Shoulder & Elbow最新文献_第4页

A systematic review of the outcomes of partial ulnar collateral ligament tears of the elbow in athletes treated non-operatively with platelet-rich plasma injection 运动员肘部尺侧副韧带部分撕裂的非手术富血小板血浆注射治疗效果系统综述

Shoulder & Elbow Pub Date : 2024-03-05 DOI: 10.1177/17585732241235631

A. M. Ifarraguerri, Alexander N. Berk, Allison J Rao, David P. Trofa, Christopher S. Ahmad, Anthony Martin, J. Fleischli, Bryan M Saltzman

{"title":"A systematic review of the outcomes of partial ulnar collateral ligament tears of the elbow in athletes treated non-operatively with platelet-rich plasma injection","authors":"A. M. Ifarraguerri, Alexander N. Berk, Allison J Rao, David P. Trofa, Christopher S. Ahmad, Anthony Martin, J. Fleischli, Bryan M Saltzman","doi":"10.1177/17585732241235631","DOIUrl":"https://doi.org/10.1177/17585732241235631","url":null,"abstract":"This study aimed to analyze the effects of platelet-rich plasma (PRP) for partial ulnar collateral ligament (UCL) tears in athletes and predicted positive outcomes. The researchers systematically reviewed the PubMed, Cochrane CENTRAL, MEDLINE, Scopus, and Google Scholar databases to identify studies with clinical outcomes of PRP for partial UCL tears. They excluded studies that did not stratify data by tear type or included surgical management. Five studies with 156 patients were included. The timing, amount, platelet concentration, type, and number of PRP injections were highly variable among the studies. However, 75% (n = 97/127) of athletes returned to sport (RTS) at a weighted average of 82.1 days (37–84) after PRP injection. One study showed significant improvements in patient-reported outcomes. Two studies showed positive outcomes in the modified Conway scale, complete reconstitution of the UCL in 87% of patients on MRI, and significant improvement in the humeral-ulnar joint space after PRP injection via ultrasound. The Coleman methodology score (CMS) averaged 48/100, indicating an overall poor quality of evidence. This review demonstrates favorable RTS, clinical, and radiographic outcomes in patients receiving PRP for partial UCL tears, but the literature remains heterogeneous and of low quality. III","PeriodicalId":507613,"journal":{"name":"Shoulder & Elbow","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-03-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140264512","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

Pre-operative virtual three-dimensional planning for proximal humerus fractures: A proof-of-concept study 肱骨近端骨折的术前虚拟三维规划：概念验证研究

Shoulder & Elbow Pub Date : 2024-02-27 DOI: 10.1177/17585732241232889

Reinier W. A. Spek, Michel P J van den Bekerom, P. Jutte, F. IJpma, R. Jaarsma, J. Doornberg

{"title":"Pre-operative virtual three-dimensional planning for proximal humerus fractures: A proof-of-concept study","authors":"Reinier W. A. Spek, Michel P J van den Bekerom, P. Jutte, F. IJpma, R. Jaarsma, J. Doornberg","doi":"10.1177/17585732241232889","DOIUrl":"https://doi.org/10.1177/17585732241232889","url":null,"abstract":"To (1) evaluate surgeon agreement on plating features (position and screw length) in virtual 3D planning software, (2) describe outcomes (fracture reduction, plate position, malpositioning of calcar screws and screw lengths) of plate fixations planned with routine pre-operative assessment (2D- and 3D CT imaging) and those planned with dedicated virtual 3D software of the same proximal humerus fracture. Fourteen proximal humerus fractures were retrospectively reduced and fixed with virtual planning software by eight attending orthopaedic surgeons and compared to the true surgical fixation with post-operative computed tomography (CT) scans. Reduction differences were quantified using CT micromotion analysis. Intraclass correlation for screw lengths was 0.97 (95% CI: 0.96–0.98) and 0.90 (95% CI: 0.79–0.96) for plate position. Mean difference in total fracture rotation of the head between the virtual and conventional group was 22.0°. Plate position in the virtual planning group was 3.2 mm more proximal. There were no differences in inferomedial quadrant calcar screw positioning and, apart from the superior posterior converging screw, no significant differences in screw lengths. Reproducibility on plate position and screw length with virtual planning software is adequate. Apart from fracture reduction, virtual planning yielded similar plate positions, screw malpositioning rates and lengths compared to routine pre-operative assessment.","PeriodicalId":507613,"journal":{"name":"Shoulder & Elbow","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-02-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140425708","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 arthroplasty in the management of native shoulder joint infections has a high complication rate and poor functional outcome – a systematic review 肩关节置换术治疗原发性肩关节感染的并发症发生率高、功能效果差 - 系统综述

Shoulder & Elbow Pub Date : 2024-02-22 DOI: 10.1177/17585732241231758

Robert W Jordan, Imran Ahmed, Peter D’Alessandro, Jarret M. Woodmass, Peter B. MacDonald, S. Malik

{"title":"Shoulder arthroplasty in the management of native shoulder joint infections has a high complication rate and poor functional outcome – a systematic review","authors":"Robert W Jordan, Imran Ahmed, Peter D’Alessandro, Jarret M. Woodmass, Peter B. MacDonald, S. Malik","doi":"10.1177/17585732241231758","DOIUrl":"https://doi.org/10.1177/17585732241231758","url":null,"abstract":"Shoulder arthroplasty is a treatment option of the sequelae of native shoulder joint infections. However, the functional outcomes and re-infection rates are unknown. The aim of this review was to analyse the outcome of shoulder arthroplasty in patients with native shoulder infections. A review of the online databases MEDLINE and Embase was conducted according to PRISMA guidelines. The review was registered prospectively in the PROSPERO database. Studies reporting either primary or secondary infections of native shoulder joints treated with any form of arthroplasty were included and appraised using the methodological index for non-randomised studies (MINORS) tool. Fourteen studies were eligible for inclusion. Mean age ranged from 56 to 72 years and the mean follow-up from 20.5 months to 8.2 years. Primary shoulder infections were present in 50 patients and secondary infections in 86. 76 patients underwent a two stage: 46 patients a single-stage procedure whilst 14 refused second-stage surgery. Mean post-operative Constant score ranged from 38 to 56.2. The overall reported re-infection rate was 2.3% and complication rate was 26%. Shoulder arthroplasty in the management of either primary or secondary native shoulder infections has a high complication rate and low functional outcome but low re-infection rates at short-term follow-up.","PeriodicalId":507613,"journal":{"name":"Shoulder & Elbow","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-02-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139957568","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

Does matching glenosphere size to patient height improve outcomes following reverse total shoulder arthroplasty? 根据患者身高匹配关节囊大小是否能改善反向全肩关节置换术后的疗效？

Shoulder & Elbow Pub Date : 2024-02-20 DOI: 10.1177/17585732241232135

William Levitt, Chris Roche, J. Elwell, Oliver Donaldson

{"title":"Does matching glenosphere size to patient height improve outcomes following reverse total shoulder arthroplasty?","authors":"William Levitt, Chris Roche, J. Elwell, Oliver Donaldson","doi":"10.1177/17585732241232135","DOIUrl":"https://doi.org/10.1177/17585732241232135","url":null,"abstract":"Optimal biomechanics in reverse total shoulder arthroplasty (rTSA) are still a topic of debate. Although larger glenospheres have been linked with a theoretical improvement in the range of movement, results from clinical studies are mixed. We hypothesised that matching glenosphere diameter to patient height would result in greater improvements in post-operative range of motion (ROM) and patient-reported outcomes (PROMs). An international database of rTSAs was analysed. After exclusions, 3318 rTSA patients were classified as short (<158 cm), average (158–173 cm) or tall(>173 cm). Outcomes were stratified for glenosphere size (small≤38 mm, large≥40 mm). Results were compared preoperatively and at 2 years. In short patients glenosphere diameter had no statistically significant impact on the degree of post-operative improvement for any ROM or PROM. Average height patients treated with small glenospheres had significantly more improvement in internal rotation (1.3 vs 1.0, p = 0.01), VAS pain (5.3 vs 4.8, p = 0.002), American Shoulder and Elbow Surgeons (47.8 vs 45.2, p = 0.03) and Shoulder Arthroplasty Smart (30.9 vs 28.2, p = 0.01) but significantly less improvement in constant score (31.7 vs 35.3, p = 0.009). Tall patients treated with small glenospheres had significantly more improvement in external rotation (21.2 vs 16.4, p = 0.01) and VAS pain scores (4.7 vs 4.3, p = 0.04). While most significant differences favoured small glenospheres, the magnitude of these differences was small. Overall, patients of all heights can expect similar clinical improvements irrespective of glenosphere size.","PeriodicalId":507613,"journal":{"name":"Shoulder & Elbow","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-02-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140448366","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

Surgical outcomes and complication rates of arthroscopic-assisted fixation versus open fixation for coronoid fractures: A systematic review and meta-analysis 关节镜辅助固定与开放固定治疗冠状面骨折的手术效果和并发症发生率：系统回顾和荟萃分析

Shoulder & Elbow Pub Date : 2024-02-16 DOI: 10.1177/17585732241229636

E. Kholinne, Hua Liu, Leonard Christianto Singjie, M. Anastasia, Jae-Man Kwak, In-ho Jeon

{"title":"Surgical outcomes and complication rates of arthroscopic-assisted fixation versus open fixation for coronoid fractures: A systematic review and meta-analysis","authors":"E. Kholinne, Hua Liu, Leonard Christianto Singjie, M. Anastasia, Jae-Man Kwak, In-ho Jeon","doi":"10.1177/17585732241229636","DOIUrl":"https://doi.org/10.1177/17585732241229636","url":null,"abstract":"Coronoid fractures often occur with complex elbow dislocations, accounting for 15% of elbow fractures. The effectiveness of open reduction internal fixation (ORIF) versus arthroscopic-assisted reduction internal fixation (ARIF) surgeries for coronoid fractures remains uncertain. This study aimed to compare the outcomes of these two surgical approaches in treating varus posteromedial injuries. This study was conducted and reported following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. The study protocol was registered with PROSPERO. The primary outcomes assessed in this study were the functional outcomes measured by the Mayo Elbow Performance Score (MEPS) and the complications associated with each surgical approach. Analysis of the data from 759 patients included in this study revealed that the mean postoperative MEPS score was higher in the ARIF group compared to the ORIF group (97.5 Vs. 90.7), with the mean improvement in MEPS was 16.6 points (19 for ORIF and 14.3 for ARIF). The complication rate in the ORIF group was 24.6%, while the ARIF group reported a complication rate of 6%. This study suggests that ARIF surgery can yield comparable and promising outcomes to ORIF surgery for coronoid fractures. IV","PeriodicalId":507613,"journal":{"name":"Shoulder & Elbow","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-02-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139962205","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

Specialist Guest Editor 2024 特邀编辑 2024

Shoulder & Elbow Pub Date : 2024-02-14 DOI: 10.1177/17585732241232620

Michael Thomas

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Specialist Guest Editor 2024 特邀编辑 2024

Shoulder & Elbow Pub Date : 2024-02-14 DOI: 10.1177/17585732241232620

Michael Thomas

引用次数: 0

Higher modified frailty index score is associated with 30-day postoperative complications following revision total shoulder arthroplasty 改良虚弱指数评分越高与翻修全肩关节置换术后 30 天并发症越相关

Shoulder & Elbow Pub Date : 2024-01-31 DOI: 10.1177/17585732241229215

B. T. Seibold, Theodore Quan, Amy Y. Zhao, Philip M. Parel, Jacob D. Mikula, Frederick Mun, U. Srikumaran, Zachary R. Zimmer

{"title":"Higher modified frailty index score is associated with 30-day postoperative complications following revision total shoulder arthroplasty","authors":"B. T. Seibold, Theodore Quan, Amy Y. Zhao, Philip M. Parel, Jacob D. Mikula, Frederick Mun, U. Srikumaran, Zachary R. Zimmer","doi":"10.1177/17585732241229215","DOIUrl":"https://doi.org/10.1177/17585732241229215","url":null,"abstract":"Previous studies have shown that increased 5-item modified frailty index (mFI-5) scores are associated with poor surgical outcomes. This study seeks to determine whether the comorbidities comprising the mFI-5 were correlated with poor outcomes following revision total shoulder arthroplasty (TSA). Utilizing the National Surgical Quality Improvement Program database, a mFI-5 score was calculated for all patients 50 years and older who underwent revision TSA between 2013 and 2019. Pearson's Chi-squared tests and multivariable regression analysis were used to evaluate the association of the mFI score with various postoperative complications. Patients with a mFI-5 score of 2+ had significantly increased risk of readmission (OR 2.58), bleeding requiring transfusion (OR 3.66), extended length of stay (OR 2.43), and discharge to a non-home destination (OR 3.22) compared to patients with a mFI-5 score of 0. Relative to patients with a score of 1, those with a mFI-5 score of 2+ had an increased risk of postoperative transfusion (OR 2.46), extended length of stay (OR 2.16), and discharge to a non-home location (OR 2.84). The mFI-5 is a valuable tool that can stratify patients based on risk for postoperative complications following revision TSA.","PeriodicalId":507613,"journal":{"name":"Shoulder & Elbow","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-01-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140477638","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

Screw fixation versus suture-button fixation for the Latarjet procedure—a systematic review and meta-analysis Latarjet 手术的螺钉固定与缝合扣固定--系统回顾与荟萃分析

Shoulder & Elbow Pub Date : 2024-01-30 DOI: 10.1177/17585732241227206

Luciano A Rossi, Ignacio Pasqualini, Salvatore J Frangiamore, Oke A. Anakwenze, Jonathan F Dickens, Christopher Klifto, E. Hurley

{"title":"Screw fixation versus suture-button fixation for the Latarjet procedure—a systematic review and meta-analysis","authors":"Luciano A Rossi, Ignacio Pasqualini, Salvatore J Frangiamore, Oke A. Anakwenze, Jonathan F Dickens, Christopher Klifto, E. Hurley","doi":"10.1177/17585732241227206","DOIUrl":"https://doi.org/10.1177/17585732241227206","url":null,"abstract":"To perform a systematic review and meta-analysis to compare the results of the Latarjet procedure performed using screws (S) or suture-button for coracoid graft fixation. A systematic search in Pubmed, EMBASE, and The Cochrane Library databases was carried out according to the Preferred Reporting Items for Systematic Reviews and Meta-Analysis guidelines. Cohort studies comparing outcomes in the Latarjet procedure with screw fixation versus the Latarjet procedure with suture-button fixation were included. Five studies with 877 patients were included. There was a significantly lower rate of recurrent instability in those with S fixation compared to the suture-button fixation (1.5% vs 5%, p = 0.001). There was a significantly higher rate of reoperations with S fixation compared to suture-button fixation (4.3% vs 0%, p = 0.001). There were no significant differences between the groups regarding total complications (S: 7.5% vs suture-button: 3.6% p = 0.12) graft fracture (S: 0.8% vs suture-button: 0.5% p = 0.62) and symptomatic hardware (S: 2.7% vs suture-button: 0% p = 0.12). The Latarjet surgery was associated with favorable results and a low rate of complications regardless of the type of fixation used. Screw fixation was associated with a significantly lower rate of recurrences, but greater reoperations due to irritation or pain after surgery. Systematic review and meta-analysis, level III.","PeriodicalId":507613,"journal":{"name":"Shoulder & Elbow","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-01-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140483820","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

Describing the infraspinatus bare area of the proximal humerus: An anatomic cadaveric study 描述肱骨近端的冈下裸露区：尸体解剖研究

Shoulder & Elbow Pub Date : 2024-01-27 DOI: 10.1177/17585732241229068

Hassan Farooq, Dane H Salazar, Jason E Meldau, T. Schoenfeldt, Nickolas G. Garbis

引用次数: 0

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