Shoulder & Elbow最新文献_第2页

Shouldering the load: A scoping review of incidence, types, and risk factors of shoulder injuries in weight-lifting athletes 肩负重任：举重运动员肩部损伤的发生率、类型和风险因素范围综述

Shoulder & Elbow Pub Date : 2024-06-05 DOI: 10.1177/17585732241258743

Mohammad Daher, Stephane Jabre, Jack C Casey, M. Fares, Peter Boufadel, Ryan Lopez, Jad Lawand, Jad Mansour, Joseph A. Abboud

{"title":"Shouldering the load: A scoping review of incidence, types, and risk factors of shoulder injuries in weight-lifting athletes","authors":"Mohammad Daher, Stephane Jabre, Jack C Casey, M. Fares, Peter Boufadel, Ryan Lopez, Jad Lawand, Jad Mansour, Joseph A. Abboud","doi":"10.1177/17585732241258743","DOIUrl":"https://doi.org/10.1177/17585732241258743","url":null,"abstract":"Lifestyles advocating for proper health and fitness have been trending in recent years, and as such, sports like weightlifting have become very popular worldwide. While these sports improve physical fitness and cardiovascular health, they carry an inherent risk for physical injuries, mainly to the shoulder. In this review, we aimed to explore the epidemiology of shoulder injuries in weightlifting using a systematic search of the literature. The databases PubMed, Google Scholar (pages 1–20), Embase, and SPORTDiscus were queried using relevant search terms to extrapolate all studies pertaining to shoulder injuries in these two sports. Shoulder injuries turned out to be common in both sports with varying incidence rates and were shown to occur to athletes independent of gender and age. Anterior instability and overuse injuries were the most common injury types, and presentation varied with regards to symptoms and severity. Both intrinsic and extrinsic factors can contribute to shoulder injuries in the setting of these two sports, including incorrect implementation of techniques, age, vulnerable positioning of the shoulder during the lift, and overtraining which leads to overuse injuries.","PeriodicalId":507613,"journal":{"name":"Shoulder & Elbow","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-06-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141385331","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: 0

Physical harms associated with suprascapular nerve block interventions in the non-surgical management of acute and chronic shoulder pain: A systematic review 肩胛上神经阻滞干预在非手术治疗急慢性肩痛中的相关物理伤害：系统性综述

Shoulder & Elbow Pub Date : 2024-06-03 DOI: 10.1177/17585732241255679

David R Annison, Neil Smith, Emma Salt, Tim Noblet, Amar Rangan, C. McDaid

{"title":"Physical harms associated with suprascapular nerve block interventions in the non-surgical management of acute and chronic shoulder pain: A systematic review","authors":"David R Annison, Neil Smith, Emma Salt, Tim Noblet, Amar Rangan, C. McDaid","doi":"10.1177/17585732241255679","DOIUrl":"https://doi.org/10.1177/17585732241255679","url":null,"abstract":"The utility of the suprascapular nerve block (SSNB) in the non-surgical management of shoulder pain continues to be explored, whilst its associated physical harms have not. This systematic review aims to report the physical harms associated with the SSNB in the non-surgical management of shoulder pain. A search was undertaken of AMED, CINAHL, Cochrane Library, EMBASE, Medline, Pubmed, and Scopus databases. Studies were included if they reported the presence or absence of harm following a SSNB intervention (injection, pulsed radiofrequency, ablation) in the non-surgical management of acute or chronic shoulder pain. Excluded studies were those which utilised SSNB for peri, intra, or post-surgical intervention. The McMaster tool for assessing quality of harms assessment and reporting was utilised. A total of 111 studies were included in this review of which 168 episodes of harm were reported across 4142 participants. Harm severity ranged from pneumothorax (n = 5) to local pain and bruising (n = 50). The quality of harms assessment and reporting across all studies was poor. Despite heterogeneity in SSNB intervention, and low-quality evidence, SSNB carries a low risk of physical harm. Further work is needed in addressing the poor quality of harms assessment and reporting in SSNB studies.","PeriodicalId":507613,"journal":{"name":"Shoulder & Elbow","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-06-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141270453","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: 0

Factors affecting return to work following arthroscopic rotator cuff repair 关节镜下肩袖修复术后影响重返工作岗位的因素

Shoulder & Elbow Pub Date : 2024-05-21 DOI: 10.1177/17585732241255947

Ivan Perez Kalejman, Ignacio Pasqualini, Catalina Larrague, Federico Gallego, I. Tanoira, M. Ranalletta, L. A. Rossi

{"title":"Factors affecting return to work following arthroscopic rotator cuff repair","authors":"Ivan Perez Kalejman, Ignacio Pasqualini, Catalina Larrague, Federico Gallego, I. Tanoira, M. Ranalletta, L. A. Rossi","doi":"10.1177/17585732241255947","DOIUrl":"https://doi.org/10.1177/17585732241255947","url":null,"abstract":"Prolonged work absence following arthroscopic rotator cuff repair (ARCR) is a major concern, yet factors influencing return to work are poorly understood. The primary aim of this study is to retrospectively assess the proportion of patients who successfully resume equivalent occupational demands after ARCR, along with the time taken for their return to work. Eighty-three patients underwent ARCR. Work intensity and worker's compensation status were recorded. Patients were interviewed at ≥12 months to determine return to work rate and timing. In total, 83 patients were included, with a median age of 58.7 (±8.36) and a follow-up of at least 12 months. 98.8% returned to work at a median of eight weeks. Heavy manual labor significantly delayed return to work compared to light work (HR 0.15 95% CI). Receiving worker's compensation was associated with delayed return to work (HR 0.26 95% CI). This study found that nearly all patients returned to work following ARCR, but high-intensity manual labor and worker compensation status significantly delayed their return to work. Patients with physically demanding jobs and those receiving workers’ compensation had a 60–85% lower likelihood of returning to work at any given time point compared to light work and noncompensated patients.","PeriodicalId":507613,"journal":{"name":"Shoulder & Elbow","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-05-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141113044","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: 0

Head-to-neck screw fixation and radial head arthroplasty result in similar postoperative outcomes for low-comminuted radial head fractures with neck involvement 对于颈部受累的低粉碎性桡骨头骨折，头颈螺钉固定和桡骨头关节成形术的术后效果相似

Shoulder & Elbow Pub Date : 2024-05-20 DOI: 10.1177/17585732241255952

D. Gonzalez-Morgado, Carlos Mendoza-Aguilo, I. Gallardo-Calero, Pablo Martínez-Collado, Andres Bustos-Mardones, Julia Bargallo-Granero, A. Lluch-Bergadà, Ignacio Esteban-Feliu

{"title":"Head-to-neck screw fixation and radial head arthroplasty result in similar postoperative outcomes for low-comminuted radial head fractures with neck involvement","authors":"D. Gonzalez-Morgado, Carlos Mendoza-Aguilo, I. Gallardo-Calero, Pablo Martínez-Collado, Andres Bustos-Mardones, Julia Bargallo-Granero, A. Lluch-Bergadà, Ignacio Esteban-Feliu","doi":"10.1177/17585732241255952","DOIUrl":"https://doi.org/10.1177/17585732241255952","url":null,"abstract":"Fixation of radial head fractures with neck involvement presents challenges. It remains unclear whether the outcomes of head-to-neck screw fixation are similar to those of arthroplasty in this scenario. We conducted a retrospective cohort study to evaluate the clinical outcomes of these two methods for treating such fractures. Demographic data, fracture type, number of fragments, and concomitant injuries were recorded. Range of motion, Visual Analogue Scale for pain, Mayo Elbow Performance Score, and Quick-Disabilities of the Arm, Shoulder, and Hand at three-year follow-up, complications, and reintervention were compared. A total of 14 patients underwent fixation with head-to-neck screws, and 15 an arthroplasty. Baseline characteristics between groups were similar ( P > .05). Satisfactory range of motion (arc > 100°) was achieved in nine patients (64%) in the fixation group, and eight patients (53%) in the arthroplasty group ( P = .55). The mean Visual Analogue Scale, Mayo Elbow Performance Score, and Quick-Disabilities of the Arm, Shoulder, and Hand were 1.2 ± 1.2, 91.7 ± 10.7, and 9.1 ± 1, respectively, ( P = .651, P = .651, and P = .155). Three patients (21%) in the fixation group underwent a reintervention and three (20%) in the arthroplasty group ( P = .639). Head-to-neck screw fixation and radial head arthroplasty result in similar postoperative outcomes for low-comminuted radial head fractures with neck involvement.","PeriodicalId":507613,"journal":{"name":"Shoulder & Elbow","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-05-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141121565","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: 0

A systematic review and meta-analysis of operative versus non-operative management for first time traumatic anterior shoulder dislocation in young adults 对青壮年首次外伤性肩关节前脱位的手术治疗与非手术治疗进行系统回顾和荟萃分析

Shoulder & Elbow Pub Date : 2024-05-20 DOI: 10.1177/17585732241254693

Joseph Cutteridge, Joe Dixon, Pierre Garrido, Nicholas Peckham, Carolyn Smith, Alex Woods, Steve Gwilym

{"title":"A systematic review and meta-analysis of operative versus non-operative management for first time traumatic anterior shoulder dislocation in young adults","authors":"Joseph Cutteridge, Joe Dixon, Pierre Garrido, Nicholas Peckham, Carolyn Smith, Alex Woods, Steve Gwilym","doi":"10.1177/17585732241254693","DOIUrl":"https://doi.org/10.1177/17585732241254693","url":null,"abstract":"The most appropriate management following primary traumatic anterior shoulder dislocation in young adults is unclear. This systematic review and meta-analysis evaluated operative versus non-operative management. The primary outcome measure was re-dislocation rate, in contrast to the often reported ‘recurrent instability’, which includes subjective instability. Our review was prospectively registered with PROSPERO (CRD42022322600) and reported as per PRISMA guidelines. Selection criteria included mean age of participants between 15 and 25 and minimum follow-up of 1 year. 21 studies meet the inclusion criteria with 5142 patients included. The mean age of patients was 23, with 87% male. There was a median of 54 patients per study and a mean follow up of 46 months per study. The mean re-dislocation rate was 16.08% in the operative group and 24.84% in the non-operative group. In the subgroup meta-analysis, including only RCTs, comparing arthroscopic stabilisation vs non-operative there was an odds ratio of 0.09, strongly favouring intervention. This systematic review found the literature available supports surgical intervention in patients under the age of 25, in order to reduce re-dislocation. However, there is a lack of cost-effectiveness data to support these findings, and this should be an area of future research.","PeriodicalId":507613,"journal":{"name":"Shoulder & Elbow","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-05-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141122032","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: 0

Return to sports following arthroscopic Bankart repair in collision athletes: A systematic review 碰撞运动员关节镜下 Bankart 修复术后的运动恢复：系统回顾

Shoulder & Elbow Pub Date : 2024-05-05 DOI: 10.1177/17585732241249959

Ignacio Pasqualini, Oguz A Turan, E. Hurley, Salvatore J. Frangiamore, Jay M. Levin, Jonathan F Dickens, Christopher S. Klifto, L. A. Rossi

{"title":"Return to sports following arthroscopic Bankart repair in collision athletes: A systematic review","authors":"Ignacio Pasqualini, Oguz A Turan, E. Hurley, Salvatore J. Frangiamore, Jay M. Levin, Jonathan F Dickens, Christopher S. Klifto, L. A. Rossi","doi":"10.1177/17585732241249959","DOIUrl":"https://doi.org/10.1177/17585732241249959","url":null,"abstract":"The purpose of this study was to systematically review the rate and time frame to return to sports in collision athletes following arthroscopic Bankart repair. A systematic literature search based on Preferred Reporting Items for Systematic Review and Meta-Analysis guidelines, utilizing the EMBASE, MEDLINE, and The Cochrane Library Databases was performed. Manuscripts were included if they studied collision or contact athletes, reported on return to play rates or percentages, underwent arthroscopic Bankart repair, published in a peer-reviewed journal, and published in English. The study characteristics and clinical outcomes were extracted. A total of 19 studies with 1077 patients were included. Among collision athletes undergoing arthroscopic Bankart repair, the overall rate of return to sports was 89.8% (range 72%–100%). The mean time to return to sports was 5 months (range 3–6). The overall rate of returning to the same level of play was 80.8% (range 71.1%–100%). There were high return to sports rates among all collision sports. Specific return-to-play criteria were reported in most of the studies (95%), with time to return to sport being the most reported item (89.4%). Although overall return to sport among collision athletes following arthroscopic Bankart repair remains high, the proportion of athletes returning to their preoperative level of play was substantially lower.","PeriodicalId":507613,"journal":{"name":"Shoulder & Elbow","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-05-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141011908","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: 0

Classification and measurement of displacement of isolated greater tuberosity fractures: Intra and interobserver reliability 孤立性大结节骨折移位的分类和测量：观察者内部和观察者之间的可靠性

Shoulder & Elbow Pub Date : 2024-04-24 DOI: 10.1177/17585732241248835

Ghiath Ismayl, Catherine Ogbechie, Samuel Goundry, Luke Budworth, Ikechukwu Ejiofor, Hassaan Sheikh, Paul McCormack, Charlotte Tunstall, Mark Philipson, Paul Cowling

{"title":"Classification and measurement of displacement of isolated greater tuberosity fractures: Intra and interobserver reliability","authors":"Ghiath Ismayl, Catherine Ogbechie, Samuel Goundry, Luke Budworth, Ikechukwu Ejiofor, Hassaan Sheikh, Paul McCormack, Charlotte Tunstall, Mark Philipson, Paul Cowling","doi":"10.1177/17585732241248835","DOIUrl":"https://doi.org/10.1177/17585732241248835","url":null,"abstract":"Literature demonstrates variability in the amount of displacement of isolated greater tuberosity (GT) fractures and measurement techniques that orthopaedic surgeons deem warrant surgical intervention. This study aims to assess the intra and interobserver reliability for classifying and measuring the displacement amount for isolated GT fractures. Eight surgeons, consisting of four shoulder specialists and four trainee surgeons, reviewed 25 plain radiographs on two separate occasions, 3 months apart. They were required to morphologically classify the GT fracture, measure the displacement distance on anteroposterior and axillary views, calculate the GT displacement ratio, and state whether they would offer surgical treatment. There was a lack of good reliability for the classification of the depression and avulsion fracture types. There was good intraobserver but poor interobserver consistency in classifying the split-type fractures. The measurement of the displacement distance showed good intraobserver reliability, but not as good interobserver agreement. Also, the displacement ratio calculated revealed poor consistency. We found good agreement between and within the raters for the treatment decision. No significant difference was noted when comparing the senior surgeons to the junior surgeons. This study has revealed ongoing inconsistency in the classification and measurement of isolated GT fractures.","PeriodicalId":507613,"journal":{"name":"Shoulder & Elbow","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-04-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140663707","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: 0

Open repair of subscapularis tendon tears leads to complete relief of symptoms in the majority of patients, but often fails to restore functional range of motion 开放式肩胛下肌腱撕裂修复术可使大多数患者的症状得到完全缓解，但往往无法恢复功能性活动范围

Shoulder & Elbow Pub Date : 2024-04-24 DOI: 10.1177/17585732241249079

Timon H. Geurkink, Bart W Oudelaar, C. Overbeek, Jorrit Jasper, Rob GHH Nelissen, J. Nagels

{"title":"Open repair of subscapularis tendon tears leads to complete relief of symptoms in the majority of patients, but often fails to restore functional range of motion","authors":"Timon H. Geurkink, Bart W Oudelaar, C. Overbeek, Jorrit Jasper, Rob GHH Nelissen, J. Nagels","doi":"10.1177/17585732241249079","DOIUrl":"https://doi.org/10.1177/17585732241249079","url":null,"abstract":"To investigate the outcome of open subscapularis (SSC) repair in terms of complete relief of symptoms, regaining functional range of motion ((ROM), i.e. minimum ROM to complete all tasks of daily living) and retear rate. Sixty-one patients who underwent open SSC repair between 2012 and 2019 were included in a retrospective cohort study. Primary outcome measures (complete relief of symptoms, obtaining functional ROM, SSC retears), were assessed at minimum 1-year follow-up. Prognostic factors for these outcome measures were identified. At final follow-up, 44 patients (72%) reported complete relief of symptoms. Pre-operatively, 23 patients (40%) had a functional ROM, which increased to 33 patients (54%) post-operatively. Eight Patients (13%) had a retear after a median follow-up of 21 months (range: 3-35). Lafosse type IV tears were associated with having persisting symptoms (OR 5, 95 confidence interval (CI) 1.2–17.9, p = 0.024) and retears (OR 7, 95 CI 1.9–37.7, p = 0.031). The majority of patients reported complete relief of symptoms after SSC repair; however, only 54% obtained a functional ROM. Measuring outcome in terms of complete relief symptoms and regaining functional ROM is useful for the surgeon to evaluate the effect of surgical intervention and provides tangible information for patients.","PeriodicalId":507613,"journal":{"name":"Shoulder & Elbow","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-04-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140658835","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: 0

Hemiarthroplasty or total elbow arthroplasty for unreconstructible distal humeral fractures in the elderly (hot elbow): A feasibility study 半关节成形术或全肘关节成形术治疗老年人无法愈合的肱骨远端骨折（热肘）：可行性研究

Shoulder & Elbow Pub Date : 2024-04-17 DOI: 10.1177/17585732241244722

E. Burden, T. Batten, William Thomas, J. P. Evans, Christopher D. Smith

{"title":"Hemiarthroplasty or total elbow arthroplasty for unreconstructible distal humeral fractures in the elderly (hot elbow): A feasibility study","authors":"E. Burden, T. Batten, William Thomas, J. P. Evans, Christopher D. Smith","doi":"10.1177/17585732241244722","DOIUrl":"https://doi.org/10.1177/17585732241244722","url":null,"abstract":"This feasibility trial aims to assess the practicality of, and obtain preliminary data to inform, a definitive randomised controlled trial (RCT) of total elbow arthroplasty (TEA) versus distal humeral hemiarthroplasty (HA) in patients over the age of 65 years with unreconstructible distal humeral fractures (DHF). 17 patients met the inclusion criteria during the 18-month recruitment period from December 2020 until June 2022, and 15 (88%) consented to be randomised (recruitment rate: 0.7/month). Two patients withdrew from the study prior to surgery leaving 13 patients for analysis (retention rate: 87%). Seven patients were randomised to TEA and six patients to HA. 100% of patients were available for 12-month follow-up. A 10-point difference in favour of HA in DASH (44.5 vs. 54.2) and OES (31.6 vs. 21.3) was seen during 6-week follow-up, while no difference in patient-reported outcome measures was seen at 3- or 12-month follow-up. This study demonstrates feasibility of undertaking an RCT of TEA versus HA in patients over the age of 65 with unreconstructible DHF. Preliminary data corroborate with the ongoing clinical equipoise and support the requirement for a larger adequately powered RCT. This trial is registered in the US Clinical Trials Registry (https://clinicaltrials.gov/study/NCT04646798?cond=distal%20humeral%20fracture&rank=6) Clinical Trial ID: NCT04646798.","PeriodicalId":507613,"journal":{"name":"Shoulder & Elbow","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-04-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140690312","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: 0

ChatGPT is capable of providing satisfactory responses to frequently asked questions regarding total shoulder arthroplasty ChatGPT 能够就有关全肩关节置换术的常见问题提供令人满意的答复

Shoulder & Elbow Pub Date : 2024-04-17 DOI: 10.1177/17585732241246560

Teja Yeramosu, William L. Johns, Gabriel I. Onor, Mariano E Menendez, S. Namdari, Sommer Hammoud

{"title":"ChatGPT is capable of providing satisfactory responses to frequently asked questions regarding total shoulder arthroplasty","authors":"Teja Yeramosu, William L. Johns, Gabriel I. Onor, Mariano E Menendez, S. Namdari, Sommer Hammoud","doi":"10.1177/17585732241246560","DOIUrl":"https://doi.org/10.1177/17585732241246560","url":null,"abstract":"The rising prominence of artificial intelligence in healthcare has revolutionized patient access to medical information. This cross-sectional study sought to assess if ChatGPT could satisfactorily address common patient questions about total shoulder arthroplasty (TSA). Ten commonly encountered questions in TSA practice were selected and posed to ChatGPT. Each response was assessed for accuracy and clarity using the Mika et al. scoring system, which ranges from “excellent response not requiring clarification” to “unsatisfactory response requiring substantial clarification,” and a modified DISCERN score. The readability was further evaluated using the Flesch Reading Ease Score and the Flesch-Kincaid Grade Level. The mean Mika et al. score was 2.93, corresponding to an overall subjective rating of “satisfactory but requiring moderate clarification.” The mean DISCERN score was 46.60, which is considered “fair.” The readability analysis suggested that the responses were at a college-graduate level, higher than the recommended level for patient educational materials. Our results suggest that ChatGPT has the potential to supplement the collaborative decision-making process between patients and experienced orthopedic surgeons for TSA-related inquiries. Ultimately, while tools like ChatGPT can enhance traditional patient education methods, they should not replace direct consultations with medical professionals.","PeriodicalId":507613,"journal":{"name":"Shoulder & Elbow","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-04-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140693445","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: 0

Shoulder &amp; Elbow最新文献

Shoulder & Elbow最新文献