Pub Date : 2025-09-01Epub Date: 2025-09-23DOI: 10.1097/NOR.0000000000001149
Erin Sullivan, Solomon Bhandari-Young, Aimee Kamat, Thomas M Best
Adhesive capsulitis (AC), commonly known as frozen shoulder (FS) or arthrofibrosis, is a condition characterized by progressive stiffness, loss of motion, and pain in the shoulder joint. It is a relatively common diagnosis that often has a prolonged clinical course, significant patient morbidity, and high socioeconomic burden. The etiology involves a combination of intrinsic and extrinsic factors leading to inflammation, fibrosis, and subsequent joint capsule contracture. Although many studies have examined various treatments for this condition, there is currently no consensus on an optimized treatment algorithm. This paper synthesizes current knowledge and emerging research to provide insights into the effective management of adhesive capsulitis, emphasizing the importance of early diagnosis and individualized treatment plans.
{"title":"Thawing the Ice: The Clinical Diagnosis and Effective Management of Adhesive Capsulitis.","authors":"Erin Sullivan, Solomon Bhandari-Young, Aimee Kamat, Thomas M Best","doi":"10.1097/NOR.0000000000001149","DOIUrl":"10.1097/NOR.0000000000001149","url":null,"abstract":"<p><p>Adhesive capsulitis (AC), commonly known as frozen shoulder (FS) or arthrofibrosis, is a condition characterized by progressive stiffness, loss of motion, and pain in the shoulder joint. It is a relatively common diagnosis that often has a prolonged clinical course, significant patient morbidity, and high socioeconomic burden. The etiology involves a combination of intrinsic and extrinsic factors leading to inflammation, fibrosis, and subsequent joint capsule contracture. Although many studies have examined various treatments for this condition, there is currently no consensus on an optimized treatment algorithm. This paper synthesizes current knowledge and emerging research to provide insights into the effective management of adhesive capsulitis, emphasizing the importance of early diagnosis and individualized treatment plans.</p>","PeriodicalId":56102,"journal":{"name":"Orthopaedic Nursing","volume":"44 5","pages":"269-277"},"PeriodicalIF":0.8,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12517722/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145132829","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-09-01Epub Date: 2025-09-23DOI: 10.1097/NOR.0000000000001150
Denise Cody, Christine A F Bell, Sade Olatunbosun, David Mattingly
The article aims to examine the effect of a pre-operative high-carbohydrate drink (HCD) on unilateral, primary total hip arthroplasty and total knee arthroplasty patients by measuring post-operative antiemetic medication use and length of stay in the post-anesthesia care unit (PACU). The study used a quasi-experimental cohort design using a historical control group. We compared the intervention group who consumed the pre-operative HCD, to a historical control group, 1 year prior, who did not. The intervention group had more females (62%), was more likely to have spinal anesthesia, and was less likely to receive preoperative antiemetic medications (odds ratio (OR) = 0.41; confidence interval (95% CI): 0.21, 0.79) and postoperative antiemetics (OR = 0.48; 95% CI: 0.29, 0.81). The intervention group's PACU stay was 10.1 min shorter (p < .0001) than the control group. Patients who consumed HCDs exhibited decreased PACU stay and decreased antiemetic medication use. These findings were used to change institutional preoperative policies for orthopedic patients to enhance outcomes.
{"title":"Measuring the Effect of a Pre-operative High-Carbohydrate Drink on Unilateral Primary Total Hip and Knee Arthroplasty Patients.","authors":"Denise Cody, Christine A F Bell, Sade Olatunbosun, David Mattingly","doi":"10.1097/NOR.0000000000001150","DOIUrl":"10.1097/NOR.0000000000001150","url":null,"abstract":"<p><p>The article aims to examine the effect of a pre-operative high-carbohydrate drink (HCD) on unilateral, primary total hip arthroplasty and total knee arthroplasty patients by measuring post-operative antiemetic medication use and length of stay in the post-anesthesia care unit (PACU). The study used a quasi-experimental cohort design using a historical control group. We compared the intervention group who consumed the pre-operative HCD, to a historical control group, 1 year prior, who did not. The intervention group had more females (62%), was more likely to have spinal anesthesia, and was less likely to receive preoperative antiemetic medications (odds ratio (OR) = 0.41; confidence interval (95% CI): 0.21, 0.79) and postoperative antiemetics (OR = 0.48; 95% CI: 0.29, 0.81). The intervention group's PACU stay was 10.1 min shorter (p < .0001) than the control group. Patients who consumed HCDs exhibited decreased PACU stay and decreased antiemetic medication use. These findings were used to change institutional preoperative policies for orthopedic patients to enhance outcomes.</p>","PeriodicalId":56102,"journal":{"name":"Orthopaedic Nursing","volume":"44 5","pages":"278-285"},"PeriodicalIF":0.8,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145132794","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-09-01Epub Date: 2025-09-23DOI: 10.1097/NOR.0000000000001162
{"title":"Thawing the Ice: The Clinical Diagnosis and Effective Management of Adhesive Capsulitis.","authors":"","doi":"10.1097/NOR.0000000000001162","DOIUrl":"10.1097/NOR.0000000000001162","url":null,"abstract":"","PeriodicalId":56102,"journal":{"name":"Orthopaedic Nursing","volume":"44 5","pages":"E22"},"PeriodicalIF":0.8,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145132826","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-09-01Epub Date: 2025-09-23DOI: 10.1097/NOR.0000000000001151
Mehmet Dalkılıç, Ayşegül Savcı, Hale Turhan Damar
This study was conducted to determine the relationship between older patients' readiness for discharge after total arthroplasty and fear of falling, kinesiophobia, and other variables. This correlational and cross-sectional study was conducted with 250 older people who had undergone total knee and hip arthroplasty. Data were collected using a Patient Descriptive and Clinical Information Form, the Fear of Falling Scale, the Visual Analog Scale, the Tampa Kinesiophobia Scale, and the Readiness for Hospital Discharge Scale-Short Form. The mean Readiness for Hospital Discharge Scale (RHDS) score was 4.70 ± 1.23, and 84.4% of the participants were found to be not ready for discharge. This is low in comparison to the findings from other studies. The model created for readiness for discharge explained 30% of the total variance (p < .005). The independent variables included in the model, namely fear of falling, pain, age, and number of mobilizations, were determined to be statistically significant predictors of readiness for discharge. It is necessary to support mobilization and manage the fear of falling and pain to increase older patients' readiness for discharge following surgery.
{"title":"The Effect of Fear of Falling and Kinesiophobia on Older Patients' Readiness for Discharge After Total Joint Arthroplasty.","authors":"Mehmet Dalkılıç, Ayşegül Savcı, Hale Turhan Damar","doi":"10.1097/NOR.0000000000001151","DOIUrl":"10.1097/NOR.0000000000001151","url":null,"abstract":"<p><p>This study was conducted to determine the relationship between older patients' readiness for discharge after total arthroplasty and fear of falling, kinesiophobia, and other variables. This correlational and cross-sectional study was conducted with 250 older people who had undergone total knee and hip arthroplasty. Data were collected using a Patient Descriptive and Clinical Information Form, the Fear of Falling Scale, the Visual Analog Scale, the Tampa Kinesiophobia Scale, and the Readiness for Hospital Discharge Scale-Short Form. The mean Readiness for Hospital Discharge Scale (RHDS) score was 4.70 ± 1.23, and 84.4% of the participants were found to be not ready for discharge. This is low in comparison to the findings from other studies. The model created for readiness for discharge explained 30% of the total variance (p < .005). The independent variables included in the model, namely fear of falling, pain, age, and number of mobilizations, were determined to be statistically significant predictors of readiness for discharge. It is necessary to support mobilization and manage the fear of falling and pain to increase older patients' readiness for discharge following surgery.</p>","PeriodicalId":56102,"journal":{"name":"Orthopaedic Nursing","volume":"44 5","pages":"286-295"},"PeriodicalIF":0.8,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145132771","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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