greater fatty accumulation and muscle atrophy. We do not find a correlation between FIBRONECTIN abundance and RCT type or size, indicating that further research is necessary to determine the extent of fibrosis correlation to RCT and poor outcomes following RCT repair surgery.</p>","PeriodicalId":50051,"journal":{"name":"Journal of Shoulder and Elbow Surgery","volume":" ","pages":""},"PeriodicalIF":2.9,"publicationDate":"2025-05-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144087028","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Glycyrrhizin suppresses fatty infiltration following rotator cuff tear in mice.","authors":"Takumi Nakamura, Noboru Matsumura, Masaki Yoda, Ryogo Furuhata, Takayuki Seto, Hideyuki Shirasawa, Osahiko Tsuji, Masaya Nakamura","doi":"10.1016/j.jse.2025.04.002","DOIUrl":"10.1016/j.jse.2025.04.002","url":null,"abstract":"<p><strong>Background: </strong>Rotator cuff tear (RCT)-induced muscle degeneration is a serious medical issue and an effective treatment is lacking. Glycyrrhizin (GL) may inhibit lipid accumulation in cancer cells, but its effect on musculoskeletal disorders remains unknown. The aim of this study was to investigate the effects of GL on muscle degeneration following RCT.</p><p><strong>Methods: </strong>Fibro-adipogenic progenitor cells (FAPs) were cultured in adipogenesis induction medium with or without GL treatment, followed by Oil Red O and perilipin staining to assess adipogenic differentiation and lipid accumulation. Female C57BL/6 mice (10-week-old) were used (n = 10 for each group) to explore the antiadipogenic properties of GL in vivo. The rotator cuff was transected, the proximal humerus was excised, and the suprascapular nerve was denervated to induce degeneration of the rotator cuff muscles, creating a model of rotator cuff degeneration. Adipose infiltration was assessed through histological analysis by comparing GL-treated, nontreated, and sham-operated control groups. Differences in fibrosis progression, muscle weight, and mRNA expression of adipogenic and fibrotic markers were examined.</p><p><strong>Results: </strong>When FAPs were induced adipogenic differentiation, lipid accumulation was significantly reduced in the GL-treated group compared to the control group (P < .001). Histological examination at 4 weeks post-RCT showed severe fatty infiltration of the supraspinatus (SSP), infraspinatus (ISP), and subscapularis muscles in the RCT group (P < .001, P < .001, P < .001). However, GL treatment significantly suppressed RCT-associated fatty infiltration of the SSP and ISP muscles (P < .001, P = .003). Quantitative polymerase chain reaction showed that GL treatment significantly downregulated the mRNA expression of adipogenic differentiation markers in the SSP (P = .019) and ISP (P = .002) muscles compared with the untreated RCT group. However, GL treatment did not affect muscle fibrosis (P = .998, P = .618, P = .963) and weight (P = .176, P = .891, P = .872) compared with the untreated RCT group.</p><p><strong>Conclusion: </strong>GL suppressed the adipogenic differentiation of FAPs and fatty infiltration in a mouse model of RCT, suggesting a potential role for GL in RCT treatment.</p>","PeriodicalId":50051,"journal":{"name":"Journal of Shoulder and Elbow Surgery","volume":" ","pages":""},"PeriodicalIF":2.9,"publicationDate":"2025-05-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144087022","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Age, labral lesion type, and lesion location are key risk factors for recurrence following arthroscopic labrum repair in patients with anterior shoulder instability: a minimum 10-year follow-up study.","authors":"Ahmet Emin Okutan, Ethem Burak Oklaz, Furkan Aral, Orkun Gul, Inci Hazal Ayas, Ulunay Kanatli","doi":"10.1016/j.jse.2025.03.034","DOIUrl":"10.1016/j.jse.2025.03.034","url":null,"abstract":"<p><strong>Background: </strong>A limited number of studies have reported the long-term effects of the labral lesion types and locations on final instability status after arthroscopic labrum repair. The present study aims to evaluate the outcomes after arthroscopic labrum repair in patients with anterior shoulder instability and to identify recurrence risk factors at a minimum 10-year follow-up.</p><p><strong>Methods: </strong>A retrospective review was performed to identify patients who underwent arthroscopic labrum repair between 2006 and 2014 by a single surgeon, and all eligible patients were invited to participate in a clinical examination. Patient characteristics and intraoperative parameters were recorded. After a minimum follow-up of 10 years, patient-reported outcomes including the American Shoulder and Elbow Surgeons Standardized Shoulder Assessment Form (ASES) score and the Western Ontario Shoulder Instability Index (WOSI) score were assessed. The current instability status was classified into 3 groups: stable, apprehensive, and redislocated. To determine the potential risk factors and their hazard ratios (HRs), regression analysis was performed.</p><p><strong>Results: </strong>A total of 133 patients were evaluated. The mean age of the patients at surgery was 27.7 ± 7.9 years. The mean follow-up period was 12.3 ± 2.1 years. The mean outcome scores at the last follow-up were as follows: ASES score, 83.3 ± 12.3; WOSI score, 81.2 ± 13.8. At the final follow-up, 22 patients (16.5%) reported a subjective apprehension without redislocation and 16 patients (12.0%) reported redislocation after arthroscopic labrum repair. The mean redislocation time was 3.8 ± 3.1 years (range, 1-10 years). Regression analysis demonstrated that age <20 years at the time of surgery (HR = 3.53, P = .012), presence of ALPSA (anterior labroligamentous periosteal sleeve avulsion) lesion (HR = 3.11, P = .028), and labral lesion from the 3-5-o'clock position (HR = 8.65, P = .041) were significantly associated with redislocation.</p><p><strong>Conclusion: </strong>The current study demonstrated that age (<20 years), presence of ALPSA lesion, and labral lesion location (from 3 to 5 o'clock) were significant risk factors for recurrence following arthroscopic labrum repair in patients with anterior shoulder instability in the long term. These factors should be considered when counseling patients on postoperative expectations and the risk of redislocation.</p>","PeriodicalId":50051,"journal":{"name":"Journal of Shoulder and Elbow Surgery","volume":" ","pages":""},"PeriodicalIF":2.9,"publicationDate":"2025-05-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144081791","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Post-traumatic stress disorder is associated with increased rates of opioid prescriptions following primary total shoulder arthroplasty: a propensity-matched analysis.","authors":"Akhil Katakam, Tej Joshi, Tuckerman Jones, Avani Chopra, Daniella Ogilvie, Eitan M Kohan, Francis G Alberta","doi":"10.1016/j.jse.2025.03.033","DOIUrl":"10.1016/j.jse.2025.03.033","url":null,"abstract":"<p><strong>Background: </strong>Lifetime prevalence of mental health disorders is estimated at 50% within the population of the United States. Among these mental health disorders, there are limited data available on patients with post-traumatic stress disorder (PTSD) following total shoulder arthroplasty (TSA). The aim of this study was to elucidate postoperative complications, adverse outcomes, and healthcare utilization in patients with a pre-existing diagnosis of PTSD compared to those without PTSD.</p><p><strong>Methods: </strong>The TriNetX database was queried to identify all patients undergoing TSA from October 1, 2002 to May 1, 2022 with PTSD to ensure a full 2-year follow-up. These patients were then 1:1 propensity score-matched to patients without PTSD. Postoperative prescriptions and healthcare utilization rates were analyzed at 5 days, 14 days, and 30 days postoperatively. Associated complications were analyzed at 30 and 90 days. Arthroplasty complications were analyzed at 90 days, 1 year, and 2 years postoperatively.</p><p><strong>Results: </strong>A total of 44,648 patients undergoing TSA were identified. After propensity score matching, 929 patients were available in each cohort for analysis. There was no difference between postoperative emergency department visits and hospitalizations at all time points between the 2 cohorts. At 14 days, patients with PTSD had an average of 2.4 opioid prescriptions compared to 2.1 for those without PTSD (P < .001). At 30 days, patients with PTSD had an average of 3.1 opioid prescriptions compared to 2.7 for those without PTSD (P = .002). There was no difference between the 2 cohorts for all medical and orthopedic-related complications at all follow-up time points.</p><p><strong>Conclusion: </strong>TSA patients with pre-existing PTSD were found to have higher healthcare utilization with respect to postoperative opioid prescriptions at 14 and 30 days postoperatively compared to their propensity-matched cohort without PTSD, even when controlling for additional mental health conditions, preoperative opioid analgesics, and other psychiatric medications. This information can be used to improve patient education for those with PTSD preoperatively and postoperatively, specifically as it relates to the use of opioids.</p>","PeriodicalId":50051,"journal":{"name":"Journal of Shoulder and Elbow Surgery","volume":" ","pages":""},"PeriodicalIF":2.9,"publicationDate":"2025-05-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144081793","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Long-term outcomes of the congruent arc Latarjet procedure: evaluation of 136 patients with a minimum follow-up of 10 years.","authors":"Luciano Andrés Rossi, Rodrigo Brandariz, Catalina Larrague, Santiago Bongiovanni, Ignacio Tanoira, Maximiliano Ranalletta","doi":"10.1016/j.jse.2025.03.032","DOIUrl":"10.1016/j.jse.2025.03.032","url":null,"abstract":"<p><strong>Background: </strong>Although the congruent arc Latarjet (CAL) surgery has shown to be an effective treatment for the management of recurrent glenohumeral instability in the short term, there are no studies in the literature evaluating its long-term results. This study aimed to assess the functional outcomes, complications, and revision rates in a consecutive series of athletes with recurrent glenohumeral instability who underwent surgery with the CAL technique and who were followed up for a minimum period of 10 years.</p><p><strong>Methods: </strong>Between June 2008 and June 2014, 136 athletes with recurrent glenohumeral instability were treated at our institution with the CAL surgery. In total, 70 primary procedures and 63 revision procedures were included. We evaluated return to sport and used the Rowe, visual analogue scale, Athletic Shoulder Outcome Scoring System, and Single Assessment Numeric Evaluation scores to assess functional outcomes. Complications and revisions were evaluated. Graft consolidation was evaluated with computed tomography at 3 months. Osteoarthritis was evaluated at the final follow-up with radiographs according to the Samilson Prieto classification.</p><p><strong>Results: </strong>The final analysis included 136 patients (follow-up 93%). The average follow-up was 140 months (range: 120-158 months) and the average age at the time of surgery was 23.2 years (range: 17-35 years). Overall, 94% of patients returned to sports and 90% returned to the same level as before surgery. The mean Rowe, visual analog scale, and American Shoulder and Elbow Surgeons scores at 140-month follow-up were 85, 1.5, and 80, respectively, all improved significantly compared to the preoperative (P < .01). The average Single Assessment Numeric Evaluation score was 85%. Moreover, 94% and 96% of the patients had a Rowe and American Shoulder and Elbow Surgeons score that exceeded the minimal clinically important difference, respectively. The bone graft consolidated in 92% of the patients. The recurrence rate was 6% and the revision rate was 3%. At the end of follow-up, 26% of the patients had osteoarthritic changes. There were no significant differences in functional scores between patients who presented arthritic changes and those who did not.</p><p><strong>Conclusion: </strong>The CAL is associated with a high percentage of return to sport, excellent functional outcomes, and a low rate of recurrences after a minimum follow-up of 10 years. Although 26% of patients had osteoarthritic changes at the end of follow-up, most were mild and moderate, without significant differences in functional scores between patients who presented arthritic changes and those who did not.</p>","PeriodicalId":50051,"journal":{"name":"Journal of Shoulder and Elbow Surgery","volume":" ","pages":""},"PeriodicalIF":2.9,"publicationDate":"2025-05-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144081792","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Revision of shoulder replacements using modular components: a systematic review.","authors":"Saima Waseem, Ashley Simpson, Dimitra Leivadiotou","doi":"10.1016/j.jse.2025.03.031","DOIUrl":"10.1016/j.jse.2025.03.031","url":null,"abstract":"<p><strong>Background: </strong>The advent of modular implants aims to minimize morbidity associated with revision of hemiarthroplasty or anatomic total shoulder arthroplasty (aTSA) to reverse shoulder arthroplasty (rTSA) by allowing retention of the humeral stem. This systematic review aimed to summarize outcomes following the use of modular implants and reasons why modular humeral stems may be revised.</p><p><strong>Methods: </strong>A systematic review of PubMed, MEDLINE, and Embase was performed according to Preferred Reporting Items for Systematic reviews and Meta-Analyses guidelines of all patients undergoing revision of a modular hemiarthroplasty or aTSA to rTSA. Primary implants, glenoid revisions, surgical technique, and opinion-based reports were excluded. Collected data included demographics, outcomes, and incidence of complications.</p><p><strong>Results: </strong>Three hundred eighty-one shoulders in 374 patients with a mean age of 68.6 years (range: 44-91 years) were studied, with 95 (24.9%) being male. A total of 123 hemiarthroplasties and 183 aTSA were revised to rTSA at an average of 48.9 months (range: 3-432 months) following the primary operation. The most common reason for revision was cuff failure (28 patients). Two hundred sixty-three patients underwent modular conversion and 118 underwent stem revision. Of those who underwent humeral stem revision, 23 were exchanged because stem position was deemed too proximal, 5 stems were exchanged due to loosening, and 1 was exchanged due to significant retroversion of the index implant compromising stability. Three stem revisions required osteotomy and cerclage wiring of the humerus. After a mean follow-up of 41.3 months (range: 12-91), the Constant score improved from a mean of 24.4 to 49.9 in the retention group, but worsened from 38.5 to 35.5 after stem exchange. Stem exchange of modular implants was associated with a significantly higher risk of infection and periprosthetic fracture.</p><p><strong>Conclusion: </strong>The increased use of modular stems has reduced stem revision; however, more than 30% of these implants still require revision due to intraoperative findings. Further large-volume comparative studies between revised and maintained humeral stems post revision of modular implants can adequately inform implant innovation to further improve the stem revision rate.</p>","PeriodicalId":50051,"journal":{"name":"Journal of Shoulder and Elbow Surgery","volume":" ","pages":""},"PeriodicalIF":2.9,"publicationDate":"2025-05-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144081794","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Trends in shoulder and elbow procedures: declining inflation-adjusted Medicare reimbursement for hospitalizations.","authors":"Adam A Rizk, Akash Singh, E Fumina Kobayashi, Brooks Martino, Jay M Levin, Daniel Davis, Surena Namdari","doi":"10.1016/j.jse.2025.03.035","DOIUrl":"10.1016/j.jse.2025.03.035","url":null,"abstract":"<p><strong>Background: </strong>As the utilization of shoulder and elbow procedures increases, it is not clear whether the hospital reimbursement for these cases has proportionally increased in the United States. This study investigated trends in reimbursement for shoulder and elbow hospitalizations.</p><p><strong>Methods: </strong>The Centers for Medicare and Medicaid Services Inpatient Utilization and Payment Public Use Files from 2015 to 2022 were retrospectively queried for all diagnosis-related groups (DRGs) (483, 507, 508, 510, 511, and 512) related to shoulder and elbow procedures, including primary and revision upper extremity arthroplasty cases. After adjusting for inflation to 2022 US dollars with the US Consumer Price Index, the mean, median, and standard deviation of the Medicare payments were determined to analyze the total number of procedures performed each year and over the study period. These same calculations were also performed for the submitted charges by hospital for the reported hospital expenses. A multiple linear mixed-model regression analysis and an analysis of covariance were performed to assess the change in reimbursement and charges over time for each code and the proportional rate of change between codes, respectively.</p><p><strong>Results: </strong>The inflation-adjusted average Medicare payment for DRG 483 per procedure decreased by $1295.57 (-7.2%) from $17,874.69 in 2015 to $16,579.12 in 2022. The inflation-adjusted average submitted charge for DRG 483 per procedure increased by $16,453.29 (19.1%) from $86,314.46 in 2015 to $102,767.76 in 2022. The inflation-adjusted Medicare payments for DRG 483 significantly decreased year-over-year over the study period (P < .001), showing consistent declines across years relative to the reference year.</p><p><strong>Conclusion: </strong>The decrease in reimbursement for DRG 483, including revision upper extremity arthroplasty procedures, shows that fewer resources have been allocated for shoulder and elbow hospitalizations. These results necessitate further examination of Medicare payment algorithms to accurately account for case complexity in allocating fair reimbursement to hospitals for upper extremity procedures.</p>","PeriodicalId":50051,"journal":{"name":"Journal of Shoulder and Elbow Surgery","volume":" ","pages":""},"PeriodicalIF":2.9,"publicationDate":"2025-05-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144055607","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Muscle compensation strategies to maintain glenohumeral joint stability in rotator cuff tears: a cadaveric study","authors":"Kyosuke Hoshikawa ,&nbsp;Takuma Yuri ,&nbsp;Nariyuki Mura ,&nbsp;Hugo Giambini","doi":"10.1016/j.jse.2025.01.006","DOIUrl":"10.1016/j.jse.2025.01.006","url":null,"abstract":"","PeriodicalId":50051,"journal":{"name":"Journal of Shoulder and Elbow Surgery","volume":"34 6","pages":"Page e414"},"PeriodicalIF":2.9,"publicationDate":"2025-05-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143927701","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effects of Night Pain Associated with Rotator Cuff Tears on Central Sensitization and Sleep State","authors":"Eiji Shimpuku ,&nbsp;Yoshiyasu Uchiyama ,&nbsp;Akiyoshi Handa ,&nbsp;Hiroyuki Hashimoto ,&nbsp;Takeshi Imai ,&nbsp;Naoki Takatori ,&nbsp;Shiho Wasai ,&nbsp;Masahiko Watanabe","doi":"10.1016/j.jse.2025.01.009","DOIUrl":"10.1016/j.jse.2025.01.009","url":null,"abstract":"","PeriodicalId":50051,"journal":{"name":"Journal of Shoulder and Elbow Surgery","volume":"34 6","pages":"Page e415"},"PeriodicalIF":2.9,"publicationDate":"2025-05-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143927704","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}