Pub Date : 2024-01-10DOI: 10.1177/17585732231226123
Alexander Baur, J. Satalich, R. O’Connell, A. Vap
Failed Latarjet procedures pose a surgical challenge due to complex anatomical issues. This systematic review investigates salvage techniques for recurrent instability following a Latarjet procedure. A search was conducted on MEDLINE and PubMed Central following the methodology registered to International Prospective Register of Systematic Reviews. Inclusion criteria focused on identifying revision procedures following a Latarjet procedure. Exclusion criteria filtered out irrelevant studies, such as those focused on Bankart procedures. After a multistage selection process, 10 eligible studies were included for data extraction. The most frequently utilized technique for salvage was variations of the Eden–Hybinette procedure. Complications associated with these salvage procedures include graft-related problems and donor site morbidity. Patients reported significant improvements in multiple patient-reported outcome scores, and multiple studies indicated high rates of return to sports activities. However, it is noteworthy that there remains an average recurrence rate of 7%. The review emphasizes the limited therapeutic options available largely due to shoulder anatomy alterations. Despite promising trends in patient-reported outcomes, recurrence remains possible post-salvage surgeries. Addressing recurrent instability after a Latarjet procedure continues to be a unique surgical challenge. However, this systematic review highlights encouraging indications, with positive trends evident in patient-reported outcomes.
由于复杂的解剖问题，Latarjet 手术失败给手术带来了挑战。本系统性综述研究了Latarjet手术后复发不稳定的挽救技术。我们按照国际系统性综述前瞻性注册的方法在 MEDLINE 和 PubMed Central 上进行了检索。纳入标准侧重于确定Latarjet术后的翻修手术。排除标准过滤掉了无关的研究，如那些专注于Bankart手术的研究。经过多阶段筛选，10 项符合条件的研究被纳入数据提取范围。最常用的抢救技术是Eden-Hybinette手术的变体。与这些挽救手术相关的并发症包括移植物相关问题和供体部位发病率。据患者报告，多种患者报告结果评分均有明显改善，多项研究表明，患者恢复体育活动的比例很高。但值得注意的是，平均复发率仍高达 7%。综述强调，主要由于肩部解剖结构的改变，现有的治疗方案非常有限。尽管患者报告的结果趋势良好，但损伤修复手术后仍有可能复发。解决Latarjet术后复发不稳仍然是一项独特的手术挑战。不过，本系统综述强调了令人鼓舞的适应症，患者报告的结果也呈现出积极的趋势。
{"title":"Surgical management of recurrent instability following Latarjet procedure – A systematic review of salvage procedures","authors":"Alexander Baur, J. Satalich, R. O’Connell, A. Vap","doi":"10.1177/17585732231226123","DOIUrl":"https://doi.org/10.1177/17585732231226123","url":null,"abstract":"Failed Latarjet procedures pose a surgical challenge due to complex anatomical issues. This systematic review investigates salvage techniques for recurrent instability following a Latarjet procedure. A search was conducted on MEDLINE and PubMed Central following the methodology registered to International Prospective Register of Systematic Reviews. Inclusion criteria focused on identifying revision procedures following a Latarjet procedure. Exclusion criteria filtered out irrelevant studies, such as those focused on Bankart procedures. After a multistage selection process, 10 eligible studies were included for data extraction. The most frequently utilized technique for salvage was variations of the Eden–Hybinette procedure. Complications associated with these salvage procedures include graft-related problems and donor site morbidity. Patients reported significant improvements in multiple patient-reported outcome scores, and multiple studies indicated high rates of return to sports activities. However, it is noteworthy that there remains an average recurrence rate of 7%. The review emphasizes the limited therapeutic options available largely due to shoulder anatomy alterations. Despite promising trends in patient-reported outcomes, recurrence remains possible post-salvage surgeries. Addressing recurrent instability after a Latarjet procedure continues to be a unique surgical challenge. However, this systematic review highlights encouraging indications, with positive trends evident in patient-reported outcomes.","PeriodicalId":507613,"journal":{"name":"Shoulder & Elbow","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-01-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139534275","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}
Pub Date : 2024-01-09DOI: 10.1177/17585732231225429
Mike Thomas
{"title":"Good news for 2024!","authors":"Mike Thomas","doi":"10.1177/17585732231225429","DOIUrl":"https://doi.org/10.1177/17585732231225429","url":null,"abstract":"","PeriodicalId":507613,"journal":{"name":"Shoulder & Elbow","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-01-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139444018","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}
Pub Date : 2024-01-09DOI: 10.1177/17585732231224699
Lars Adolfsson
The gleno-humeral joint is by far the most mobile in the human body but also afflicted by dislocations, predominantly anterior. Surgical stabilisation is often successful but failures not uncommon. The following review describes potential causes of failure and highlights the need of adapting surgical methods to pathomorphology.
{"title":"What keeps a shoulder stable – Is there an ideal method for anterior stabilisation?","authors":"Lars Adolfsson","doi":"10.1177/17585732231224699","DOIUrl":"https://doi.org/10.1177/17585732231224699","url":null,"abstract":"The gleno-humeral joint is by far the most mobile in the human body but also afflicted by dislocations, predominantly anterior. Surgical stabilisation is often successful but failures not uncommon. The following review describes potential causes of failure and highlights the need of adapting surgical methods to pathomorphology.","PeriodicalId":507613,"journal":{"name":"Shoulder & Elbow","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-01-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139444606","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}
Pub Date : 2024-01-03DOI: 10.1177/17585732231224255
U. Bezirgan, Yener Yoğun, Orhun Eray Bozkurt, Ebru Dumlupınar, M. Armangil
Shoulder function is important in patients who underwent reverse shoulder prosthesis surgery for cuff tear arthropathy in the postoperative period to implement their daily routines. Therefore, we aimed to predict the repairability of the subscapularis tendon in reverse shoulder arthroplasty by looking at the radiological findings. A total of 107 shoulders of 101 patients were examined retrospectively. Preoperative and postoperative shoulder AP radiographs of the patients were evaluated according to acromiohumeral distance, lateral humeral offset, acromiohumeral distance difference, lateral humeral offset difference, Hamada classification, and rotator cuff Goutallier staging. The subscapularis tendon could not be repaired in 31 (28.97%) of 107 shoulders and could not be repaired in 13 of 17 patients who used an onlay prosthesis. There was no significant correlation between preoperative Hamada staging, preoperative lateral humeral offset and lateral humeral offset difference, and subscapularis repair ( p < 0.05). Preoperative and postoperative acromiohumeral distance cut-off values were found to be 0.59 and 3.22 cm, respectively. A statistically significant correlation was found in terms of preoperative acromiohumeral distance, postoperative acromiohumeral distance, acromiohumeral distance difference, Goutallier stage with the repair of subscapularis tendon. Fatty atrophy in rotator cuff muscles and distalization of the humerus can be considered as negative predictive values in terms of repairability of the subscapularis tendon.
{"title":"Repairability of the subscapularis tendon in reverse shoulder prosthesis according to radiological findings","authors":"U. Bezirgan, Yener Yoğun, Orhun Eray Bozkurt, Ebru Dumlupınar, M. Armangil","doi":"10.1177/17585732231224255","DOIUrl":"https://doi.org/10.1177/17585732231224255","url":null,"abstract":"Shoulder function is important in patients who underwent reverse shoulder prosthesis surgery for cuff tear arthropathy in the postoperative period to implement their daily routines. Therefore, we aimed to predict the repairability of the subscapularis tendon in reverse shoulder arthroplasty by looking at the radiological findings. A total of 107 shoulders of 101 patients were examined retrospectively. Preoperative and postoperative shoulder AP radiographs of the patients were evaluated according to acromiohumeral distance, lateral humeral offset, acromiohumeral distance difference, lateral humeral offset difference, Hamada classification, and rotator cuff Goutallier staging. The subscapularis tendon could not be repaired in 31 (28.97%) of 107 shoulders and could not be repaired in 13 of 17 patients who used an onlay prosthesis. There was no significant correlation between preoperative Hamada staging, preoperative lateral humeral offset and lateral humeral offset difference, and subscapularis repair ( p < 0.05). Preoperative and postoperative acromiohumeral distance cut-off values were found to be 0.59 and 3.22 cm, respectively. A statistically significant correlation was found in terms of preoperative acromiohumeral distance, postoperative acromiohumeral distance, acromiohumeral distance difference, Goutallier stage with the repair of subscapularis tendon. Fatty atrophy in rotator cuff muscles and distalization of the humerus can be considered as negative predictive values in terms of repairability of the subscapularis tendon.","PeriodicalId":507613,"journal":{"name":"Shoulder & Elbow","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-01-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139389647","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}
Pub Date : 2023-12-22DOI: 10.1177/17585732231221972
Isaac Lee, Mojda Sadiqqi, Jorge A Gonzalez
We describe a new technique for hydrodilatation of the frozen shoulder, which we coined ‘Sonographically-Navigated Frozen Shoulder Release (S-FSR)’ or ‘Dr Gonzalez's technique.’ Traditional treatments include a combination of conservative and surgical modalities, such as non-steroidal anti-inflammatories, physical therapy, and open capsular release. We describe a modification to hydrodilatation of the frozen shoulder. Our technique describes the gradual dilation of the glenohumeral (GH) capsule with the goal of seeing a gentle release of the frozen shoulder. Furthermore, we outline our protocol for patient preparation with preprocedural diazepam 5 mg and Hydrocodone 5 mg-Acetaminophen 325 mg, one tablet each. During the procedure, we inject a solution of 10 mL lidocaine mixed with 2 mL of 40 mg/mL triamcinolone acetonide injection (80 mg total) through an anterior approach at the level of the rotator interval for pain control. Following this injection, we proceed to fenestrate the superior glenohumeral ligament (SGHL) in the process. We conclude the procedure with hydrodilatation of the GH joint (GHJ) through the posterior approach with approximately 50 mL of 0.9% normal saline, or until an expansion and release of the GH joint is visualized under ultrasound visualization. A full instruction video can be found at: https://www.youtube.com/watch?v = ZNB0R0hkeok&ab_channel = DrJorgeA.Gonzalez
{"title":"Sonographically-navigated frozen shoulder release (S-FSR): A modified technique for sonographically-navigated, in-office hydrodilatation of adhesive capsulitis","authors":"Isaac Lee, Mojda Sadiqqi, Jorge A Gonzalez","doi":"10.1177/17585732231221972","DOIUrl":"https://doi.org/10.1177/17585732231221972","url":null,"abstract":"We describe a new technique for hydrodilatation of the frozen shoulder, which we coined ‘Sonographically-Navigated Frozen Shoulder Release (S-FSR)’ or ‘Dr Gonzalez's technique.’ Traditional treatments include a combination of conservative and surgical modalities, such as non-steroidal anti-inflammatories, physical therapy, and open capsular release. We describe a modification to hydrodilatation of the frozen shoulder. Our technique describes the gradual dilation of the glenohumeral (GH) capsule with the goal of seeing a gentle release of the frozen shoulder. Furthermore, we outline our protocol for patient preparation with preprocedural diazepam 5 mg and Hydrocodone 5 mg-Acetaminophen 325 mg, one tablet each. During the procedure, we inject a solution of 10 mL lidocaine mixed with 2 mL of 40 mg/mL triamcinolone acetonide injection (80 mg total) through an anterior approach at the level of the rotator interval for pain control. Following this injection, we proceed to fenestrate the superior glenohumeral ligament (SGHL) in the process. We conclude the procedure with hydrodilatation of the GH joint (GHJ) through the posterior approach with approximately 50 mL of 0.9% normal saline, or until an expansion and release of the GH joint is visualized under ultrasound visualization. A full instruction video can be found at: https://www.youtube.com/watch?v = ZNB0R0hkeok&ab_channel = DrJorgeA.Gonzalez","PeriodicalId":507613,"journal":{"name":"Shoulder & Elbow","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-12-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139164612","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}
Pub Date : 2023-12-19DOI: 10.1177/17585732231220342
Amir H. Karimi, Joshua Langberg, Michael Allen Stone
Poor sleep quality due to nocturnal pain is increasingly reported as a major symptom in several shoulder pathologies. Sleep disturbance has been reported in up to 89% after rotator cuff tears and is frequently reported as the primary reason for referring patients to surgery. As a result, it is important to understand the impact of shoulder surgery on a patient's sleep quality. A systematic literature review in accordance with preferred reporting items for systematic reviews and meta-analyses (PRISMA) guidelines was performed to identify primary research articles reporting the relationship between sleep and shoulder surgery. The initial query yielded 276 articles. After applying inclusion and exclusion criteria, 12 articles were included discussing the relationship between sleep and shoulder surgery. A total of 1097 patients were included in the 12 studies evaluating the impact of shoulder surgery on sleep quality, with the Pittsburgh Sleep Quality Index (PSQI) as the most used survey. Average preoperative PSQI across studies was 9.9 (poor sleep), and postoperative PSQI scores of 5.4 at 6 months (improved sleep). Patients with shoulder pathologies have a poor sleep quality that improves after shoulder surgery. However, this improvement might not return sleep quality within the normal range, suggesting other factors might impact postoperative sleep quality. III
{"title":"Sleep alterations following elective shoulder surgery: A systematic review","authors":"Amir H. Karimi, Joshua Langberg, Michael Allen Stone","doi":"10.1177/17585732231220342","DOIUrl":"https://doi.org/10.1177/17585732231220342","url":null,"abstract":"Poor sleep quality due to nocturnal pain is increasingly reported as a major symptom in several shoulder pathologies. Sleep disturbance has been reported in up to 89% after rotator cuff tears and is frequently reported as the primary reason for referring patients to surgery. As a result, it is important to understand the impact of shoulder surgery on a patient's sleep quality. A systematic literature review in accordance with preferred reporting items for systematic reviews and meta-analyses (PRISMA) guidelines was performed to identify primary research articles reporting the relationship between sleep and shoulder surgery. The initial query yielded 276 articles. After applying inclusion and exclusion criteria, 12 articles were included discussing the relationship between sleep and shoulder surgery. A total of 1097 patients were included in the 12 studies evaluating the impact of shoulder surgery on sleep quality, with the Pittsburgh Sleep Quality Index (PSQI) as the most used survey. Average preoperative PSQI across studies was 9.9 (poor sleep), and postoperative PSQI scores of 5.4 at 6 months (improved sleep). Patients with shoulder pathologies have a poor sleep quality that improves after shoulder surgery. However, this improvement might not return sleep quality within the normal range, suggesting other factors might impact postoperative sleep quality. III","PeriodicalId":507613,"journal":{"name":"Shoulder & Elbow","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-12-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139171866","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}
Pub Date : 2023-12-19DOI: 10.1177/17585732231220358
Richard C Huynh, David W. Shields, M. Rashid, Puneet Monga
The Ascend Flex short stem implant has been reported to have good early clinical outcomes and low revision rates. This retrospective study aimed to evaluate the early to mid-term radiographic and clinical outcomes of patients who underwent primary shoulder arthroplasty with this implant. All consecutive patients who underwent primary shoulder arthroplasty with short uncemented Ascend Flex stems with a minimum of 24-month follow-up were included. The primary outcomes were revision and reoperation rate. The secondary outcomes included stress shielding and Oxford Shoulder Score (OSS). Totally, 151 shoulders were eligible for inclusion. Out of which 73 were anatomic total shoulder arthroplasty, 77 were reverse geometry, and 1 was a hemiarthroplasty. Mean follow-up duration was 52 ± 17.2 months. The revision and reoperation rates were 0.6% and 2.6%, respectively. 1.3% anatomic total shoulder arthroplasty (aTSA) cases and 6.5% RSA cases demonstrated stress shielding. OSS improved from 16.1 ± 8.5 to 34.1 ± 12.3 in aTSA cases ( Z = −3.98, p < 0.001) and from 15.6 ± 8.4 to 30.0 ± 13.5 in RSA cases ( Z = −3.41, p < 0.001). These findings demonstrate reassuring outcomes for this implant at a mean of 52 months. Further reports are required to document the long-term outcomes for this component.
{"title":"Survivorship of the Stryker Ascend Flex uncemented metaphyseal bearing stem at a minimum 2- and 5-year follow-up","authors":"Richard C Huynh, David W. Shields, M. Rashid, Puneet Monga","doi":"10.1177/17585732231220358","DOIUrl":"https://doi.org/10.1177/17585732231220358","url":null,"abstract":"The Ascend Flex short stem implant has been reported to have good early clinical outcomes and low revision rates. This retrospective study aimed to evaluate the early to mid-term radiographic and clinical outcomes of patients who underwent primary shoulder arthroplasty with this implant. All consecutive patients who underwent primary shoulder arthroplasty with short uncemented Ascend Flex stems with a minimum of 24-month follow-up were included. The primary outcomes were revision and reoperation rate. The secondary outcomes included stress shielding and Oxford Shoulder Score (OSS). Totally, 151 shoulders were eligible for inclusion. Out of which 73 were anatomic total shoulder arthroplasty, 77 were reverse geometry, and 1 was a hemiarthroplasty. Mean follow-up duration was 52 ± 17.2 months. The revision and reoperation rates were 0.6% and 2.6%, respectively. 1.3% anatomic total shoulder arthroplasty (aTSA) cases and 6.5% RSA cases demonstrated stress shielding. OSS improved from 16.1 ± 8.5 to 34.1 ± 12.3 in aTSA cases ( Z = −3.98, p < 0.001) and from 15.6 ± 8.4 to 30.0 ± 13.5 in RSA cases ( Z = −3.41, p < 0.001). These findings demonstrate reassuring outcomes for this implant at a mean of 52 months. Further reports are required to document the long-term outcomes for this component.","PeriodicalId":507613,"journal":{"name":"Shoulder & Elbow","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-12-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139171442","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}
Pub Date : 2023-11-27DOI: 10.1177/17585732231217170
Alexander N. Berk, A. M. Ifarraguerri, Allison J Rao, Aseel G. Dib, Alexander A. Hysong, Joshua D. Meade, David P. Trofa, J. Fleischli, Shadley C. Schiffern, Nady Hamid, Bryan M Saltzman
The objective of this study was to retrospectively report on the outcomes of female patients undergoing the Latarjet procedure. Female patients undergoing the Latarjet procedure with minimum 1 year follow-up were identified and contacted to obtain Numeric Pain Rating Scale (NPRS), Subjective Shoulder Value (SSV), and return to sport (RTS) data. Eligible females were then matched 1:1 with a male counterpart based on laterality and age (± 3 years), and outcomes compared. A total of 20 female patients with a mean follow-up of 73.8 months reported postoperative NPRS and SSV scores of 2.2 ± 2.3 and 69.3 ± 22.0, respectively. Of the nine athletes, 3 (33%) reported a successful RTS at a mean of 9 months. Four patients (20.0%) required reoperation at a mean of 27.1 months. The matched analysis demonstrated similar NPRS scores between male and female patients and a trend towards lower SSV scores and rates of RTS. At mid-term follow-up female patients reported pain levels similar to female-specific literature reports, but overall low subjective shoulder function and RTS. Compared to propensity-matched males, females reported similar levels of pain, lower shoulder function, and lower rates of RTS, however, differences did not reach statistical significance. IV, retrospective case series.
{"title":"Outcomes of the Latarjet procedure in female patients: A case series and matched-pair analysis","authors":"Alexander N. Berk, A. M. Ifarraguerri, Allison J Rao, Aseel G. Dib, Alexander A. Hysong, Joshua D. Meade, David P. Trofa, J. Fleischli, Shadley C. Schiffern, Nady Hamid, Bryan M Saltzman","doi":"10.1177/17585732231217170","DOIUrl":"https://doi.org/10.1177/17585732231217170","url":null,"abstract":"The objective of this study was to retrospectively report on the outcomes of female patients undergoing the Latarjet procedure. Female patients undergoing the Latarjet procedure with minimum 1 year follow-up were identified and contacted to obtain Numeric Pain Rating Scale (NPRS), Subjective Shoulder Value (SSV), and return to sport (RTS) data. Eligible females were then matched 1:1 with a male counterpart based on laterality and age (± 3 years), and outcomes compared. A total of 20 female patients with a mean follow-up of 73.8 months reported postoperative NPRS and SSV scores of 2.2 ± 2.3 and 69.3 ± 22.0, respectively. Of the nine athletes, 3 (33%) reported a successful RTS at a mean of 9 months. Four patients (20.0%) required reoperation at a mean of 27.1 months. The matched analysis demonstrated similar NPRS scores between male and female patients and a trend towards lower SSV scores and rates of RTS. At mid-term follow-up female patients reported pain levels similar to female-specific literature reports, but overall low subjective shoulder function and RTS. Compared to propensity-matched males, females reported similar levels of pain, lower shoulder function, and lower rates of RTS, however, differences did not reach statistical significance. IV, retrospective case series.","PeriodicalId":507613,"journal":{"name":"Shoulder & Elbow","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-11-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139228403","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}
Pub Date : 2023-11-20DOI: 10.1177/17585732231216097
L. S. Blaas, Robert Jan Derksen
{"title":"Response to letter to the editor regarding “Does primary treatment of proximal humerus fractures show favourable functional outcomes over secondary treatment with reverse shoulder arthroplasty?”","authors":"L. S. Blaas, Robert Jan Derksen","doi":"10.1177/17585732231216097","DOIUrl":"https://doi.org/10.1177/17585732231216097","url":null,"abstract":"","PeriodicalId":507613,"journal":{"name":"Shoulder & Elbow","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-11-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139257594","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}
Pub Date : 2023-11-20DOI: 10.1177/17585732231215438
Raymond E. Chen, Alayna K Vaughan, Jaspal Singh, M. Lazarus, G. Williams, S. Namdari
The purpose of this study was to report clinical outcomes in patients who underwent revision surgery for glenoid baseplate failure after index reverse shoulder arthroplasty (RSA). A retrospective review was performed to identify patients from 2010 to 2020 at a single institution who sustained glenoid baseplate failure after RSA and underwent revision surgery. Exclusion criteria included periprosthetic joint infection or lack of minimum 1 year clinical and radiographic follow-up. Included patients were contacted for clinical outcomes (American Shoulder Elbow Surgeons (ASES), Visual Analog Scale (VAS) pain, Single Assessment Numeric Evaluation (SANE) and Patient Satisfaction scores). A total of 24 patients were identified, and 22 out of 24 (92%) patients were available for clinical follow-up at a mean period of 3.4 years after final revision surgery. The mean age was 70 years, and 15 out of 22 (68%) patients were female. A total of 17 patients were revised to RSA, and five patients were revised to hemiarthroplasty. For the 22 included patients, the mean follow-up ASES score was 64.6, VAS pain was 2.4 and SANE was 58%, which were all significantly improved versus pre-revision. In total, 64% of patients were satisfied or completely satisfied. Revision surgery after glenoid baseplate failure in RSA yields unpredictable clinical outcomes. Revision to RSA or hemiarthroplasty both resulted in modest functional results with persistent mild pain.
{"title":"Outcomes after revision surgery for glenoid baseplate failure in reverse shoulder arthroplasty","authors":"Raymond E. Chen, Alayna K Vaughan, Jaspal Singh, M. Lazarus, G. Williams, S. Namdari","doi":"10.1177/17585732231215438","DOIUrl":"https://doi.org/10.1177/17585732231215438","url":null,"abstract":"The purpose of this study was to report clinical outcomes in patients who underwent revision surgery for glenoid baseplate failure after index reverse shoulder arthroplasty (RSA). A retrospective review was performed to identify patients from 2010 to 2020 at a single institution who sustained glenoid baseplate failure after RSA and underwent revision surgery. Exclusion criteria included periprosthetic joint infection or lack of minimum 1 year clinical and radiographic follow-up. Included patients were contacted for clinical outcomes (American Shoulder Elbow Surgeons (ASES), Visual Analog Scale (VAS) pain, Single Assessment Numeric Evaluation (SANE) and Patient Satisfaction scores). A total of 24 patients were identified, and 22 out of 24 (92%) patients were available for clinical follow-up at a mean period of 3.4 years after final revision surgery. The mean age was 70 years, and 15 out of 22 (68%) patients were female. A total of 17 patients were revised to RSA, and five patients were revised to hemiarthroplasty. For the 22 included patients, the mean follow-up ASES score was 64.6, VAS pain was 2.4 and SANE was 58%, which were all significantly improved versus pre-revision. In total, 64% of patients were satisfied or completely satisfied. Revision surgery after glenoid baseplate failure in RSA yields unpredictable clinical outcomes. Revision to RSA or hemiarthroplasty both resulted in modest functional results with persistent mild pain.","PeriodicalId":507613,"journal":{"name":"Shoulder & Elbow","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-11-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139257441","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}
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