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Incidence of arthroscopic and open pediatric shoulder stabilization procedures across the United States: a Pediatric Health Information System database study 全美关节镜和开放式小儿肩关节稳定手术的发生率:儿科健康信息系统数据库研究
Q4 Medicine Pub Date : 2024-08-01 DOI: 10.1016/j.xrrt.2024.03.011

Background

Shoulder instability in pediatric and adolescent patients can be treated operatively via arthroscopic or open procedures, but there a paucity of evidence to support the incidence of these treatment modalities over time. It is hypothesized that the overall rate of arthroscopic shoulder stabilization procedures will increase over time. Given advances in open stabilization techniques, we also hypothesized that the rate of open procedures may be increasing.

Methods

The Pediatric Health Information System database was queried for patients 19 years or younger who underwent arthroscopic or open surgery for shoulder instability and pediatric orthopedic surgeries between 2009 and 2019. Data from 37 of the 52 pediatric hospitals with Pediatric Health Information System data was included in the analysis. Annual and overall incidence rates were estimated for arthroscopic and open procedures, along with 95% confidence intervals. The yearly incidence for secondary (homolateral revisions) or primary contralateral arthroscopic and open procedures was also examined.

Results

4747 patients underwent primary arthroscopic procedures and 384 patients had primary open procedures. There were 8.2 primary open shoulder stabilization procedures per 10,000 orthopedic surgical patients in 2009, which decreased by 19% to 6.7 per 10,000 orthopedic surgical patients in 2019. There was an increase seen in both arthroscopic and open secondary stabilization procedures. In 2009, there were 0.97 secondary arthroscopic procedures per 10,000 orthopedic surgical patients. This increased by 672% to 7.5 per 10,000 orthopedic surgical patients in 2019. No secondary open procedures were recorded in 2009; however, an increase to 2.6 secondary open procedures per 10,000 orthopedic surgical patients was seen by 2019.

Conclusion

This study shows a rise in primary arthroscopic pediatric shoulder stabilization surgeries across the U.S. over the last decade. There was a slight decrease in the rate of primary open shoulder stabilization surgeries and an increase in both arthroscopic and open secondary (homolateral revisions or primary contralateral) shoulder stabilization surgeries, implying an increasing revision burden in this population.

背景儿童和青少年患者的肩关节不稳定可通过关节镜或开放手术进行治疗,但随着时间的推移,支持这些治疗方式的发生率的证据却很少。据推测,随着时间的推移,关节镜下肩关节稳定手术的总体比例将会增加。鉴于开放式稳定技术的进步,我们还假设开放式手术的比例可能会增加。方法查询儿科健康信息系统数据库,以了解 2009 年至 2019 年期间因肩关节不稳定和儿科骨科手术而接受关节镜或开放式手术的 19 岁或以下患者的情况。在52家拥有儿科健康信息系统数据的儿科医院中,有37家医院的数据被纳入分析。估算了关节镜手术和开放手术的年发病率和总发病率,以及 95% 的置信区间。此外,还对二次(同侧翻修)或初次对侧关节镜手术和开放手术的年发病率进行了研究。结果4747名患者接受了初次关节镜手术,384名患者接受了初次开放手术。2009年,每10,000名骨科手术患者中有8.2名患者接受了初级开放式肩关节稳定手术,到2019年,每10,000名骨科手术患者中有6.7名患者接受了初级开放式肩关节稳定手术,下降了19%。关节镜和开放式二次稳定手术均有所增加。2009 年,每 10,000 名骨科手术患者中有 0.97 例二次关节镜手术。到 2019 年,这一比例增加了 672%,达到每万名骨科手术患者 7.5 例。2009年没有二次开放手术记录;但到2019年,每万名骨科手术患者中的二次开放手术增加到2.6例。初次开放式肩关节稳定手术的比例略有下降,而关节镜和开放式二次(同侧翻修或初次对侧)肩关节稳定手术的比例均有所上升,这意味着该人群的翻修负担日益加重。
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引用次数: 0
Erratum to “Forearm and Elbow Secondary Surgical Procedures in Neonatal Brachial Plexus Palsy: A Systematic Scoping Review” 新生儿臂丛神经麻痹的前臂和肘部二次手术:系统性范围界定综述"
Q4 Medicine Pub Date : 2024-08-01 DOI: 10.1016/j.xrrt.2024.04.002
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引用次数: 0
Immediate improvement of pain and mobility in the postoperative stiff shoulder following release of the median nerve at Lacertus: a report of 2 cases Lacertus 正中神经松解术后僵硬肩部的疼痛和活动度立即得到改善:2 例病例报告
Q4 Medicine Pub Date : 2024-08-01 DOI: 10.1016/j.xrrt.2024.04.011
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引用次数: 0
Erratum to: “Most high school baseball pitchers are using weighted ball throwing programs to increase ball velocity: crosssectional analysis of US high school pitchers” [JSES Rev Rep Tech. 2023;3:137-141.] 对 "大多数高中棒球投手都在使用负重投球计划来提高球速:对美国高中投球手的横断面分析"
Q4 Medicine Pub Date : 2024-08-01 DOI: 10.1016/j.xrrt.2024.04.001
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引用次数: 0
Osteoid osteoma presentation at the center of the scapula neck in an overhead athlete: a case report 一名高空运动员肩胛骨颈中心的骨样骨瘤:病例报告
Q4 Medicine Pub Date : 2024-08-01 DOI: 10.1016/j.xrrt.2024.04.004
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引用次数: 0
Can magnetic resonance imaging distinguish clinical stages of frozen shoulder? A state-of-the-art review 磁共振成像能否区分肩周炎的临床分期?最新综述
Q4 Medicine Pub Date : 2024-08-01 DOI: 10.1016/j.xrrt.2024.05.002

Background

Frozen shoulder (FS) is a common disorder causing shoulder pain and limited motion. Magnetic resonance imaging (MRI) is expected to help diagnose FS and realize the disease stage if stage-specific features are present. We aimed to survey stage-related MRI findings of FS in the literature.

Methods

MEDLINE, SCOPUS, and Google Scholar databases were searched with search terms "frozen shoulder" or "adhesive capsulitis" combined with "magnetic resonance imaging." Studies that discussed MRI findings in relation to FS stages were retrieved. The course of FS was divided into stages 1 to 4 according to Hannafin and Chiaia.

Results

Two of the noncontrast-enhanced MRI findings were stage-related. T2 signal hyperintensity of the joint capsule was more frequent in stages 1 and 2. The axillary capsule thickness was greater in stages 1 and 2. However, these findings were also seen in the later stages to a lesser degree. Effusion around the long head of biceps, subcoracoid fat obliteration, and coracohumeral ligament thickening were common in FS but their relation to the stages was not evident. Signal enhancement on contrast-enhanced MRI was not consistently linked to stages.

Conclusion

T2 signal hyperintensity and axillary capsule thickening are characteristic of the early stages of FS, although MRI alone cannot completely define the disease stage.

背景肩周炎(FS)是一种导致肩部疼痛和活动受限的常见疾病。磁共振成像(MRI)有望帮助诊断肩周炎并在出现分期特异性特征时确定疾病的分期。我们的目的是调查文献中与 FS 分期相关的 MRI 结果。方法:以 "肩周炎 "或 "粘连性囊炎 "为检索词,结合 "磁共振成像",在 MedLINE、SCOPUS 和 Google Scholar 数据库中进行检索。检索到的研究讨论了与肩周炎分期相关的磁共振成像结果。根据 Hannafin 和 Chiaia 将 FS 的病程分为 1 至 4 期。关节囊的T2信号高密度在1期和2期更为常见。腋窝囊厚度在第1期和第2期中更大。不过,这些结果在晚期也有出现,但程度较轻。肱二头肌长头周围渗出、冠状沟下脂肪闭塞和冠状肱韧带增厚在FS中很常见,但它们与分期的关系并不明显。结论T2信号高密度和腋窝囊增厚是FS早期的特征,但仅靠MRI并不能完全确定疾病的分期。
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引用次数: 0
Interposition arthroplasty and bidirectional stabilization of the elbow: a novel surgical technique 肘关节置换术和双向稳定:一种新颖的手术技术
Q4 Medicine Pub Date : 2024-08-01 DOI: 10.1016/j.xrrt.2024.02.008
Jeffrey S. Chen MD, Emerald D. Robertson MS, Alexandria A. Bosetti BS, Colin H. Beckwitt MD, PhD, Mark E. Baratz MD, Robert A. Kaufmann MD
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引用次数: 0
Humeral rotational osteotomy for malunion after intramedullary nailing in humeral shaft fracture: a case report 肱骨旋转截骨术治疗肱骨轴骨折髓内钉愈合不良:病例报告
Q4 Medicine Pub Date : 2024-08-01 DOI: 10.1016/j.xrrt.2024.04.003
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引用次数: 0
Surgical approaches of shoulder calcific tendonitis: a systematic review and meta-analysis 肩关节钙化性腱鞘炎的手术治疗方法:系统回顾与荟萃分析
Q4 Medicine Pub Date : 2024-08-01 DOI: 10.1016/j.xrrt.2024.03.013

Background

Calcific tendonitis is a painful shoulder disorder characterized by calcium deposits (CDs) in the rotator cuff tendon. This systematic review and meta-analysis examined the most efficient surgical procedure for calcific tendonitis. This includes the comparison between the three main surgical techniques: CD removal, CD removal with subacromial decompression (SAD) and CD removal with tendon repair with respect to functional outcomes and pain control scores.

Methods

Four electronic databases (MEDLINE, EMBASE, CINAHL, and Cochrane Central Register of Controlled Trials) were searched in February 2023. Studies were eligible for inclusion if they were peer-reviewed, and participants were patients diagnosed with calcific tendonitis of one or more rotator cuff tendon based on diagnostic imaging who underwent shoulder calcific tendonitis surgery. Other shoulder pathology diagnoses were excluded. Meta-analyses were conducted for results that were sufficiently homogeneous in terms of statistical, clinical, and methodological characteristics. Subgroup analyses were performed to determine if effect sizes differed based on the patient’s position during the surgery, physiotherapy, and follow-up time.

Results

All surgical interventions resulted in significant improvements in shoulder function and pain control. There were no significant differences between CD removal vs. CD removal with SAD or CD removal vs. CD removal with tendon repair. However, there was a trend in favor of CD removal alone or CD removal with SAD approaches, as they provided better outcome scores than CD removal with tendon repair in terms of shoulder function and pain control.

Conclusions

All surgical interventions provide substantial improvement in shoulder functions and pain control scores with no significant difference between these surgical techniques.

背景钙化性肌腱炎是一种肩部疼痛性疾病,其特征是肩袖肌腱中的钙沉积(CD)。本系统综述和荟萃分析研究了治疗钙化性肌腱炎最有效的手术方法。其中包括三种主要手术技术之间的比较:方法于 2023 年 2 月检索了四个电子数据库(MEDLINE、EMBASE、CINAHL 和 Cochrane Central Register of Controlled Trials)。经同行评审的研究符合纳入条件,参与者为根据影像学诊断确诊为肩袖肌腱钙化性炎症并接受肩部钙化性肌腱炎手术的患者。其他肩部病理诊断除外。对于在统计、临床和方法学特征方面具有充分同质性的结果进行了 Meta 分析。进行了分组分析,以确定效果大小是否因患者在手术中的体位、物理治疗和随访时间而有所不同。结果所有手术干预都显著改善了肩关节功能和疼痛控制。CD移除术与CD移除加SAD术、CD移除术与CD移除加肌腱修复术之间没有明显差异。结论所有手术干预都能显著改善肩关节功能和疼痛控制评分,且这些手术技术之间无明显差异。
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引用次数: 0
Acute compartment syndrome following allograft-prosthetic composite reverse shoulder arthroplasty for osteosarcoma of the proximal humerus: a case report 肱骨近端骨肉瘤异体假体复合反向肩关节置换术后的急性室间隔综合征:病例报告
Q4 Medicine Pub Date : 2024-08-01 DOI: 10.1016/j.xrrt.2024.03.009
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引用次数: 0
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JSES reviews, reports, and techniques
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