Kyle K. Obana MD, Dane R.G. Lind BA, Michael A. Mastroianni MD, Alexander J. Rondon MD, MBA, Frank J. Alexander ATC, William N. Levine MD, Christopher S. Ahmad MD
{"title":"What are our patients asking Google about acromioclavicular joint injuries?—frequently asked online questions and the quality of online resources","authors":"Kyle K. Obana MD, Dane R.G. Lind BA, Michael A. Mastroianni MD, Alexander J. Rondon MD, MBA, Frank J. Alexander ATC, William N. Levine MD, Christopher S. Ahmad MD","doi":"10.1016/j.xrrt.2024.02.001","DOIUrl":"10.1016/j.xrrt.2024.02.001","url":null,"abstract":"<div><h3>Background</h3><p>Management of acromioclavicular (AC) joint injuries has been an ongoing source of debate, with over 150 variations of surgery described in the literature. Without a consensus on surgical technique, patients are seeking answers to common questions through internet resources. This study investigates the most common online patient questions pertaining to AC joint injuries and the quality of the websites providing information.</p></div><div><h3>Hypothesis</h3><p>1) Question topics will pertain to surgical indications, pain management, and success of surgery and 2) the quality and transparency of online information are largely heterogenous.</p></div><div><h3>Methods</h3><p>Three AC joint search queries were entered into the Google Web Search. Questions under the “People also ask” tab were expanded in order and 100 results for each query were included (300 total). Questions were categorized based on Rothwell’s classification. Websites were categorized by source. Website quality was evaluated by the <em>Journal of the American Medical Association (JAMA)</em> Benchmark Criteria.</p></div><div><h3>Results</h3><p>Most questions fell into the Rothwell Fact category (48.0%). The most common question topics were surgical indications (28.0%), timeline of recovery (13.0%), and diagnosis/evaluation (12.0%). The least common question topics were anatomy/function (3.3%), evaluation of surgery (3.3%), injury comparison (1.0%), and cost (1.0%). The most common websites were medical practice (44.0%), academic (22.3%), and single surgeon personal (12.3%). The average <em>JAMA</em> score for all websites was 1.0 ± 1.3. Government websites had the highest <em>JAMA</em> score (4.0 ± 0.0) and constituted 45.8% of all websites with a score of 4/4. PubMed articles constituted 63.6% (7/11) of government website. Comparatively, medical practice websites had the lowest <em>JAMA</em> score (0.3 ± 0.7, range [0-3]).</p></div><div><h3>Conclusion</h3><p>Online patient AC joint injury questions pertain to surgical indications, timeline of recovery, and diagnosis/evaluation. Government websites and PubMed articles provide the highest-quality sources of reliable, up-to-date information but constitute the smallest proportion of resources. In contrast, medical practice represents the most visited websites, however, recorded the lowest quality score. Physicians should utilize this information to answer frequently asked questions, guide patient expectations, and help provide and identify reliable online resources.</p></div>","PeriodicalId":74030,"journal":{"name":"JSES reviews, reports, and techniques","volume":"4 2","pages":"Pages 175-181"},"PeriodicalIF":0.0,"publicationDate":"2024-02-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2666639124000300/pdfft?md5=cb146aa38fa732160a91749f6c01ab06&pid=1-s2.0-S2666639124000300-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140466064","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":"Optimizing pectoralis major tendon repair: a modified knotless suture anchor technique using high-strength suture and tape","authors":"Pratchaya Manop MD , Pinkawas Kongmalai MD","doi":"10.1016/j.xrrt.2024.01.015","DOIUrl":"10.1016/j.xrrt.2024.01.015","url":null,"abstract":"<div><h3>Background</h3><p>Rupture of the pectoralis major (PM) tendon is infrequent but has shown an increased incidence in athletes, particularly weightlifters during bench presses. Various techniques for repair exist, yet no established gold standard has been defined.</p></div><div><h3>Methods</h3><p>We present a modified surgical technique utilizing knotless suture anchors for PM tendon repair. The technique involves bringing the tendon end superiorly and inferiorly to the decorticated bone surface, ensuring broader tendon-to-bone contact. Knotless anchors with a unique suture locking mechanism facilitate tension adjustment. Additionally, the repair's strength is reinforced by employing both surgical tape and high-strength suture.</p></div><div><h3>Results</h3><p>The utilization of both surgical tape and high-strength suture in conjunction with knotless suture anchors provides a secure and stable construct. This approach minimizes the risk of failure, reduces the potential for neurovascular injury associated with bicortical drilling, preserves imaging quality due to the absence of metal artifacts, and helps avoid the risk of fracture associated with traditional methods. However, surgeons should be aware of a potential disadvantage of increased surgical costs compared to traditional techniques.</p></div><div><h3>Conclusion</h3><p>Our modified technique offers multiple advantages, including increased tendon-to-bone contact, enhanced stability, reduced neurovascular risks, and avoidance of potential fractures. This makes it a valuable option for successful PM tendon repairs. Surgeons should consider its benefits and weigh them against the associated costs for optimal patient care.</p></div>","PeriodicalId":74030,"journal":{"name":"JSES reviews, reports, and techniques","volume":"4 2","pages":"Pages 228-234"},"PeriodicalIF":0.0,"publicationDate":"2024-02-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2666639124000294/pdfft?md5=931ce345b34923e37b4d096b0db133b7&pid=1-s2.0-S2666639124000294-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140469608","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}
Mohamad Y. Fares MD, Peter Boufadel BSc, Jonathan Koa BSc, Amar S. Vadhera BSc, Jaspal Singh BSc, Joseph A. Abboud MD
{"title":"Top fifty cited articles on humeral fractures","authors":"Mohamad Y. Fares MD, Peter Boufadel BSc, Jonathan Koa BSc, Amar S. Vadhera BSc, Jaspal Singh BSc, Joseph A. Abboud MD","doi":"10.1016/j.xrrt.2024.01.014","DOIUrl":"10.1016/j.xrrt.2024.01.014","url":null,"abstract":"<div><h3>Background</h3><p>Humeral fractures (HF) are common orthopedic pathologies. Reviewing the content and quality of influential literature over time is important to advance scientific research regarding a specific topic. This study aims to explore and appraise the fifty most cited HF studies that had been published in orthopedic literature.</p></div><div><h3>Methods</h3><p>The Web of Science database was used to conduct a systematic search for articles pertaining to HF. Articles were sorted out in descending order of citations and were included based on their relevance to HF. Data and metrics of the included studies were recorded. The methodological quality of the studies was assessed using the Modified Coleman Methodology Score (MCMS) and the Methodological Index for Non-randomized Studies criteria. Statistical analysis was conducted to explore any significant relationships between the date of publication and other relevant variables.</p></div><div><h3>Results</h3><p>Included articles (N = 50) were published between 1959 and 2015, with a total of 14,864 accumulated citations. Europe and North America contributed to all but one of the included studies. The <em>Journal of Bone and Joint Surgery</em> contributed to the highest number of included articles with 27 articles (54%). The proximal humerus was the most commonly explored HF location in our study (72%). The average MCMS and Methodological Index for Non-randomized Studies scores were reported to be 64.6 and 10.4, respectively, and the majority of articles (52%) were considered level four case series. Year of publication was found to have a positive correlation with increasing level of evidence(r = −0.301, <em>P</em> = .044), citation density (r = 0.734, <em>P</em> < .001), and MCMS score (r = 0.41, <em>P</em> = .01).</p></div><div><h3>Conclusion</h3><p>The level of evidence, MCMS scores, and citation density of influential HF literature has been increasing with time, reflecting the increasing effort and work being put in that field. While the findings seem encouraging, additional high-quality research is needed to help achieve better treatment strategies and outcomes.</p></div>","PeriodicalId":74030,"journal":{"name":"JSES reviews, reports, and techniques","volume":"4 2","pages":"Pages 153-160"},"PeriodicalIF":0.0,"publicationDate":"2024-02-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2666639124000282/pdfft?md5=31ff47abb2a63ce48ade17242565679b&pid=1-s2.0-S2666639124000282-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140464785","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}
Nasrin Navaeifar MD, Ahmadreza Afshar MD, Ali Tabrizi MD, Mohammad Javad Shariyate MD
{"title":"Anterior shoulder dislocation and clavicle fracture in a 6-year-old boy: a case report and literature review","authors":"Nasrin Navaeifar MD, Ahmadreza Afshar MD, Ali Tabrizi MD, Mohammad Javad Shariyate MD","doi":"10.1016/j.xrrt.2024.01.012","DOIUrl":"10.1016/j.xrrt.2024.01.012","url":null,"abstract":"","PeriodicalId":74030,"journal":{"name":"JSES reviews, reports, and techniques","volume":"4 2","pages":"Pages 312-314"},"PeriodicalIF":0.0,"publicationDate":"2024-02-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2666639124000269/pdfft?md5=b7406288c246dbd5aa52bf2a8a8256c0&pid=1-s2.0-S2666639124000269-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140465696","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}
Namit D. Sambare BS , Peter N. Chalmers MD , Christopher L. Camp MD , Eric N. Bowman MD, MPH , Brandon J. Erickson MD , Aaron Sciascia PhD, ATC , Michael T. Freehill MD , Matthew V. Smith MD, MSc
{"title":"High variability among surgeons in evaluation, treatment, and rehabilitation of medial ulnar collateral ligament injuries","authors":"Namit D. Sambare BS , Peter N. Chalmers MD , Christopher L. Camp MD , Eric N. Bowman MD, MPH , Brandon J. Erickson MD , Aaron Sciascia PhD, ATC , Michael T. Freehill MD , Matthew V. Smith MD, MSc","doi":"10.1016/j.xrrt.2024.01.011","DOIUrl":"10.1016/j.xrrt.2024.01.011","url":null,"abstract":"<div><h3>Hypothesis and/or Background</h3><p>The incidence of elbow medial ulnar collateral ligament (MUCL) injuries has been increasing, leading to advances in surgical treatments. However, it is not clear that there is consensus among surgeons regarding diagnostic imaging, the indications for acute surgery and postoperative rehabilitation. The purpose of this study is evaluate surgeon variability in the presurgical, surgical, and postsurgical treatment of MUCL injuries regarding the imaging modalities used for diagnosis, indications for acute surgical treatment, and postoperative treatment recommendations for rehabilitation and return to play (RTP). Our hypothesis is that indications for acute surgical treatment will be highly variable based on MUCL tear patterns and that agreement on the time to RTP will be consistent for throwing athletes and inconsistent for nonthrowing athletes.</p></div><div><h3>Methods</h3><p>A survey developed by 6 orthopedic surgeons with expertise in throwing athlete elbow injuries was distributed to 31 orthopedic surgeons who routinely treat MUCL injuries. The survey evaluated diagnostic and treatment topics related to MUCL injuries, and responses reaching 75% agreement were considered as high-level agreement.</p></div><div><h3>Results</h3><p>Twenty-four surgeons responded to the survey, resulting in a 77% response rate. There is 75% or better agreement among surveyed surgeons regarding acute surgical treatment for distal full thickness tears, ulnar nerve transposition in symptomatic patients or with ulnar nerve subluxation, postoperative splinting for 1-2 weeks with initiation of rehabilitation within 2 weeks, the use of bracing after surgery and the initiation of a throwing program at 3 months after MUCL repair with internal brace by surgeons performing 20 or more MUCL surgeries per year. There were a considerable number of survey topics without high-level agreement, particularly regarding the indications for acute surgical treatment, the time to return to throwing and time RTP in both throwing and nonthrowing athletes.</p></div><div><h3>Discussion and/or Conclusion</h3><p>The study reveals that there is agreement for the indication of acute surgical treatment of distal MUCL tears, duration of bracing after surgery, and the time to initiate physical therapy after surgery. There is not clear agreement on indications for surgical treatment for every MUCL tear pattern, RTP time for throwing, hitting and participation in nonthrowing sports.</p></div>","PeriodicalId":74030,"journal":{"name":"JSES reviews, reports, and techniques","volume":"4 2","pages":"Pages 182-188"},"PeriodicalIF":0.0,"publicationDate":"2024-02-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2666639124000257/pdfft?md5=e982b67631e52f735621113288993500&pid=1-s2.0-S2666639124000257-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140466079","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}
Anne Marie Nyholm MD, PhD , Adam Witten MD , Kristoffer Weisskirchner Barfod MD, PhD
{"title":"Clavicle fractures do not increase the occurrence of later subacromial pain syndrome. A registry-based case-control study with 15-25 years of follow-up of 131.838 persons from the Danish National Patient Register","authors":"Anne Marie Nyholm MD, PhD , Adam Witten MD , Kristoffer Weisskirchner Barfod MD, PhD","doi":"10.1016/j.xrrt.2024.01.008","DOIUrl":"https://doi.org/10.1016/j.xrrt.2024.01.008","url":null,"abstract":"<div><h3>Background</h3><p>A clavicle fracture often changes the mechanical axes of the shoulder girdle due to displacement and shortening, potentially leading to scapular protraction and decreased subacromial space. If protraction of the scapula is a major risk factor for developing subacromial pain syndrome (SAPS), a previous clavicle fracture could increase the risk of later SAPS. The purpose of this study was to investigate if a previous clavicle fracture correlates with a higher occurrence or earlier diagnosis of SAPS.</p></div><div><h3>Methods</h3><p>In this retrospective case-control study with data from the Danish National Patient Register, all persons aged 18-60 years, with any hospital contact due to a clavicle fracture (DS420) between January 1, 1996, and December 31, 2005, were identified as cases. For each case, five controls, matched on age and sex, were identified. Primary outcome was the first hospital contact with a SAPS diagnosis (DM751-755) registered more than 180 days following the fracture. Follow-up was until November 01, 2021.</p></div><div><h3>Results</h3><p>21.973 cases and 109.865 controls were included. The incidence of clavicle fractures was 76 fractures per 100.000 persons per year. Twenty-three percent were female. 1.640 (7.46%) cases and 8.072 (7.35%) controls received a SAPS diagnosis within the following 15-25 years, demonstrating no significant difference in the occurrence of SAPS (<em>P</em> = .56). The mean time from fracture to SAPS diagnosis was shorter for cases compared to controls (4040 vs. 4442 days, <em>P</em> < .001), and cases were slightly younger when receiving the diagnosis (51.3 vs. 53.6 years, <em>P</em> < .001). 1614 cases underwent surgical fixation. This subgroup had a statistically significant higher occurrence of later SAPS diagnosis (205 cases, 13%, <em>P</em> < .001).</p></div><div><h3>Conclusions</h3><p>Persons with a previous clavicle fracture did not have an increased occurrence of receiving a SAPS diagnosis compared to matched controls. However, the diagnosis was given 1-2 years earlier for people with a previous fracture. Based on these findings, no strong argument for protraction of the scapula as a major risk factor for the development of SAPS was found.</p></div>","PeriodicalId":74030,"journal":{"name":"JSES reviews, reports, and techniques","volume":"4 2","pages":"Pages 141-145"},"PeriodicalIF":0.0,"publicationDate":"2024-02-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2666639124000221/pdfft?md5=076a24954d4d19e1d4119f3fa2a061c4&pid=1-s2.0-S2666639124000221-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140646679","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":"Atraumatic scapular body fractures after reverse total shoulder arthroplasty: a case series","authors":"Purav S. Brahmbhatt MD, MS, Randall J. Otto MD","doi":"10.1016/j.xrrt.2024.01.007","DOIUrl":"10.1016/j.xrrt.2024.01.007","url":null,"abstract":"","PeriodicalId":74030,"journal":{"name":"JSES reviews, reports, and techniques","volume":"4 2","pages":"Pages 253-260"},"PeriodicalIF":0.0,"publicationDate":"2024-02-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S266663912400021X/pdfft?md5=3378f6aeb7f9689ece81b8964a9eb868&pid=1-s2.0-S266663912400021X-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139966833","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}
Federico Martinelli MD, Andrea Celli MD, Luigi Celli
{"title":"Belated posterior interosseous nerve palsy with chronic radial head dislocation: a case report","authors":"Federico Martinelli MD, Andrea Celli MD, Luigi Celli","doi":"10.1016/j.xrrt.2024.01.006","DOIUrl":"10.1016/j.xrrt.2024.01.006","url":null,"abstract":"","PeriodicalId":74030,"journal":{"name":"JSES reviews, reports, and techniques","volume":"4 2","pages":"Pages 324-327"},"PeriodicalIF":0.0,"publicationDate":"2024-02-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2666639124000208/pdfft?md5=2a67a69ab4c28ecfc1b277e79158a27a&pid=1-s2.0-S2666639124000208-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139965732","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}