JSES reviews, reports, and techniques最新文献

{"title":"Serratus anterior palsy secondary to long thoracic nerve dysfunction","authors":"Pablo Sanchez-Urgelles MD ,&nbsp;Blanca Diez Sánchez MD ,&nbsp;Joaquin Sanchez-Sotelo MD, PhD","doi":"10.1016/j.xrrt.2025.01.011","DOIUrl":"10.1016/j.xrrt.2025.01.011","url":null,"abstract":"<div><h3>Background</h3><div>Paralysis of the serratus anterior (SA) is most frequently caused by dysfunction of the long thoracic nerve (LTN). Although this condition presents with classic physical examination findings, it is occasionally missed. The purpose of this study is to review the etiology, diagnosis, and treatment options for SA palsy.</div></div><div><h3>Methods</h3><div>This study summarizes the anatomy of the SA and LTN, most common causes of SA palsy, physical examination findings, utility of diagnostic tests, the natural history of this condition, and all treatment options that can be contemplated.</div></div><div><h3>Results</h3><div>SA palsy should be suspected in patients with weak forward flexion and abnormal prominence of the medial edge of the scapula with weakness in shoulder protraction. The diagnosis can be confirmed with electromyography and nerve conduction studies. Magnetic resonance may show neurogenic fatty infiltration or atrophy. Although most patients benefit from conservative treatment (mostly physical therapy) for the first 12 months, many patients experience persistent weakness with various degrees of severity. For patients with disabling symptoms, nerve release or transfers have been reported to lead to SA reinnervation with functional improvements. However, long-standing palsy is best managed with a split pectoralis major transfer of the sternal head to the inferior pole of the scapula. Scapulothoracic arthrodesis is an uncommon procedure for patients in whom a previous tendon transfer has failed.</div></div><div><h3>Conclusion</h3><div>LTN dysfunction leading to SA palsy can be typically diagnosed with certain physical examination findings and confirmed using electromyogram with nerve conduction studies. Although spontaneous recovery can occur, patients with persistent serratus weakness may be considered for neurolysis, nerve transfer, or tendon transfer. Currently, direct transfer of the sternal head of the pectoralis major to the inferior pole of the scapula is our management of choice for patients with disabling symptoms and no improvement despite a good program of physical therapy.</div></div>","PeriodicalId":74030,"journal":{"name":"JSES reviews, reports, and techniques","volume":"5 2","pages":"Pages 170-181"},"PeriodicalIF":0.0,"publicationDate":"2025-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143848307","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":"Failure of double-plate osteosynthesis for the treatment of olecranon fractures in elderly patients","authors":"Richard Walter Nyffeler MD ,&nbsp;Alois Lustenberger MD","doi":"10.1016/j.xrrt.2025.01.008","DOIUrl":"10.1016/j.xrrt.2025.01.008","url":null,"abstract":"","PeriodicalId":74030,"journal":{"name":"JSES reviews, reports, and techniques","volume":"5 2","pages":"Pages 347-350"},"PeriodicalIF":0.0,"publicationDate":"2025-02-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143848402","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":"Arthroplasty with anconeus transposition into the radial medullary canal. Surgical technique and case report","authors":"Ken Kadowaki MD ,&nbsp;Edgardo Martínez MD ,&nbsp;Ana Milena Herrera MD, PhD","doi":"10.1016/j.xrrt.2025.01.009","DOIUrl":"10.1016/j.xrrt.2025.01.009","url":null,"abstract":"","PeriodicalId":74030,"journal":{"name":"JSES reviews, reports, and techniques","volume":"5 2","pages":"Pages 351-356"},"PeriodicalIF":0.0,"publicationDate":"2025-02-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143848403","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":"Humeral socket decoupling from the stem causes mechanical failure of a reverse shoulder prosthesis. A case report","authors":"Carlos Afanador MD ,&nbsp;Andrés Arismendi MD ,&nbsp;Ana Milena Herrera MD, PhD","doi":"10.1016/j.xrrt.2025.01.010","DOIUrl":"10.1016/j.xrrt.2025.01.010","url":null,"abstract":"","PeriodicalId":74030,"journal":{"name":"JSES reviews, reports, and techniques","volume":"5 2","pages":"Pages 283-287"},"PeriodicalIF":0.0,"publicationDate":"2025-02-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143848261","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":"Analysis of gender diversity within orthopedic shoulder and elbow surgery fellowship programs","authors":"Ethan Bernstein BS ,&nbsp;Andrew Gaetano BS ,&nbsp;Andrew L. Chen MD ,&nbsp;Hassan Farooq MD ,&nbsp;Nickolas G. Garbis MD ,&nbsp;Dane H. Salazar MD, MBA","doi":"10.1016/j.xrrt.2025.01.007","DOIUrl":"10.1016/j.xrrt.2025.01.007","url":null,"abstract":"<div><h3>Background</h3><div>While there is an increasing number of women matching into orthopedic surgery, they continue to be under-represented among the various subspecialties of orthopedic surgery. Few studies have looked at gender diversity within the shoulder and elbow specialty specifically. This study seeks to evaluate recent trends in gender diversity among faculty and trainees within orthopedic shoulder and elbow surgery fellowship programs.</div></div><div><h3>Methods</h3><div>A cross-sectional analysis of faculty and program directors was conducted on 33 American Shoulder and Elbow Surgeons fellowship programs using publicly available data (August 2024). Deidentified data on fellows from 2019 to 2024 was acquired through a combination of the San Francisco Match, reaching out to individual American Shoulder and Elbow Surgeons fellowship programs, and publicly available information. The chi-square test of independence and Fisher’s exact test were used to compare categorical variables. The Pearson correlation coefficient was used to test for a relationship between the number of female fellows and time.</div></div><div><h3>Results</h3><div>Of 33 programs with 157 shoulder and elbow faculty, 7 (21.2%) had at least 1 female on faculty, with only 1 (3%) having female fellowship directors. Female faculty made up 5.1% of shoulder and elbow surgery faculty overall. Of 175 total fellows identified within the 6-year period, 21 (12%) were female. Geographic distribution of programs was as follows: 12 (36.4%) Northeast, 7 (21.2%) South, 6 (18.2%) Midwest, and 8 (24.2%) West. Northeast programs made up 57.1% of all programs with female faculty, whereas Midwest and West programs made up the last 42.9%.</div></div><div><h3>Conclusion</h3><div>Despite an increasing proportion of women entering orthopedic surgery as well as shoulder and elbow fellowship programs, our findings suggest that women remain under-represented shoulder and elbow surgery fellowship faculty and director positions. Interestingly, there was no association between shoulder and elbow fellowship programs with female faculty and the likelihood of having a female shoulder and elbow fellow.</div></div>","PeriodicalId":74030,"journal":{"name":"JSES reviews, reports, and techniques","volume":"5 2","pages":"Pages 192-196"},"PeriodicalIF":0.0,"publicationDate":"2025-02-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143848245","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":"Slipped upper humerus epiphysis in an adolescent child soccer player: a rare case report","authors":"Poloko Calvin Mekgwe MBChB (SMU) ,&nbsp;Collen Sandile Nkosi MBChB (UL), MMed (Wits), FC Orth (SA) ,&nbsp;Philani Ian Ntombela MBChB(UKZN), FC Ortho (SA), MMed (Wits), PG Diploma Health Research (Oxford) ,&nbsp;Mmampapatla Thomas Ramokgopa MBChB(UKZN), FC Orth (SA), MSc (Wits)","doi":"10.1016/j.xrrt.2025.01.006","DOIUrl":"10.1016/j.xrrt.2025.01.006","url":null,"abstract":"","PeriodicalId":74030,"journal":{"name":"JSES reviews, reports, and techniques","volume":"5 2","pages":"Pages 323-327"},"PeriodicalIF":0.0,"publicationDate":"2025-02-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143847658","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":"Functional outcome of scapulectomy in children – single-center experience and systematic review of the literature","authors":"Tobias Jhala MD, MSc ,&nbsp;Maximilian Holweg MD ,&nbsp;Markus Dietzel MD ,&nbsp;Jürgen Schäfer MD, PhD ,&nbsp;Martin Ebinger MD, PhD ,&nbsp;Justus Lieber MD, PhD ,&nbsp;Jörg Fuchs MD, PhD","doi":"10.1016/j.xrrt.2025.01.004","DOIUrl":"10.1016/j.xrrt.2025.01.004","url":null,"abstract":"<div><h3>Background</h3><div>Recent advances in reconstruction of the shoulder girdle and scapula had a significant impact on functional outcome in adults who underwent oncologic scapulectomy. In children and adolescents, scapula tumors are rare. Moreover, the growing skeleton and high functional demands in this age group may hinder transferability of the promising results achieved in adults. This study aims to explore the functional outcome and different reconstructive options used in children undergoing (partial) scapulectomy.</div></div><div><h3>Methods</h3><div>A single-center retrospective analysis of scapula tumors in children was performed. Furthermore, a systematic review and synthesis of qualitative and quantitative studies were conducted to investigate the functional outcome of children and adolescents undergoing Malawer II or Malawer III resection.</div></div><div><h3>Results</h3><div>In total, 3 patients were deemed eligible for the single-center retrospective analysis. The 3 children (2 boys, 1 girl, aged 4 – 11 years) all had Ewing sarcoma of the scapula. Two patients underwent Malawer II resection and had a better functional outcome than the 1 child that underwent Malawer III resection. Concerning the systematic review, of the 714 initial search results, 17 studies were eligible for inclusion. In total, 47 patients were extracted from the 17 studies. The analysis showed that patients who underwent Malawer III resection had a significantly better functional outcome if a reconstructive surgery was performed. Patients who underwent glenoid-preserving Malawer II resection showed similar results with or without reconstruction.</div></div><div><h3>Conclusion</h3><div>Children and adolescents undergoing Malawer III resection benefit from a reconstructive procedure other than humeral suspension. Reconstruction using either endoprosthesis or extracorporeal irradiation and reimplantation provide similar functional outcome after Malawer III resection. In Malawer II resection, reconstructive procedures do not influence functional outcome.</div></div>","PeriodicalId":74030,"journal":{"name":"JSES reviews, reports, and techniques","volume":"5 2","pages":"Pages 251-258"},"PeriodicalIF":0.0,"publicationDate":"2025-02-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143848265","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":"Surgical repair of an atypical midsubstance distal biceps tendon partial tear: a case report","authors":"Michael M. Valenzuela DO ,&nbsp;Genoveffa R. Morway DO ,&nbsp;Christopher M. Jones MD","doi":"10.1016/j.xrrt.2025.01.005","DOIUrl":"10.1016/j.xrrt.2025.01.005","url":null,"abstract":"","PeriodicalId":74030,"journal":{"name":"JSES reviews, reports, and techniques","volume":"5 2","pages":"Pages 344-346"},"PeriodicalIF":0.0,"publicationDate":"2025-02-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143848393","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":"Stemless reverse total shoulder arthroplasty: a systematic review and meta-analysis","authors":"Andrew Kelly MB, BCh, BAO ,&nbsp;Conor McNamee MB, BCh, BAO ,&nbsp;Thomas Deane MB, BCh, BAO ,&nbsp;James G. Kelly MB, BCh, BAO ,&nbsp;David Kelly BSc ,&nbsp;William Blakeney MBBS, MS, MSc, FRACS","doi":"10.1016/j.xrrt.2025.01.003","DOIUrl":"10.1016/j.xrrt.2025.01.003","url":null,"abstract":"<div><h3>Background</h3><div>Stemless reverse total shoulder arthroplasty (rTSA) is one of the many modifications of the original Grammont rTSA design. Much has been made of the debate between stemless and stemmed humeral implants for anatomic reverse shoulder arthroplasty, with less attention awarded to the relatively newer variation in stemless rTSA. Proposed advantages of said design include preserving bone stock, ease of revision, reduced blood loss, and shortening surgical times.</div></div><div><h3>Methods</h3><div>A systematic search was conducted in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA) guidelines using search engines in PubMed, EMBASE, and Cochrane to retrieve all relevant studies.</div></div><div><h3>Results</h3><div>Initial search strategies produced 174 studies, of which 15 studies were included for full analysis in this review. This included 657 shoulders in 648 patients (9 bilateral cases). Stemless rTSA led to significant improvement in functional outcomes and range of motion (ROM) across all studies. Meta-analysis of comparative studies including stemless and stemmed rTSA showed no significant difference in ROM measurements across abduction (standardized mean difference [SMD] −0.17, 95% confidence interval [CI]: −1.05, 0.70) or forward flexion (SMD -0.36, 95% CI: −1.23, 0.50). However, there was a statistically significant difference in internal rotation in favor of stemless implants (SMD -0.79, 95% CI: −1.56, −0.03). There was no significant difference in visual analog scale (VAS) between stemmed and stemless designs (SMD −0.31, 95% CI: −2.32, 1.69). Likewise, there was no significant difference in odds ratio (OR) for revision rates (OR: 1.02, 95% CI: 0.92, 1.14) or overall complications (OR: 0.82, 95% CI: 0.2, 3.42). Across all 15 studies, comparative and noncomparative studies, overall complication rates for stemless rTSA stood at 13.4% and revision rates at 5.5%.</div></div><div><h3>Conclusion</h3><div>Stemless rTSA achieves similar functional outcomes to stemmed rTSA designs. Stemless designs achieved superior internal rotation in the comparative studies. Proposed advantages of stemless rTSA including reduced blood loss and lesser surgical times need further research, as does the long-term robustness of this relatively novel design.</div></div>","PeriodicalId":74030,"journal":{"name":"JSES reviews, reports, and techniques","volume":"5 2","pages":"Pages 203-215"},"PeriodicalIF":0.0,"publicationDate":"2025-02-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143848258","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":"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}