JSES reviews, reports, and techniques最新文献

{"title":"Survivorship, complications, and outcomes of custom glenoid implants in reverse total shoulder arthroplasty: a systematic review","authors":"Maxwell Harrell BS,&nbsp;Dev Dayal BS,&nbsp;Clay Rahaman BA,&nbsp;Patrick Elliott MD,&nbsp;Caleb Berta BS,&nbsp;Jacques Van Zyl BA,&nbsp;Adam Skelton BS,&nbsp;Vamsisaikrishna Morla PharmD,&nbsp;Thomas Evely DO,&nbsp;Walter Smith MD,&nbsp;Aaron Casp MD,&nbsp;Amit Momaya MD,&nbsp;Eugene Brabston MD","doi":"10.1016/j.xrrt.2025.07.003","DOIUrl":"10.1016/j.xrrt.2025.07.003","url":null,"abstract":"<div><h3>Background</h3><div>Custom glenoid baseplates have emerged to manage severe glenoid bone loss in reverse total shoulder arthroplasty (rTSA). While early clinical and radiographic results are encouraging, complication and failure rates remain poorly characterized. This systematic review aimed to evaluate the survivorship, complications, and clinical outcomes of custom glenoid implants used in rTSA.</div></div><div><h3>Methods</h3><div>A comprehensive literature search of Cochrane, Embase, and MEDLINE databases was performed to identify studies using custom glenoid baseplates in rTSA. Inclusion criteria encompassed clinical studies reporting complication rates, failure etiology, and functional outcomes. Data extraction included demographics, follow-up duration, failures, complication rates, patient-reported outcome measures (PROMs), and range of motion. Weighted means and standard deviations were calculated using pooled data.</div></div><div><h3>Results</h3><div>Nine studies encompassing 168 shoulders (63 primary and 105 revision rTSAs) met inclusion criteria. The weighted mean age was 69.7 years with an average follow-up of 31.6 months. The overall failure rate was 3.3%, with glenoid loosening accounting for only 0.6% of cases. The most common failure mechanism was humeral component loosening. The overall complication rate was 30.9%, higher in revision cases (27.8%) than primary (12.9%). There were improvements in PROMs such as the Constant–Murley Score, American Shoulder and Elbow Surgeons score, Disability of the Arm, Shoulder, and Hand score, Simple Shoulder Test, Single Assessment Numeric Evaluatio, and Visual Analog Score scores. Similarly, patients experienced meaningful gains in active forward flexion (+48.3°-+61.4°), abduction (+33.6°-+34.5°), and external rotation (+11.0°-+24.1°), with superior improvements in primary compared to revision procedures.</div></div><div><h3>Discussion and Conclusion</h3><div>At short term follow-up, custom glenoid components failure rate remained low, with improvements exceeding minimal clinical important differences in PROMs and marked improvement in range of motion. The glenoid loosening rate was 0.6% in patients undergoing rTSA with a custom glenoid component at a weighted average follow-up of 31.6 ± 6.7 months.</div></div>","PeriodicalId":74030,"journal":{"name":"JSES reviews, reports, and techniques","volume":"5 4","pages":"Pages 891-898"},"PeriodicalIF":0.0,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145340753","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":"Socioeconomic disadvantages and minority race correlate with worse outcomes following shoulder arthroplasty: a systematic review","authors":"Cailan L. Feingold BS,&nbsp;Eric H. Lin BA,&nbsp;Justin W. Zheng BA,&nbsp;Ashley Mulakaluri BA,&nbsp;Joseph N. Liu MD","doi":"10.1016/j.xrrt.2025.04.011","DOIUrl":"10.1016/j.xrrt.2025.04.011","url":null,"abstract":"<div><h3>Background</h3><div>It has been established that patient sociodemographics including race, socioeconomic status, insurance status, and education can impact outcomes following orthopedic procedures. This study aims to investigate how these patient sociodemographics impact outcomes following shoulder arthroplasty.</div></div><div><h3>Methods</h3><div>Pubmed, Scopus, and Embase were queried for terms related to shoulder arthroplasty and patient demographics for studies published between 2000 and Jan 30, 2025. Studies were included if they were clinical studies of total shoulder arthroplasty (including reverse, anatomic, and hemiarthroplasties) investigating how 1 of four patient sociodemographics (insurance status, race, socioeconomic status, and education) influence either clinical or patient-reported outcomes. Study quality was evaluated using the Methodological Index for Non-Randomized Studies (MINORS) criteria. Study results were recorded descriptively.</div></div><div><h3>Results</h3><div>Twenty-two studies met the inclusion criteria. Twelve (54.5%) studies investigated clinical outcomes alone, 6 (27.3%) studies investigated PROMs alone, and 4 (22.2%) studies investigated both. The sociodemographics studied were insurance status in 9 (40.9%) studies, race in 7 (31.8%) studies, socioeconomic status in 14 (63.6%) studies, education in 2 (9.1%) studies, and employment and marital status both in 1 (4.5%) study. Eight (88.9%) studies found public insurance to negatively affect at least 1 outcome, 5 (71.4%) found minority races to be associated with worse outcomes, 9 (64.2%) found socioeconomically disadvantaged patients to be associated with poor outcomes, 2 (100%) studies found educational disparity to influence outcomes negatively, and 1 (100%) study found an association with employment. Overall, 17 (77.3%) studies found a significant association between at least 1 of the five sociodemographics of focus and outcomes following shoulder arthroplasty.</div></div><div><h3>Conclusion</h3><div>The majority of studies investigating the influence of insurance status, race, socioeconomic status, education, and employment on shoulder arthroplasty outcomes found significant associations. Patients using public insurance, who are minorities and who are socioeconomically or educationally disadvantaged, should all be identified by physicians as being at higher risk of poor outcomes. Physicians should partner with these patients to counsel them accordingly and to identify opportunities to improve their chances of success.</div></div>","PeriodicalId":74030,"journal":{"name":"JSES reviews, reports, and techniques","volume":"5 4","pages":"Pages 812-819"},"PeriodicalIF":0.0,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145340849","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":"Approach to diagnosing and treating tears of the latissimus dorsi and teres major","authors":"Kevin M. Lehane Jr DO ,&nbsp;Taylor Faust MS, BS ,&nbsp;Anthony A. Romeo MD ,&nbsp;Brandon J. Erickson MD","doi":"10.1016/j.xrrt.2025.05.015","DOIUrl":"10.1016/j.xrrt.2025.05.015","url":null,"abstract":"<div><div>Latissimus dorsi and teres major tears are rare injuries encountered by orthopedic surgeons, most commonly seen in overhead throwing athletes. Due to their rarity and variable clinical presentations, these injuries can be challenging to diagnose and are often missed during initial evaluation. Enhancing the understanding of latissimus dorsi and teres major injuries is essential for developing optimal diagnostic and treatment strategies. This review offers a comprehensive overview of these uncommon injuries, including their indications, surgical and nonoperative approaches, and associated outcomes.</div></div>","PeriodicalId":74030,"journal":{"name":"JSES reviews, reports, and techniques","volume":"5 4","pages":"Pages 849-856"},"PeriodicalIF":0.0,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145340854","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":"Similar outcomes, but significantly lower complication rate with arthroscopic Bankart repair with remplissage versus open or arthroscopic Latarjet for shoulder instability across a wide range of glenoid bone loss: a systematic review and meta-analysis","authors":"Viraj Deshpande BS ,&nbsp;Isabel Barnett BS ,&nbsp;Josiah Valk DO ,&nbsp;Abhay Mathur MD ,&nbsp;Evan Simpson BS ,&nbsp;Patrick Saunders MD ,&nbsp;Kevin Parvaresh MD ,&nbsp;Hafiz Kassam MD","doi":"10.1016/j.xrrt.2025.07.007","DOIUrl":"10.1016/j.xrrt.2025.07.007","url":null,"abstract":"<div><h3>Background</h3><div>Synthesizing comparisons between the Latarjet procedure and arthroscopic Bankart repair with remplissage (ABRR) is clinically relevant given their overlapping indications and potential as viable surgical options for recurrent anterior shoulder instability. However, previous systematic reviews have exclusively focused on the open Latarjet (OL) approach and included follow-up durations of less than 2 years. Therefore, purpose of this systematic review is to compare mid- to long-term clinical outcomes of ABRR versus both the OL and the arthroscopic Latarjet (AL) procedures across a wide range of glenoid bone loss to further enhance surgical decision-making.</div></div><div><h3>Methods</h3><div>A comprehensive search of the PubMed, Embase, and Web of Science databases was performed in accordance with the Preferred Reported Items for Systematic Reviews and Meta-Analysis guidelines, for studies published between 2014 and 2024. Studies that compared outcomes between ABRR and either OL or AL and had a minimum clinical follow-up of 2 years were included. Patient-reported outcome measures (PROMs), range of motion (ROM), and recurrent instability, revision, and complication rates were collected. Qualitative and quantitative analyses were performed. Meta-analyses were conducted using R with the \"Metafor\" package.</div></div><div><h3>Results</h3><div>Of the 5,005 abstracts screened, 6 studies were included. Three hundred thirty-three patients underwent ABRR (mean age 27.3 ± 8.3 years, 22.4% female) and 468 underwent OL or AL (mean age 28.4 ± 9.2 years, 20.1% female). PROMs and ROM improved postoperatively across both groups but demonstrated high heterogeneity. The ABRR group had significantly higher single assessment numeric evaluation scores (92.5 ± 12 vs. 89.1 ± 12.2, <em>P</em> = .025; 95% confidence interval 0.7-10.2; Iˆ2 83%). There was no statistical difference in external rotation at 90° abduction (ABRR 67.6 ± 17.2° vs. 75.6 ± 18.4°, <em>P</em> = .968). The Latarjet procedure reported significantly higher complication rates (7.7% vs. 1.6%, <em>P</em> = .002; 95% confidence interval 0.08-0.57; Iˆ2 0%), while there were no significant differences in recurrent instability (<em>P</em> = .273, Iˆ2 14%) and revision rates (<em>P</em> = .067, Iˆ2 0%).</div></div><div><h3>Conclusion</h3><div>When compared across a wide range of glenoid bone loss levels, both ABRR and Latarjet procedures are effective for managing anterior shoulder instability, with comparably high PROMs and no significant differences in ROM. ABRR offers a safer surgical risk profile with significantly fewer complications and is a viable option in the appropriate patient population. However, there is likely a limit of glenoid bone loss at which ABRR may not be safely performed due to the elevated risk of recurrent instability.</div></div>","PeriodicalId":74030,"journal":{"name":"JSES reviews, reports, and techniques","volume":"5 4","pages":"Pages 778-789"},"PeriodicalIF":0.0,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145340905","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":"Management of shoulder prosthetic joint infections with humeral bone loss using a customizable articulating long stem spacer (The Frankenspacer)","authors":"Nikko D. Beady BS,&nbsp;Cameron Guy MD,&nbsp;Peter N. Chalmers MD,&nbsp;Christopher D. Joyce MD,&nbsp;Robert Z. Tashjian MD","doi":"10.1016/j.xrrt.2025.06.002","DOIUrl":"10.1016/j.xrrt.2025.06.002","url":null,"abstract":"<div><h3>Background</h3><div>With an increasing number of shoulder arthroplasties being performed, prosthetic joint infection (PJI) of the shoulder and proximal humeral bone loss (PHBL) remain challenging complications for surgeons to manage. While various strategies exist for managing patients with shoulder PJI or PHBL, there is limited information regarding treatment options and outcomes in patients with combined PJI and PHBL. The purpose of this study is to describe a novel technique for treatment of this unique patient population along with its risk of complications and reinfection in patients undergoing staged revision shoulder arthroplasty.</div></div><div><h3>Methods</h3><div>This retrospective case series included 18 shoulders treated by three surgeons at a single institution between 2019 and 2023 who underwent revision for suspected PJI with PHBL noted preoperatively or at the time of surgery. Patients underwent placement of a custom, long stem antibiotic cement spacer using a prefabricated humeral head mated to a cannulated humeral nail using a large threaded pin. Patient demographics, reinfection rates, and radiographic complications were collected.</div></div><div><h3>Results</h3><div>The mean age at the time of spacer placement was 63.6 ± 7.4 years, with an average follow-up of 22.8 ± 16.0 months. PHBL was identified in all patients with an average of 54.6 ± 30.9 mm on postoperative full length arm radiographs compared to contralateral humerus. Proximal Humeral Arthroplasty Revision Osseous inSufficiency (PHAROS) classification of PHBL revealed 5 (27.8%) type 1, 8 (44.4%) type 2, and 5 (27.8%) type 3 bone loss. Fourteen (78%) shoulders underwent a second stage revision to a reverse shoulder arthroplasty and an allograft-prosthetic construct was used in 11 of the patients in this group. Reinfection occurred in 3 (21.4%) shoulders that underwent 2-stage revision and a 16.7% recurrence rate overall. Other complications included spacer glenohumeral dislocation (56%), glenoid erosion (83%), and spacer loosening (11%). There were no fractures of the long stem spacer. Rate of dislocation was noted in 20% of shoulders with PHAROS 1 grade and in 69% of those with PHAROS 2 or 3 grades (<em>P</em> = .057).</div></div><div><h3>Conclusion</h3><div>Long-stem custom spacer placement using a prefabricated humeral head combined with a humeral nail (The Frankenspacer) for shoulder PJI and PHBL results in acceptable reinfection rates for patients undergoing a 2-stage revision. Glenohumeral dislocation and glenoid erosion are common. Dislocation increases with severity of PHBL. This technique is a reasonable treatment option for managing this complex patient population.</div></div>","PeriodicalId":74030,"journal":{"name":"JSES reviews, reports, and techniques","volume":"5 4","pages":"Pages 685-692"},"PeriodicalIF":0.0,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145340984","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":"Transosseous suture-cable compression for lesser tuberosity osteotomy repair in stemless total shoulder arthroplasty: an inexpensive and reliable technique anchoring to the bicipital column","authors":"Teja Yeramosu MD,&nbsp;Kassem Ghayyad MD,&nbsp;Jonathan Xavier MS,&nbsp;G. Russell Huffman MD, MPH","doi":"10.1016/j.xrrt.2025.04.009","DOIUrl":"10.1016/j.xrrt.2025.04.009","url":null,"abstract":"","PeriodicalId":74030,"journal":{"name":"JSES reviews, reports, and techniques","volume":"5 4","pages":"Pages 1123-1128"},"PeriodicalIF":0.0,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145339761","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":"Greater tuberosity osteotomy approach in neglected locked anterior shoulder dislocation: a technical note","authors":"Renaldi Prasetia MD, PhD ,&nbsp;Rio Aditya MD ,&nbsp;Greesea Dinamaria Whitiana MD ,&nbsp;Joshua Edward Hananto MD ,&nbsp;Siti Zainab Bani Purwana MD","doi":"10.1016/j.xrrt.2025.06.016","DOIUrl":"10.1016/j.xrrt.2025.06.016","url":null,"abstract":"","PeriodicalId":74030,"journal":{"name":"JSES reviews, reports, and techniques","volume":"5 4","pages":"Pages 1159-1166"},"PeriodicalIF":0.0,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145340361","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":"Compression of the lateral cutaneous nerve of the forearm: assessment and treatment strategies","authors":"Giuseppe Bardellini MD ,&nbsp;Federico Martinelli MD ,&nbsp;Angelo De Crescenzo MD ,&nbsp;Andrea Celli MD ,&nbsp;Luigi Celli MD","doi":"10.1016/j.xrrt.2025.06.012","DOIUrl":"10.1016/j.xrrt.2025.06.012","url":null,"abstract":"<div><div>The lateral cutaneous nerve of the forearm (LCNF) is the terminal branch of the musculocutaneous nerve. This purely sensory nerve lies subcutaneously at the level of the antecubital fossa. When the biceps muscle contracts with the elbow in extension, the lateral free edge of the bicipital aponeurosis, which is tensed by forearm pronation, compresses the LCNF. The flat, sharp border of the biceps tendon tightens when the elbow is extended and becomes even tauter when muscle contracts against resisted flexion and pronation. If the forearm is passively pronated with the elbow extended, the nerve is stretched and may be compressed against the biceps tendon. LCNF compression may also be due to trauma, repetitive forearm motion, fascial entrapment, or iatrogenic causes, such as surgical procedures near the elbow. We review the clinical presentation, diagnostic tests and imaging, and treatment options for LCNF compression.</div></div>","PeriodicalId":74030,"journal":{"name":"JSES reviews, reports, and techniques","volume":"5 4","pages":"Pages 968-975"},"PeriodicalIF":0.0,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145340686","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":"Latissimus dorsi tendon transfers for irreparable rotator cuff tears after inferior glenohumeral dislocation: a rare case report","authors":"Necip Guven MD ,&nbsp;Can Ozcan MD ,&nbsp;İdris Moran MD ,&nbsp;Kerem Bilsel MD","doi":"10.1016/j.xrrt.2025.05.012","DOIUrl":"10.1016/j.xrrt.2025.05.012","url":null,"abstract":"","PeriodicalId":74030,"journal":{"name":"JSES reviews, reports, and techniques","volume":"5 4","pages":"Pages 1082-1087"},"PeriodicalIF":0.0,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145340671","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":"Glenoid baseplate position in reverse shoulder arthroplasty","authors":"Bhargavi Maheshwer MD,&nbsp;Lucas R. Haase MD,&nbsp;Raymond E. Chen MD","doi":"10.1016/j.xrrt.2025.06.019","DOIUrl":"10.1016/j.xrrt.2025.06.019","url":null,"abstract":"<div><h3>Background</h3><div>With the growing popularity of reverse shoulder arthroplasty and rapid advancements, attention has returned to the role of baseplate positioning on outcomes and complications. The purpose of this review is thus to revisit the current state of literature as it relates to glenoid baseplate positioning from both the clinical and biomechanical perspective.</div></div><div><h3>Methods</h3><div>An extensive literature search was conducted to review relevant biomechanical and clinical studies investigating outcomes of variations in baseplate positioning and inclination and discuss how these parameters may be changing with modern implant designs.</div></div><div><h3>Results</h3><div>Glenoid baseplate positioning continues to evolve as we have yet to establish a clear consensus on the gold standard of placement. Inferior placement of the glenoid may not be necessary based on the growing popularity of lateralized glenoid design. Inferior glenoid tilt is biomechanically stronger; however, the use of a lateralized glenoid may negate the negative effects previously seen with superior glenoid tilt.</div></div><div><h3>Conclusion</h3><div>There remains little knowledge regarding the optimal glenoid version. Given the rapid design developments of the reverse shoulder arthroplasty, the importance of glenoid baseplate positioning on functional outcomes may need to be revisited.</div></div>","PeriodicalId":74030,"journal":{"name":"JSES reviews, reports, and techniques","volume":"5 4","pages":"Pages 886-890"},"PeriodicalIF":0.0,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145340747","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}