Blake Hajek BS , Jeff Klott MD , Erick Marigi MD , Brian Wahlig MD , John Sperling MD , Jeff Murphy MS , Tyler J. Brolin MD , Thomas W. Throckmorton MD
{"title":"Complication rates after shoulder arthroplasty in patients aged 45 years and younger","authors":"Blake Hajek BS , Jeff Klott MD , Erick Marigi MD , Brian Wahlig MD , John Sperling MD , Jeff Murphy MS , Tyler J. Brolin MD , Thomas W. Throckmorton MD","doi":"10.1016/j.xrrt.2025.05.001","DOIUrl":"10.1016/j.xrrt.2025.05.001","url":null,"abstract":"<div><h3>Background</h3><div>Shoulder arthroplasty is effective for reducing pain and improving shoulder function in older patients, but there is limited information on outcomes in patients aged 45 years and younger. Younger patients may be more active and require prolonged use of their operative shoulder, potentially increasing the risk of arthroplasty failure or revision. This study aimed to evaluate complication rates of anatomic total shoulder arthroplasty (TSA), hemiarthroplasty (HA), and reverse total shoulder arthroplasty (rTSA) in younger patients. We hypothesized that the complication rates would be comparable with those of older patients in existing literature.</div></div><div><h3>Methods</h3><div>This multicenter, retrospective study included patients aged 45 years and younger undergoing primary TSA, HA, or rTSA with a minimum 2-year follow-up. Exclusion criteria were patients older than 45 years or those with revision surgeries. Primary outcomes were complications, reoperations, and radiographic analysis of component loosening or failure. Secondary outcomes included American Shoulder and Elbow Surgeons scores, visual analog scale pain scores, and range of motion (ROM). Statistical analysis was used to assess differences in outcomes.</div></div><div><h3>Results</h3><div>Seventy patients, with an average follow-up of 85 months, underwent 35 TSA, 30 HA, and 5 rTSA procedures. The most common operative diagnosis was osteoarthritis (44%). The overall complication rate was 19% and the reoperation rate was 13%, with no significant differences between arthroplasty types. Radiolucent lines were present in 14.3% (10 cases) of the humeral components and 10.0% (7 cases) of the glenoid components. Glenoid radiolucencies were present only in the TSA group, with one (3%) patient undergoing revision for loosening. Clinical outcomes showed significant improvements in American Shoulder and Elbow Surgeons scores, visual analog scale pain, and ROM, with no differences between arthroplasty types.</div></div><div><h3>Conclusion</h3><div>Younger patients undergoing shoulder arthroplasty have an acceptable complication profile, but a relatively high risk of reoperation. Glenoid component loosening occurred only in the TSA, with a 3% revision rate. All arthroplasty types showed significant improvements in ROM, pain levels, and function, indicating that patients benefit from the procedure. Nevertheless, the relatively high complication and reoperation rates for all three types of arthroplasty should be taken into account when considering shoulder replacement in those patients.</div></div>","PeriodicalId":74030,"journal":{"name":"JSES reviews, reports, and techniques","volume":"5 3","pages":"Pages 371-375"},"PeriodicalIF":0.0,"publicationDate":"2025-05-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144534582","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}
Connor C. Park BS , Julia R. Wieland BS , Ryan D. DeAngelis MD , Manuel E. Cevallos MD , Andrew M. Choo MD
{"title":"Predictable anconeus dimensions with limited influence from patient size: implications for surgical planning and applications","authors":"Connor C. Park BS , Julia R. Wieland BS , Ryan D. DeAngelis MD , Manuel E. Cevallos MD , Andrew M. Choo MD","doi":"10.1016/j.xrrt.2025.04.014","DOIUrl":"10.1016/j.xrrt.2025.04.014","url":null,"abstract":"<div><h3>Background</h3><div>Surgeons can manipulate the anconeus muscle for soft tissue coverage around elbow wounds or mobilize it during distal humerus fractures to improve visualization and potentially obviate the need for an olecranon osteotomy. While anatomical studies have explored the anconeus muscle's dimensions, it is unclear whether it scales consistently with nearby structures or changes markedly with subject size.</div></div><div><h3>Methods</h3><div>Thirty assessments were conducted on 15 cadavers. The triangular muscle's borders are defined as follows: the superior border extends from the lateral epicondyle of the humerus to the ulna near the olecranon; the lateral inferior border runs from the lateral epicondyle to the muscle's insertion on the proximal and middle thirds of the ulna; and the base corresponds to the insertion along the ulna. All measurements of the anconeus were performed with the elbow flexed to 90°. α was assigned 0.05.</div></div><div><h3>Results</h3><div>Average superior border measured 2.51 cm ± 0.36 cm, lateral inferior border 8.05 cm ± 1.03 cm, and base 7.32 cm ± 0.94 cm. The average width of the distal humerus was 6.61 cm ± 0.66 cm. Patients ranged from 152 cm to 185 cm in height and 59-82 kg in weight. A moderate positive correlation was observed between the lateral inferior border and the width of the distal humerus (ρ = 0.56; r<sup>2</sup> = 0.31; <em>P</em> = .001) and between the base and the width of the distal humerus (ρ = 0.51; r<sup>2</sup> = 0.265; <em>P</em> = .004). A low positive correlation was observed between the superior border and the width of the distal humerus. A moderate correlation was found between patient height and only the lateral inferior border (ρ = 0.54; r<sup>2</sup> = 0.289; <em>P</em> = .002). Low correlations were noted between the other borders and height, length or radius and lateral inferior border, and length of ulna and lateral inferior border. Poor correlations were found between all remaining borders with the lengths of the radius, humerus, ulna, and triceps (lateral and long head).</div></div><div><h3>Discussion</h3><div>The weak associations with other structures suggest that the size of the anconeus is less affected by the dimensions of nearby musculoskeletal elements, indicating a more consistent anatomical size compared to muscles that typically scale with bone length or physical activity. The anconeus muscle's consistent size offers surgeons a reliable solution for addressing soft tissue defects in procedures around the elbow, even in smaller individuals. Its predictable dimensions ensure a consistent and unobstructed visualization of the distal humerus during procedures like open reduction and internal fixation, regardless of patient size.</div></div>","PeriodicalId":74030,"journal":{"name":"JSES reviews, reports, and techniques","volume":"5 3","pages":"Pages 541-544"},"PeriodicalIF":0.0,"publicationDate":"2025-05-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144535219","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}
Benjamin Miltenberg MD , William L. Johns MD , Anthony N. Baumann DPT, MD , Brandon J. Martinazzi MD , Omkar Anaspure BA , Terence L. Thomas MD , Michael G. Ciccotti MD , Steven B. Cohen MD
{"title":"Outcomes after ulnar collateral ligament injuries in non-throwing athletes: a systematic review","authors":"Benjamin Miltenberg MD , William L. Johns MD , Anthony N. Baumann DPT, MD , Brandon J. Martinazzi MD , Omkar Anaspure BA , Terence L. Thomas MD , Michael G. Ciccotti MD , Steven B. Cohen MD","doi":"10.1016/j.xrrt.2025.04.012","DOIUrl":"10.1016/j.xrrt.2025.04.012","url":null,"abstract":"<div><h3>Background</h3><div>Ulnar collateral ligament (UCL) injuries are common among throwing athletes due to the biomechanical forces acting on the elbow during the throwing motion. However, little data exist on UCL injuries in non-throwing athletes. The purpose of this study is to examine the functional outcome and return to sport after operative treatment of UCL injuries in non-throwing athletes and thereby better inform treatment guidelines for this patient population.</div></div><div><h3>Methods</h3><div>This systematic review searched PubMed, EMBASE, and SPORTDiscus from database inception until November 1, 2024, for data regarding outcomes after UCL injuries in non-throwing athletes. Article types included case series, retrospective or prospective cohort studies, or randomized controlled trials. Article quality was graded via the Methodological Index for Non-Randomized Studies and certainty via the Grading of Recommendations, Assessment, Development and Evaluation.</div></div><div><h3>Results</h3><div>A total of six “moderate-quality” articles were included out of 945 articles initially retrieved. Non-throwing athletes (n = 95) had a frequency-weighted mean age of 19.9 ± 3.7 years with a frequency-weighted mean follow-up of 54.7 ± 2.4 months. Eleven sports were represented across four levels of competition from middle school to the professional level. From four studies, about 86% of athletes (n = 48 out of 56 athletes) returned to sport at the same or higher competitive level after operative treatment. Overall, patients had good functional outcomes at follow-up. Non-throwing athletes also had complication rates ranging from 0% to 18%, with only 2% of patients requiring a return to the operating room.</div></div><div><h3>Conclusion</h3><div>There is limited evidence available for outcomes in non-throwing athletes after UCL injury. However, the currently available research suggests that 86% of athletes may return to sport at the same or higher level and enjoy good functional outcomes with low complication rates. Additional research is needed to guide treatment for this patient population.</div></div>","PeriodicalId":74030,"journal":{"name":"JSES reviews, reports, and techniques","volume":"5 3","pages":"Pages 533-540"},"PeriodicalIF":0.0,"publicationDate":"2025-05-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144535218","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}
Christopher Frey MD , John Kriz BA , Aaron Sciascia PhD, ATC, PES, SMTC, FASSET , Candler Mathews MD , Eric Bowman MD, MPH
{"title":"Epidemiological trends of elbow and forearm injuries in high school baseball and softball players","authors":"Christopher Frey MD , John Kriz BA , Aaron Sciascia PhD, ATC, PES, SMTC, FASSET , Candler Mathews MD , Eric Bowman MD, MPH","doi":"10.1016/j.xrrt.2025.04.006","DOIUrl":"10.1016/j.xrrt.2025.04.006","url":null,"abstract":"<div><h3>Background</h3><div>Elbow and forearm injuries are common in high school baseball and softball players. Given the trends in overuse and early sport specialization, it may be prudent to provide an updated review of the epidemiological data to aid injury prevention efforts.</div></div><div><h3>Methods</h3><div>Data regarding elbow and forearm injuries in high school baseball and softball players from the 2005-2006 through 2018-2019 seasons was extracted from the National High School Sports-Related Injury Surveillance Study.</div></div><div><h3>Results</h3><div>There were 518 total elbow and forearm injuries reported for 5,738,470 athletic exposures (AEs) yielding an overall injury rate of 0.90/10,000 AEs. Baseball had an increase of 0.044 elbow/forearm injury increase per 10,000 AEs per year (<em>P</em> = .04, 95% Confidence Interval: 0.03, 0.085) while softball did not have a significant change. Baseball had a significantly higher injury rate in competition than practice (Injury rate ratio = 2.29, 95% CI: 1.86, 2.83). While there was no significant difference in overall injury rate for baseball pitchers than nonpitchers, softball nonpitchers had a significantly greater injury rate than pitchers (Injury rate ratio = 0.25, 95%; CI: 0.15, 0.42).</div></div><div><h3>Conclusion</h3><div>This study found that overall forearm and elbow rate of injury has increased for baseball since the 2005-2006 season. There was no significant trend in softball. Softball nonpitchers had a higher rate of injury than pitchers, while there was no difference between positions in baseball. This trend and difference between sports and positions imply the importance of injury prevention efforts tailored to each athlete.</div></div>","PeriodicalId":74030,"journal":{"name":"JSES reviews, reports, and techniques","volume":"5 3","pages":"Pages 401-406"},"PeriodicalIF":0.0,"publicationDate":"2025-05-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144535113","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}
{"title":"Systematic review of measurement properties of patient-reported outcome measures in patients with elbow-related orthopedic conditions","authors":"Waleed Albishi MBBS, MSc, FRCSC , Hisham Alsanawi MBBS, SSC, MASc , Muhannad Alsharidah MBBS , Mohammed Alhuqbani MBBS , Zyad Aldosari MBBS , Omar Aldosari MBBS , Amr Elmaraghy MD, FRCSC","doi":"10.1016/j.xrrt.2025.04.005","DOIUrl":"10.1016/j.xrrt.2025.04.005","url":null,"abstract":"<div><h3>Background</h3><div>Elbow-related issues are common among adults and can significantly impact their daily activities and quality of life. Patient-reported outcome measures (PROMs) are increasingly being used nowadays to assess the subjective experience of patients with elbow problems. Identifying reliable, valid, and responsive tools is deemed necessary to be embedded in the assessment and treatment planning. This study aimed to identify currently available PROMs designed for people with elbow pathology and appraise, compare, and synthesize psychometric data supporting these PROMs.</div></div><div><h3>Methods</h3><div>This review adhered to the methodology outlined by Cochrane and followed the principles set forth by the Preferred Reporting Items for Systematic Reviews and Meta-Analyses. Systematic searches were conducted in databases such as MEDLINE and Embase to identify studies related to PROMs for elbow diseases. The search was limited to papers published until July 2023. The inclusion criteria were specifically targeted toward adult populations, English-language publications, and research that provided information on the psychometric features of PROMs. The COSMIN Risk of Bias checklist was used to do data extraction and quality assessment.</div></div><div><h3>Results</h3><div>Of the 6741 articles, 58 full-text articles were evaluated to determine their eligibility. Nineteen studies fulfilled the requirements for inclusion, providing information on 10 PROMs for elbow problems. PROMs such as the Disabilities of the Arm, Shoulder, and Hand, Quick Disabilities of Arm, Shoulder, and Hand, and Oxford Elbow Score have shown strong reliability and construct validity. Most PROMs did not have thorough qualitative evaluations and concept elicitation. The Patient-Rated Ulnar Nerve Evaluation and Patient-Rated Elbow Evaluation showed strong reliability and responsiveness, but the Elbow Self-Assessment Score and Kerlan-Jobe Orthopaedic Clinic score exhibited satisfactory reliability but lacked comprehensive qualitative assessment.</div></div><div><h3>Conclusions</h3><div>Ten elbow PROMs were reviewed, showing psychometric diversity. Some PROMs are reliable and valid; others require further development and validation. Future studies could enhance qualitative assessments and standardization of PROM evaluation guidelines. A core outcome set for elbow-related PROMs could improve consistency and comparability in clinical research.</div></div>","PeriodicalId":74030,"journal":{"name":"JSES reviews, reports, and techniques","volume":"5 3","pages":"Pages 523-532"},"PeriodicalIF":0.0,"publicationDate":"2025-05-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144535217","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}
Julian Wier MD , Kevin C. Liu MD , Cory K. Mayfield MD , Eric H. Lin BS , Cailan L. Feingold BS , Alexander E. Weber MD , Seth C. Gamradt MD , Joseph N. Liu MD , Frank A. Petrigliano MD
{"title":"Dexamethasone has a synergistic effect on liposomal bupivacaine in reducing postoperative pain after total shoulder arthroplasty","authors":"Julian Wier MD , Kevin C. Liu MD , Cory K. Mayfield MD , Eric H. Lin BS , Cailan L. Feingold BS , Alexander E. Weber MD , Seth C. Gamradt MD , Joseph N. Liu MD , Frank A. Petrigliano MD","doi":"10.1016/j.xrrt.2025.04.004","DOIUrl":"10.1016/j.xrrt.2025.04.004","url":null,"abstract":"<div><h3>Background</h3><div>Multimodal approaches to address postoperative pain after total shoulder arthroplasty (TSA) are becoming the standard of care. The combined use of dexamethasone and liposomal bupivacaine (LB) may be an effective method to enhance analgesia. We assess if the addition of dexamethasone to TSA patients receiving LB results in reduced opiate needs and shorter length of stay.</div></div><div><h3>Methods</h3><div>The Premier Healthcare Database was queried from January 1, 2016, to December 31, 2020, for patients who underwent primary, elective anatomic/reverse TSA and received local infiltration LB. Patients were then propensity matched on the probability of receiving dexamethasone. After matching, multivariable models, including all other available multimodal analgesic medications, were generated to evaluate the association between dexamethasone and morphine milligram equivalent intake and length of stay.</div></div><div><h3>Results</h3><div>A total of 3445 patients remained in each group after matching and were well balanced for covariates (standardized mean difference <0.1). A significant difference in total opioid consumption was observed between groups (median = 36.6 mg vs. 42.5 mg, <em>P</em> < .001), with a significant negative correlation between morphine milligram equivalents used and dexamethasone exposure for total opioid use (β = −4.61, 95% confidence interval [CI] = −8.60 to −0.62), postoperative days 1 (β = −2.51, 95% CI = −3.40 to −1.66) and 2 (β = −2.09, 95% CI = −3.86 to −0.32). The adjusted odds of a length of stay beyond 1 day were significantly lower in the dexamethasone-treated group (adjusted odds ratio = 0.64, 95% CI = 0.56-0.73).</div></div><div><h3>Conclusion</h3><div>Dexamethasone reduces postoperative narcotic use after TSA and reduces length of stay. With increasing pressures to reduce opiate use, these data highlight alternative medication combinations, which may be used to promote this goal.</div></div>","PeriodicalId":74030,"journal":{"name":"JSES reviews, reports, and techniques","volume":"5 3","pages":"Pages 376-381"},"PeriodicalIF":0.0,"publicationDate":"2025-05-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144534583","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}
{"title":"Tightrope vs. hook plate fixation for acute acromioclavicular joint dislocation: a systematic review and meta-analysis","authors":"Brandon Lim MB, BCh , Ariel Chai MB, BCh , Samher Jassim MB, BCh , Mohamed Shaalan MD","doi":"10.1016/j.xrrt.2025.04.002","DOIUrl":"10.1016/j.xrrt.2025.04.002","url":null,"abstract":"<div><h3>Background</h3><div>Treatment for acromioclavicular joint (ACJ) dislocations aims to restore joint congruity and mechanical stability. However, the best operative technique remains a controversial issue. This systematic review and meta-analysis thus aim to compare the clavicular hook plate (HP) vs. the TightRope (TR) in the management of ACJ dislocation.</div></div><div><h3>Methods</h3><div>A systematic search was conducted using Embase, Scopus, PubMed, and Web of Science databases to retrieve all relevant studies. Outcomes were operative time (minutes), intraoperative blood loss (mL), clinical outcome measures, postoperative coracoclavicular distance (CCD), and complications. The methodological quality of studies was assessed using the Methodological Index for Nonrandomized Studies tool for nonrandomized studies, and the Cochrane Risk of Bias 2 tool for randomized control trials.</div></div><div><h3>Results</h3><div>The literature search yielded 221 studies, of which 12 studies enrolling a total of 683 patients were included in this review, with 371 in the HP group and 312 in the TR group. Meta-analysis of comparative studies between HP and TR fixation showed that HPs had better Constant-Murley scores (mean difference (MD), −3.56; 95% confidence interval (CI), −5.37 to −1.75; <em>P</em> = .0001), and less intraoperative blood losses (MD, 41.27; 95% CI, 30.67-51.87; <em>P</em> < .00001). Conversely, TR fixation had better visual analog scale scores (MD, 0.55; 95% CI, 0.34-0.76; <em>P</em> < .0001), and shorter postoperative CCD (MD, 0.45; 95% CI, 0.19-0.71; <em>P</em> = .0008). There was no significant difference in operative time (MD, 1.75; 95% CI, −16.55-20.05; <em>P</em> = .85), University of California, Los Angeles shoulder scores (MD, 0.34; 95% CI, −0.81 to 1.48; <em>P</em> = .56), American Shoulder and Elbow Surgeons scores (MD, 0.39; 95% CI, −0.90 to 1.68; <em>P</em> = .55), and complications (OR, 2.57; 95% CI, 1.00-6.62; <em>P</em> = .05).</div></div><div><h3>Conclusion</h3><div>TR fixation in ACJ dislocations had similar operative times, complication rates, University of California, Los Angeles scores, and American Shoulder and Elbow Surgeons scores to HP fixation. The HP group had less intraoperative blood loss and better Constant-Murley scores. Conversely, TR fixation had better visual analog scale scores and smaller postoperative CCD. Future randomized control trials on this subject would aid in increasing the validity of our findings.</div></div>","PeriodicalId":74030,"journal":{"name":"JSES reviews, reports, and techniques","volume":"5 3","pages":"Pages 477-486"},"PeriodicalIF":0.0,"publicationDate":"2025-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144535480","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}
{"title":"Revision of a dissociated Coonrad–Morrey implant at 25 years postoperatively: a case report","authors":"Chen-Heng Hsu MD , Hsin-Nung Shih MD , Chun-Ying Cheng MD","doi":"10.1016/j.xrrt.2025.04.003","DOIUrl":"10.1016/j.xrrt.2025.04.003","url":null,"abstract":"","PeriodicalId":74030,"journal":{"name":"JSES reviews, reports, and techniques","volume":"5 3","pages":"Pages 577-582"},"PeriodicalIF":0.0,"publicationDate":"2025-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144535477","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}
Hastomo A. Wibowo MD , Iman W. Aminata MD , Andri M.T. Lubis MD, PhD , Indah S. Widyahening MD, PhD , Achmad F. Kamal MD, PhD , Aryadi Kurniawan MD, PhD , Ismail H. Dilogo MD, PhD , Wahyu Widodo MD , Thomas Erwin C.J. Huwae MD, PhD , Renaldi P.N. Rasyid MD, PhD , Oryza Satria MD , Dina Aprilya MD , Ali R. Alkaff MD
{"title":"Single-row arthroscopic rotator cuff repair improves functional outcomes at a minimum follow-up of 3 years","authors":"Hastomo A. Wibowo MD , Iman W. Aminata MD , Andri M.T. Lubis MD, PhD , Indah S. Widyahening MD, PhD , Achmad F. Kamal MD, PhD , Aryadi Kurniawan MD, PhD , Ismail H. Dilogo MD, PhD , Wahyu Widodo MD , Thomas Erwin C.J. Huwae MD, PhD , Renaldi P.N. Rasyid MD, PhD , Oryza Satria MD , Dina Aprilya MD , Ali R. Alkaff MD","doi":"10.1016/j.xrrt.2025.03.010","DOIUrl":"10.1016/j.xrrt.2025.03.010","url":null,"abstract":"<div><h3>Background</h3><div>To evaluate patients who underwent arthroscopic rotator cuff repair (ARCR) using a single-row technique and compare functional outcomes before and after surgery at a minimum follow-up of 3 years.</div></div><div><h3>Methods</h3><div>This retrospective cohort study reviewed the functional outcomes of 38 patients who underwent ARCR with a single-row technique between 2015 and 2020 with a minimum follow-up of 3 years. In all procedures, the repair was medialized just lateral to the articular cartilage with bone tunneling on the footprint (crimson duvet). Functional outcomes were evaluated from the visual analog scale score, muscle strength, range of motion, Constant-Murley Score, and American Shoulder and Elbow Surgeons score, which were compared before and after surgery.</div></div><div><h3>Results</h3><div>All cases had medium and large supraspinatus tears with a median age of 60 years (40-77 years). As much as 68% of tears were in the dominant hand, and most of the cases (79%) were of nontraumatic origin. Additional procedures such as acromioplasty (26%), biceps tenodesis (8%), and biceps tenotomy (18%) were done in addition to tendon repair. Women were dominant in all cases (58%). There was a significant improvement in the median visual analog scale score (8-1), muscle power, and range of motion when comparing the results before and after ARCR. Functional American Shoulder and Elbow Surgeons score and Constant-Murley Score also significantly improved from 50 to 91 and 46 to 85, respectively (<em>P</em> < .05).</div></div><div><h3>Conclusion</h3><div>ARCR with a single-row technique provides good results for medium and large tears in 3 years of follow-up.</div></div>","PeriodicalId":74030,"journal":{"name":"JSES reviews, reports, and techniques","volume":"5 3","pages":"Pages 382-388"},"PeriodicalIF":0.0,"publicationDate":"2025-04-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144535110","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}