JSES reviews, reports, and techniques最新文献

{"title":"Distal humerus allograft and double internal joint stabilizer reconstruction for chronic lateral humerus condyle nonunion with posterolateral instability: a case report","authors":"Diego Gonzalez-Morgado MD, PhD , Kevin A. Hao MD , Barret Halgas MD , Farbod Malek MD , Spencer Falcon MD , Jordan Carter MD , Jorge L. Orbay MD , Ramesh C. Srinivasan MD","doi":"10.1016/j.xrrt.2025.100636","DOIUrl":"10.1016/j.xrrt.2025.100636","url":null,"abstract":"","PeriodicalId":74030,"journal":{"name":"JSES reviews, reports, and techniques","volume":"6 2","pages":"Article 100636"},"PeriodicalIF":0.0,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146079011","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":"Low short-term complication rates following acromioclavicular joint surgery: a large database study","authors":"Shahabeddin Yazdanpanah MS ,&nbsp;Grayson M. Talaski BSE ,&nbsp;Matthew S. Smith MD ,&nbsp;Braeden R. Gooch BS ,&nbsp;Benjamin P. Cassidy MD ,&nbsp;Andrew S. Cuthbert MD ,&nbsp;Jennifer L. Vanderbeck MD","doi":"10.1016/j.xrrt.2025.100660","DOIUrl":"10.1016/j.xrrt.2025.100660","url":null,"abstract":"<div><h3>Background</h3><div>Acromioclavicular (AC) joint injuries represent approximately 11% of all shoulder injuries and are managed surgically in severe cases via techniques such as hook-plating, button fixation, and graft-based reconstruction. While much of the existing literature on AC joint surgery points to relatively high rates of long-term complications and reoperations, short-term outcomes are not fully understood. Therefore, this study investigates short-term outcomes following AC joint surgery using a large database to provide comprehensive complication data and elucidate risk factors.</div></div><div><h3>Methods</h3><div>The American College of Surgeons National Surgical Quality Improvement Program database was queried from 2010 to 2023. Patients undergoing surgical intervention for AC joint injuries were identified using Current Procedural Terminology 23550, 23552, and 21320, and their 30-day postoperative outcomes were retrieved. Patients with unknown or null values for demographic or complication metrics were excluded. Statistical analyses included multivariate odds-ratio (OR) logistic regression. Operative time threshold analysis was performed to identify the optimal time cut-point associated with increased complication risk.</div></div><div><h3>Results</h3><div>A total of 13,117 patients underwent AC joint surgery (average age 49.6 ± 15.2 years; average body mass index 30.1 ± 6.44 kg/m²; 70.5% male). The overall adverse event rate was 2.7%: surgical site infection (1.2%) and return to operating room (1%) were among the most common. An average operating time of 85 ± 56 minutes was determined, and threshold analysis revealed a significant increase (<em>P</em> &lt; .001) in complications for operations lasting longer than 148 minutes. Operative time (OR = 1.01), history of chronic obstructive pulmonary disease (OR = 2.47), steroids (OR = 3.16), dialysis (OR = 5.57), bleeding disorders (OR = 2.67), and type 1 diabetes (OR = 1.61) were all significant risk factors for complications.</div></div><div><h3>Conclusion</h3><div>AC joint surgery demonstrated relatively low short-term complication rates; however, comorbidities such as type 1 diabetes and chronic obstructive pulmonary disease are linked to a higher risk of experiencing adverse events. Preoperative counseling is recommended for at-risk patients, and future studies should explore surgery-specific operative time and patient management to provide further insights and enhance surgical decision-making.</div></div>","PeriodicalId":74030,"journal":{"name":"JSES reviews, reports, and techniques","volume":"6 2","pages":"Article 100660"},"PeriodicalIF":0.0,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146079010","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":"Postoperative nonsteroidal anti-inflammatory drug prophylaxis for elbow heterotopic ossification: a systematic review and meta-analysis comparing COX-2 selective and nonselective inhibitors","authors":"Areeb Ahmad BS ,&nbsp;Roya Khorram MD ,&nbsp;Kassem Ghayyad MD ,&nbsp;Vraj Amin BS ,&nbsp;Amir R. Kachooei MD, PhD ,&nbsp;G. Russell Huffman MD, MPH ,&nbsp;Daryl C. Osbahr MD ,&nbsp;Luke S. Oh MD, MS","doi":"10.1016/j.xrrt.2025.100628","DOIUrl":"10.1016/j.xrrt.2025.100628","url":null,"abstract":"<div><h3>Background</h3><div>Heterotopic ossification (HO) is a significant complication following elbow trauma and surgery, leading to pain, stiffness, and functional impairment. While nonsteroidal anti-inflammatory drugs (NSAIDs) have been extensively investigated for HO prophylaxis, their effectiveness in preventing postoperative HO in the elbow remains unclear. This study aims to compare the efficacy of selective vs. nonselective NSAIDs in reducing postoperative HO rates after traumatic elbow surgeries.</div></div><div><h3>Methods</h3><div>This systematic review and meta-analysis were conducted following Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. A comprehensive search was performed in PubMed, Embase, Cochrane Library, and Web of Science from January 2004 to January 10, 2025. Level I-III studies were included if they examined patients who underwent elbow surgery following trauma and compared selective COX-2 inhibitors or nonselective NSAIDs to no prophylaxis, with reported postoperative HO formation rates.</div></div><div><h3>Results</h3><div>A total of 2,429 articles were identified across the four databases. Following full-text review, 1 randomized control trial and 5 retrospective studies were included in the quantitative synthesis, comprising patients who underwent either acute post-traumatic surgery or postexcision/open arthrolysis for established HO. Both selective (celecoxib) and nonselective (indomethacin) NSAIDs demonstrated no statistically significant difference in reducing postoperative HO compared with controls (celecoxib: risk ratio = 0.64, 95% confidence interval 0.32-1.31, <em>P</em> = .22; indomethacin: risk ratio = 0.87, 95% confidence interval 0.65-1.18, <em>P</em> = .38). Nonselective (indomethacin and ibuprofen) and selective (celecoxib) NSAID prophylaxis significantly reduced HO incidence compared to controls (<em>P</em> = .007), demonstrating a 27% relative risk reduction.</div></div><div><h3>Conclusion</h3><div>This study demonstrates that both selective (celecoxib) and nonselective (indomethacin and ibuprofen) NSAIDs effectively reduce the risk of HO following elbow trauma surgery. When analyzed individually, neither the selective COX-2 inhibitor (celecoxib) nor the nonselective NSAIDs (indomethacin, ibuprofen) showed a statistically significant difference compared with controls, indicating no clear difference in efficacy between NSAID classes. However, given the limited number of studies and interstudy heterogeneity, the overall power of the current evidence is low, and further prospective research is needed to validate these findings.</div></div>","PeriodicalId":74030,"journal":{"name":"JSES reviews, reports, and techniques","volume":"6 2","pages":"Article 100628"},"PeriodicalIF":0.0,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145929076","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":"Predictors of outcomes following double-row rotator cuff repair: an assessment of all-suture or solid medial row anchor utilization at a single high-volume institution","authors":"Anna E. Crawford MD ,&nbsp;Eric A. Mussell MD, MS, MBA ,&nbsp;Matthew P. Ithurburn PT, DPT, PhD ,&nbsp;Brook Ostrander BS ,&nbsp;David Brockington BS ,&nbsp;Cristian Arceo BS ,&nbsp;Glenn S. Fleisig PhD ,&nbsp;Marcus A. Rothermich MD ,&nbsp;Michael K. Ryan MD ,&nbsp;Benton A. Emblom MD ,&nbsp;Jeffrey R. Dugas MD ,&nbsp;E. Lyle Cain MD","doi":"10.1016/j.xrrt.2025.100639","DOIUrl":"10.1016/j.xrrt.2025.100639","url":null,"abstract":"<div><h3>Background</h3><div>Use of all-suture soft anchors in arthroscopic rotator cuff repair (RCR) has been shown to provide both biomechanical and functional advantages. However, predictors of clinical outcomes following RCR using all-suture anchors have not been well established. This study aimed to examine predictors of clinical outcomes following double-row suture bridge RCR using either all-suture or solid medial row anchors.</div></div><div><h3>Methods</h3><div>We retrospectively identified patients at our institution who underwent arthroscopic RCR. Patients were eligible for inclusion if they underwent primary arthroscopic RCR using a double-row suture-bridge technique with either all-suture or solid medial row anchors, were between the ages of 18 and 85, and were at least 2 years postoperative. We collected demographic, clinical, and intraoperative data via electronic health record review. Patient-reported outcomes were evaluated at follow-up using the American Shoulder and Elbow Surgeons (ASES) Standardized Shoulder Assessment and visual analog scale (VAS). Proportions meeting Patient Acceptable Symptomatic State (PASS) thresholds for each were calculated. Within either anchor group, we used univariable linear and logistic regression to examine predictors of scores and meeting PASS thresholds at follow-up, respectively.</div></div><div><h3>Results</h3><div>In total, 352 patients completed follow-up (mean age = 60.3 ± 10.0 years; 61% male; mean follow-up time = 3.0 ± 0.8 years). Within the all-suture anchor group (n = 280), male sex (<em>P</em> = .04) and longer follow-up time (<em>P</em> &lt; .01) were associated with improved ASES scores, higher odds of meeting the PASS cutoff for the ASES (<em>P</em> &lt; .01), improved VAS scores (<em>P</em> = .01), and higher odds of meeting the PASS cutoff for the VAS (<em>P</em> = .02). Within the solid anchor group (n = 72), large tears were associated with worse ASES scores (<em>P</em> &lt; .01), lower odds of meeting the PASS cutoff for the ASES (<em>P</em> = .02), and worse VAS scores (<em>P</em> &lt; .01. Longer follow-up time was associated with higher odds of meeting the PASS cutoff for the VAS (<em>P</em> = .04).</div></div><div><h3>Conclusion</h3><div>Following arthroscopic double-row suture-bridge RCR, longer follow-up time was associated with better patient-reported outcomes (PROs) in both anchor type groups. However, smaller tear size was associated with better PROs only within the solid anchor group, whereas male sex was associated with better PROs only within the all-suture anchor group.</div></div>","PeriodicalId":74030,"journal":{"name":"JSES reviews, reports, and techniques","volume":"6 2","pages":"Article 100639"},"PeriodicalIF":0.0,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146078563","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 endoscopic, thoracic segment long thoracic nerve decompression","authors":"Ryan Lohre MD,&nbsp;Sarah Koljaka BA,&nbsp;Nicholas Wiley MS,&nbsp;Joseph Macksood MS,&nbsp;Olive Kozelian BA,&nbsp;Bassem Elhassan MD","doi":"10.1016/j.xrrt.2025.100629","DOIUrl":"10.1016/j.xrrt.2025.100629","url":null,"abstract":"<div><h3>Background</h3><div>Axillary and inferior periscapular pain often presents with scapulothoracic abnormal motion and observable winging and can be debilitating for patients. Our hypothesis is that endoscopic long thoracic nerve (LTN) decompression in the thoracic segment is effective at improving axillary and inferior periscapular border pain.</div></div><div><h3>Methods</h3><div>A retrospective chart review was performed of all patients diagnosed with persistent axillary and inferior periscapular border pain receiving endoscopic LTN decompression at a single institution, performed by 2 surgeons between 2020 and 2024. Patient demographics and patient pre- and postoperative patient-reported outcome measures were collected.</div></div><div><h3>Results</h3><div>Thirty-one patients receiving endoscopic LTN decompression were identified and included for analysis. The average follow-up was 25.1 ± 10.9 months, with an average patient age of 45.2 ± 18.1 years. Fifteen (n = 15/31; 48.4%) had prior ipsilateral upper-extremity surgery. Nineteen (n = 19/31; 61.2%) patients received a concomitant pectoralis minor release, 11 (n = 11/31; 35.5%) arthroscopic brachial plexus neurolysis, 10 (n = 10/31; 32.2%) arthroscopic scapulothoracic decompression, and 2 biceps tenodesis (n = 2/31; 6.5%) at the time of their arthroscopic LTN decompression. Visual analog scores (VAS) (7.7 ± 2.1 vs. 2.7 ± 2.7; <em>P</em> &lt; .001) and subjective shoulder value (38.0 ± 24.2% vs. 85.6 ± 8.2%; <em>P</em> = .02) significantly improved after surgery. Patient-Reported Outcomes Measurement Information System (PROMIS) Short Form 7a (<em>P</em> = .35), PROMIS global physical (<em>P</em> = .58), PROMIS mental health (<em>P</em> = .65), and quick disabilities of the arm, shoulder, and hand (<em>P</em> = .11) did not significantly change after surgery. Measured forward elevation (127 ± 41° vs. 157 ± 10°; <em>P</em> = .003), abduction (117 ± 29° vs. 136 ± 14°; <em>P</em> = .01), and external rotation (54 ± 19° vs. 58 ± 4°; <em>P</em> = .009) significantly improved after surgery, while internal rotation (L1 ± 3 levels vs. T11 ± 2 levels; <em>P</em> = .11) remained unchanged. There were 4 (n = 4/31; 12.9%) complications characterized as persistent pain after surgery. There was one revision endoscopic LTN release (n = 1/31; 3.2%). There was no predictive patient (age, sex, body mass index, American Society of Anesthesiologists score, smoking status, diabetes, prior ipsilateral surgery) or surgical (operating room time) factors predisposing to surgical complications using logistic regression.</div></div><div><h3>Conclusion</h3><div>Thoracic-based, endoscopic decompression of the LTN improves pain, patient-reported outcome measures, and range of motion with minimal complications. Further study is required to determine long-term pain relief and outcomes.</div></div>","PeriodicalId":74030,"journal":{"name":"JSES reviews, reports, and techniques","volume":"6 2","pages":"Article 100629"},"PeriodicalIF":0.0,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145929075","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":"Glenohumeral arthrodesis utilizing intraoperative computer navigation: a case report and surgical technique","authors":"Raed R. Narvel MD,&nbsp;Nicole Wasylyk PA-C,&nbsp;John-Erik Bell MD, MS","doi":"10.1016/j.xrrt.2025.100621","DOIUrl":"10.1016/j.xrrt.2025.100621","url":null,"abstract":"","PeriodicalId":74030,"journal":{"name":"JSES reviews, reports, and techniques","volume":"6 2","pages":"Article 100621"},"PeriodicalIF":0.0,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145929177","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":"Comparison of inpatient charges and costs between revision and primary total elbow arthroplasty in the New York state","authors":"Dashaun A. Ragland BS ,&nbsp;Brian O. Molokwu MS ,&nbsp;Jacquelyn J. Xu MA ,&nbsp;Andrew J. Cecora BS ,&nbsp;Sallie Yassin MS ,&nbsp;Erel Ben-Ari MD ,&nbsp;Joseph A. Bosco III MD ,&nbsp;Mandeep S. Virk MD","doi":"10.1016/j.xrrt.2025.100648","DOIUrl":"10.1016/j.xrrt.2025.100648","url":null,"abstract":"<div><h3>Background</h3><div>The primary aim of this study is to evaluate differences in inpatient charges between primary (pTEA) and revision (rTEA) total elbow arthroplasty among Medicare and Medicaid patients. Our secondary aim is to assess whether these charges vary across hospitals with differing total elbow arthroplasty (TEA) procedural volumes. We hypothesize that rTEA would be more expensive than pTEA and that charges would be higher for low-volume hospitals.</div></div><div><h3>Methods</h3><div>The Statewide Planning and Research Cooperative System database was queried for all Medicare and Medicaid Services patients who underwent a pTEA or rTEA in New York State from 2010 to 2020. Hospitals were classified as high-volume (≥3 surgeries/year), medium-volume (between 2-3 surgeries/year), or low-volume (less than 2 surgeries/year). Facilities performing fewer than 1 surgery per year or with fewer than 4 years of TEA data were excluded. Total inpatient charges were collected and subsequently subdivided into ancillary and accommodation charges. Inpatient charges and readmission data were compared across the 2 procedures and volume groups.</div></div><div><h3>Results</h3><div>During the study period, 1,303 patients underwent pTEA and 273 underwent rTEA. After adjusting for patient age, sex, race, and hospital volume, rTEA was independently associated with significantly higher accommodation, ancillary, and total inpatient charges (<em>P</em> &lt; .001 for all). Additionally, rTEA patients had a higher likelihood of 90-day readmission (<em>P</em> = .005) and longer inpatient stays (<em>P</em> &lt; .001) compared to pTEA patients. There were observable differences in total, accommodation, and ancillary charges across hospital volume groups for both pTEA and rTEA. Low-volume hospitals demonstrated the highest total charges for pTEA during the study period vs. high- and medium- volume hospitals (<em>P</em> &lt; .001 for pTEA, <em>P</em> &gt; .05 for rTEA).</div></div><div><h3>Conclusion</h3><div>rTEA is associated with longer inpatient stay, higher inpatient charges, and greater readmission rates compared to pTEA. Primary TEA in low-volume hospitals is associated with higher total charges compared to medium and high-volume hospitals. These findings provide valuable insights for hospital administrators and public health officials aiming to create effective strategies to manage costs and combat the growing burden of healthcare expenses in the United States.</div></div>","PeriodicalId":74030,"journal":{"name":"JSES reviews, reports, and techniques","volume":"6 2","pages":"Article 100648"},"PeriodicalIF":0.0,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146078593","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":"A standardized fluoroscopic method for profiling humeral rotational alignment during intramedullary nailing","authors":"Allen A. Champagne MD, PhD ,&nbsp;Winthrop C. Lockwood MD ,&nbsp;Matthew Brown MD ,&nbsp;George Puneky MD ,&nbsp;Joshua Helmkamp MD ,&nbsp;Alexandra Paul MD ,&nbsp;Armodios M. Hatzidakis MD ,&nbsp;Christian Péan MD ,&nbsp;Malcolm R. DeBaun MD ,&nbsp;Christopher Klifto MD","doi":"10.1016/j.xrrt.2025.100635","DOIUrl":"10.1016/j.xrrt.2025.100635","url":null,"abstract":"<div><h3>Background</h3><div>To date, limited methods exist for intraoperative assessment of humeral rotation during intramedullary nailing. Here, we propose a standardized fluoroscopic sequence that relies on humeral bony anatomy and known retroversion between the proximal humerus, relative to the transepicondylar axis of the elbow.</div></div><div><h3>Methods</h3><div>Eight paired cadaveric specimens (4/4 M/F, N = 16) were mounted to simulate intraoperative positioning. Fluoroscopic images were acquired using a standardized sequence that includes a Grashey view of the proximal humerus and a lateral of the elbow. Rolling angles for each view were recorded and a corrective index was computed by calculating the difference in angulation between the Grashey view and lateral of the elbow. To test the proposed method, a transverse fracture of the proximal humerus was induced, and rotation was set during intramedullary fixation using the proposed sequence.</div></div><div><h3>Results</h3><div>Paired <em>T</em>-test comparing contralateral corrective indices showed no statistical difference across the paired sides (<em>P</em> = .190). Moreover, Pearson correlation among sides showed contralateral agreement (rho = 0.957, <em>P</em> = .0002) with absolute differences ranging from 1° to 8° suggesting that contralateral extremity can serve as a template for rotational profiling using this method.</div></div><div><h3>Conclusion</h3><div>The proposed fluoroscopic sequence provides a standardized method to restore native rotation of the humerus during intramedullary fixation, whereby the contralateral extremity can be used as a reference.</div></div>","PeriodicalId":74030,"journal":{"name":"JSES reviews, reports, and techniques","volume":"6 2","pages":"Article 100635"},"PeriodicalIF":0.0,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146078559","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 following arthroscopic rotator cuff repair adversely affected by underlying diagnosis of glenohumeral osteoarthritis: a matched cohort analysis","authors":"Ismail Ajjawi BS,&nbsp;Anthony E. Seddio MD,&nbsp;Jeremy K. Ansah-Twum MD,&nbsp;Kenneth Donohue MD,&nbsp;Jonathan N. Grauer MD","doi":"10.1016/j.xrrt.2025.100659","DOIUrl":"10.1016/j.xrrt.2025.100659","url":null,"abstract":"&lt;div&gt;&lt;h3&gt;Background&lt;/h3&gt;&lt;div&gt;Arthroscopic rotator cuff repair (ARCR) has evolved to be the gold standard treatment for rotator cuff tears that are symptomatic despite conservative measures. Patients considered for this procedure may have underlying glenohumeral osteoarthritis (GHOA). The potential correlation of GHOA on short-term and long-term outcomes following ARCR remain unclear due to mixed literature that is limited by cohort size and/or generalizability.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Methods&lt;/h3&gt;&lt;div&gt;Patients undergoing ARCR were identified from 2010 to Q1 2022 in the M165Ortho PearlDiver Mariner Patient Claims Database. Exclusion criteria included age &lt;18 years, prior ARCR, concurrent nonrotator cuff related arthroscopic shoulder procedures, any upper extremity fractures, neoplasms or infections diagnosed within 90 days before surgery, and &lt;90 days follow-up in the database. Ipsilateral GHOA diagnosis within 1 year prior to ARCR was determined. ARCR (+)GHOA patients were matched 1:4 with ARCR (−)GHOA patients based on age, sex, and Elixhauser Comorbidity Index. Occurrence of any, severe, and minor adverse events within 90 days, delayed functional outcomes between 3 months and 6 months (stiffness, pain, and instability), and 2-year retear were compared by multivariable logistic regression. Two-year retear rates and 5-year subsequent total shoulder arthroplasty (TSA) were assessed by Kaplan–Meier survival analysis and compared by log-rank test.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Results&lt;/h3&gt;&lt;div&gt;Of 474,285 ARCR patients, concurrent GHOA was identified in 128,606 (27.1%). After matching, there were 84,209 ARCR (+)GHOA and 335,947 ARCR (−)GHOA patients. Compared to ARCR (−)GHOA patients, ARCR (+)GHOA patients had significantly higher odds of 90-day any adverse event (odds ratio [OR]: 1.75, &lt;em&gt;P&lt;/em&gt; &lt; .001), severe adverse event (OR: 1.52, &lt;em&gt;P&lt;/em&gt; &lt; .001), minor adverse event (OR: 1.86, &lt;em&gt;P&lt;/em&gt; &lt; .001), Surgical Site Infections (OR: 1.45, &lt;em&gt;P&lt;/em&gt; &lt; .001), wound complications (OR: 1.89, &lt;em&gt;P&lt;/em&gt; &lt; .001), plus increased 90-day readmissions (OR: 1.72, &lt;em&gt;P&lt;/em&gt; &lt; .001), and emergency visits (OR: 1.84, &lt;em&gt;P&lt;/em&gt; &lt; .001). Functionally, at 3-6 months postoperative, ARCR (+)GHOA patients had higher odds of stiffness (OR: 1.70, &lt;em&gt;P&lt;/em&gt; &lt; .001), pain (OR: 1.32, &lt;em&gt;P&lt;/em&gt; &lt; .001), and instability (OR: 2.89, &lt;em&gt;P&lt;/em&gt; &lt; .001). At 2 years, they had increased odds of retear (OR: 1.44, &lt;em&gt;P&lt;/em&gt; &lt; .001), and at 5 years, higher odds of TSA (OR: 1.55, &lt;em&gt;P&lt;/em&gt; &lt; .001). Among GHOA patients undergoing ARCR, older age (OR: 1.07), female sex (OR: 1.24), opioid use disorder (OR: 2.05), depression (OR: 1.58), anxiety (OR: 1.18), diabetes (OR: 1.36), and postoperative complications independently predicted progression to TSA (all &lt;em&gt;P&lt;/em&gt; &lt; .001).&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Conclusion&lt;/h3&gt;&lt;div&gt;The presence of concurrent GHOA was associated with a significant increase in the odds of both short- and longer-term complications follow","PeriodicalId":74030,"journal":{"name":"JSES reviews, reports, and techniques","volume":"6 2","pages":"Article 100659"},"PeriodicalIF":0.0,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146078936","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 sigmoid notch sling technique for recurrent elbow instability with greater sigmoid notch dysplasia","authors":"Fiachra R. Power MCh, FRCSI ,&nbsp;Xuan Ye MBBS, FRACS ,&nbsp;Nisarg Mehta FRCS ,&nbsp;Eugene T. Ek PHD, FRACS ,&nbsp;Kemble K. Wang MBBS, FRACS","doi":"10.1016/j.xrrt.2025.100655","DOIUrl":"10.1016/j.xrrt.2025.100655","url":null,"abstract":"","PeriodicalId":74030,"journal":{"name":"JSES reviews, reports, and techniques","volume":"6 2","pages":"Article 100655"},"PeriodicalIF":0.0,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146078566","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}