Surgical Approaches To The Capitellum: A Comparative Anatomic Study
Osteochondritis dissecans (OCD) of the humeral capitellum is an important cause of elbow disability in young athletes. Large and instable lesions sometimes require joint reconstruction with osteochondral autograft. Several approaches have been described to expose the capitellum for the purpose of treating an OCD. The posterior "anconeus-split" approach and the lateral approach with or without release of the lateral ligamentous complex are the most frequently used in this indication. The surface accessible by these approaches has not been widely studied. (Source: Journal of Shoulder and Elbow Surgery)
Source: Journal of Shoulder and Elbow Surgery - October 25, 2023 Category: Orthopaedics Authors: Nicolas Gallusser, Patrick Goetti, Geoffroi Lallemand, Alexandre Terrier, Fr édéric Vauclair Tags: Original Article Source Type: research

Effect of Tranexamic Acid on Shoulder Surgery: An Updated Meta-Analysis of Randomised Studies
The effect of Tranexamic acid (TXA) has been proven to be effective in reducing blood loss in lower limb arthroplasty. The aim of this study is to investigate the effect of TXA in shoulder surgery with the updated studies. (Source: Journal of Shoulder and Elbow Surgery)
Source: Journal of Shoulder and Elbow Surgery - October 25, 2023 Category: Orthopaedics Authors: Tze Khiang Tan, Pham Tan, Kemble Wang, Raphael Hau Tags: Review Article Source Type: research

Validation of Mixed Reality Surgical Navigation for Glenoid Axis Pin Placement in Shoulder Arthroplasty Using a Cadaveric Model
Mixed reality may offer an alternative for computer-assisted navigation in shoulder arthroplasty. The purpose of this study was to determine the accuracy and precision of mixed reality guidance for placement of the glenoid axis pin in cadaver specimens. This step is essential for accurate glenoid placement in total shoulder arthroplasty. (Source: Journal of Shoulder and Elbow Surgery)
Source: Journal of Shoulder and Elbow Surgery - October 25, 2023 Category: Orthopaedics Authors: Joaquin Sanchez-Sotelo, Julien Berhouet, Jean Chaoui, Michael T. Freehill, Philippe Collin, Jon Warner, Gilles Walch, George Athwal Tags: Original Article Source Type: research

Poor midterm clinical outcomes and a high percentage of unsatisfying results are reported after seizure-related shoulder injuries, especially after posterior proximal humerus fracture-dislocations
Treating seizure-related shoulder injuries is challenging, and an evidence-based consensus to guide clinicians is lacking. The aim of this prospective single-center observational clinical trial was to evaluate the clinical results of a cohort of patients undergoing treatment of seizure-related shoulder injuries, to categorize them according to the lesion ’s characteristics, with special focus on patients with proximal humerus fracture-dislocations (PHFDs), and to define groups at risk of obtaining unsatisfactory results. (Source: Journal of Shoulder and Elbow Surgery)
Source: Journal of Shoulder and Elbow Surgery - October 23, 2023 Category: Orthopaedics Authors: Davide Cucchi, Sebastian Gottfried Walter, Tobias Baumgartner, Alessandra Menon, Lisa Egger, Pietro Simone Randelli, Rainer Surges, Dieter Christian Wirtz, Max Julian Friedrich Source Type: research

Smaller Radioulnar Window is Associated with a Distal Biceps Tendon Rupture in patients with limited forearm rotation: a 3D CT Comparison Study of Proximal Impingement Caused by Hypertrophy Radial Tuberosity. A single center case series
It has been suggested that hypertrophy of the radial tuberosity may result in impingements leading to either lesion of the distal biceps tendon or rotational impairment. The two studies on hypertrophy of the radial tuberosity had contradictory results and did not study the distance between the radius and ulna: the radioulnar window. Therefore, this comparative cohort study aims to investigate the radioulnar window in healthy subjects and compare them with subjects suffering from either non-traumatic onset rotational impairment of the forearm or non-traumatic onset distal biceps tendon ruptures with a rotational impairment ...
Source: Journal of Shoulder and Elbow Surgery - October 23, 2023 Category: Orthopaedics Authors: Jill MCJ. Schalleij, Florianne E. van Schaardenburgh, Elisabeth W örner, Iris Koenraadt – van Oost, Eline M. van Es, Bart AJA. van Oirschot, Denise Eygendaal, Bertram The Tags: Original Article Source Type: research

Poor mid-term clinical outcomes and a high percentage of unsatisfying results are reported after seizure-related shoulder injuries, especially after posterior proximal humerus fracture-dislocations
Treating seizure-related shoulder injuries is challenging and an evidence-based consensus to guide clinicians is lacking. The aim of this prospective monocentric observational clinical trial was to evaluate the clinical results of a cohort of patients undergoing treatment of seizure-related shoulder injuries, to categorize them according to the lesions characteristics, with special focus on patients suffering proximal humerus fracture-dislocations (PHFD), and to define groups at risk of obtaining unsatisfactory results. (Source: Journal of Shoulder and Elbow Surgery)
Source: Journal of Shoulder and Elbow Surgery - October 23, 2023 Category: Orthopaedics Authors: Davide Cucchi, Sebastian Gottfried Walter, Tobias Baumgartner, Alessandra Menon, Lisa Egger, Pietro Simone Randelli, Rainer Surges, Dieter Christian Wirtz, Max Julian Friedrich Tags: Original Article Source Type: research

Deep learning to automatically classify very large sets of preoperative and postoperative shoulder arthroplasty radiographs
Joint arthroplasty registries usually lack information on medical imaging due to the laborious process of observing and recording, and the lack of standard methods to transfer the imaging information to the registries, which can limit the investigation of various research questions. Artificial intelligence (AI) algorithms can automate imaging-feature identification with high accuracy and efficiency. With the purpose of enriching shoulder arthroplasty registries with organized imaging information, it was hypothesized that an automated AI algorithm could be developed to classify and organize pre- and postoperative radiograph...
Source: Journal of Shoulder and Elbow Surgery - October 23, 2023 Category: Orthopaedics Authors: Linjun Yang, Jacob F. Oeding, Rodrigo de Marinis, Erick Marigi, Joaquin Sanchez-Sotelo Tags: Original Article Source Type: research

The comparison of functional bracing of humeral shaft fractures: thermoplastic custom against preprepared commercial braces
Functional humeral bracing of midshaft humeral fractures has been widely accepted as a gold standard for nonoperative treatment. Despite reported high union rates, there is no proven superiority of any orthosis. Here we aim to compare the outcomes after the use of custom-made thermoplastic vs. commercial humeral brace with regard to time to union, nonunion rates, types of nonunion, and conversion to surgery. (Source: Journal of Shoulder and Elbow Surgery)
Source: Journal of Shoulder and Elbow Surgery - October 21, 2023 Category: Orthopaedics Authors: David Bodansky, Katarzyna Studnicka, Sharukh Zuberi, Loukas Andritsos, Govind Singh Chauhan, Chirag Manwani, Tejas Yarashi, Matthew Kent Source Type: research

Biomechanical Comparison of Open Bankart Repair vs. Conjoint Tendon Transfer in a 10% Anterior Glenoid Bone Loss Shoulder Instability Model
The treatment of shoulder instability in patients with subcritical glenoid bone loss poses a difficult problem for surgeons as new evidence supports a higher failure rate when standard arthroscopic Bankart repair is utilized. The purpose of this study was to compare a conjoint tendon transfer (Soft Tissue Bristow) to an open Bankart repair in a cadaveric instability model of 10% glenoid bone loss. (Source: Journal of Shoulder and Elbow Surgery)
Source: Journal of Shoulder and Elbow Surgery - October 21, 2023 Category: Orthopaedics Authors: Rebecca Griffith, James E. Tibone, Michelle H. McGarry, Gregory J. Adamson, Thay Q. Lee Tags: Original Article Source Type: research

The comparison of functional bracing of humeral shaft fractures: thermoplastic custom against pre-prepared commercial braces
Functional humeral bracing of mid-shaft humeral fractures has been widely accepted as a gold standard for nonoperative treatment. Despite reported high union rates, there is no proven superiority of any orthosis. Here we aim to compare the outcomes following use of custom-made thermoplastic versus commercial humeral brace with regards to time to union; nonunion rates, types of nonunion and conversion to surgery. (Source: Journal of Shoulder and Elbow Surgery)
Source: Journal of Shoulder and Elbow Surgery - October 21, 2023 Category: Orthopaedics Authors: Katarzyna Studnicka, David Bodansky, Sharukh Zuberi, Chirag Manwani, Tejas Yarashi, Matthew Kent Tags: Original Article Source Type: research

Functional and radiographic outcomes of reverse shoulder arthroplasty with a minimum follow-up of 10 years.
This study aims to report the clinical, radiographic, and patient-reported outcomes of the Delta Xtend reverse shoulder prosthesis, performed by a single surgeon and with a minimum follow-up of 10 years. (Source: Journal of Shoulder and Elbow Surgery)
Source: Journal of Shoulder and Elbow Surgery - October 19, 2023 Category: Orthopaedics Authors: Thibault Lafosse, Arno A. Macken, Geoffroi Lallemand, Giovanni Caruso, Geert A. Buijze, Laurent Lafosse Tags: Original Article Source Type: research

Increased Patient Resilience Scores are Related to Positive Postoperative Outcomes in Rotator Cuff Repairs
To determine if patients ’ preoperative resilience scores predict postoperative outcomes in arthroscopic rotator cuff repair surgery. (Source: Journal of Shoulder and Elbow Surgery)
Source: Journal of Shoulder and Elbow Surgery - October 19, 2023 Category: Orthopaedics Authors: Kyla A. Petrie, Natalie A. Lowenstein, Jamie E. Collins, Elizabeth G. Matzkin Tags: Original Article Source Type: research

Elbow valgus stress during towel drills in college baseball players
In baseball players with elbow injuries, towel drills are clinically used before initiating active throwing exercises to gradually increase stress across the elbow. However, elbow valgus torque during towel drills remains unknown. Moreover, towel drills and active ball throws might have different relationships between biomechanical metrics, such as elbow stress, arm slot, and arm speed. Therefore, the aims of this study were 1) to demonstrate the difference in elbow valgus stress between towel drills and active ball throws and 2) to evaluate the correlation between elbow valgus torque and other biomechanical metrics includ...
Source: Journal of Shoulder and Elbow Surgery - October 19, 2023 Category: Orthopaedics Authors: Tomonobu Ishigaki, Hiroshi Akuzawa, Chie Sekine, Hirotake Yokata, Ryo Hirabayashi, Mutsuaki Edama Tags: Original Article Source Type: research

Mid-term outcomes of arthroscopically assisted lower trapezius tendon transfer using Achilles allograft in treatment of posterior-superior irreparable rotator cuff tear
This study evaluated the mid-term outcomes of aLTT transfer in patients with a diagnosis of PSIRCT. (Source: Journal of Shoulder and Elbow Surgery)
Source: Journal of Shoulder and Elbow Surgery - October 16, 2023 Category: Orthopaedics Authors: Chang Hee Baek, Bo Taek Kim, Jung Gon Kim, Seung Jin Kim Source Type: research

Premorbid glenoid anatomy reconstruction from contralateral shoulder 3-dimensional measurements: a computed tomography scan analysis of 260 shoulders
Total shoulder arthroplasty (TSA) aims to reconstruct the premorbid anatomy of a pathologic shoulder. A healthy contralateral shoulder could be useful as a template in planning TSA. The symmetry between the left and right shoulders in healthy patients remains to be proved. The purpose of this study was to compare the 3-dimensional anatomy of the glenoid between sides in a healthy population. (Source: Journal of Shoulder and Elbow Surgery)
Source: Journal of Shoulder and Elbow Surgery - October 16, 2023 Category: Orthopaedics Authors: Th éo Giraudon, Yannick Morvan, Arnaud Walch, Gilles Walch, Jean-David Werthel Source Type: research