JSES reviews, reports, and techniques最新文献

{"title":"Clinical implications of reverse total shoulder arthroplasty with an os acromiale: a systematic review","authors":"Lawrence Wengle MD, FRCSC ,&nbsp;Andrew Kucey MD, MSc ,&nbsp;Usama Saleh MD ,&nbsp;Amr Elmaraghy MD, FRCSC","doi":"10.1016/j.xrrt.2025.01.002","DOIUrl":"10.1016/j.xrrt.2025.01.002","url":null,"abstract":"<div><h3>Background</h3><div>Os acromiale is defined as a developmental failure of fusion of one of the primary ossification centers of the acromion. This anatomic variant can be identified in the presentation and workup of patients with various shoulder pathologies. Reverse total shoulder arthroplasty (rTSA) is a common surgical procedure for a multitude of underlying conditions. The purpose of this study was to conduct a systematic review of the literature to determine the clinical implications of rTSA in those with os acromiale.</div></div><div><h3>Methods</h3><div>This systematic review was conducted according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses: the PRISMA checklist. In April 2024, the following online databases were accessed: PubMed, Embase, and Cochrane. All clinical studies assessing os acromiale in rTSA were considered for inclusion and evaluated.</div></div><div><h3>Results</h3><div>The initial search result provided 569 studies to be assessed. After careful screening, 4 studies were included in this systematic review. A total of 573 patients undergoing rTSA with underlying os acromiale were included in this review. The prevalence of os acromiale in patients undergoing rTSA ranged from 5% to 22%. All patients had improvements in patient reported outcome measures with minimal complications. The most common radiographic finding was inferior tilting of the os acromiale.</div></div><div><h3>Conclusion</h3><div>The presence of os acromiale does not appear to have a negative impact on the clinical outcomes after surgery and rTSA remains a safe and effective treatment option.</div></div>","PeriodicalId":74030,"journal":{"name":"JSES reviews, reports, and techniques","volume":"5 2","pages":"Pages 197-202"},"PeriodicalIF":0.0,"publicationDate":"2025-01-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143848246","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":"Quadruple dislocation fracture: concurrent glenoid, greater tuberosity, coracoid process, and acromion fractures following anterior shoulder dislocation","authors":"Arashk Ghasroddashti BSc ,&nbsp;Colm Guyn BSc ,&nbsp;Joseph Bergman MD","doi":"10.1016/j.xrrt.2024.12.015","DOIUrl":"10.1016/j.xrrt.2024.12.015","url":null,"abstract":"","PeriodicalId":74030,"journal":{"name":"JSES reviews, reports, and techniques","volume":"5 2","pages":"Pages 328-331"},"PeriodicalIF":0.0,"publicationDate":"2025-01-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143847659","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":"Rate of reimbursement for 22-modifier in shoulder surgery","authors":"Walter R. Smith MD ,&nbsp;Allyson N. Pfeil BS ,&nbsp;Matthew A. Coker BS ,&nbsp;Pito Huerta HSD ,&nbsp;Davin K. Fertitta BS ,&nbsp;Corey F. Hryc PhD ,&nbsp;T. Bradley Edwards MD ,&nbsp;Michael C. Cusick MD","doi":"10.1016/j.xrrt.2024.12.007","DOIUrl":"10.1016/j.xrrt.2024.12.007","url":null,"abstract":"<div><h3>Background</h3><div>The 22-modifier is a reimbursement amendment designed by the Current Procedural Terminology (CPT) to reflect increased case complexity. When a CPT code is shared between more than 1 procedure or is used to capture a breadth of procedures, a 22-modifier can be used to acknowledge the increased workload in a particular procedure when compared to the standard procedure. We hypothesize that discrepancies exist among 22-modifier reimbursement rates in shoulder surgery, and that payers, particularly commercial, are reimbursing at lower rates for extensive surgical efforts. Identifying potential reimbursement shortcomings can open dialog between payers and surgeons to ensure transparency and fairness.</div></div><div><h3>Methods</h3><div>22-modifier amendments for total shoulder arthroplasty (TSA) (CPT code 23472), revision of TSA (23474), and arthroscopic rotator cuff repair (29827) occurring from October 31, 2018 to March 23, 2022 were queried, resulting in 566 instances from 11 surgeons at a single site. Financial data were collected from the billing department, while patient demographics and operative reports were collected from medical records. The billing staff requested reimbursement identically on all claims, excluding 1 surgeon, who also sent a reimbursement cover sheet detailing case complexity. Request for reimbursement was submitted for some cases without an operative report. Complexity justifications included obesity (body mass index &gt;30 or &gt;35), reverse TSA, revision procedures, massive repair, surgeon-determined prolonged length of procedure, no justification for 22-modifier listed, and undiagnosed hypertension which created a medical emergency.</div></div><div><h3>Results</h3><div>In total, 150 (26.5%) of 22-modifier cases were successfully reimbursed. TSA, revision of TSA, and arthroscopic rotator cuff repair had a reimbursement rate of 40.7%, 35.3%, and 13.0%, respectively. Of successful claims, Medicare reimbursed 75.3% and commercial only 26.7%. The highest rates of reimbursement justifications were length of procedure (41.7%), reverse shoulder arthroplasty (40.6%), and revision procedure (32.4%). The surgeon who included the cover sheet was successfully reimbursed (41.6%) more frequently than 2 surgeons with similar case volume (18.3% and 19.5%).</div></div><div><h3>Conclusion</h3><div>Criteria for successful reimbursement of the 22-modifier are ambiguous, complicating reimbursement efforts. Clinicians should consider concentrating efforts on obtaining 22-modifier reimbursement from Medicare in cases with increased length of procedure, as well as revision procedures and reverse shoulder arthroplasties. Surgeons may receive higher reimbursement rates with the addition of a cover sheet detailing the complexity of the procedure and any associated increases in complication rates or costs. Clarification from insurance carriers is needed to determine what constitutes a 22-modifier.</div></div>","PeriodicalId":74030,"journal":{"name":"JSES reviews, reports, and techniques","volume":"5 2","pages":"Pages 186-191"},"PeriodicalIF":0.0,"publicationDate":"2025-01-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143848244","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":"Survival of humeral head autograft for glenoid bone loss in reverse total shoulder arthroplasty: a case report of long-term follow-up post ground level fall","authors":"Tyler B. Seckel MD,&nbsp;Daniel J. Lynch MD,&nbsp;Nicholas D. Pekmezian BS,&nbsp;Zakariah S. Mahmood MD","doi":"10.1016/j.xrrt.2024.12.009","DOIUrl":"10.1016/j.xrrt.2024.12.009","url":null,"abstract":"","PeriodicalId":74030,"journal":{"name":"JSES reviews, reports, and techniques","volume":"5 2","pages":"Pages 276-282"},"PeriodicalIF":0.0,"publicationDate":"2025-01-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143848260","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":"Independent third row augmentation of massive rotator cuff repairs: surgical technique with radiological and patient outcomes","authors":"Samuel P. Mackenzie MBChB, BSC (Med Sci) Hons, FRCS ,&nbsp;Miloš Spasojevic MD ,&nbsp;Travis Falconer MBBS(Hons), FRACS(Ortho), FAOrthA ,&nbsp;Lisa Kruse MD ,&nbsp;Amy Randazzo MBBS ,&nbsp;Codey Burton MBBS ,&nbsp;Allan Young MBBS, MSpMed, PHD, FRACS (Orth) ,&nbsp;Benjamin Cass MBBS, MS, FRACS (Orth), FAOrthA, MASES","doi":"10.1016/j.xrrt.2024.12.011","DOIUrl":"10.1016/j.xrrt.2024.12.011","url":null,"abstract":"<div><h3>Background</h3><div>Primary repair of massive posterosuperior rotator cuff is challenging with a high rate of failure. This study details the technique and outcomes of a standard double-row cuff repair augmented with a synthetic ligament inserted in a separate adjacent location from the tendon-bone construct to off-load and de-tension the repair interface.</div></div><div><h3>Methods</h3><div>Eleven patients with massive rotator cuff tears involving two or more tendons with &gt;2.5 cm of retraction were prospectively enrolled. All patients underwent arthroscopically assisted mini-open double-row repair. This was augmented by a synthetic ligament passed medially through the supraspinatus and infraspinatus musculotendinous junctions before fixation distal to the second-row anchors. This represents a third row of repair that is remote from the double-row construct and aims to minimize repair tension. The primary outcome was repair integrity according to the Sugaya classification on postoperative magnetic resonance imaging. Secondary outcomes included the Constant score, EQ-5D 3L, and Oxford Shoulder Scores.</div></div><div><h3>Results</h3><div>The mean patient age was 65 with 10 males. At a mean follow-up of 13 months, 8 (73%) of the repaired tendons were intact on magnetic resonance imaging. Of the 3 retears, one occurred at the musculotendinous junction. All outcome scores were significantly improved after surgery beyond the minimal clinically important difference.</div></div><div><h3>Conclusion</h3><div>The insertion of an independent third row to off-load a standard rotator cuff repair construct resulted in favorable healing rates in patients with massive cuff tears. The technique is a simple, time-efficient method of de-tensioning the repair of massive rotator cuff tears.</div></div>","PeriodicalId":74030,"journal":{"name":"JSES reviews, reports, and techniques","volume":"5 2","pages":"Pages 154-159"},"PeriodicalIF":0.0,"publicationDate":"2025-01-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143848305","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 treatment of long head of biceps pathology: analyzing trends in the United States from 2010 to 2019","authors":"Jacob A. Worden BS ,&nbsp;John M. Kopriva MD ,&nbsp;Henry M. Gass MD ,&nbsp;Zaamin B. Hussain MD, MS ,&nbsp;Anthony L. Karzon MD ,&nbsp;Krishna N. Chopra MA ,&nbsp;Michael B. Gottschalk MD ,&nbsp;Eric R. Wagner MD, MS","doi":"10.1016/j.xrrt.2024.12.013","DOIUrl":"10.1016/j.xrrt.2024.12.013","url":null,"abstract":"<div><h3>Background</h3><div>The long head of the biceps tendon (LHBT) is a common cause of anterior shoulder pain. A symptomatic LHBT is commonly encountered in the setting of a rotator cuff tear. The purpose of this study was to determine trends in the incidence of isolated tenotomy and tenodesis procedures for symptomatic LHBT in the setting of rotator cuff repairs (RCR).</div></div><div><h3>Methods</h3><div>The MarketScan database was queried from 2010 to 2019 for biceps tenotomy (open) and tenodesis (open and arthroscopic) in the United States. Annual procedure volumes and incidences were calculated using discharge weights and U.S. Census Bureau data, respectively. Further subgroup analysis included age, gender, and region.</div></div><div><h3>Results</h3><div>Open tenodesis remained the most common procedure in the United States for isolated LHBT management. Its incidence increased by 180% from 2010 to 2019, accounting for 49% of isolated LHBT procedures by 2019. In the setting of RCR, arthroscopic tenodesis was most common, and its incidence grew by 138%. By 2019, arthroscopic tenodesis accounted for 58% of procedures in the setting of RCR, while tenotomy claimed only 2%. The incidence of all procedures increased for the age ≥65 cohort, with a notable 828% increase in the incidence of open tenodesis as an isolated procedure, accounting for 76% of procedures by 2019.</div></div><div><h3>Conclusion</h3><div>Volumes of procedures aimed to ameliorate LHBT pathology increased from 2010 to 2019. Open tenodesis remained the preferred procedure for isolated LHBT pathology, while arthroscopic tenodesis was preferred in the setting of concomitant RCR. Future research can develop algorithmic approaches to treating biceps pathology.</div></div>","PeriodicalId":74030,"journal":{"name":"JSES reviews, reports, and techniques","volume":"5 2","pages":"Pages 160-169"},"PeriodicalIF":0.0,"publicationDate":"2025-01-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143848306","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":"Exploring the relationship between industry payments and institutional factors among American shoulder and elbow surgery fellowship programs","authors":"Daniel K. Devine BA ,&nbsp;Francis J. Sirch MD ,&nbsp;Suleiman Y. Sudah MD ,&nbsp;Brett D. Haislup MD ,&nbsp;Tej Joshi MD ,&nbsp;Allen D. Nicholson MD","doi":"10.1016/j.xrrt.2024.12.014","DOIUrl":"10.1016/j.xrrt.2024.12.014","url":null,"abstract":"&lt;div&gt;&lt;h3&gt;Background&lt;/h3&gt;&lt;div&gt;While previous studies have examined trends in industry funding among orthopedic surgeons across various subspecialties, there is limited research focusing on institutional-level evaluations. The purpose of this study was to investigate the relationship between shoulder and elbow surgery fellowship program characteristics and industry payments.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Methods&lt;/h3&gt;&lt;div&gt;This cross-sectional analysis examined characteristics of shoulder and elbow surgery fellowship programs, including program reputation, academic productivity metrics, region of practice, and total number of fellows, in relation to industry lifetime earnings as of March 2024. Fellowship faculty were identified from the American Shoulder and Elbow Surgeons (ASES) directory, while program data were collected from individual program websites. All ASES fellowship faculty members were confirmed on individual program websites. Each surgeon was searched on the Open Payments Database for their compensation earnings. Prestige factors, including fellowship-affiliated residency rankings, were gathered from Doximity and Newsweek rankings, respectively. Academic productivity metrics, including the Hirsch index (H-index), M-index, Relative Citation Ratio (RCR), weighted RCR, and attending publication rates, were obtained using iCite, Scopus, and ResearchGate databases.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Results&lt;/h3&gt;&lt;div&gt;We identified 151 ASES fellowship faculty members, including 145 male faculty members and 5 female faculty members, from 34 shoulder and elbow surgery fellowship programs. The mean number of payments per fellowship was 999.32 ± 687.51, resulting in mean fellowship lifetime earnings of $1,125,924.05 ± $1,788,302.048. The top sources of industry funding included royalties ($ 766,904.11 ± $765,382.42; 77.3%) followed by consulting ($163,148.43 ± $337,926.35; 15.8%). While there was a statistically significant increase in total lifetime earnings in fellowship programs associated with a Newsweek ranking of the fellowship-affiliated hospital (Kruskal-Wallis, H = 10.806, &lt;em&gt;P&lt;/em&gt; = .029), there were no significant correlations between total lifetime fellowship earnings with the Doximity ranking of fellowship-affiliated residency programs (&lt;em&gt;P&lt;/em&gt; = .600), region of the United States (&lt;em&gt;P&lt;/em&gt; = .129), the number of fellows per program (&lt;em&gt;P&lt;/em&gt; = .139), practice type (academic vs. private; &lt;em&gt;P&lt;/em&gt; = .287), or academic productivity metrics (fellowship H-index [&lt;em&gt;P&lt;/em&gt; = .203], M-index [&lt;em&gt;P&lt;/em&gt; = .408], RCR [&lt;em&gt;P&lt;/em&gt; = .844], weighted RCR [&lt;em&gt;P&lt;/em&gt; = .385], attending publication rate [&lt;em&gt;P&lt;/em&gt; = .140]).&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Conclusion&lt;/h3&gt;&lt;div&gt;Our findings indicate that institutional prestige influences industry funding among ASES shoulder and elbow surgery fellowship programs irrespective of academic productivity metrics. Further investigation of this correlation is warranted to better inform policies aimed at promoting transparency and eth","PeriodicalId":74030,"journal":{"name":"JSES reviews, reports, and techniques","volume":"5 2","pages":"Pages 270-275"},"PeriodicalIF":0.0,"publicationDate":"2025-01-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143848196","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":"Perceptions of ulnar collateral ligament injury in the online baseball community","authors":"Gabriel C. Lane BS ,&nbsp;Alicia M. Hymel MS ,&nbsp;Eric N. Bowman MD, MPH","doi":"10.1016/j.xrrt.2024.12.010","DOIUrl":"10.1016/j.xrrt.2024.12.010","url":null,"abstract":"<div><h3>Background and Hypothesis</h3><div>The incidence of medial elbow ulnar collateral ligament (UCL) injuries is increasing in youth athletes with minimal data available regarding perception of these injuries within the baseball community. The purpose of this study was to define the baseline knowledge of the online baseball community regarding UCL injuries, and secondarily to evaluate a short educational intervention to increase understanding regarding UCL injuries.</div></div><div><h3>Methods</h3><div>Participants were recruited through baseball-focused online discussion platforms over a 7-month period. A 15-question survey was administered to evaluate the primary outcome, assessing the online baseball community’s perception of UCL anatomy, function, surgical indications, risks, and outcomes. An evidence-based 5-minute educational video and handout were then provided. A postintervention survey was administered to evaluate the secondary outcome. Demographic data were collected, and analysis of variance was used to assess between-subject differences. Repeated-measures analysis of variances compared preintervention and postintervention accuracy.</div></div><div><h3>Results</h3><div>The primary survey was completed by 347 individuals. Most participants classified themselves as former athletes or fans (62%). Areas of misconceptions were identified pertaining to risk factors for injury (58.8% answered incorrectly) and postoperative outcomes (64.8% answered incorrectly). Only 41% of respondents, including 34% of coaches, correctly identified pitch counts as an appropriate means of reducing UCL injury risk. Baseline knowledge was relatively high (&gt;90%) for basic anatomy and function. Respondents’ accuracy increased significantly (<em>P</em> &lt; .05) from 75.3% to 85.6% following the educational intervention. No statistical differences were found between demographic subgroups.</div></div><div><h3>Conclusion</h3><div>Misperceptions regarding UCL injury and management are prevalent within the online baseball community. Misperceptions regarding risk factors for injury were especially profound among those who identified as coaches, indicating opportunity for more targeted educational interventions. Further initiatives should be pursued to educate the baseball community regarding UCL injuries and management.</div></div>","PeriodicalId":74030,"journal":{"name":"JSES reviews, reports, and techniques","volume":"5 2","pages":"Pages 182-185"},"PeriodicalIF":0.0,"publicationDate":"2025-01-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143848308","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":"Patient race and ethnicity are associated with higher unplanned 90-day emergency department visits and readmissions but not 10-year all-cause complications or reoperations: a matched cohort analysis of primary shoulder arthroplasties","authors":"Erick M. Marigi MD ,&nbsp;Kareme D. Alder MD ,&nbsp;Kristin E. Yu MD ,&nbsp;Quinn J. Johnson BA ,&nbsp;Ian M. Marigi BS ,&nbsp;Bradley S. Schoch MD ,&nbsp;John M. Tokish MD ,&nbsp;Joaquin Sanchez-Sotelo MD, PhD ,&nbsp;Jonathan D. Barlow MD","doi":"10.1016/j.xrrt.2024.12.012","DOIUrl":"10.1016/j.xrrt.2024.12.012","url":null,"abstract":"<div><h3>Background</h3><div>Within orthopedic surgery, there remain limited data evaluating the impact of racial and socioeconomic disparities on outcomes of primary shoulder arthroplasty (SA) over time. As such, we analyzed both short- and longer-term outcome differences in complications, reoperations, and revision surgery of primary SA when performed in non-White patients when compared to a matched cohort of White patients who had undergone SA.</div></div><div><h3>Methods</h3><div>Over a 39-year period (1981-2020), an institutional Total Joint Registry Database was utilized to identify all non-White patients (Asian/Pacific Islander, Black, Hispanic or Latino, American Indian/Alaska Native, other) who underwent primary SA with a minimum of 2 years of follow-up. The search identified 275 primary SA (46 hemiarthroplasties, 97 anatomic total shoulder arthroplasties, and 132 reverse total shoulder arthroplasties). The ethnicity composition was 8.7% Asian, 27.3% Black, 37.8% Hispanic, 12.4% American Indian, and 13.8% other. This cohort was matched 1:2 according to age, sex, diagnosis, implant, and surgical year to a control group of 550 White patients who had undergone SA. The rates of medical and surgical complications, reoperations, revisions, and implant survivorship were assessed. The mean follow-up time was 6.3 years (range, 2 to 40 years).</div></div><div><h3>Results</h3><div>Comparisons between the non-White and White matched cohorts demonstrated a higher rate of tobacco use (14.2% vs. 10.5%; <em>P</em> &lt; .001), diabetes (21.5% vs. 11.8%; <em>P</em> &lt; .001), length of stay (1.9 vs. 1.6 days; <em>P</em> = .014), and a lower rate of private commercial insurance (27.3% vs. 44.5%; <em>P</em> &lt; .001 in the non-White cohort. Within the first 90 days after surgery, non-White patients had a higher rate of emergency department visits (5.5% vs. 0.9%; <em>P</em> &lt; .001) and unplanned readmissions (2.9% vs. 0.7%; <em>P</em> = .014). After the first 90 postoperative days, there were no differences regarding medical (1.8% vs. 0.7%; <em>P</em> = .135) or surgical complications (12.0% vs. 13.6%; <em>P</em> = .446). Ten-year survivorship free of all-cause complication (76.8% vs. 81.5%; <em>P</em> = .370), reoperation (84.9% vs. 89.8%; <em>P</em> = .492), and revision (89.3% vs. 91.4%; <em>P</em> = .715) were similar between the non-White and White cohorts.</div></div><div><h3>Discussion</h3><div>After accounting for age, sex, and surgical indication, patient race and ethnicity were not associated with an increased risk of long-term all-cause complications, reoperations, or revision surgery after primary SA. However, within the first 90 postoperative days, non-White patients had a higher likelihood of unplanned emergency room visits and readmissions.</div></div>","PeriodicalId":74030,"journal":{"name":"JSES reviews, reports, and techniques","volume":"5 2","pages":"Pages 146-153"},"PeriodicalIF":0.0,"publicationDate":"2025-01-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143848304","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":"Conservative management of triceps brachii muscle transection injury in an elite NCAA division I intercollegiate athlete: a case report and clinical review","authors":"Guillermo Araujo-Espinoza MD ,&nbsp;Al-Hassan Dajani BS ,&nbsp;Varand Ghazikhanian MD ,&nbsp;Alanna Salituro BS ,&nbsp;Thomas J. Kremen Jr. MD, FAAOS","doi":"10.1016/j.xrrt.2024.12.008","DOIUrl":"10.1016/j.xrrt.2024.12.008","url":null,"abstract":"","PeriodicalId":74030,"journal":{"name":"JSES reviews, reports, and techniques","volume":"5 2","pages":"Pages 365-370"},"PeriodicalIF":0.0,"publicationDate":"2025-01-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143847576","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}