Reverse Shoulder Arthroplasty or Nothing for Patients with Displaced Proximal Humeral Fractures. A Randomized Controlled Trial
The benefits of reverse shoulder arthroplasty compared to nonoperative treatment for patients presenting with complex proximal fractures have been rarely explored. The aim of this prospective study was to compare the functional results of reverse shoulder arthroplasty with those of nonsurgical treatment in patients with displaced proximal humeral fractures. (Source: Journal of Shoulder and Elbow Surgery)
Source: Journal of Shoulder and Elbow Surgery - March 26, 2024 Category: Orthopaedics Authors: Joan Miquel, Elisa Cassart, Fernando Santana, Raquel Mart ínez, Laura Valls, Mònica Salomó-Domènech, Carlos Torrens Tags: Original Article Source Type: research

Scapulothoracic orientation has a significant influence on the clinical outcome after reverse total shoulder arthroplasty
Computer simulation has indicated a significant effect of scapulothoracic orientation and posture on range of motion (ROM) after reverse total shoulder arthroplasty (RTSA). We analyzed this putative effect on the clinical and radiological outcome post-RTSA. (Source: Journal of Shoulder and Elbow Surgery)
Source: Journal of Shoulder and Elbow Surgery - March 25, 2024 Category: Orthopaedics Authors: Philipp Moroder, Paul Siegert, Ismael Coifman, Katja R üttershoff, Giovanni Spagna, Alessandra Scaini, Beatrice Weber, Tim Schneller, Markus Scheibel, Laurent Audigé Tags: Original Article Source Type: research

Posteroinferior Glenosphere Positioning is Associated with Improved Range of Motion Following Reverse Shoulder Arthroplasty with a 135 ° Inlay Humeral Component and Lateralized Glenoid
Optimal glenosphere positioning in a lateralized reverse shoulder arthroplasty (RSA) to maximize functional outcomes has yet to be clearly defined. Center of rotation (COR) measurements have largely relied on AP radiographs which allow assessment of lateralization and inferior position, but ignore scapular Y radiographs which may provide an assessment of posterior and inferior position relative to the acromion. The purpose of this study was to evaluate the COR in the sagittal plane and assess the effect of glenosphere positioning with functional outcomes utilizing a 135 ° inlay stem with a lateralized glenoid. (Source: Jo...
Source: Journal of Shoulder and Elbow Surgery - March 25, 2024 Category: Orthopaedics Authors: Theresa Pak, Javier Ardebol, Ali I. Kilic, Benjamin W. Sears, Evan Lederman, Shoulder Arthroplasty Research Committee (ShARC) group, Brian C. Werner, Philipp Moroder, Patrick J. Denard Tags: Original Article Source Type: research

No Clinical Difference in Outcomes Between Inlay and Onlay Arthroscopic Biceps Tenodesis Techniques during Rotator Cuff Repair
Both inlay and onlay arthroscopic biceps tenodesis (ABT) are common procedures performed during rotator cuff repair. The inlay method involves creating a bone socket in the bicipital groove to secure the long head of the biceps tendon (LHBT) using an interference screw. The onlay method utilizes a suture anchor to secure the LHBT on the surface of the bicipital groove. Little is known on the long-term differences in patient reported outcomes (PROs) between these two techniques. The primary purpose of this study was to compare PROs of inlay versus onlay ABT with a minimum follow-up of two years. (Source: Journal of Shoulder and Elbow Surgery)
Source: Journal of Shoulder and Elbow Surgery - March 23, 2024 Category: Orthopaedics Authors: Stephan G. Pill, Zachary Rogozinski, Hunter Bohon, Ernesto Barquet Arrambide, Grace E. Welch, Jordyn M. Carroll, Adam Lutz, Ellen Shanley, Charles A. Thigpen, Stefan J. Tolan, Douglas J. Wyland, Michael J. Kissenberth Tags: Original Article Source Type: research

Rapamycin facilitates the tendon-bone interface healing in an aging rat model of chronic rotator cuff injury
This study aimed to explore the effects of RPM on TBI healing after CRCI in an aging rat model. (Source: Journal of Shoulder and Elbow Surgery)
Source: Journal of Shoulder and Elbow Surgery - March 23, 2024 Category: Orthopaedics Authors: Xinwang Zhi, Haolin Ke, Li Zhou, Jintao Li, Panjing Yin, Haiyan Zhang, Chun Zeng, Daozhang Cai, Huabin Chen Tags: Original Article Source Type: research

Electrodiagnostic Severity Does Not Predict Short to Mid-term Outcomes of Cubital Tunnel Release Surgery
This study aimed to explore the prognostic value of electrodiagnostic studies (EDS) to clarify their utility in clinical practice prior to cubital tunnel release surgery as well as identify patient factors associated with patient-reported functional improvement after surgery. Our hypothesis is that patients with severe preoperative findings on EDS will tend to experience less functional improvement after surgery given the extent of ulnar nerve compressive injury. (Source: Journal of Shoulder and Elbow Surgery)
Source: Journal of Shoulder and Elbow Surgery - March 22, 2024 Category: Orthopaedics Authors: Nicholas Pohl, Parker Brush, Meghan Foos, Samuel Alfonsi, Pedro Beredjiklian, Daniel Fletcher Tags: Original Article Source Type: research

Patient reported outcomes following total shoulder arthroplasty and hemiarthroplasty: An analysis of data from the National Joint Registry
Total shoulder arthroplasty (TSA) and hemiarthroplasty (HA) are used in the management of end stage glenohumeral arthritis. Improvement in shoulder function and resolution of symptoms are high priorities for patients. The aim of this study was to compare patient-reported outcome measures (PROMs) following TSA and HA. (Source: Journal of Shoulder and Elbow Surgery)
Source: Journal of Shoulder and Elbow Surgery - March 22, 2024 Category: Orthopaedics Authors: Andrew R. Davies, Sanjeeve Sabharwal, Alexander D. Liddle, Bernarda Zamora-Talaya, Amar Rangan, Peter Reilly Tags: Original Article Source Type: research

Mid-Term Follow Up of the Nexel Total Elbow Arthroplasty
Aseptic loosening is one of the most common complications of total elbow arthroplasty (TEA). Modern implants, such as the Nexel, have been designed in an attempt to decrease loosening. The present study aims to report implant survivorship, radiographic assessment of loosening and lucency, and patient-reported outcome measures (PROMs) in patients treated with the Nexel TEA at mid-term follow-up. (Source: Journal of Shoulder and Elbow Surgery)
Source: Journal of Shoulder and Elbow Surgery - March 22, 2024 Category: Orthopaedics Authors: Adil Shahzad Ahmed, Thomas Clifton, Kushalappa Subbiah, Milos Spasojevic, Allan Young, Benjamin Cass, Andr éanne Marmen, Raymond Yu, Codey Burton, Margaret M. Smith, Jeffery Hughes Tags: Original Article Source Type: research

Type V Superior-Labrum Anterior-Posterior (SLAP) Repair – A Systematic Review
The purpose of this study is to systematically review the evidence in the literature to ascertain the functional outcomes, recurrence rates, and subsequent revision rates following type V superior labrum anterior-posterior (SLAP) repair. (Source: Journal of Shoulder and Elbow Surgery)
Source: Journal of Shoulder and Elbow Surgery - March 22, 2024 Category: Orthopaedics Authors: Mikhail A. Bethell, Eoghan T. Hurley, Dana Rowe, Bryan S. Crook, Grant Cabell, Christopher S. Klifto, Brian C. Lau, Jonathan F. Dickens, Dean C. Taylor Tags: Review Article Source Type: research

Utility of PROMIS Measures in Predicting Shoulder Arthroplasty in Patients with Shoulder Osteoarthritis
The decision to treat shoulder osteoarthritis definitively with shoulder arthroplasty (SA) is multifactorial, considering objective findings, subjective information, and patient goals. The first goal of this study was to determine if Patient Reported Outcome Measurement Information System (PROMIS) measures correlated with patients with shoulder osteoarthritis (OA) who underwent SA within 1 year. The second goal of this study was to determine if score cut-offs in PROMIS domains could further discriminate which shoulder OA patients underwent SA within 1 year. (Source: Journal of Shoulder and Elbow Surgery)
Source: Journal of Shoulder and Elbow Surgery - March 21, 2024 Category: Orthopaedics Authors: Albert J. Rechenmacher, Lindsay A. Ballengee, Steven Z. George, Michael P. Bolognesi, Maggie E. Horn Tags: Original Article Source Type: research

Comparison of Locking Plate Alone and Locking Plate Combined with 3D Printed Polymethylmethacrylate Augmentation in Treating Proximal Humerus Fractures in the Elderly
This study aimed to compare the radiological and clinical outcomes of surgical treatment of PHF in the elderly with locking plate (LP) alone and locking plate combined with 3D printed polymethylmethacrylate (PMMA) prosthesis augmentation (LP-PA). (Source: Journal of Shoulder and Elbow Surgery)
Source: Journal of Shoulder and Elbow Surgery - March 21, 2024 Category: Orthopaedics Authors: Xiang-Yu Ma, Tian-Yu Han, Da-Peng Zhou, Dong Cui, Bing Liu, Yong Zhao, Hai-Peng Xue, Hai-Long Yu, Hong Yuan Tags: Original Article Source Type: research

Considerable Variation in Current Coronoid Height and Fracture Measurement Techniques: A Systematic Review
Coronoid fractures usually occur in the presence of a significant osseo-ligamentous injury to the elbow. Fracture size and location correlate with degree of instability and many authors have attempted to analyze the effect of fracture variation on decision making and outcome. There remains no standardized technique for measuring coronoid height or fracture size. The aim of this study was to appraise the literature regarding techniques for coronoid height measurement in order to understand variation. (Source: Journal of Shoulder and Elbow Surgery)
Source: Journal of Shoulder and Elbow Surgery - March 21, 2024 Category: Orthopaedics Authors: Mithun A. Joshi, Niall JJ. Bains, Andrew JM. Stone, Lucy J. Wells, Joideep S. Phadnis Tags: Review Article Source Type: research

Judicious use of corticosteroid injections prior to shoulder arthroplasty does not compromise outcomes at a minimum of 2-year following surgery
The use of total shoulder arthroplasty is continuing to rise with its expanding indications. For patients with chronic conditions, such as glenohumeral arthritis and rotator cuff arthropathy, nonoperative treatment is typically done prior to arthroplasty and often includes corticosteroid injections. Recent studies in the shoulder arthroplasty literature as well as applied from the hip and knee literature have focused on the risk of periprosthetic infection. Literature is lacking as to whether the judicious use of corticosteroids in the year prior to arthroplasty influences patient reported outcomes. (Source: Journal of Sho...
Source: Journal of Shoulder and Elbow Surgery - March 21, 2024 Category: Orthopaedics Authors: Benjamin J. Cooper, Aaron Kesinger, Grace E. Welch, Jordyn M. Carroll, Adam Lutz, Ellen Shanley, Charles A. Thigpen, Stefan J. Tolan, Michael J. Kissenberth, Stephan G. Pill Tags: Original Article Source Type: research

Neighborhood Socioeconomic Disadvantages Influence Outcomes Following Rotator Cuff Repair in the Non-Medicaid Population “Socioeconomic Impact on RC Outcomes”
Prior investigations have utilized various surrogate markers of socioeconomic status to assess how healthcare disparities impact outcomes after rotator cuff repair (RCR). When taken as individual markers, these factors have inconsistent associations. Medicaid insurance status is an accessible marker that has recently been correlated with less optimal outcomes after RCR. Socioeconomic disparities exist within the non-Medicaid population as well and are arguably more difficult to characterize. The Area Deprivation Index (ADI) uses seventeen socioeconomic variables to establish a spectrum of neighborhood healthcare disparity....
Source: Journal of Shoulder and Elbow Surgery - March 20, 2024 Category: Orthopaedics Authors: Gregory R. Sprowls, Branum O. Layton, Jordyn M. Carroll, Grace E. Welch, Michael J. Kissenberth, Stephan G. Pill Tags: Original Article Source Type: research

Humeral Stem Loosening is Not Always Prosthetic Joint Infection
Aseptic humeral stem loosening is an uncommon complication of shoulder arthroplasty, and its presence has been considered a highly specific predictor of prosthetic joint infection (PJI). Literature on aseptic humeral stem loosening is sparse. The primary purpose of this study was to determine the rate of aseptic humeral loosening in revision shoulder arthroplasty. Secondarily, we sought to identify predictors of septic and aseptic humeral loosening. (Source: Journal of Shoulder and Elbow Surgery)
Source: Journal of Shoulder and Elbow Surgery - March 20, 2024 Category: Orthopaedics Authors: Cassandra Sanko, Liam T. Kane, Alayna Vaughan, Matthew L. Ramsey, Gerald R. Williams, Mark D. Lazarus, Surena Namdari Tags: Original Article Source Type: research