JSES International最新文献

{"title":"Strong correlation of the Patient-Reported Outcomes Measurement Information System (PROMIS) upper extremity and Shoulder Arthroplasty Smart (SAS) score to legacy measures in shoulder arthroplasty patients","authors":"Kai Zhu BS,&nbsp;Chimdi Obinero BS,&nbsp;Wura Adegbite BS,&nbsp;Anton Khlopas MD,&nbsp;Mahdi Mazeh BS,&nbsp;Jared Mahylis MD,&nbsp;Stephanie Muh MD","doi":"10.1016/j.jseint.2025.09.005","DOIUrl":"10.1016/j.jseint.2025.09.005","url":null,"abstract":"<div><h3>Background</h3><div>Patient-reported outcome measures (PROMs) are vital for evaluating surgical outcomes. Legacy PROMs, such as the American Shoulder and Elbow Surgeons (ASES) score, have been the standard for examining upper extremity (UE) function but are not without limitations. Newer tools, such as the Patient-Reported Outcomes Measurement Information System (PROMIS) UE and Shoulder Arthroplasty Smart (SAS) score, offer potential improved sensitivity in assessing UE outcomes. The goal of this study was to assess the accuracy of both PROMIS UE and SAS to the established legacy ASES score.</div></div><div><h3>Methods</h3><div>A retrospective study of patients who underwent primary shoulder arthroplasty from 2020 to 2022 was analyzed for PROMs using ASES, PROMIS UE, and SAS. Pearson correlation coefficients were obtained to compare ASES with PROMIS UE as well as ASES with SAS scores from patients with a minimum of 2-year follow-up. Ceiling effect analysis was conducted using ASES, PROMIS UE, and SAS scores.</div></div><div><h3>Results</h3><div>A total of 70 patients met inclusion criteria and were analyzed. The mean final follow-up was 2.48 years. The correlation of ASES vs. PROMIS UE was noted to be excellent–good at 6-month (r = 0.647, <em>P</em> value &lt; .001) and at the minimum 2-year follow-up (r = 0.761, <em>P</em> value &lt; .001), respectively. When comparing ASES vs. SAS, the correlation was excellent–good, or excellent, at the 6-month, 1 year, and 2-year follow-up (r = 0.748, r = 0.738, and r = 0.688, respectively <em>P</em> value &lt; .001). Ceiling effect analysis showed low ceiling effects at the 2-year minimum follow-up, with the percentage of patients achieving the maximum ASES, PROMIS UE, and SAS scores being 0.23%, 0.91%, and 0.00%, respectively.</div></div><div><h3>Conclusions</h3><div>The present study suggests PROMIS UE and SAS are effective, shoulder-specific alternatives to legacy instruments. Both instruments showed strong, increasing correlations with ASES through 2 years follow-up and demonstrated low ceiling effects, indicating sensitivity across a broad functional range. These results highlight the clinical utility of PROMIS UE and SAS for patient-centered outcome assessment in shoulder arthroplasty populations.</div></div>","PeriodicalId":34444,"journal":{"name":"JSES International","volume":"10 1","pages":"Article 101383"},"PeriodicalIF":0.0,"publicationDate":"2025-10-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145435606","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":"Magnetic resonance imaging imaging in the diagnosis of sternoclavicular joint injuries","authors":"Graham Tytherleigh-Strong FRCS(Orth), FFSEM(UK),&nbsp;Andrew Grainger FRCR","doi":"10.1016/j.jseint.2025.09.001","DOIUrl":"10.1016/j.jseint.2025.09.001","url":null,"abstract":"<div><h3>Background</h3><div>Currently, computed tomograhy (CT) scans are the investigation of choice for any sternoclavicular joint (SCJ) injury. However, apart from a true anterior or posterior dislocation, a CT scan has a minimal ability to assess damage to the stabilizing soft-tissue structures once the joint has been reduced.</div><div>We have developed an SCJ magnetic resonance imaging (MRI)/MRI arthrogram imaging protocol for patients with SCJ injuries. The purpose of this study was to correlate SCJ soft-tissue injury configurations demonstrated on MRI/MRI arthrograms with clinical findings and to assess whether these results were able to guide further treatment.</div></div><div><h3>Methods</h3><div>We developed a nonorthogonal (NO) MRI (acute injury) and NO-MRI arthrogram (chronic injury) protocol to image SCJ injuries. We reviewed our database for all patients who had undergone NO-MRI imaging to investigate an SCJ injury.</div><div>We divided the patients into 5 groups based on their pre-scan clinical diagnosis (group 1: traumatic SCJ instability, group 2: atraumatic SCJ instability, group 3: SCJ injury without instability, group 4: adolescent posterior SCJ injuries, group 5: previous SCJ instability surgery). Each patient was assessed as to whether the scan demonstrated relevant pathology or not, their subsequent treatment, and whether any further investigations were required to decide this.</div></div><div><h3>Results</h3><div>Over the study period, 246 NO-MRI scans were undertaken in total. Group 1: 87 of 119 scans showed evidence of some form of acute or chronic anterior and/or posterior ligamentous injury; 78 patients underwent surgery. Group 2: 36 of 43 patients showed no capsular damage; whereas 7 patients had a capsular tear reclassifying their diagnosis as traumatic instability. Group 3: 29 out of 55 patients demonstrated evidence of either a traumatic intra-articular disk tear or a vertical sternal fracture; 26 underwent surgery. Group 4: 6 of the 27 patients demonstrated either an off-ended medial physeal injury or a true posterior SCJ dislocation; all underwent surgery. Group 5: 15 out of 19 patients demonstrated varying pathologies; 12 underwent surgery.</div></div><div><h3>Conclusion</h3><div>An NO-MRI scan and an NO-MRI arthrogram provide a good assessment of the structural soft-tissue injuries associated with acute and chronic SCJ injuries and provide a reliable guide to further clinical management.</div></div>","PeriodicalId":34444,"journal":{"name":"JSES International","volume":"10 1","pages":"Article 101379"},"PeriodicalIF":0.0,"publicationDate":"2025-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145435605","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":"Clinical outcomes of modular segmental megaprosthesis for revision shoulder arthroplasty with severe proximal humerus bone loss at a minimum two year follow-up","authors":"Cameron Vauclin MD ,&nbsp;Aaron Sheppard MD ,&nbsp;Patrick Massey MD, MBA ,&nbsp;Jaxon Adkins BS ,&nbsp;Mark Callanan MD ,&nbsp;Mario Lobao MD ,&nbsp;R. Shane Barton MD, MBA, MPH, MS, FAAOS, FAOA, FACS","doi":"10.1016/j.jseint.2025.09.003","DOIUrl":"10.1016/j.jseint.2025.09.003","url":null,"abstract":"<div><h3>Background</h3><div>Significant proximal humerus bone loss poses a challenge on the outcomes of traditional reverse shoulder arthroplasty implants. Modular Segmental Megaprosthesis (MSM) offers a potential solution to shoulder reconstruction without the need for allograft. However, clinical outcomes of MSM are restricted to case reports and small case series with limited follow-up.</div></div><div><h3>Methods</h3><div>An Institutional Joint Registry Database was used to identify revision shoulder arthroplasty patients using MSM. A retrospective review evaluated implant survivorship, pain relief and functional outcomes at a minimum of 2-year follow-up.</div></div><div><h3>Results</h3><div>Between 2014 and 2022, a total of 28 patients with significant proximal humerus bone loss who underwent revision shoulder arthroplasty reconstruction using MSM were included in this study. At a minimum of 2-year follow-up, the MSM implant survivorship was 85.7% (24 out of 28). Pain level decreased from 7 out of 10 preoperatively to 2 at the 2-year follow-up mark (<em>P</em> = .001). Range of motion also improved: elevation increased from 46° preoperatively to 102° postoperatively (<em>P</em> = .004); abduction improved from 33° to 92° (<em>P</em> = 0.002); and external rotation increased from 13° to 31°(<em>P</em> = .036), respectively. Constant Score increased from 12.9 preoperatively to 69.6 at 2-years after surgery (<em>P</em> = .008). The American Shoulder and Elbow Surgeons score increased from 7.4 to 77.2 (<em>P</em> = .008), and Simple Shoulder Test (SST) increased from 11.1 to 68.1%, respectively (<em>P</em> = .008).</div></div><div><h3>Conclusion</h3><div>The MSM presented a good 2-year survivorship. It demonstrated significant improvement in pain and function in patients with proximal humerus bone loss that underwent arthroplasty revision. These findings support the use of MSM as a salvage procedure in complex shoulder reconstructions.</div></div>","PeriodicalId":34444,"journal":{"name":"JSES International","volume":"10 1","pages":"Article 101381"},"PeriodicalIF":0.0,"publicationDate":"2025-09-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145569873","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":"Lower socioeconomic status is not associated with worse 2-year outcomes following reverse total shoulder arthroplasty","authors":"Christopher A. Colasanti MD ,&nbsp;Utkarsh Anil MD ,&nbsp;Jay M. Levin MD, MBA ,&nbsp;Erel Ben-Ari MD ,&nbsp;Michelle S. Shen MD ,&nbsp;Joseph D. Zuckerman MD","doi":"10.1016/j.jseint.2025.04.007","DOIUrl":"10.1016/j.jseint.2025.04.007","url":null,"abstract":"<div><h3>Background</h3><div>The aim of this study was to evaluate the association between Area Deprivation Index (ADI) and patient outcomes following reverse total shoulder arthroplasty (rTSA).</div></div><div><h3>Methods</h3><div>A retrospective analysis of patients who underwent an rTSA at a single institution between 2011 and 2021 with minimum 2-year follow-up. Each patient's home address was mapped to the ADI to determine the level of socioeconomic disadvantage. Patients were categorized into 5 groups based on socioeconomic status (SES): ADI group 1; the least deprived group and ADI group 5; the most deprived group. Bivariate analysis was performed to determine the association between the level of SES and 2-year postoperative American Shoulder and Elbow Surgeons (ASES) score. Multivariable regression analysis was utilized to assess the role of independent variables in achieving minimal clinically important difference (MCID), substantial clinical benefit (SCB), and patient acceptable symptomatic state (PASS) for ASES.</div></div><div><h3>Results</h3><div>A total of 551 patients, mean age: 71.1 ± 9.1 year/old and overall mean follow-up time of 42.5 ± 29.9 months. The mean ADI value of all cohorts was 49.3 ± 29.4. The mean ADI for groups 1 through 5 were 9.0 ± 4.9, 30.1 ± 7.6, 47.6 ± 4.4, 70.9 ± 6.7, and 89.9 ± 5.2. There were no differences in age, sex, body mass index, or preoperative medical comorbidities. The average preoperative ASES score across ADI subgroups was 30.6 ± 18.0. Preoperative ASES scores were lowest in both ADI group 1:26.5 ± 15.3 and ADI group 5:25.9 ± 16.7. There was no difference in preoperative range of motion (ROM) across all ADI subgroups. The average postoperative ASES score was 74.2 ± 23.7. There was a significant inverse relationship between ADI and postoperative ASES (<em>P</em> = .047). ADI group 1 had the highest postoperative ASES score of 78.6 ± 21.6 compared to 70.0 ± 24.1 in group 5. There was no difference in change preoperative to postoperative ASES scores across ADI subgroups with an average delta ASES score of 42.8 ± 26.2. Like preoperative ROM, there was no difference across ADI subgroups in terms of postoperative ROM. The average percentage of the cohort of patients across ADI subgroups that achieved MCID, SCB, and PASS for ASES was 87.6%, 68.9%, and 57.5%, respectively. There was no difference in terms of achieving MCID, SCB, or PASS for ASES across ADI subgroups.</div></div><div><h3>Conclusion</h3><div>The current study supports an inverse relationship between ADI and postoperative outcomes in patients undergoing rTSA. Additionally, our study found that a patient's ability to achieve MCID, SCB, or PASS for ASES at a minimum of 2 years after rTSA was not dependent on SES. Lastly, our study demonstrated that the risk of suffering an adverse event or undergoing a revision surgery were not associated with SES.</div></div>","PeriodicalId":34444,"journal":{"name":"JSES International","volume":"9 5","pages":"Pages 1886-1892"},"PeriodicalIF":0.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145108230","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":"Risk factors for elbow injuries in professional baseball players based on ultrasound images: a prospective cohort study of 56 players","authors":"Masahiro Ikezu MS, RPT ,&nbsp;Shintarou Kudo PhD, RPT ,&nbsp;Issei Noda PhD, RPT ,&nbsp;Takanori Kubo MD ,&nbsp;Hidetoshi Hayashi MD, PhD","doi":"10.1016/j.jseint.2025.04.029","DOIUrl":"10.1016/j.jseint.2025.04.029","url":null,"abstract":"<div><h3>Background</h3><div>Risk factors for the development of elbow injuries, focusing on the function of the flexor digitorum superficialis (FDS) and the structure of the ulnar nerve, have not been fully clarified. This study aimed to prospectively investigate the ring-down artifact (RDA) under gravity load and gravity load with FDS contraction conditions and the cross-sectional area (CSA) of the ulnar nerve and clarify the risk factors for elbow injuries in professional baseball players.</div></div><div><h3>Methods</h3><div>We enrolled 56 professional Japanese baseball players without elbow pain. The measurements were RDA under gravity load and gravity load with FDS contraction, and the CSA of the ulnar nerve at the Struthers arcade, cubital tunnel, and Osborne's ligament. We prospectively investigated the development of elbow injuries over a 1-year period. Statistical analysis was performed using Fisher's exact test, and the relative risk (RR) was calculated.</div></div><div><h3>Results</h3><div>The development of elbow injuries was associated with the following variables: the presence of RDA under gravity load (<em>P</em> &lt; .01, RR: 5.22), the presence of RDA under gravity load with FDS contraction (<em>P</em> = .02, RR: 3.26), CSA at Struthers arcade ≥10 mm² (<em>P</em> &lt; .01, RR: 6.71), CSA at cubital tunnel ≥10 mm² (<em>P</em> &lt; .01, RR: 36.56), and CSA at Osborne's ligament ≥10 mm² (<em>P</em> &lt; .01, RR: 4.57).</div></div><div><h3>Conclusion</h3><div>The RDA under gravity load, FDS contraction conditions, and increased CSA of the ulnar nerve were associated with the development of elbow injuries in professional baseball players.</div></div>","PeriodicalId":34444,"journal":{"name":"JSES International","volume":"9 5","pages":"Pages 1820-1824"},"PeriodicalIF":0.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145108307","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":"Outcomes of suture tension band technique for fixation of olecranon fractures: a retrospective case series","authors":"Moayd Abdullah H. Awad MBBS, FRCSC ,&nbsp;Makena Mbogori MBChB, MMed Orth, FCS ECSA ,&nbsp;Amaan Lalani BScKin ,&nbsp;Armin Badre MD, MSc, FRCSC","doi":"10.1016/j.jseint.2025.04.032","DOIUrl":"10.1016/j.jseint.2025.04.032","url":null,"abstract":"<div><h3>Background</h3><div>Tension band wiring is one of the earliest and most common techniques for the fixation of olecranon fractures with good functional outcomes. However, it is fraught with hardware-related complications, with reported reoperation rates of 33.3%-79.2%. Despite the aim of reducing hardware-related complications, low-profile precontoured plates continue to have hardware removal rates of 15%-56%. Suture tension band fixation is a novel technique for the management of select olecranon fractures with equivalent or superior biomechanical performance to tension band wiring and avoids hardware-related complications associated with tension band wiring and plate fixation. However, outcomes of this fixation technique are not yet well-reported. The goal of this study was to evaluate the clinical and radiographic outcomes of patients who underwent suture tension band fixation of select olecranon fractures.</div></div><div><h3>Methods</h3><div>This study was a retrospective case series of 25 patients with simple transverse or short oblique olecranon fractures or fractures with minimal comminution that can be converted to a simple fracture pattern who underwent suture tension band fixation. Our primary outcome was the reoperation rate for symptomatic fixation material, failure of fixation, or nonunion. Secondary outcomes were elbow and forearm range of motion, rate of union, as well as patient-reported outcome measures including the patient-rated elbow evaluation, Quick Disabilities of the Arm, Shoulder, and Hand, and the Single Assessment Numeric Evaluation scores at the final follow-up.</div></div><div><h3>Results</h3><div>The average age of patients in our cohort was 59 ± 19 years, and 64% (n = 14) of patients were female. Our average follow-up time was 14 ± 9 months. None of the patients required reoperation for prominent or irritating suture material, failure of fixation, or nonunion. The patients achieved an average elbow arc of motion of 134° ± 9° and an average forearm arc of 156° ± 12° at the final follow-up. At the time of the final follow-up, patients reported an average patient-rated elbow evaluation of 16.6 ± 8.6, Quick Disabilities of the Arm, Shoulder, and Hand of 9.0 ± 11.2, and Single Assessment Numeric Evaluation score of 93% ± 8%. Complications included one case of postoperative infection, one asymptomatic nonunion, and one fracture through the ulnar tunnel as a result of subsequent trauma.</div></div><div><h3>Conclusion</h3><div>The suture tension band technique is a viable option for managing simple olecranon fractures or fractures with minimal comminution that can be converted to a simple fracture pattern. This technique yields excellent clinical and radiographic outcomes and avoids hardware-related complications associated with tension band wiring and plate fixation. Larger cohorts and randomized clinical trials are needed to confirm these findings.</div></div>","PeriodicalId":34444,"journal":{"name":"JSES International","volume":"9 5","pages":"Pages 1825-1832"},"PeriodicalIF":0.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145108309","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":"Evaluation of ChatGPT’s responses to frequently asked questions about shoulder arthroplasty","authors":"Fátima Fernández Dorado MD,&nbsp;Salvador Álvarez Villar MD,&nbsp;Carlos Alexi Osuna Mavare MD,&nbsp;Raquel Ruíz Díaz MD,&nbsp;Jorge Díaz Heredia MD, PhD,&nbsp;Miguel Ángel Ruiz Ibán MD, PhD","doi":"10.1016/j.jseint.2025.05.008","DOIUrl":"10.1016/j.jseint.2025.05.008","url":null,"abstract":"<div><h3>Background</h3><div>Patients now have access to numerous resources about common orthopedic procedures before clinical consultations. Recently, artificial intelligence (AI)-powered chatbots have gained popularity, offering human-like, convincing responses. A prominent example is ChatGPT, an AI-based chat technology, which has seen rapid growth in acceptance. Given the increasing likelihood that patients will turn to this technology for educational information prior to undergoing surgical intervention, we aimed to determine ChatGPT’s ability to provide adequate answers to frequently asked questions about shoulder arthroplasty.</div></div><div><h3>Methods</h3><div>After a literature review, we formulated the 10 most frequently asked questions about shoulder arthroplasty and presented them to the chatbot without follow-up questions or repetitions. The responses were analyzed by 15 independent shoulder surgeons, who evaluated each response for accuracy using an evidence-based approach. The responses were classified as “excellent response without need for clarification,” “satisfactory requiring minimal clarification,” “satisfactory requiring moderate clarification,” or “unsatisfactory requiring substantial clarification.”</div></div><div><h3>Results</h3><div>Of the responses given by the chatbot, 45.5% of the time the expert panel rated the response as “excellent,” 38.2% of the time the rating was “satisfactory requiring minimal clarification,” and only 11.8% and 4.5% of the responses were rated as “satisfactory requiring moderate clarification” and “unsatisfactory,” respectively.</div></div><div><h3>Conclusion</h3><div>ChatGPT provides reliable information to patients undergoing shoulder arthroplasty. As a complementary educational resource, AI shows potential by delivering accurate, evidence-based answers with little need for clarification and minimal bias. Despite limitations, the study underscores the promising role of AI-based platforms in healthcare.</div></div>","PeriodicalId":34444,"journal":{"name":"JSES International","volume":"9 5","pages":"Pages 1771-1777"},"PeriodicalIF":0.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145108568","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":"Trends of shoulder arthroplasty and rotator cuff repair in Japan: national database analysis","authors":"Masataka Minami MD, PhD ,&nbsp;Masamitsu Kido MD, PhD ,&nbsp;Yoshikazu Kida MD, PhD ,&nbsp;Ausberto R. Velasquez Garcia MD ,&nbsp;Kenji Takahashi MD, PhD ,&nbsp;Shawn W. O'Driscoll MD, PhD","doi":"10.1016/j.jseint.2025.05.013","DOIUrl":"10.1016/j.jseint.2025.05.013","url":null,"abstract":"<div><h3>Background</h3><div>Reverse total shoulder arthroplasty was introduced to Japan in 2014, principally to treat cuff tear arthropathy and irreparable massive rotator cuff tears. Its indications have expanded significantly worldwide since then. This study aimed to analyze the annual trends in shoulder arthroplasties and rotator cuff repairs (RCRs) from 2014 to 2022 and to examine differences by sex and age group using a publicly available national database.</div></div><div><h3>Methods</h3><div>We conducted a retrospective analysis using data from the National Database of Health Insurance Claims and Specific Health Checkups provided by the Ministry of Health, Labour, and Welfare in Japan. The surgical categories analyzed included shoulder arthroplasty and RCR between 2014 and 2022. The annual number of surgeries was reported according to sex and age group. Age-specific incidence was calculated per 100,000 people using age group population data. Descriptive statistics and the independent <em>t</em>-test were used for comparisons by sex and age, and linear regression analysis was applied to assess trends.</div></div><div><h3>Results</h3><div>Shoulder arthroplasties increased dramatically from 1,246 in 2014 to 5,439 in 2022. From 2014 to 2022, the number of RCRs did not decrease; in fact, they continued to increase steadily from 17,553 to 21,183, except for a dip in 2020. Shoulder arthroplasties were nearly twice as common in females, whereas RCRs were more frequent in males. Shoulder arthroplasties peaked in the 75-79 age group, with an average age of 78 years, whereas RCRs were most frequent in the 70-74 age group, averaging 67 years.</div></div><div><h3>Discussion and Conclusion</h3><div>Despite the substantial increase in shoulder arthroplasties, the number of RCRs has also slightly increased. These findings demonstrate that reverse total shoulder arthroplasty did not simply replace RCRs but complement conventional RCR in the treatment spectrum of shoulder disorders. The findings indicated that females had a higher prevalence of shoulder arthroplasty procedures, whereas males were more likely to undergo RCR. In addition, the patients who underwent shoulder arthroplasty tended to be older than those who underwent RCR. These observations may be attributed to sex-specific differences in the progression of shoulder conditions and the accessibility of various treatment approaches or possibly a difference in indications for surgery in females and males. This study demonstrated substantial increases in shoulder arthroplasties in Japan over the past decade, with notable differences in age and sex distributions compared with conventional RCR.</div></div>","PeriodicalId":34444,"journal":{"name":"JSES International","volume":"9 5","pages":"Pages 1781-1792"},"PeriodicalIF":0.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145108571","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":"Augmented vs. standard glenoid baseplate use in reverse total shoulder arthroplasty: a systematic review","authors":"Emily N. Lau MD ,&nbsp;Ryan Lin BS ,&nbsp;Abbey Glover BS ,&nbsp;Albert Lin MD","doi":"10.1016/j.jseint.2025.05.032","DOIUrl":"10.1016/j.jseint.2025.05.032","url":null,"abstract":"<div><h3>Background</h3><div>Glenoid bone loss can be a challenging problem to address surgically in patients with glenohumeral joint arthritis and concomitant end-stage rotator cuff deficiency. Reverse total shoulder arthroplasty (rTSA) has emerged as a treatment to restore function in this patient population and has demonstrated good clinical outcomes. Addressing bone loss is essential to prevent complication such as glenoid baseplate loosening, scapular notching, and instability. Metal augmentation of glenoid baseplates has shown good clinical and functional outcomes with low complication rates. This systematic review analyzes the outcomes of patients undergoing rTSA with augmented baseplates vs. those treated with a standard glenoid baseplate. Pain, range of motion, patient reported outcomes scores, complication, and revision rates were assessed.</div></div><div><h3>Methods</h3><div>Four online literature databases (PubMed, MEDLINE, ScienceDirect, Scopus) were searched from database inception to July 1, 2024, for comparative studies evaluating outcomes between augmented and standard rTSA. Functional and clinical outcomes along with complication and revision rates were collected across studies. Frequency weighted means were used to synthesize data where appropriate.</div></div><div><h3>Results</h3><div>Five manuscripts met final criteria for inclusion encompassing 2,331patients with a mean age of 71.3 years and mean follow-up time of 38.8 months. When compared to the standard baseplate group or those treated with bone graft augmentation, the metal augmentation group had comparable improvement in frequency weight means in forward elevation, abduction, and external rotation. Similarly, frequency weighted means of improvement were comprable in the augmented group with regards to American Shoulder and Elbow Surgeons, Simple Shoulder Test, and Constant scores. In studies directly comparing augmented to nonaugmented rTSA, there was a total of 167 (7.5%) reported complications: 132 (7.8%) in the standard and 35 (6.7%) in the augmented cohorts.</div></div><div><h3>Conclusion</h3><div>This systematic review demonstrates similar functional and clinical outcomes with the use of augmented glenoid baseplates to address glenoid bone loss in rTSA when compared to standard baseplates. Complications were comparable in the augmented baseplate group, with no difference in revision rates. These findings illustrate that augmented baseplates not only address bony defects but can provide good clinical and functional outcomes without the risk of increased complication in rTSA.</div></div>","PeriodicalId":34444,"journal":{"name":"JSES International","volume":"9 5","pages":"Pages 1723-1730"},"PeriodicalIF":0.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145108619","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":"Chronic nonsteroidal anti-inflammatory drug use is associated with increased risk of distal biceps tendon injury","authors":"Annika N. Hiredesai BA ,&nbsp;Sailesh V. Tummala MD ,&nbsp;Alejandro M. Holle BS ,&nbsp;Katelyn T. Koschmeder MD ,&nbsp;Eugenia Lin MD ,&nbsp;Alexander J. Hoffer MD ,&nbsp;Kostas J. Economopoulos MD","doi":"10.1016/j.jseint.2025.05.009","DOIUrl":"10.1016/j.jseint.2025.05.009","url":null,"abstract":"<div><h3>Background</h3><div>Prior basic science literature suggests chronic nonsteroidal anti-inflammatory drugs (NSAID) use may be associated with impaired tendon health. The purpose of this study was to investigate the association between chronic NSAID use and risk of distal biceps tendon injury (BTI).</div></div><div><h3>Methods</h3><div>A retrospective study was conducted using the PearlDiver database. A sample of 500,000 chronic NSAID users were exact matched to controls for age, sex, Charlson Comorbidity Index, diabetes, and tobacco use. Multivariable logistic regression with sex-specific and age-specific subanalyses was conducted for 1- and 2-year risk of distal BTI and 2-year surgical repair rates as defined by International Classification of Disease and Current Procedural Terminology codes.</div></div><div><h3>Results</h3><div>After exact matching, 499,240 chronic NSAID users were matched with 499,240 controls. Patients with chronic NSAID use had a significantly increased risk of distal BTI at both 1-year (odds ratio: 1.51; 95% confidence interval: 1.32-1.71) and 2-year (odds ratio: 1.39; 95% confidence interval: 1.27-1.53) follow-up compared to controls. When stratified by sex, males and females with chronic NSAID use were significantly more likely to experience distal BTI compared to controls at 1- and 2-year follow-up.</div></div><div><h3>Discussion</h3><div>Chronic NSAID use was associated with increased risk of distal BTI at 1- and 2-year follow-up, including in sex-specific analysis. These findings may inform risks and expectations for providers prescribing chronic NSAIDs and merit further investigation.</div></div>","PeriodicalId":34444,"journal":{"name":"JSES International","volume":"9 5","pages":"Pages 1833-1839"},"PeriodicalIF":0.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145108220","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}