JSES reviews, reports, and techniques最新文献

{"title":"Anterior glenoid rim resorption after arthroscopic Bankart repair by the footprint fixation technique and its correlation with the healing of the repaired capsulolabral complex: a computed tomography and magnetic resonance arthrography imaging study","authors":"Takehito Hirose MD, PhD ,&nbsp;Makoto Tanaka MD, PhD ,&nbsp;Hidekazu Nakai MD","doi":"10.1016/j.xrrt.2024.08.010","DOIUrl":"10.1016/j.xrrt.2024.08.010","url":null,"abstract":"<div><h3>Background</h3><div>Studies have revealed that anterior glenoid rim bone resorption occurs in the early stage after arthroscopic Bankart repair (ABR) if bony Bankart lesions are absent or fail to heal. However, this structural change has never been studied after repair by footprint fixation (FF). Additionally, the relationship between the extent of rim resorption and healing of the repaired capsulolabral complex (CLC) remains unclear. Therefore, this study aimed to investigate anterior glenoid rim changes after ABR by FF and to elucidate the correlation between rim resorption and the healing of the repaired CLC.</div></div><div><h3>Methods</h3><div>This was a retrospective study on shoulders that underwent ABR by a combination of knotless twin anchor FF and single row techniques for anterior shoulder instability from January 2022 to June 2023. From 44 shoulders, we included 23 after excluding 14 with preoperative bony Bankart lesions and 7 with missing postoperative imaging. We used 3-dimensional computed tomography scans to calculate the change in glenoid width (Δ%) due to anterior glenoid rim change from baseline to 3 months postoperatively and images from magnetic resonance arthrography, which was performed at around 5 months postoperatively, to evaluate CLC healing according to a 3-point grading scale (<em>good</em>, 3 points; <em>fair</em>, 2 points; <em>poor</em>, 1 point) on 6 oblique axial slices perpendicular to the glenoid long axis. Finally, we calculated the correlation coefficient between Δ% and the healing index, that is, the mean CLC healing grade of the 6 slices.</div></div><div><h3>Results</h3><div>Glenoid width decreased by 7.2% (range, 2.0%-12.8%; <em>P</em> &lt; .001). The mean CLC healing index was 2.59 points (range, 1.8-3.0). The Δ% showed a moderate positive correlation with the healing index (correlation coefficient, 0.55; <em>P</em> = .006).</div></div><div><h3>Conclusion</h3><div>Anterior glenoid rim resorption also occurs after ABR by the combination of FF and single row technique at 3 months postoperatively. Although this is a preliminary result, the extent of rim resorption is greater with better healing of the repaired CLC.</div></div>","PeriodicalId":74030,"journal":{"name":"JSES reviews, reports, and techniques","volume":"5 1","pages":"Pages 46-52"},"PeriodicalIF":0.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11764657/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143054328","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Complications following reverse total shoulder arthroplasty for proximal humeral fractures: a systematic review","authors":"Easton J. Bents BS ,&nbsp;Javier Ardebol MD ,&nbsp;Mathew Noble DO ,&nbsp;Lisa Galasso MD ,&nbsp;Patrick J. Denard MD ,&nbsp;Mariano E. Menendez MD","doi":"10.1016/j.xrrt.2024.08.007","DOIUrl":"10.1016/j.xrrt.2024.08.007","url":null,"abstract":"<div><h3>Background</h3><div>Reverse total shoulder arthroplasty (rTSA) is an increasingly common procedure for proximal humerus fractures (PHFs), but postoperative complications have not been well characterized. The purpose of this systematic review is to assess complications and revision rates following rTSA in the management of PHFs as documented in current literature.</div></div><div><h3>Methods</h3><div>A systematic review was performed on primary rTSA for PHFs. In adherence to Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines, a systematic search was conducted between September and December of 2023, utilizing the databases PubMed, Scopus, and the Cochrane Library to include relevant articles from any period. A total of 102 studies were identified for inclusion after initial screening of 3800 query results. Extracted data from each article included the publishing journal, level of evidence, study design, number of patients, mean age, age range, percent female, mean follow-up, specific postoperative complications, total complications, complication rate, number of revisions, and revision rate. Overall complication rates were determined by dividing total complications by total patients and multiplying by 100, which also applied to revision rates.</div></div><div><h3>Results</h3><div>Among 10,797 primary rTSA cases for PHFs identified from 102 studies, the mean age of patients was 75.6 ± 3.6 years, and 82.6% of patients were female. The average follow-up was 38.9 ± 21.0 months. The overall complication rate was 7.0% (754/10,797) with a range of 0% to 46.9%. The most common postoperative complications were prosthetic instability/dislocation (2.3%, 244/10,797; range: 0%-7%) and infection (1.2%, 131/10,797; range: 0%-2.5%). Periprosthetic fracture (0.8%), nerve injury (0.3%), and other complications were also documented. The overall revision rate was 3.3% (355/10,797; range: 0%-28%).</div></div><div><h3>Conclusion</h3><div>This systematic review summarizes the most common postoperative complications of rTSA for PHFs. The most frequent complication was prosthetic instability/dislocation, followed by infection. While the average total complication and revision rates were relatively low, there was wide variability, with some studies reporting rates as high as 46% and 28%, respectively.</div></div>","PeriodicalId":74030,"journal":{"name":"JSES reviews, reports, and techniques","volume":"5 1","pages":"Pages 60-69"},"PeriodicalIF":0.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11764855/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143054454","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Acute median nerve compression secondary to lacertus fibrosis syndrome following distal biceps tendon reconstruction: a case report","authors":"Allison Williams MD ,&nbsp;Amir Kachooei MD, PhD ,&nbsp;G. Russell Huffman MD, MPH, FAAOS","doi":"10.1016/j.xrrt.2024.08.009","DOIUrl":"10.1016/j.xrrt.2024.08.009","url":null,"abstract":"","PeriodicalId":74030,"journal":{"name":"JSES reviews, reports, and techniques","volume":"5 1","pages":"Pages 120-123"},"PeriodicalIF":0.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11764247/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143054299","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Clinical outcome of revision lower trapezius tendon transfer after failed lower trapezius tendon transfer: a case report","authors":"Chang Hee Baek MD,&nbsp;Bo Taek Kim MD,&nbsp;Jung Gon Kim MD","doi":"10.1016/j.xrrt.2024.09.002","DOIUrl":"10.1016/j.xrrt.2024.09.002","url":null,"abstract":"","PeriodicalId":74030,"journal":{"name":"JSES reviews, reports, and techniques","volume":"5 1","pages":"Pages 97-102"},"PeriodicalIF":0.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11764912/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143054448","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"How does residency program reputation influence American shoulder and elbow surgeons fellowship match results?","authors":"Alexander Jurayj BA,&nbsp;Taylor Timoteo DO,&nbsp;Julio Nerys-Figueroa BS,&nbsp;Johnny Kasto MD,&nbsp;Jared M. Mahylis MD,&nbsp;Stephanie J. Muh MD","doi":"10.1016/j.xrrt.2024.09.003","DOIUrl":"10.1016/j.xrrt.2024.09.003","url":null,"abstract":"<div><h3>Background</h3><div>Postresidency training is becoming increasingly common among orthopedic surgeons, with shoulder and elbow surgery growing as a desired subspeciality. There is limited data evaluating how the reputation of an applicants’ orthopedic residency influences the outcome of the shoulder and elbow fellowship match. The purpose of this study was to determine if applicants from residencies with better reputation have more favorable odds during the match process compared to applicants from residencies with a less prestigious reputation.</div></div><div><h3>Methods</h3><div>Residency reputation was determined using the 2023 Doximity residency ranking. These residency programs were then divided into 5 tiers (with tier 1 being the highest ranked and tier 5 being the lowest). Fellowship match data was obtained via San Francisco match from 2016 to 2023. Unmatched applicants, international graduates, and applicants without residency information were excluded. Applicants from 2016 to 2017 were excluded due to incomplete match data. Statistical analysis included descriptive statistics, Chi-square, analysis of variance, and nonparametric analysis.</div></div><div><h3>Results</h3><div>There was a statistically significant difference with residency tier and average matched rank by fellowship program (<em>P</em> &lt; .001). Applicants from tiers 1, 2, and 3 were more likely to be ranked higher compared to applicants from tiers 4 and 5. Applicants from tier 1 programs sent fewer applications and received a greater proportion of interview offers compared to applicants from tiers 3, 4, and 5 (<em>P</em> &lt; .001). Tier 1 applicants were significantly more likely to be “ranked to match” compared to all remaining applicants (<em>P</em> &lt; .001). There was no significant difference associated with residency tier and match position on the applicant’s rank list. However, applicants from tier 1 programs were significantly more likely to match at their top 2 desired programs, compared to applicants from tiers 3, 4, and 5 (<em>P</em> = .029, <em>P</em> = .023, <em>P</em> = .012). Tier 2 applicants were more likely to match at one of their top 2 programs compared to tier 4 and 5 applicants (<em>P</em> = .045, <em>P</em> = .023).</div></div><div><h3>Conclusion</h3><div>Applicants from higher tier residencies are more likely to be ranked higher by shoulder and elbow fellowship programs compared to applicants from lower-tier residencies. Tiers 1, 2, and 3 are ranked approximately equally, while tiers 4 and 5 are ranked significantly lower. There was no association noted between residency tier and applicant match rank; however, applicants from higher-tier residencies were far more likely to match at their top fellowship programs compared to applicants from lower-tier residencies.</div></div>","PeriodicalId":74030,"journal":{"name":"JSES reviews, reports, and techniques","volume":"5 1","pages":"Pages 53-59"},"PeriodicalIF":0.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11764077/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143054492","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Allograft suspension stabilization of unstable reverse total shoulder arthroplasty with massive bone and soft tissue deficiency: a case report","authors":"Rehan K. Ghanta BA,&nbsp;Srinath Kamineni MD, BSc(Hons), FRCS-Ed, FRCS-Orth, FAAOS","doi":"10.1016/j.xrrt.2024.09.007","DOIUrl":"10.1016/j.xrrt.2024.09.007","url":null,"abstract":"","PeriodicalId":74030,"journal":{"name":"JSES reviews, reports, and techniques","volume":"5 1","pages":"Pages 107-112"},"PeriodicalIF":0.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11764842/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143054394","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Real-world clinical and economic impacts of delayed rotator cuff repair surgery in Japan: analysis of a large claims database","authors":"Hiroyuki Sugaya MD ,&nbsp;Yuki Otaka BS ,&nbsp;Yuichi Shiotsuki MS, MPH ,&nbsp;Akie Seno BSc, MBA","doi":"10.1016/j.xrrt.2024.09.004","DOIUrl":"10.1016/j.xrrt.2024.09.004","url":null,"abstract":"<div><h3>Background</h3><div>In patients with rotator cuff tears (RCTs), there is a lack of evidence regarding the impact of the timeliness of rotator cuff repair (RCR) surgery on treatment outcomes and overall healthcare burden. This study aimed to understand the impact of early vs. delayed RCR on real-world healthcare costs and resource use (HCRU) in Japan.</div></div><div><h3>Methods</h3><div>This study utilized JMDC health insurance claims data from January 2012 to February 2021. Patients aged ≥18 years were included if they had ≥1 inpatient or ≥2 nondiagnostic outpatient claims (≥1 month apart) for RCT (diagnosis codes S460/S468), had RCR (procedure codes K080-X) within 12 months postindex, and had 12 months post-RCR continuous enrollment. Index month was defined upon the first RCT claim, and surgery month was defined upon the first RCR. Patients were categorized as having had early (≤1 month postindex) or delayed (2–12 months postindex) RCR. RCT-related HCRU were reported for the 12-month postindex or postsurgery periods.</div></div><div><h3>Results</h3><div>Of 1243 RCR patients, 68.9% were male and the mean (standard deviation [SD]) age was 55.3 (8.9) years. Of 46.3% patients with an initial diagnosis of tendinosis, their RCT was diagnosed for only a mean (SD) of 5.7 (4.0) months later. The mean (SD) time from index to first RCR was 2.4 (2.3) months; 518 (41.7%) patients had early RCR. The mean total RCT-related healthcare costs were higher for patients with delayed vs. early RCR (<em>P</em> &lt; .05 for both postindex and surgery). The mean (SD) postsurgery inpatient costs were higher for delayed vs. early RCR (¥1,260,066 vs. ¥1,119,381; <em>P</em> &lt; .05), possibly partly driven by longer hospital stays among delayed RCR patients. Patients with delayed RCR had a higher mean number of physical therapy visits compared with early RCR, especially postsurgery (42.6 vs. 38.4; <em>P</em> &lt; .05); physical therapy costs were significantly higher for delayed RCR patients, compared with early RCR, for both postindex or postsurgery periods (<em>P</em> &lt; .05). During the postindex period, higher proportions of delayed vs. early RCR patients received opioids (22.1% vs. 16.2%; <em>P</em> &lt; .05), nonopioid pain medications (77.7% vs. 69.5%; <em>P</em> &lt; .05), cortisone injections (47.2% vs. 33.8%; <em>P</em> &lt; .05), and oral cortisone (4.8% vs. 1.4%; <em>P</em> &lt; .05). The mean outpatient pharmacy prescription costs were significantly higher for delayed vs. early RCR for both the postindex and postsurgery periods (both <em>P</em> &lt; .05).</div></div><div><h3>Conclusions</h3><div>Long delays in the diagnosis or treatment of RCT in Japan may lead to higher burdens of healthcare. Patients with delayed RCR may require more prescription medications and/or PT before and after surgery. Improving the timeliness of RCT treatment could therefore reduce overall HCRU.</div></div>","PeriodicalId":74030,"journal":{"name":"JSES reviews, reports, and techniques","volume":"5 1","pages":"Pages 30-39"},"PeriodicalIF":0.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11764658/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143054504","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Cement-within-cement technique in revision reverse total shoulder arthroplasty: complications, reoperations, and revision rates at 5-year mean follow-up","authors":"Rodrigo de Marinis MD ,&nbsp;John W. Sperling Jr. ,&nbsp;Erick M. Marigi MD ,&nbsp;Ausberto Velasquez Garcia MD ,&nbsp;Eric R. Wagner MD ,&nbsp;Joaquin Sanchez-Sotelo MD, PhD","doi":"10.1016/j.xrrt.2024.08.006","DOIUrl":"10.1016/j.xrrt.2024.08.006","url":null,"abstract":"<div><h3>Background</h3><div>Revision reverse total shoulder arthroplasty (rTSA) of a previously cemented humeral component is challenging. In hip arthroplasty, the cement-within-cement (CwC) technique has been well described as an effective option. However, for shoulder arthroplasty there remains a paucity of data investigating this technique. The purpose of this study was to determine the mid-term outcomes of patients who underwent a revision rTSA utilizing the CwC for management of the humeral component.</div></div><div><h3>Methods</h3><div>Between 2005 and 2021, 68 revision rTSA using the CwC technique with a minimum of 2 years clinical follow-up were identified from a single institution joint registry database. Revised implants consisted of 38 (55.9%) hemiarthroplasties, 22 (32.4%) anatomic total shoulder arthroplasties, and 8 (11.8%) rTSA. A total of 12 (17.6%) shoulders required an osteotomy (corticotomy or window) to assist with extraction of the cemented stem. The mean follow-up after revision was 5.4 years (range, 2-16 years). Surgical complications, reoperations, revisions, and implant survivorship were assessed.</div></div><div><h3>Results</h3><div>Of the 12 shoulders that required an osteotomy for component removal, 11 (91.7%) were healed. At final follow-up, the overall complication rate was 26.9%. The most common complication was fracture or fragmentation of the greater tuberosity (20.6%, n = 13) with 10 (76.9%) cases showing signs of healing at final follow-up. The overall survivorship free of revision surgery was 88.2% at 2 and 80.9% at 5 years, respectively. The most frequent causes of re-revision surgery were aseptic glenoid component loosening (n = 4) and instability (n = 4), with only 2 (2.9%) patients developing humeral component loosening (at 2 and 5 years, respectively). Male sex was associated with an increased risk of revision surgery (hazard ratio [HR], 3.52 [95% confidence interval [CI] 1.22-10.18]; <em>P</em> = .02) and complications (HR, 3.56 [95% CI, 1.40-9.07]; <em>P</em> = .008). The grade of postoperative lucent lines at the humerus (HR, 1.35 [95% CI, 1.04-1.74]; <em>P</em> = .02) and glenoid (HR, 1.59 [95% CI, 1.22-2.10]; <em>P</em> = .001) also correlated with an increased risk of re-revision surgery.</div></div><div><h3>Conclusion</h3><div>The CwC technique is a reliable option for revising previously cemented humeral components in revision rTSA. Although a low rate of humeral component loosening was observed, higher rates of complications and re-revision surgery were observed over time secondary to aseptic glenoid component loosening and instability, which are not directly related to CwC technique but to revision surgery in general.</div></div>","PeriodicalId":74030,"journal":{"name":"JSES reviews, reports, and techniques","volume":"5 1","pages":"Pages 1-6"},"PeriodicalIF":0.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11764592/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143054442","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Coracoid osteotomy approach for open free bone grafting of anterior glenoid defects","authors":"Adrik Z. Da Silva BS ,&nbsp;Michael A. Moverman MD ,&nbsp;Mitchell Yelton BS ,&nbsp;Joshua Mizels MD ,&nbsp;John C. Wheelwright MD ,&nbsp;Christopher D. Joyce MD ,&nbsp;Robert Z. Tashjian MD","doi":"10.1016/j.xrrt.2024.09.008","DOIUrl":"10.1016/j.xrrt.2024.09.008","url":null,"abstract":"<div><div>The utilization of free bone grafts to reconstruct large anterior glenoid defects has increased. Distal tibia allograft is commonly used due to its lack of donor site morbidity, ability to restore large bony defects, and near anatomic osteoarticular restoration. However, the intact coracoid and conjoint tendon often impair adequate visualization and access to perform an anatomic reconstruction during open free bone graft reconstruction and often requires violation of the subscapularis tendon to gain exposure. We present a surgical technique wherein we perform a coracoid osteotomy and subsequent repair to improve visualization when performing an open free glenoid bone graft in the setting when a patient has not undergone a prior coracoid transfer that does not require violation of the subscapularis tendon. This technique demonstrates excellent functional outcomes as well as radiographic healing of the coracoid osteotomy without pain or prominent hardware at the coracoid.</div></div>","PeriodicalId":74030,"journal":{"name":"JSES reviews, reports, and techniques","volume":"5 1","pages":"Pages 86-91"},"PeriodicalIF":0.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11764370/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143054458","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Online patients questions regarding reverse total shoulder arthroplasty pertain to timeline of recovery, specific activities, and limitations","authors":"Kyle K. Obana MD ,&nbsp;Dane R.G. Lind BA ,&nbsp;Andrew J. Luzzi MD ,&nbsp;Michaela J. O’Connor MD ,&nbsp;Matthew R. LeVasseur MD ,&nbsp;William N. Levine MD","doi":"10.1016/j.xrrt.2024.09.005","DOIUrl":"10.1016/j.xrrt.2024.09.005","url":null,"abstract":"<div><h3>Background</h3><div>Reverse total shoulder arthroplasty (rTSA) demonstrates favorable long-term data and has outpaced anatomic total shoulder arthroplasty and hemiarthroplasty as the most-performed shoulder arthroplasty procedure. As indications and outcomes continue to favor rTSA, patients may turn to the internet as an efficient modality to answer various questions or concerns. This study investigates online patient questions pertaining to rTSA and the quality of the websites providing information.</div></div><div><h3>Hypotheses</h3><div>(1) Questions will pertain to surgical indications, timeline of recovery, and postoperative restrictions; (2) the quality and transparency of online information is largely heterogenous.</div></div><div><h3>Methods</h3><div>Three rTSA searches were entered into the Google Web Search. Questions under the “People also ask” tab were expanded sequentially and 100 consecutive results for each query were included for analysis (300 in total). Questions were categorized based on Rothwell’s Classification and subcategorized by topic. Websites were categorized by source. Website quality was evaluated by the Journal of the American Medical Association (JAMA) Benchmark Criteria.</div></div><div><h3>Results</h3><div>Most questions fell into the Rothwell Fact category (49.7%). The most common question topics were Timeline of Recovery (17.3%), Specific Activities (14.7%), and Restrictions (11.3%). The least common question topics were Anatomy/Function (0.0%), Cost (0.3%), and Diagnoses/Evaluation (0.3%). The most common websites were Medical Practice (45.0%), Academic (22.3%), and Single Surgeon (12.3%). PubMed articles consisted of 41.2% of Government websites. The average JAMA score for all websites was 1.48 ± 1.27. Government websites had the highest JAMA score (3.11 ± 1.01) and constituted 55.9% of all websites with a score of 4/4. Medical Practice websites had the lowest JAMA score (0.99 ± 0.91).</div></div><div><h3>Conclusion</h3><div>Patients are interested in the timeline of recovery, ability to perform specific activities after surgery, and short-term and long-term restrictions following rTSA. Although all patients will benefit from education on ways to perform activities of daily living while abiding by postoperative restrictions, physicians should set preoperative expectations regarding return-to-activity following rTSA in younger, more active patients. Finally, surgeons should provide patients with physical booklets and online information available on their websites to avoid reliance on low-quality online sources.</div></div>","PeriodicalId":74030,"journal":{"name":"JSES reviews, reports, and techniques","volume":"5 1","pages":"Pages 7-13"},"PeriodicalIF":0.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11764610/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143054479","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}