How low can we go? A randomized controlled trial of low-quantity initial opioid prescriptions for shoulder surgery
In this study, we investigated how the initial opioid prescription after shoulder surgery affects maximum possible opioid consumption. We hypothesized that fewer pills in the initial opioid prescription would lead to less opioid consumption, a lower refill request rate, and fewer post-surgery office contacts for pain. (Source: Journal of Shoulder and Elbow Surgery)
Source: Journal of Shoulder and Elbow Surgery - March 8, 2024 Category: Orthopaedics Authors: Arman Kishan, Zachary C. Pearson, Steve S. Li, Zachary Pressman, Uzoma Ahiarakwe, Chathurangi H. Pathiravasan, Umasuthan Srikumaran Tags: Original Article Source Type: research

Quantitative MRI versus perioperative arthroscopy to measure stage 1 ruptures of the supraspinatus tendon for surgical planning
Accurate preoperative assessment of supraspinatus tendon tear (STT) size is important for surgical planning. Our aims were to evaluate the correlation between stage 1 STT size measured preoperatively by quantitative (q)MRI and size measured perioperatively by arthroscopy. The concordance between preoperative tear size and the surgical plan was also assessed. (Source: Journal of Shoulder and Elbow Surgery)
Source: Journal of Shoulder and Elbow Surgery - February 29, 2024 Category: Orthopaedics Authors: Edouard Harly, Paul Commeil, Etienne Boyer, Christine Tchikladze, Hugues Demezon Tags: Original Article Source Type: research

Artificial Intelligence in Shoulder and Elbow Surgery: Overview of Current and Future Applications
Artificial intelligence (AI) is amongst the most rapidly growing technologies in orthopedic surgery. With the exponential growth in healthcare data, computing power, and complex predictive algorithms, this technology is poised to aid providers in data processing and clinical decision support throughout the continuum of orthopedic care. Understanding the utility and limitations of this technology is vital to practicing orthopedic surgeons, as these applications will become more common place in everyday practice. (Source: Journal of Shoulder and Elbow Surgery)
Source: Journal of Shoulder and Elbow Surgery - February 29, 2024 Category: Orthopaedics Authors: Jay M. Levin, Samuel G. Lorentz, Eoghan T. Hurley, Julia Lee, Thomas W. Throckmorton, Grant E. Garrigues, Peter MacDonald, Oke Anakwenze, Bradley S. Schoch, Christopher Klifto Tags: Review Article Source Type: research

Surgical Treatment of Displaced Proximal Humerus Fractures Is Associated With Decreased 1-Year Mortality in Patients Aged 65 and Older: A Retrospective Study of Medicare Patients
This study aimed to determine if surgery is associated with lower mortality compared to nonoperative treatment following PHF in older patients. (Source: Journal of Shoulder and Elbow Surgery)
Source: Journal of Shoulder and Elbow Surgery - February 29, 2024 Category: Orthopaedics Authors: Akiro H. Duey, Brocha Z. Stern, Nicole Zubizarreta, Leesa M. Galatz, Bradford O. Parsons, Jashvant Poeran, Paul J. Cagle Tags: Original Article Source Type: research

Arthroscopic Stabilization Surgery for First-Time Anterior Shoulder Dislocations: A Systematic Review and Meta-Analysis
The optimal management of first-time anterior shoulder dislocations (FTASDs) remains controversial. Therefore, the purpose of this study was to assess the efficacy of arthroscopic stabilization surgery for FTASDs through a systematic review and meta-analysis of existing literature. (Source: Journal of Shoulder and Elbow Surgery)
Source: Journal of Shoulder and Elbow Surgery - February 29, 2024 Category: Orthopaedics Authors: Hassaan Abdel Khalik, Darius L. Lameire, Timothy Leroux, Mohit Bhandari, Moin Khan Tags: Review Article Source Type: research

Disease diagnosis and arthroplasty type are strongly associated with short-term postoperative patient reported outcomes in patients undergoing primary total shoulder arthroplasty
This study investigates the associations of preoperative patient, disease-specific, and surgical factors with one-year postoperative PENN Shoulder Score (PSS) in patients undergoing primary TSA. (Source: Journal of Shoulder and Elbow Surgery)
Source: Journal of Shoulder and Elbow Surgery - February 29, 2024 Category: Orthopaedics Authors: Sambit Sahoo, Vahid Entezari, Jason C. Ho, Bong-Jae Jun, Cleveland Clinic Shoulder Group, Yuxuan Jin, Peter B. Imrey, Kathleen A. Derwin, Joseph P. Iannotti, Eric T. Ricchetti Tags: Original Article Source Type: research

Predictors of Poor and Excellent Outcomes Following Reverse Shoulder Arthroplasty for Glenohumeral Osteoarthritis with an Intact Rotator Cuff
In this study, we sought to identify variables predictive of clinical outcomes following RSA for GHOA. (Source: Journal of Shoulder and Elbow Surgery)
Source: Journal of Shoulder and Elbow Surgery - February 28, 2024 Category: Orthopaedics Authors: Abdulaziz F. Ahmed, Evan A. Glass, Daniel P. Swanson, James Patti, Adam R. Bowler, Kiet Le, Andrew Jawa, Jacob M. Kirsch Tags: Original Article Source Type: research

Does Timing Influence Rehabilitation Outcomes in Arthroscopic Rotator cuff Repair with Biceps Re-Routing? – A Prospective Randomized Study
This study aims to compare functional and structural outcomes of early versus delayed motion rehabilitation protocols following ABR. (Source: Journal of Shoulder and Elbow Surgery)
Source: Journal of Shoulder and Elbow Surgery - February 28, 2024 Category: Orthopaedics Authors: Yong Girl Rhee, Yang-Soo Kim, In El Lee, Se Yeon Kim, Hyun Joo Ham, Sung Min Rhee, Radhakrishna Kantanavar Tags: Original Article Source Type: research

Reverse Total Shoulder Arthroplasty for Acute Proximal Humeral Fracture Has Comparable 10-Year Outcomes to Elective Indications: Results From the New Zealand Joint Registry
Recently, the indication of reverse total shoulder arthroplasty (RTSA) has expanded beyond rotator cuff arthropathy to include treatment of complex acute proximal humeral fracture (PHF). Limited previous studies have compared the long-term clinical and functional outcomes of patients undergoing RTSA for PHF versus elective indications for degenerative conditions. The purpose of this study was to compare implant survivorship, reasons for revision and functional outcomes in patients undergoing RTSA for acute PHF with those undergoing elective RTSA in a population-based cohort study. (Source: Journal of Shoulder and Elbow Surgery)
Source: Journal of Shoulder and Elbow Surgery - February 27, 2024 Category: Orthopaedics Authors: Scott M. Bolam, Zoe Wells, Mei Lin Tay, Chris M.A. Frampton, Brendan Coleman, Adam Dalgleish Source Type: research

Preoperative MRI Rotator Cuff Tendon Stump Classification Correlates with the Surgical Outcomes Following Superior Capsular Reconstruction
To investigate the correlation between rotator cuff stump classification and postoperative outcomes after superior capsular reconstruction (SCR). (Source: Journal of Shoulder and Elbow Surgery)
Source: Journal of Shoulder and Elbow Surgery - February 27, 2024 Category: Orthopaedics Authors: Hui Ben, Erica Kholinne, Jia Guo, Ji Yeon Park, Seung Min Ryu, Kyoung-Hwan Koh, In-Ho Jeon Tags: Original Article Source Type: research

Three-dimensional analysis of biplanar glenoid deformities: What are they and can they be virtually reconstructed with anatomic total shoulder arthroplasty implants?
Descriptions of glenoid deformities in glenohumeral osteoarthritis (GHOA) have focused on the axial plane. Less is known regarding arthritic glenoids with higher amounts of superior inclination and little evidence exists to guide management of inclination or combined version-inclination deformity when performing anatomic total shoulder arthroplasty (aTSA). We hypothesized that biplanar deformities (BD) would be present in a higher proportion of GHOA patients than previously appreciated, and these deformities would be difficult to adequately reconstruct with contemporary aTSA implants. (Source: Journal of Shoulder and Elbow Surgery)
Source: Journal of Shoulder and Elbow Surgery - February 27, 2024 Category: Orthopaedics Authors: J. Ryan Hill, Jeffrey J. Olson, Alexander W. Aleem, Jay D. Keener, Benjamin M. Zmistowski Source Type: research

Stemless reverse arthroplasty: Does the stemless compare to a conventional stemmed implant? Clinical and radiographic evaluation 2 years minimum follow up
Reverse shoulder arthroplasty (RSA) is a well recognized treatment for many shoulder conditions, including rotator cuff arthropathy, primary glenohumeral joint arthritis, rheumatoid arthritis and can be utilized in both trauma and revision settings. Over the past 10 years its popularity in New Zealand has been increasing, with a 6-7% annual growth during this period. The proposed advantages of a stemless (sRSA) design are to preserve humeral bone stock, limit periprosthetic fractures and can be indicated in patients with abnormal diaphyseal humeral anatomy. (Source: Journal of Shoulder and Elbow Surgery)
Source: Journal of Shoulder and Elbow Surgery - February 27, 2024 Category: Orthopaedics Authors: Jamie J. A ’Court, Idah Chatindiara, Rachael Fisher, Peter C. Poon Tags: Original Article Source Type: research

The role of body mass index on survivorship and clinical outcomes in total shoulder arthroplasty
Increased body mass index (BMI) is a potential risk factor for poorer outcomes and complications. However, the influence of BMI on the long-term outcomes of anatomic and reverse total shoulder arthroplasty (aTSA and rTSA) remains to be fully elucidated. (Source: Journal of Shoulder and Elbow Surgery)
Source: Journal of Shoulder and Elbow Surgery - February 27, 2024 Category: Orthopaedics Authors: Erryk S. Katayama, George R. Durisek, Galo C. Bustamante, Louis W. Barry, Seth Wilson, John S. Barnett, Mitch Borin, Andrew Stevens, Akshar V. Patel, Julie Y. Bishop, Gregory L. Cvetanovich, Ryan C. Rauck Tags: Original Article Source Type: research

High failure rate of 2-stage revision for the infected total elbow arthroplasty: a single institution ’s experience
Despite 2-stage revision being a common treatment for elbow prosthetic joint infection (PJI), failure rates are high. The purpose of this study was to report on a single institution ’s experience with 2-stage revisions for elbow PJI and determine risk factors for failed eradication of infection. The secondary purpose was to determine risk factors for needing allograft bone at the second stage of revision in the setting of compromised bone stock. (Source: Journal of Shoulder and Elbow Surgery)
Source: Journal of Shoulder and Elbow Surgery - February 26, 2024 Category: Orthopaedics Authors: Corey J. Schiffman, William Baker, Daniel Kwak, Matthew L. Ramsey, Surena Namdari, Luke S. Austin Source Type: research

All-endoscopic approach for distal biceps tendon pathology: Analysis of long-term outcomes in partial and complete ruptures
Distal biceps tendon (DBT) pathology is a spectrum that ranges from tendinopathy to complete retracted ruptures, and surgical treatment is usually performed via open approaches. The purpose of this study was to analyze safety and long-term outcomes of all-endoscopic surgery for entire spectrum of primary DBT pathology. The hypothesis was that at an all-endoscopic technique would result in satisfactory clinical outcomes and a low complication rate. (Source: Journal of Shoulder and Elbow Surgery)
Source: Journal of Shoulder and Elbow Surgery - February 26, 2024 Category: Orthopaedics Authors: Deepak N. Bhatia, Parimal Malviya Tags: Original Article Source Type: research