JSES reviews, reports, and techniques最新文献

{"title":"Development of a virtual surgical plan for reverse shoulder arthroplasty as a treatment for complex proximal humerus fracture in an elderly patient","authors":"Roelof J. van Luit MD , Jessie Rijntjes MSc , Edsko Hekman MSc , Lonneke Govaert MD , Freek Hollman PhD , Femke F. Schröder PhD , Egbert J.D. Veen PhD","doi":"10.1016/j.xrrt.2024.08.005","DOIUrl":"10.1016/j.xrrt.2024.08.005","url":null,"abstract":"","PeriodicalId":74030,"journal":{"name":"JSES reviews, reports, and techniques","volume":"5 1","pages":"Pages 92-96"},"PeriodicalIF":0.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11764555/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143054488","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":"Medialization of shaft of humerus to provide medial buttress and prevent varus collapse in 3- and 4-part proximal humerus fractures: review of the surgical technique","authors":"Srinivas Kasha MS(Ortho) ,&nbsp;Ranjith Kumar Yalamanchili MS(Ortho) ,&nbsp;G.P.R.K. Rohit MS(Ortho) ,&nbsp;Suresh Krishna Lokayah MS(Ortho) ,&nbsp;Varun Kulkarni MBBS","doi":"10.1016/j.xrrt.2024.10.002","DOIUrl":"10.1016/j.xrrt.2024.10.002","url":null,"abstract":"<div><h3>Hypothesis</h3><div>Proximal humerus fractures present a treatment challenge due to varied fracture configurations and a lack of consensus on optimal management. Locking plate designs offer promising solutions, yet technical guidelines for successful outcomes remain elusive. Complications are common, with fixation-related failures often attributed to varus collapse. Addressing this, we review a novel intraoperative technique of medialization of the humerus shaft to provide medial buttress support to the humerus head.</div></div><div><h3>Methods</h3><div>This retrospective study included acute 3-part and 4-part proximal humerus fractures treated with open reduction and proximal humerus locking plate fixation from February 2013 to August 2021, which were restored by creating medial buttress by the described technique. Central Column Diaphyseal angle was measured on the 20° external rotation anteroposterior X-ray radiograph, by measuring the intersection angle of the axis of the proximal part of the humerus and the line perpendicular to the anatomical neck. The functional outcome was measured with the Constant score that assesses pain and shoulder function during daily activities, range of motion, and shoulder strength at each follow-up.</div></div><div><h3>Results</h3><div>Seventy-six patients with acute 3- and 4-part proximal humerus fractures were treated using this technique and followed for an average of 16 months. Results showed successful union in 76% of cases within 12 weeks, with no nonunions or implant failures requiring revision surgery at a minimum of 24 months follow-up. Functional outcomes were favorable in 70% of patients. However, avascular necrosis of the humeral head occurred in 12% of cases.</div></div><div><h3>Conclusion</h3><div>Despite limitations, this technique offers a biomechanically sound approach to enhance fixation stability, potentially improving the outcomes in proximal humerus fractures without the need for any additional fibular grafting procedures.</div></div>","PeriodicalId":74030,"journal":{"name":"JSES reviews, reports, and techniques","volume":"5 1","pages":"Pages 22-29"},"PeriodicalIF":0.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11764120/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143054496","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 compartment syndrome following biceps tendon rupture: a case report","authors":"Lauren M. Harte MD,&nbsp;Alexandra Spath BS,&nbsp;Robert H. Ablove MD","doi":"10.1016/j.xrrt.2024.10.003","DOIUrl":"10.1016/j.xrrt.2024.10.003","url":null,"abstract":"","PeriodicalId":74030,"journal":{"name":"JSES reviews, reports, and techniques","volume":"5 1","pages":"Pages 113-115"},"PeriodicalIF":0.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11764398/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143054203","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":"A spontaneously resolved varix in the spinoglenoid notch: a case report","authors":"Victoria E. Bergstein BA ,&nbsp;Jacob D. Mikula MD ,&nbsp;Alia Mowery MD ,&nbsp;Matthew J. Best MD","doi":"10.1016/j.xrrt.2024.10.005","DOIUrl":"10.1016/j.xrrt.2024.10.005","url":null,"abstract":"","PeriodicalId":74030,"journal":{"name":"JSES reviews, reports, and techniques","volume":"5 1","pages":"Pages 103-106"},"PeriodicalIF":0.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11764656/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143054430","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":"Osteochondritis dissecans of the medial elbow trochlea treated with lateral clavicle autograft: a case report","authors":"Anika A. Yadav BS,&nbsp;Rehan Ghanta BA,&nbsp;Srinath Kamineni MD","doi":"10.1016/j.xrrt.2024.09.001","DOIUrl":"10.1016/j.xrrt.2024.09.001","url":null,"abstract":"","PeriodicalId":74030,"journal":{"name":"JSES reviews, reports, and techniques","volume":"5 1","pages":"Pages 116-119"},"PeriodicalIF":0.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11764462/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143054499","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":"Surgical management of lateral epicondylitis: a scoping review of published literature","authors":"Duncan Muir MRCS ,&nbsp;Helena Blakeway MBChB ,&nbsp;Richard Morris MRCS ,&nbsp;Ali A. Narvani FRCS ,&nbsp;Ahmed Elgebaly MD ,&nbsp;Mohamed A. Imam FRCS","doi":"10.1016/j.xrrt.2024.08.008","DOIUrl":"10.1016/j.xrrt.2024.08.008","url":null,"abstract":"<div><h3>Background</h3><div>Surgical intervention for lateral epicondylitis remains a controversial topic, with its purpose being debated. Recent guidelines have concluded no benefit from surgery when compared to conservative management.</div></div><div><h3>Methods</h3><div>An electronic database search of Ovid Medline via PubMed, EMBASE, and the Web of Science was performed to understand the published literature further.</div></div><div><h3>Results</h3><div>35 studies incorporating 1564 patients were included. This included 12 trials and 23 observational studies. Most studies reported the benefits of surgery in pain and function despite the majority of studies using a variety of outcome measures.</div></div><div><h3>Conclusion</h3><div>Surgery is reported to treat lateral epicondylitis successfully. However, multicenter studies have yet to be published, and the low number of included patients means that further evidence is required to conclude management.</div></div>","PeriodicalId":74030,"journal":{"name":"JSES reviews, reports, and techniques","volume":"5 1","pages":"Pages 79-85"},"PeriodicalIF":0.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11764687/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143054520","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":"Cost analysis of dermal allograft patch utilization in rotator cuff repair","authors":"Adrik Z. Da Silva BS ,&nbsp;Joshua Mizels MD ,&nbsp;Christopher E. Clinker BS ,&nbsp;Minkyoung Yoo PhD ,&nbsp;Richard Nelson PhD ,&nbsp;Christopher Joyce MD ,&nbsp;Robert Z. Tashjian MD ,&nbsp;Peter N. Chalmers MD","doi":"10.1016/j.xrrt.2024.08.011","DOIUrl":"10.1016/j.xrrt.2024.08.011","url":null,"abstract":"<div><h3>Background</h3><div>To perform an analysis of intraoperative costs associated with arthroscopic rotator cuff repair (RCR) acellular dermal allograft patch augmentation and interposition.</div></div><div><h3>Methods</h3><div>This was a matched cohort retrospective cost identification analysis. We identified patients who underwent arthroscopic RCR with acellular dermal allograft patch augmentation or interposition between 2014 and 2023 at a single academic center. These were matched based on age and tear size to a cohort of patients who underwent arthroscopic RCR without a patch. Patients without preoperative MRI data were excluded. Via chart review, we collected demographics, medical comorbidities, tear characteristics, and intraoperative repair characteristics. Patch and control patients were compared with paired t tests. Differences in costs between patch and control patients were assessed using multivariable regression controlling for observable covariates.</div></div><div><h3>Results</h3><div>One hundred and thirty-two (132) total patients were included: 66 patch patients and 66 control patients. The patch group demonstrated more tear retraction and utilized single row medial repair more frequently. Multivariable analysis revealed that there was a $4930 total direct cost increase with the utilization of a patch (<em>P</em> &lt;.001) after controlling for age, body mass index, American Society of Anesthesiologists (ASA), Charlson comorbidity index, gender, surgeon, tear width, number of anchors, occupation, biceps treatment, prior surgery, and repair construct. The multivariable analysis also revealed that a higher ASA was associated with a $1440 increase in cost (<em>P</em> =.012). Biceps tenotomy was associated with a $3303 decrease in cost compared to tenodesis (<em>P</em> =.001). Additionally, single row medial repair demonstrated a $1745 decrease in total direct cost when compared to a double row repair construct (<em>P</em> =.019).</div></div><div><h3>Conclusion</h3><div>The addition of a patch increases the total direct cost by $4930 when compared to arthroscopic RCR without a patch. Increased ASA, biceps tenodesis, and use of a double row repair construct were also associated with increased cost.</div></div>","PeriodicalId":74030,"journal":{"name":"JSES reviews, reports, and techniques","volume":"5 1","pages":"Pages 40-45"},"PeriodicalIF":0.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11764126/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143054459","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":"Median nerve entrapment neuropathy: a review on the pronator syndrome","authors":"Saud Binsaleem MD","doi":"10.1016/j.xrrt.2024.10.001","DOIUrl":"10.1016/j.xrrt.2024.10.001","url":null,"abstract":"<div><div>Pronator syndrome is a compression neuropathy of the median nerve within the anatomical structures of the elbow and forearm. It presents with neuropathic pain, numbness, and weakness of the forearm and hand, which are often exacerbated by repetitive pronation-supination movements. Patient presentation may mimic the signs and symptoms of carpal tunnel syndrome. Diagnosis requires comprehensive clinical assessment, employing provocative examination along with electrophysiological and imaging studies for accurate evaluation. Treatment strategies encompass conservative measures such as activity modification and physical therapy, whereas surgical intervention may be warranted in severe cases that are refractory to conservative treatment. By reviewing the current literature within the spectrum of median nerve entrapment neuropathies, this review aimed to enhance and summarize the current understanding by consolidating the existing knowledge for improved patient outcomes.</div></div>","PeriodicalId":74030,"journal":{"name":"JSES reviews, reports, and techniques","volume":"5 1","pages":"Pages 70-78"},"PeriodicalIF":0.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11764074/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143054475","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":"Thank You to Our Reviewers for 2024","authors":"","doi":"10.1016/S2666-6391(25)00001-X","DOIUrl":"10.1016/S2666-6391(25)00001-X","url":null,"abstract":"","PeriodicalId":74030,"journal":{"name":"JSES reviews, reports, and techniques","volume":"5 1","pages":"Pages 124-129"},"PeriodicalIF":0.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143166412","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":"Deltopectoral approach without subscapularis detachment for reverse shoulder arthroplasty. Technique and results of a safe and reproducible subscapularis-sparing approach","authors":"Adrien Jacquot MD, MSc ,&nbsp;Thomas Cuinet MD ,&nbsp;Lisa Peduzzi MD ,&nbsp;Patrice Wong MD ,&nbsp;Marc-Olivier Gauci MD, PhD ,&nbsp;Julien Uhring MD","doi":"10.1016/j.xrrt.2024.09.006","DOIUrl":"10.1016/j.xrrt.2024.09.006","url":null,"abstract":"<div><h3>Background</h3><div>The importance of the subscapularis for reverse total shoulder arthroplasty has been demonstrated, especially for internal rotation and stability. In a deltopectoral approach, a detachment of the subscapularis is performed (tenotomy, tuberosity peeling, or osteotomy), but the tendon is not always repairable at the end. When it is repaired, healing is obtained in only 40%-76% of the cases, with potential consequences for the outcomes. The anterior muscle-sparing (AMS) approach is a deltopectoral approach with preservation of the subscapularis, providing a solution to these problems. We present the surgical technique and results.</div></div><div><h3>Methods</h3><div>In a retrospective study, we included our first 45 cases of reverse total shoulder arthroplasty performed with the AMS approach for a degenerative affection of the shoulder (massive rotator cuff tear, cuff tear arthropathy, primary glenohumeral arthritis, or rheumatoid arthritis), excluding traumatic and revision cases. The subscapularis was intact in all the cases. The mean age at inclusion was 74.1 years. No patients were lost at the minimum 24-month follow-up. All the patients underwent a clinical evaluation preoperatively and at the last follow-up, including Constant score, simple shoulder value, pain scale, and range of motion. An X-ray evaluation was conducted postoperatively and at the last follow-up to assess implant positioning and evolution.</div></div><div><h3>Results</h3><div>There was no intraoperative complication, and the mean operative time was 62 minutes. We observed a significant improvement in Constant score (from 36 to 70, <em>P</em> &lt;.001), simple shoulder value (from 33 to 81, <em>P</em> &lt;.001), pain (from 6.3 to 0.7, <em>P</em> &lt;.001), strength (from 0.5 to 3.5, <em>P</em> &lt;.001), and most of the active mobilities. Regarding internal rotation, 95% of the patients reached level L3 or higher. Glenoid positioning was considered optimal in more than 90% of the cases (inferior tilt and low position) without any occurrence of superior tilt or high position. The osteophytes could be totally removed in 8 out of 9 cases (88.9%). Six postoperative complications (13.3%) were reported: 1 infection (2.2%), 2 cases of traumatic glenoid loosening (4.4%), 2 acromion fractures (4.4%), and 1 hematoma (2.2%). There was no instability. Eighty percent of the patients could return home, with a mean hospital stay of 1.8 days.</div></div><div><h3>Conclusion</h3><div>The AMS approach is a safe and reproducible technique. The preservation of the subscapularis has potential benefits regarding internal rotation and stability. In the absence of tendon suture, rehabilitation can be started immediately without motion restriction, allowing for a fast recovery and return to autonomy.</div></div>","PeriodicalId":74030,"journal":{"name":"JSES reviews, reports, and techniques","volume":"5 1","pages":"Pages 14-21"},"PeriodicalIF":0.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11764111/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143054465","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}