Scholars@Duke
Christopher Scott Klifto

Christopher Scott Klifto

Associate Professor of Orthopaedic Surgery
Orthopaedic Surgery

Selected Publications

Risk factors for recurrence following arthroscopic Bankart repair: a systematic review.

Journal Article J Shoulder Elbow Surg · November 2024 BACKGROUND: Recurrent instability remains a major source of morbidity following arthroscopic Bankart repair. Many risk factors and predictive tools have been described, but there remains a lack of consensus surrounding individual risk factors and their con ... Full text Link to item Cite

Outcomes of arthroscopic stabilization for posterior shoulder instability: a systematic review.

Journal Article J Shoulder Elbow Surg · November 2024 BACKGROUND: Posterior shoulder instability makes up approximately 10% of all shoulder instability cases and its diagnosis and treatment is less well understood. Recently, however, there has been increased recognition of posterior instability and posterior ... Full text Link to item Cite

Preoperative Planning for Shoulder Arthroplasty is Feasible with Computed Tomography at Lower-Than-Conventional Radiation Doses.

Journal Article J Shoulder Elbow Surg · October 21, 2024 INTRODUCTION: Computed tomography (CT) offers a detailed assessment of the shoulder for preoperative shoulder arthroplasty planning; however, this technique exposes the patient to ionizing radiation. The purpose of this study was to prospectively evaluate ... Full text Link to item Cite

Reverse shoulder arthroplasty following failed rotator cuff repair: A systematic review and meta-analysis.

Journal Article Shoulder Elbow · October 2024 BACKGROUND: Reverse shoulder arthroplasty (RSA) is an established operative treatment for failed rotator cuff repair (RCR) that may not be amenable to revision repair. The purpose of this meta-analysis is to evaluate the clinical outcomes for patients unde ... Full text Link to item Cite

Bone Marrow Stimulation for Arthroscopic Rotator Cuff Repair: A Meta-analysis of Randomized Controlled Trials.

Journal Article Am J Sports Med · October 2024 BACKGROUND: Bone marrow stimulation (BMS) has been proposed to augment healing at the time of arthroscopic rotator cuff repair (ARCR) by creating several bone marrow vents in the footprint of the rotator cuff, allowing mesenchymal stem cells, platelets, an ... Full text Link to item Cite

Utility of superior augments in reverse shoulder arthroplasty (Exactech, Equinoxe GPS) without significant glenoid deformity.

Journal Article J Shoulder Elbow Surg · October 2024 BACKGROUND: Superior augment use may help avoid superior tilt while minimizing removal of inferior glenoid bone. Therefore, our goal was to compare superior augments vs. no-augment baseplates in reverse shoulder arthroplasty (RSA) for patients with rotator ... Full text Link to item Cite

Outcomes and complications of revision reverse shoulder arthroplasty after failed primary anatomic shoulder arthroplasty or hemiarthroplasty: a systematic review.

Journal Article J Shoulder Elbow Surg · October 2024 BACKGROUND: The purpose of this study is to systematically review the evidence in the literature to ascertain the functional outcomes, range of motion (ROM), and complication and reoperation rates after revision reverse shoulder arthroplasty (RSA) for a fa ... Full text Link to item Cite

Most Systematic Reviews and Meta-analyses Reporting Clinical Outcomes of the Remplissage Procedure Have at Least 1 Form of Spin

Journal Article Arthroscopy, Sports Medicine, and Rehabilitation · October 1, 2024 Purpose: To determine the prevalence of spin in systematic reviews (SRs) and meta-analyses of clinical studies of the remplissage procedure. Methods: Two reviewers independently performed a literature search of the PubMed, Scopus, and Embase databases usin ... Full text Cite

Defining pseudoparalysis and pseudoparesis: a consensus study.

Journal Article J Shoulder Elbow Surg · October 2024 BACKGROUND: The purpose of this study was to establish consensus statements via a modified Delphi process on the definition of shoulder pseudoparalysis and pseudoparesis. METHODS: A consensus process on the definition of a diagnosis of pseudoparalysis util ... Full text Link to item Cite

Clinical outcomes in prospective versus retrospective studies on arthroscopic Bankart repair: a systematic review.

Journal Article J Shoulder Elbow Surg · October 2024 BACKGROUND: The majority of the current literature on arthroscopic Bankart repair is retrospective, and discrepancies exist regarding clinical outcomes including recurrent instability and return to play among studies of different levels of evidence. PURPOS ... Full text Link to item Cite

Complications Following Intramedullary Nailing of Proximal Humerus and Humeral Shaft Fractures - A Systematic Review.

Journal Article J Shoulder Elbow Surg · September 25, 2024 HYPOTHESIS: The purpose of this study was to systematically review complications arising from intramedullary nailing (IMN) of proximal and humeral shaft fractures. This study hypothesized that there would be a low rate of complications and revision among p ... Full text Link to item Cite

Bioinductive Collagen Implant Has Potential to Improve Rotator Cuff Healing: A Systematic Review.

Journal Article Arthroscopy · September 24, 2024 PURPOSE: To systematically review the literature to evaluate the clinical studies on bioinductive collagen implant (BCI) for the treatment of rotator cuff tears. METHODS: A literature search of MEDLINE, Embase, and the Cochrane Library was performed based ... Full text Link to item Cite

Health care policy and arthroscopic rotator cuff repair prices in the United States.

Journal Article J Shoulder Elbow Surg · September 19, 2024 BACKGROUND: Arthroscopic rotator cuff repair (ARCR) is one of the most common orthopedic procedures in the general population. Despite its prevalence, the price of ARCR varies significantly across regions, hospital models, and settings. The purpose of this ... Full text Link to item Cite

Nerve Coaptation in 2023: Adjuncts to Nerve Repair Beyond Suture

Journal Article Journal of Hand Surgery Global Online · September 1, 2024 Effective nerve coaptation entails tensionless repair of healthy fascicles with intact fascicular architecture and a well-vascularized environment, supportive of the regenerative cellular behaviors of neurons, immune cells, and Schwann cells. Suture coapta ... Full text Cite

Treatment of Anterior Shoulder Instability: A Comprehensive Review.

Journal Article J Hand Surg Glob Online · September 2024 Anterior shoulder instability is a complex spectrum of pathology characterized by excessive translation of the humeral head across the glenoid, leading to apprehension, subluxation, and dislocation. Diagnosis and classification require a thorough clinical ... Full text Link to item Cite

How Useful Is TikTok for Patients Searching for Carpal Tunnel Syndrome-Related Treatment Exercises?

Journal Article Healthcare (Basel) · August 26, 2024 Since orthopedic surgery has been slower to acknowledge the rise of social media for distributing medical information, this study aims to evaluate TikTok videos' quality and educational value in relation to carpal tunnel syndrome treatment exercises. TikTo ... Full text Link to item Cite

High Variability in Standardized Outcome Thresholds of Clinically Important Changes in Shoulder Instability Surgery: A Systematic Review.

Journal Article Arthroscopy · August 22, 2024 PURPOSE: To examine reported minimal clinically important difference (MCID) and patient-acceptable satisfactory state (PASS) values for patient-reported outcome measures (PROMs) after shoulder instability surgery and assess variability in published values ... Full text Link to item Cite

Type V superior labrum anterior to posterior repair: a systematic review.

Journal Article J Shoulder Elbow Surg · August 2024 BACKGROUND: The purpose of this study is to systematically review the evidence in the literature to ascertain the functional outcomes, recurrence rates, and subsequent revision rates following type V superior labrum anterior to posterior (SLAP) repair. MET ... Full text Link to item Cite

Intramedullary versus locking plate fixation for proximal humerus fractures: indications and technical considerations

Journal Article JSES Reviews, Reports, and Techniques · August 1, 2024 Background: The incidence of proximal humerus fractures (PHFs) continues to increase with an aging population, and intramedullary nailing (IMN) and locking plate fixation are two commonly employed techniques for the surgical management of PHF. However, the ... Full text Cite

Tendon Transfers in Reverse Total Shoulder Arthroplasty: A Systematic Review.

Journal Article J Am Acad Orthop Surg Glob Res Rev · August 1, 2024 PURPOSE: The purpose of this study was to evaluate clinical outcomes after tendon transfers in the setting of reverse total shoulder arthroplasty (RTSA). METHODS: PubMed and Embase were searched according to Preferred Reporting Items for Systematic reviews ... Full text Link to item Cite

The impact of political partisanship, certificate of need, Medicaid expansion, and area deprivation index on total shoulder arthroplasty prices in the United States.

Journal Article J Shoulder Elbow Surg · July 30, 2024 BACKGROUND: Recent mandates from the Center for Medicare and Medicaid Services require United States hospitals to disclose health care service pricing. Yet, there's a gap in understanding how state-level factors affect hospital service pricing, like total ... Full text Link to item Cite

Single-shot interscalene block with liposomal bupivacaine vs. non-liposomal bupivacaine in shoulder arthroplasty.

Journal Article J Shoulder Elbow Surg · July 20, 2024 BACKGROUND: Regional anesthesia is a valuable component of multimodal pain control in total shoulder arthroplasty (TSA), and multiple interscalene block anesthetic options exist, including nonliposomal interscalene bupivacaine (NLIB) and liposomal intersca ... Full text Link to item Cite

Artificial intelligence in shoulder and elbow surgery: overview of current and future applications.

Journal Article J Shoulder Elbow Surg · July 2024 Artificial intelligence (AI) is amongst the most rapidly growing technologies in orthopedic surgery. With the exponential growth in healthcare data, computing power, and complex predictive algorithms, this technology is poised to aid providers in data proc ... Full text Link to item Cite

Rotator Cuff Arthropathy: A Comprehensive Review.

Journal Article J Hand Surg Glob Online · July 2024 Rotator cuff arthropathy is a spectrum of disease states secondary to full-thickness cuff tears classified by rotator cuff insufficiency and degenerative disease within the shoulder joint. Diagnosis can be made through standard physical exam and radiograph ... Full text Link to item Cite

Job satisfaction and practice characteristics of shoulder and elbow surgeons: a survey of American Shoulder and Elbow Surgeons society members.

Journal Article J Shoulder Elbow Surg · July 2024 BACKGROUND: The purpose of this study is to assess the current trends in fellowship training, career satisfaction, practice characteristics, and surgical case volume among shoulder and elbow surgeons. METHODS: A web-based, anonymous 25-item survey was sent ... Full text Link to item Cite

Identification of ChatGPT-Generated Abstracts Within Shoulder and Elbow Surgery Poses a Challenge for Reviewers.

Journal Article Arthroscopy : the journal of arthroscopic & related surgery : official publication of the Arthroscopy Association of North America and the International Arthroscopy Association · July 2024 PurposeTo evaluate the extent to which experienced reviewers can accurately discern between artificial intelligence (AI)-generated and original research abstracts published in the field of shoulder and elbow surgery and compare this with the perfo ... Full text Cite

Appraisal of ChatGPT's responses to common patient questions regarding Tommy John surgery.

Journal Article Shoulder Elbow · July 2024 BACKGROUND: Artificial intelligence (AI) has progressed at a fast pace. ChatGPT, a rapidly expanding AI platform, has several growing applications in medicine and patient care. However, its ability to provide high-quality answers to patient questions about ... Full text Link to item Cite

Association between radiographic soft-tissue thickness and increased length of stay, operative time, and infection rate after reverse shoulder arthroplasty.

Journal Article J Shoulder Elbow Surg · June 2024 BACKGROUND: Reverse shoulder arthroplasty (RSA) is a widely performed surgical procedure to address various shoulder pathologies. Several studies have suggested that radiographic soft-tissue thickness may play a role in predicting complications after ortho ... Full text Link to item Cite

Glenohumeral arthrodesis outcomes and complications: a systematic review.

Journal Article J Shoulder Elbow Surg · June 2024 BACKGROUND: The purpose of this study was to systematically review the evidence in the literature to determine the clinical outcomes following glenohumeral arthrodesis. METHODS: Two independent reviewers performed a literature search in the PubMed database ... Full text Link to item Cite

Efficacy of Intra-Articular Corticosteroid Injection for Nonsurgical Management of Trapeziometacarpal Osteoarthritis: A Systematic Review and Meta-Analysis of Randomized Controlled Trials.

Journal Article J Hand Surg Am · June 2024 PURPOSE: As osteoarthritis (OA) of the trapeziometacarpal (TMC) joint leads to a high degree of disease burden with compromises in rudimentary and fine movements of the hand, intra-articular injections may be a desirable treatment option. However, because ... Full text Link to item Cite

Posterior Shoulder Instability, Part I-Diagnosis, Nonoperative Management, and Labral Repair for Posterior Shoulder Instability-An International Expert Delphi Consensus Statement.

Journal Article Arthroscopy · May 11, 2024 PURPOSE: To establish consensus statements on the diagnosis, nonoperative management, and labral repair for posterior shoulder instability. METHODS: A consensus process on the treatment of posterior shoulder instability was conducted, with 71 shoulder/spor ... Full text Link to item Cite

Posterior Shoulder Instability, Part II-Glenoid Bone Grafting, Glenoid Osteotomy, and Rehabilitation/Return to Play-An International Expert Delphi Consensus Statement.

Journal Article Arthroscopy · May 11, 2024 PURPOSE: To establish consensus statements on glenoid bone grafting, glenoid osteotomy, rehabilitation, return to play, and follow-up for posterior shoulder instability. METHODS: A consensus process on the treatment of posterior shoulder instability was co ... Full text Link to item Cite

Outcomes After Revision Arthroscopic Rotator Cuff Repair: A Systematic Review.

Journal Article Am J Sports Med · May 2024 BACKGROUND: Arthroscopic rotator cuff repair (ARCR) is one of the most commonly performed orthopaedic procedures; however, it is unclear how to manage patients with symptomatic retears. PURPOSE: To perform a systematic review to evaluate the outcomes of re ... Full text Link to item Cite

Return to Play After Surgical Treatment for Acromioclavicular Joint Dislocation: A Systematic Review.

Journal Article Am J Sports Med · April 2024 BACKGROUND: Acromioclavicular (AC) joint dislocation is a common clinical problem among young and athletic populations. Surgical management is widely used for high-grade dislocations (Rockwood III-VI) and in high-demand athletes at high risk of recurrence. ... Full text Link to item Cite

Risk factors for intracellular fatty accumulation in rotator cuff muscle: a histologic analysis.

Journal Article J Shoulder Elbow Surg · April 2024 BACKGROUND: Fatty accumulation in rotator cuff muscles has been associated with shoulder dysfunction, risk of repair failure, and poor postoperative outcomes. This study sought to assess risk factors associated with true fatty accumulation based on histolo ... Full text Link to item Cite

Young Collision Athletes Have High Rate of Return to Play and Good Clinical Outcomes Following Open Latarjet Procedure.

Journal Article Arthroscopy · April 2024 PURPOSE: To evaluate return to play (RTP), clinical outcomes, and recurrence rates in collision athletes 20 years of age and younger who underwent open Latarjet for anterior shoulder instability. METHODS: A retrospective review of collision athletes 20 yea ... Full text Link to item Cite

Low complication rate following reverse total shoulder arthroplasty at 90-days follow-up - A systematic review.

Journal Article J ISAKOS · April 2024 IMPORTANCE: As reverse total shoulder arthroplasty (RTSA) has become an increasingly common procedure, rates of post-operative complications leading to potential hospital readmission are of greater importance. No previous systematic reviews have focused ex ... Full text Link to item Cite

Comparison of Low-Dose Computed Tomography Versus Conventional-Dose Computed Tomography in the Evaluation of Distal Radius Fractures.

Journal Article Hand (N Y) · March 7, 2024 BACKGROUND: Distal radius fractures (DRFs) are common upper extremity fractures and often require surgical fixation when they are intraarticular. Preoperative computed tomography (CT) has emerged as a surgical planning tool to evaluate intraarticular DRFs. ... Full text Link to item Cite

Evaluation High-Quality of Information from ChatGPT (Artificial Intelligence-Large Language Model) Artificial Intelligence on Shoulder Stabilization Surgery.

Journal Article Arthroscopy · March 2024 PURPOSE: To analyze the quality and readability of information regarding shoulder stabilization surgery available using an online AI software (ChatGPT), using standardized scoring systems, as well as to report on the given answers by the AI. METHODS: An op ... Full text Open Access Link to item Cite

Studies on Bankart Repair for Anterior Shoulder Instability Show Poor Reporting of Data and Reflect Low Level of Evidence: A Systematic Review.

Journal Article Arthroscopy · March 2024 PURPOSE: To assess the quality and level of evidence of studies reporting on Bankart repair for anterior shoulder instability. METHODS: A search was performed using the PubMed/Medline database for all studies that reported clinical outcomes on Bankart repa ... Full text Link to item Cite

Are leaders born to lead, or are they made?

Journal Article J Shoulder Elbow Surg · March 2024 Full text Link to item Cite

Acellular Collagen Matrix Patch Augmentation of Arthroscopic Rotator Cuff Repair Reduces Re-Tear Rates: A Meta-analysis of Randomized Control Trials.

Journal Article Arthroscopy · March 2024 PURPOSE: To perform a meta-analysis of randomized controlled trials (RCTs) to compare the outcomes of arthroscopic rotator cuff repair (ARCR) with and without acellular collagen matrix patch (ACMP) augmentation. METHODS: A literature search of 3 databases ... Full text Link to item Cite

Outcomes and complications of revision reverse shoulder arthroplasty following failed primary reverse shoulder arthroplasty: a systematic review

Journal Article Seminars in Arthroplasty JSES · March 1, 2024 Background: The purpose of this study is to systematically review the evidence in the literature to assess the functional outcomes, satisfaction scores, range of motion (ROM), and complication and reoperation rates following revision reverse shoulder arthr ... Full text Cite

Lower deltoid tuberosity indices are associated with the use of a stemmed instead of a preoperatively planned stemless implant

Journal Article Seminars in Arthroplasty JSES · March 1, 2024 Background: Anatomic total shoulder arthroplasty (TSA) using a stemless prosthesis continues to increase in popularity as literature supporting their use grows. Intraoperative findings, however, may require switching from a planned stemless prosthesis to u ... Full text Cite

Comparison Between Intramedullary Nail and Percutaneous Pin Fixation in Proximal Phalanx Fractures.

Journal Article Hand (N Y) · February 27, 2024 BACKGROUND: Percutaneous pinning has been the predominant technique for fixation of proximal phalanx fractures, but stiffness is a reported complication. The introduction of intramedullary (IM) nail fixation of proximal phalanx fractures provides a stronge ... Full text Link to item Cite

Tranexamic Acid for Rotator Cuff Repair: A Systematic Review and Meta-analysis of Randomized Controlled Trials.

Journal Article Am J Sports Med · February 12, 2024 BACKGROUND: Several randomized controlled trials (RCTs) have been conducted to assess the use of tranexamic acid (TXA) in the setting of arthroscopic rotator cuff repair (ARCR). However, these studies have shown mixed results, with some showing improved in ... Full text Link to item Cite

Long-term outcomes of anterior shoulder instability treated with open latarjet procedure – a systematic review of outcomes at a minimum 15-year follow-up

Journal Article Shoulder and Elbow · February 1, 2024 Background: To systematically review the literature to evaluate the outcomes following an open Latarjet (OL) procedure at a minimum 15-year follow-up. Methods: Two independent reviewers performed a literature search using Preferred Reporting Items for Syst ... Full text Cite

Majority of Studies Show Similar Rates of Return to Play After Arthroscopic Bankart Repair or Latarjet Procedure: A Systematic Review.

Journal Article Arthroscopy · February 2024 PURPOSE: To systematically review the current evidence in the literature to compare return to play following arthroscopic Bankart repair versus open Latarjet procedure for the treatment of anterior shoulder instability. METHODS: A literature search was per ... Full text Link to item Cite

Similar outcomes between biceps tenodesis and SLAP repair for SLAP tears in younger patients - A meta-analysis.

Journal Article J ISAKOS · February 2024 OBJECTIVES: The purpose of this study is to systematically review the comparative studies in the literature to ascertain if biceps tenodesis or superior-labrum anterior to posterior (SLAP) repair results in superior clinical outcomes in the treatment of ty ... Full text Link to item Cite

Return to play following operative management of anterior shoulder instability in overhead athletes-A systematic review.

Journal Article Shoulder Elbow · February 2024 BACKGROUND: The purpose of this study was to systematically review the rate and timing of return to play in overhead athletes following operative management of anterior shoulder instability. METHODS: A systematic literature search based on PRISMA guideline ... Full text Link to item Cite

Complications following arthroscopic Bankart repair: a systematic review.

Journal Article J Shoulder Elbow Surg · February 2024 BACKGROUND: Complications are rare after arthroscopic Bankart repair, and as a result, there is a lack of guidance over rates of complications that can be used to consent patients. The purpose of this study is to systematically review the literature to ass ... Full text Link to item Cite

Midterm outcomes of primary reverse shoulder arthroplasty: a systematic review of studies with minimum 5-year follow-up.

Journal Article JSES Rev Rep Tech · February 2024 BACKGROUND: Excellent short-term outcomes after reverse shoulder arthroplasty (RSA) have been reported, but longer term outcomes in the existing literature are sparse and vary widely. The purpose of this study is to systematically assess the existing liter ... Full text Link to item Cite

Platelet-Rich Plasma Versus Corticosteroid Injections for the Treatment of Mild-to-Moderate Carpal Tunnel Syndrome: A Markov Cost-Effectiveness Decision Analysis.

Journal Article Hand (N Y) · January 2024 BACKGROUND: Platelet-rich plasma (PRP) or corticosteroid injections may be used to conservatively treat mild-to-moderate carpal tunnel syndrome (CTS). We evaluated the cost-effectiveness of PRP injections versus corticosteroid injections for the treatment ... Full text Link to item Cite

Estimates of Golf-Related Upper Extremity Injuries in the United States: A 10-Year Epidemiology Study (2011-2020).

Journal Article Sports Health · 2024 BACKGROUND: Golf is one of the most popular sports in the United States (US) and is played by participants of all ages and skill level. Given the popularity and sport-specific demands on the upper torso, golf poses a considerable risk for upper extremity ( ... Full text Link to item Cite

Radiographic comparison of eccentric stemmed vs. concentric stemless prosthetic humeral head positioning after anatomic total shoulder arthroplasty.

Journal Article J Shoulder Elbow Surg · January 2024 INTRODUCTION: Maintaining premorbid proximal humeral positioning is an essential consideration of anatomic total shoulder arthroplasty (aTSA), as malposition of the prosthetic humeral head can result in poor clinical outcomes. Stemless aTSA prosthetic head ... Full text Link to item Cite

Evaluation of information from artificial intelligence on rotator cuff repair surgery.

Journal Article JSES Int · January 2024 PURPOSE: The purpose of this study was to analyze the quality and readability of information regarding rotator cuff repair surgery available using an online AI software. METHODS: An open AI model (ChatGPT) was used to answer 24 commonly asked questions fro ... Full text Link to item Cite

Screw fixation versus suture-button fixation for the Latarjet procedure—a systematic review and meta-analysis

Journal Article Shoulder and Elbow · January 1, 2024 Objective: To perform a systematic review and meta-analysis to compare the results of the Latarjet procedure performed using screws (S) or suture-button for coracoid graft fixation. Methods: A systematic search in Pubmed, EMBASE, and The Cochrane Library d ... Full text Cite

Comparing comorbidity burden between patients undergoing ambulatory rotator cuff repair vs. inpatient anatomic total shoulder arthroplasty

Journal Article Seminars in Arthroplasty JSES · January 1, 2024 Background: Rotator cuff repair (RCR) patients routinely undergo same-day discharge in an ambulatory setting, while anatomic total shoulder arthroplasty (TSA) cases have historically been performed in an inpatient hospital setting. For healthier patients, ... Full text Cite

Return to sports following arthroscopic Bankart repair in collision athletes: A systematic review

Journal Article Shoulder and Elbow · January 1, 2024 Background: The purpose of this study was to systematically review the rate and time frame to return to sports in collision athletes following arthroscopic Bankart repair. Methods: A systematic literature search based on Preferred Reporting Items for Syste ... Full text Cite

Recent Advances in the Design and Application of Shoulder Arthroplasty Implant Systems and Their Impact on Clinical Outcomes: A Comprehensive Review

Journal Article Orthopedic Research and Reviews · January 1, 2024 Purpose of Review: This narrative review comprehensively aims to analyze recent advancements in shoulder arthroplasty, focusing on implant systems and their impact on patient outcomes. The purpose is to provide a nuanced understanding of the evolving lands ... Full text Cite

Time and State Opioid Legislation Have Reduced Opioid Filling in Elective Shoulder Surgery.

Journal Article J Surg Orthop Adv · 2024 Opioid-limiting legislation has been enacted in response to the opioid epidemic in the United States. However, the impact of this legislation on perioperative opioid prescribing in elective shoulder surgery is not well understood. This is an observational ... Link to item Cite

Subscapularis repair for reverse shoulder arthroplasty: a systematic review and meta-analysis.

Journal Article J Shoulder Elbow Surg · December 2023 BACKGROUND: The purpose of this study is to perform a systematic review of the literature evaluating the importance of subscapularis repair in patients who underwent reverse shoulder arthroplasty (RSA). METHODS: A systematic search of articles in PubMed, E ... Full text Link to item Cite

Intramedullary nailing vs. open reduction-internal fixation for humeral shaft fractures: a meta-analysis of randomized controlled trials.

Journal Article J Shoulder Elbow Surg · December 2023 BACKGROUND: The purpose of this study was to perform a meta-analysis of randomized controlled trials (RCTs) to compare outcomes following intramedullary nailing (IMN) vs. open reduction-internal fixation (ORIF) for humeral shaft fractures. METHODS: A liter ... Full text Link to item Cite

Primary Latarjet procedure versus Latarjet in the setting of previously failed Bankart repair: a systematic review.

Journal Article J ISAKOS · December 2023 OBJECTIVES: The purpose of this study is to systematically review the comparative studies in the literature to compare the outcomes of the Latarjet procedure in the setting of a previously failed Bankart repair versus those undergoing the Latarjet procedur ... Full text Link to item Cite

Preoperative glenoid bone density is associated with systemic osteoporosis in primary shoulder arthroplasty

Journal Article Seminars in Arthroplasty JSES · December 1, 2023 Background: In shoulder arthroplasty, poor bone mineral density can impact humeral and glenoid fixation, as well as increase the risk of periprosthetic fracture. The purposes of this study were to (1) determine the association between preoperative glenoid ... Full text Cite

Key drivers of 90-day costs in primary total elbow arthroplasty

Journal Article Seminars in Arthroplasty JSES · December 1, 2023 Background: A comprehensive understanding of both surgical care costs and the factors influencing these costs is critical to make progress toward value-based care in orthopedics. Therefore, the purpose of this study was to assess 90-day health system costs ... Full text Cite

Trends in outcomes following aseptic revision shoulder arthroplasty.

Journal Article Eur J Orthop Surg Traumatol · October 2023 PURPOSE: As the incidence of anatomic and reverse total shoulder arthroplasty (TSA, RSA) increases, revision procedures will also increase with a corresponding need for counseling patients regarding outcomes. We hypothesized that different revision categor ... Full text Link to item Cite

Technological innovations in shoulder replacement: current concepts and the future of robotics in total shoulder arthroplasty.

Journal Article J Shoulder Elbow Surg · October 2023 BACKGROUND: Total shoulder arthroplasty (TSA) has been rapidly evolving over the last several decades, with innovative technological strategies being investigated and developed in order to achieve optimal component precision and joint alignment and stabili ... Full text Link to item Cite

Total shoulder arthroplasty in middle-aged patients

Chapter · September 28, 2023 Glenohumeral arthritis is a challenging clinical pathology in middle-aged patients. TSA is a reliable option allowing patients to return to high-demand activities, with significant improvement in range of motion, pain, and function. Continuous innovations ... Full text Cite

Complications Following Volar Locking Plate Fixation of Distal Radius Fractures in Adults: A Systematic Review of Randomized Control Trials.

Journal Article J Hand Surg Am · September 2023 PURPOSE: The purpose of this study was to assess the incidence of postoperative complications following volar locking plate (VLP) fixation of distal radius fractures (DRFs). METHODS: A search using keywords and subject headings to represent the concepts of ... Full text Link to item Cite

Editorial Commentary: Platelet-Rich Plasma Injections Produced a Significant Improvement in Most Patients With Rotator Cuff Tendinopathy.

Journal Article Arthroscopy · September 2023 Platelet-rich plasma (PRP) is an autologous blood product containing a high concentration of platelets, growth factors, and cytokines, which basic science studies have shown may improve tendinopathy. However, there is controversy over its clinical efficacy ... Full text Link to item Cite

The characteristics of opioid use in patients with proximal humerus fractures.

Journal Article Eur J Orthop Surg Traumatol · August 2023 BACKGROUND: Orthopaedic surgeons prescribe more opioid narcotics than any other surgical specialty. Proximal humerus fractures (PHF) often occur in the high-risk elderly population. The opioid epidemic has led to public policy aimed at reductions in opioid ... Full text Link to item Cite

Cutibacterium positive cultures in total joint arthroplasty: a comparison of the hip, knee, and shoulder.

Journal Article Int Orthop · August 2023 PURPOSE: Cutibacterium spp. (formerly Propionibacterium) is a slow growing, Gram-positive, anaerobic bacteria and is an emerging clinical entity in prosthetic joint infection (PJI). This study compares the presentation, surgical management, and post-operat ... Full text Link to item Cite

Management of Complex Hand and Wrist Ligament Injuries.

Journal Article Hand Clin · August 2023 Ligamentous injuries in the hand and wrist are often underdiagnosed and can present with significant functional limitations if there is untimely recognition of injury. Adequate repair or reconstruction is critical in restoring joint stability and mobility. ... Full text Link to item Cite

The statistical fragility of the management options for reverse shoulder arthroplasty: a systematic review of randomized control trial with fragility analysis.

Journal Article JSES Rev Rep Tech · August 2023 Reverse shoulder arthroplasty (RSA) is used in the treatment of traumatic and arthritic pathologies, with expanding clinical indications and as a result there has been an increase in clinical research on the topic. The purpose of this study was to examine ... Full text Link to item Cite

Pain associated psychological distress is more strongly associated with shoulder pain and function than tear severity in patients undergoing rotator cuff repair.

Journal Article JSES Int · July 2023 BACKGROUND: Psychological distress has been associated with declining shoulder function in patients with rotator cuff tears (RCTs). Thus, we aimed to 1) evaluate the absence or presence of differences in shoulder pain, function, or pain-associated psycholo ... Full text Link to item Cite

Association Between Supraspinatus Tendon Retraction, Histologic Myofiber Size, and Supraspinatus Muscle Atrophy on MRI.

Journal Article The American journal of sports medicine · July 2023 BackgroundAtrophy of the rotator cuff is a negative prognostic indicator after rotator cuff repair. Although full-thickness rotator cuff tears accompanied by tendon retraction are commonly associated with decreased muscle cross-sectional area (CSA ... Full text Cite

Pyrocarbon hemiarthroplasty of the shoulder: a systematic review and meta-analysis of clinical results.

Journal Article J Shoulder Elbow Surg · June 2023 BACKGROUND: Hemiarthroplasty is often considered in the setting of preserved glenoid cartilage given the high risk of revision associated with total shoulder arthroplasty. Pyrocarbon (PyC) has been used as an implant material that theoretically allows for ... Full text Link to item Cite

Big data is being generated—What opportunities are being missed?

Journal Article Seminars in Arthroplasty JSES · June 1, 2023 Full text Cite

Distance and resources in vulnerable populations: understanding access barriers to outpatient shoulder arthroplasty

Journal Article Seminars in Arthroplasty JSES · June 1, 2023 Background: Outpatient shoulder arthroplasty is advantageous in appropriately selected patients, and tools for performing selection are available. Whether vulnerable populations benefit from outpatient surgery despite being appropriate candidates clinicall ... Full text Cite

Arthroscopic Distal Clavicle Bone Block Technique for Anteroinferior Instability With Critical Bone Loss.

Journal Article Arthrosc Tech · June 2023 Arthroscopic distal clavicle autograft represents a locally available source of autograft for bone block augmentation in patients with anterior shoulder instability with glenoid bone loss. Anatomic and biomechanical studies have supported distal clavicle a ... Full text Link to item Cite

Treatment options for acute Rockwood type III-V acromioclavicular dislocations: a network meta-analysis of randomized controlled trials.

Journal Article J Shoulder Elbow Surg · June 2023 BACKGROUND: Acute Rockwood type III-V acromioclavicular (AC) dislocations have been treated with numerous surgical techniques over the years. The purpose of this study was to perform a network meta-analysis (NMA) of randomized controlled trials to quantita ... Full text Link to item Cite

Evaluating the Distribution, Quality, and Educational Value of Videos Related to Shoulder Instability Exercises on the Social Media Platform TikTok.

Journal Article Journal of the American Academy of Orthopaedic Surgeons. Global research & reviews · June 2023 BackgroundBecause of the lack of scientific oversight, the quality, applicability, and consistency of healthcare-related TikTok videos have become a focus of research exploration. The orthopaedic surgery literature lags behind other medical fields ... Full text Open Access Cite

A validated preoperative risk prediction tool for extended inpatient length of stay following anatomic or reverse total shoulder arthroplasty.

Journal Article Journal of shoulder and elbow surgery · May 2023 BackgroundRecent work has shown inpatient length of stay (LOS) following shoulder arthroplasty to hold the second strongest association with overall cost (after implant cost itself). In particular, a preoperative understanding for the patients at ... Full text Cite

Outcomes after bilateral shoulder arthroplasty: a systematic review.

Journal Article J Shoulder Elbow Surg · April 2023 The purpose of this systematic review was to report outcomes after bilateral shoulder arthroplasty including bilateral total shoulder arthroplasty (TSA), bilateral reverse shoulder arthroplasty (RSA), and ipsilateral TSA with contralateral RSA (TSA/RSA). T ... Full text Link to item Cite

Dermal Regenerative Templates in Orthopaedic Surgery.

Journal Article J Am Acad Orthop Surg · April 1, 2023 Management of soft-tissue injuries is a critical principle in the treatment of orthopaedic trauma. Understanding the options for soft-tissue reconstruction is vital for successful patient outcomes. Application of dermal regenerative templates (DRTs) in tra ... Full text Link to item Cite

Representation of Female Speakers at the American Academy of Orthopaedic Surgeons Annual Meetings Over Time.

Journal Article J Am Acad Orthop Surg · March 15, 2023 BACKGROUND: In the United States, women comprise 16% of orthopaedic surgery residents, 4% of fellows, and 6% of practicing orthopaedic surgeons. The underrepresentation of women in surgical subspecialties may be because of lack of early exposure to female ... Full text Open Access Link to item Cite

Two-stage revision for periprosthetic infection in shoulder arthroplasty: an institutional experience

Journal Article Seminars in Arthroplasty JSES · March 1, 2023 Background: Periprosthetic joint infection involving shoulder arthroplasty is often treated with a 2-stage approach, involving resection and placement of an antibiotic cement spacer followed by staged reimplantation after eradication of the infection. Whil ... Full text Cite

The impact of regional anesthesia on opioid demand in distal radius fracture surgery.

Journal Article J Plast Surg Hand Surg · 2023 PURPOSE: Regional anesthesia (RA) is commonly used in distal radius fracture surgery to reduce pain and opioid consumption. The purpose of this study was to evaluate the real-world impact of RA on inpatient and outpatient opioid consumption and demand in p ... Full text Link to item Cite

Diagnostic discovery

Chapter · January 1, 2023 Diagnostic discovery is useful in guiding the management of sports-related injuries and in translational sports medicine research. Utilizing clinical data alongside other diagnostic tools is important for eliciting injury level, recovery times, and need fo ... Full text Cite

Beware the rebound effect: regional anesthesia increases opioid utilization after humerus fracture surgery

Journal Article Shoulder and Elbow · December 1, 2022 Introduction: Regional anesthesia (RA) is used reduce pain in proximal humerus and humeral shaft fracture surgery. The study hypothesis was that RA would decrease opioid demand in patients undergoing fracture surgery. Materials and methods: Opioid demand w ... Full text Cite

Simple preoperative radiographic and computed tomography measurements predict adequate bone quality for stemless total shoulder arthroplasty.

Journal Article J Shoulder Elbow Surg · December 2022 INTRODUCTION: Although there is increased utilization of stemless humeral implants in anatomic total shoulder arthroplasty (TSA), there are inadequate objective metrics to evaluate bone quality sufficient for fixation. Our goals are to: (1) compare patient ... Full text Link to item Cite

Reverse shoulder arthroplasty with and without baseplate wedge augmentation in the setting of glenoid deformity and rotator cuff deficiency-a multicenter investigation.

Journal Article J Shoulder Elbow Surg · December 2022 INTRODUCTION: Glenoid baseplate augments have recently been introduced as a way of managing glenoid monoplanar or biplanar abnormalities in reverse shoulder arthroplasty (RSA). The purpose of this study is to evaluate the difference in clinical outcomes, c ... Full text Link to item Cite

The effect of intravenous tranexamic acid use on blood loss after revision shoulder arthroplasty

Journal Article Seminars in Arthroplasty JSES · December 1, 2022 Background: Revision total- and reverse shoulder arthroplasties have become more common as the incidence of primary shoulder arthroplasties rise and the older population grows. The use of tranexamic acid (TXA) to decrease perioperative blood loss has been ... Full text Cite

Perioperative pain control represents the primary concern for patients considering outpatient shoulder arthroplasty: a survey-based study.

Journal Article J Shoulder Elbow Surg · December 2022 BACKGROUND: Outpatient (OP) total shoulder arthroplasty (TSA) with same-day discharge can now be performed safely in appropriately selected patients. Patient knowledge and perspectives regarding OP TSA are yet unknown and such information may inform surgeo ... Full text Link to item Cite

Time to publication for orthopaedic surgery peer-reviewed journals: A cross-sectional bibliometric analysis.

Journal Article J Clin Orthop Trauma · December 2022 BACKGROUND: The dissemination of research and evidence-based medicine is critical to advancing science and improving clinical practice. The purpose of this study was to evaluate the timing and associated factors of the publication process for the most infl ... Full text Link to item Cite

Interscalene block with liposomal bupivacaine versus continuous interscalene catheter in primary total shoulder arthroplasty.

Journal Article J Shoulder Elbow Surg · October 2022 BACKGROUND: Multimodal pain regimens in total shoulder arthroplasty (TSA) now include regional anesthetic techniques. Historically, regional anesthesia for extended postoperative pain control in TSA was administered using a continuous interscalene catheter ... Full text Link to item Cite

Concordance of Preoperative 3D Templating in Stemless Anatomic Total Shoulder Arthroplasty.

Journal Article J Am Acad Orthop Surg · October 1, 2022 INTRODUCTION: Recent advances in preoperative 3D templating software allow surgeons to plan implant size and position for stemless total shoulder arthroplasty (TSA). Whether these preoperative plans accurately reflect intraoperative decisions is yet unknow ... Full text Link to item Cite

Epidemiology of Sports-Related Clavicle Fractures in the United States: Injuries From 2015 to 2019.

Journal Article Orthop J Sports Med · October 2022 BACKGROUND: Clavicle fractures are common orthopaedic injuries that frequently occur during sports and recreational activity. PURPOSE: To (1) determine the incidence rate of sports-related clavicle fractures among patients evaluated in emergency department ... Full text Link to item Cite

The deltoid tuberosity index predicts intraoperative fracture risk in shoulder arthroplasty

Journal Article Seminars in Arthroplasty JSES · September 1, 2022 Background: When intraoperative fracture of the humerus during primary shoulder arthroplasty occurs, it can have significant clinical implications. To date, there are no described radiographic parameters to preoperatively assess risk of intraoperative frac ... Full text Cite

Influence of medical comorbidity and surgical indication on total elbow arthroplasty cost of care.

Journal Article J Shoulder Elbow Surg · September 2022 BACKGROUND: Movement toward providing value-based musculoskeletal care requires understanding the cost associated with surgical care as well as the drivers of these costs. The aim of this study was to investigate the effect of common medical comorbidities ... Full text Link to item Cite

Outcomes of renal failure and dialysis patients undergoing anatomic and reverse shoulder arthroplasty

Journal Article Seminars in Arthroplasty JSES · September 1, 2022 Background: As anatomic and reverse shoulder arthroplasty incidence increases and outcomes improve, those with severe pre-existing comorbidities may be indicated for surgery. Renal failure patients, including those on dialysis, may have systemic physiologi ... Full text Cite

The risks of radiation therapy and lymphedema in shoulder surgery

Journal Article Seminars in Arthroplasty JSES · September 1, 2022 Background: Radiation therapy has proven efficacy for cancer treatment but is not without short- and long-term side effects, including radiation-induced lymphedema. There has been limited evidence on the secondary effects of prior radiation therapy on shou ... Full text Cite

Outcomes associated with proton pump inhibitors and distal radius fractures: A post-hoc comparative analysis.

Journal Article J Plast Reconstr Aesthet Surg · August 2022 UNLABELLED: Long-term, high-dose, daily proton pump inhibitors (PPI) may impact outcomes associated with distal radius fractures (DRF). The hypothesis was that differences existed in patient demographics, but there existed no differences in injury patterns ... Full text Link to item Cite

Histologic Differences in Human Rotator Cuff Muscle Based on Tear Characteristics.

Journal Article J Bone Joint Surg Am · July 6, 2022 BACKGROUND: Fatty accumulation in the rotator cuff is associated with shoulder dysfunction and a risk of failure of rotator cuff repair. The aims of this study were to (1) describe cellular findings in rotator cuff muscles in patients presenting with varyi ... Full text Link to item Cite

Is Advanced Imaging to Assess Rotator Cuff Integrity Before Shoulder Arthroplasty Cost-effective? A Decision Modeling Study.

Journal Article Clin Orthop Relat Res · June 1, 2022 BACKGROUND: Shoulder arthroplasty is increasingly performed for patients with symptoms of glenohumeral arthritis. Advanced imaging may be used to assess the integrity of the rotator cuff preoperatively because a deficient rotator cuff may be an indication ... Full text Link to item Cite

Comparison of Simulated Low-Dose and Conventional-Dose CT for Preoperative Planning in Shoulder Arthroplasty.

Journal Article J Bone Joint Surg Am · June 1, 2022 BACKGROUND: Shoulder computed tomography (CT) is commonly utilized in preoperative planning for total shoulder arthroplasty. Conventional-dose shoulder CT may expose patients to more ionizing radiation than is necessary to provide high-quality images for t ... Full text Link to item Cite

A Reliability Study of Multiplanar Radiographs for the Evaluation of SNAC Wrist Arthritis.

Journal Article Hand (N Y) · May 2022 Background: Scaphoid nonunion advanced collapse (SNAC) is a common form of wrist arthritis, the treatment of which depends on the arthritic stage. The Vender classification serves to describe SNAC arthritis based on a single posteroanterior (PA) radiograph ... Full text Link to item Cite

Platelet-rich plasma vs. corticosteroid injections for the treatment of recalcitrant lateral epicondylitis: a cost-effectiveness Markov decision analysis.

Journal Article J Shoulder Elbow Surg · May 2022 BACKGROUND: Both platelet-rich plasma (PRP) and corticosteroid injections may be used to treat lateral epicondylitis. We evaluated the cost-effectiveness of PRP injections vs. corticosteroid injections for the treatment of recalcitrant lateral epicondyliti ... Full text Link to item Cite

Relative Value Units Underestimate Reimbursement for Revision Shoulder Arthroplasty.

Journal Article J Am Acad Orthop Surg · May 1, 2022 INTRODUCTION: Relative value units (RVUs) have been fundamental to reimbursement calculations in payment models for arthroplasty surgeons. RVUs are based on various factors, including physician work, and have been higher for increased complexity, such as r ... Full text Link to item Cite

Leadership Trends in Shoulder and Elbow Surgery Fellowship Directors: A Cross-sectional Study.

Journal Article J Am Acad Orthop Surg Glob Res Rev · April 5, 2022 INTRODUCTION: We aimed to describe the demographic and professional backgrounds of current shoulder and elbow fellowship directors. METHODS: The American Shoulder and Elbow Surgeons (ASES) 2021 to 2022 Fellowship Directory was reviewed to identify the 31 A ... Full text Link to item Cite

Heterogeneity of pain-related psychological distress in patients seeking care for shoulder pathology.

Journal Article Journal of shoulder and elbow surgery · April 2022 BackgroundPsychological distress is associated with disability and quality of life for patients with shoulder pain. However, uncertainty around heterogeneity of psychological distress has limited the adoption of shoulder care models that address p ... Full text Cite

A validated preoperative risk prediction tool for discharge to skilled nursing or rehabilitation facility following anatomic or reverse shoulder arthroplasty.

Journal Article J Shoulder Elbow Surg · April 2022 BACKGROUND: As bundled payment models continue to spread, understanding the primary drivers of cost excess helps providers avoid penalties and ensure equal health care access. Recent work has shown discharge to rehabilitation and skilled nursing facilities ... Full text Link to item Cite

Isolated Scaphoid Dislocation With Radial-Axial Instability: A Treatment Strategy Utilizing Spanning Wrist Plates.

Journal Article J Hand Surg Am · March 2022 Isolated dislocation of the scaphoid is a rare injury with only a few case reports in the literature. We report on 2 complex scaphoid dislocations demonstrating concomitant axial instability with disruption of the capitohamate articulation as well as the l ... Full text Link to item Cite

Regional anesthesia reduces inpatient and outpatient perioperative opioid demand in periarticular elbow surgery.

Journal Article J Shoulder Elbow Surg · February 2022 HYPOTHESIS: Regional anesthesia (RA) can be used to manage perioperative pain in the treatment of periarticular elbow fracture fixation. However, the opioid-sparing benefit is not well-characterized. The hypothesis of this study was that RA had reduced inp ... Full text Link to item Cite

Appropriate patient selection for outpatient shoulder arthroplasty: a risk prediction tool.

Journal Article J Shoulder Elbow Surg · February 2022 BACKGROUND: The transition from inpatient to outpatient shoulder arthroplasty critically depends on appropriate patient selection, both to ensure safety and to counsel patients preoperatively regarding individualized risk. Cost and patient demand for same- ... Full text Link to item Cite

Characteristics and risk factors for 90-day readmission following shoulder arthroplasty.

Journal Article J Shoulder Elbow Surg · February 2022 BACKGROUND: Anatomic total shoulder arthroplasty (TSA) and reverse TSA are the standard of care for end-stage shoulder arthritis. Advancements in implant design, perioperative management, and patient selection have allowed shorter inpatient admissions. Unp ... Full text Link to item Cite

Treatment of Posttraumatic Tibial Diaphyseal Bone Defects: A Systematic Review and Meta-Analysis.

Journal Article J Orthop Trauma · February 1, 2022 OBJECTIVE: To describe evidenced-based treatment options for patients who sustained trauma and/or posttraumatic osteomyelitis of the tibia resulting in diaphyseal bone defects and to compare outcomes between patients treated with nonvascularized bone graft ... Full text Link to item Cite

Short stay after shoulder arthroplasty does not increase 90-day readmissions in Medicare patients compared with privately insured patients.

Journal Article J Shoulder Elbow Surg · January 2022 BACKGROUND: As of January 1, 2021, total shoulder arthroplasty was removed from the Medicare inpatient-only list, reflecting a growing belief in the potential merits of same-day discharge regardless of insurance type. It is yet unknown whether Medicare pop ... Full text Link to item Cite

The Efficacy of Peroxide Solutions in Decreasing Cutibacterium acnes Burden Around the Shoulder.

Journal Article J Am Acad Orthop Surg · January 1, 2022 BACKGROUND: Cutibacterium acnes is a common pathogen associated with surgical site infection after shoulder surgery; current standard of care products are largely ineffective at reducing C acnes bacterial burden before surgery. The purpose of this systemat ... Full text Link to item Cite

Iatrogenic Injury to the Suprascapular Nerve Following Reverse Shoulder Arthroplasty: A Case Report.

Journal Article J Shoulder Elb Arthroplast · 2022 The location and course of the suprascapular nerve (SSN) to the glenohumeral joint places this nerve at risk when operating around the shoulder. Iatrogenic injury to the suprascapular nerve has been described in several different procedures including, rota ... Full text Open Access Link to item Cite

Malnutrition in elective shoulder arthroplasty: a multi-institutional retrospective study of preoperative albumin and adverse outcomes.

Journal Article J Shoulder Elbow Surg · November 2021 BACKGROUND: Malnutrition is associated with poor postoperative outcomes after knee, hip, and spine surgery. However, whether albumin labs should be part of the routine preoperative workup for shoulder arthroplasty remains understudied. This study investiga ... Full text Link to item Cite

Reverse total shoulder arthroplasty for oncologic reconstruction of the proximal humerus: a systematic review.

Journal Article J Shoulder Elbow Surg · November 2021 BACKGROUND: In recent years, there has been growing interest in the use of reverse total shoulder arthroplasty (rTSA) for reconstruction of the proximal humerus after oncologic resection. However, the indications and outcomes of oncologic rTSA remain uncle ... Full text Link to item Cite

Stemmed versus stemless total shoulder arthroplasty: a comparison of operative times

Journal Article Seminars in Arthroplasty JSES · November 1, 2021 Background: Total shoulder arthroplasty (TSA) is the gold standard treatment of end-stage glenohumeral osteoarthritis. TSA with stemless humeral implants have shown comparable rates of success to stemmed components. Prolonged operative time is associated w ... Full text Cite

Intraoperative fractures in shoulder arthroplasty: risk factors and outcomes.

Journal Article JSES Int · November 2021 BACKGROUND: The incidence of shoulder arthroplasty in the United States continues to increase, and while the risk of intraoperative complications such as fracture remains relatively low, there has been little investigation into whether certain patient-spec ... Full text Link to item Cite

Use of a 5-item modified Fragility Index for risk stratification in patients undergoing surgical management of distal humerus fractures.

Journal Article JSES Int · November 2021 INTRODUCTION: We hypothesized that the modified Fragility Index (mFI), which predicts surgical complications, would be applicable to surgical complications in patients older than 50 years with distal humerus fractures (DHF). METHODS: We retrospectively rev ... Full text Link to item Cite

Early aseptic reoperation after shoulder arthroplasty increases risk of subsequent prosthetic joint infection.

Journal Article JSES Int · November 2021 BACKGROUND: Despite the success of anatomic total shoulder arthroplasty (TSA) and reverse shoulder arthroplasty (RSA), the clinical course of some patients necessitates operative intervention in the acute postoperative period. In this study, we evaluate th ... Full text Link to item Cite

Shoulder dislocations among high school–aged and college-aged athletes in the United States: an epidemiologic analysis

Journal Article JSES International · November 1, 2021 Hypothesis/Background: Shoulder dislocations are common orthopedic injuries due to the mobile nature of the glenohumeral joint. High school and collegiate athletes are at particularly high risk for sustaining a dislocation event. Despite the prevalence of ... Full text Cite

Subscapularis management in stemmed and stemless total shoulder arthroplasty: a surgeon decision-making analysis study.

Journal Article JSES Rev Rep Tech · November 2021 BACKGROUND: Stemless total shoulder arthroplasty (TSA) continues to grow in popularity as an evolution of stemmed humeral implants. Proposed advantages include bone preservation and ease of potential revision. However, absence of a stem may necessitate a c ... Full text Link to item Cite

Malpractice trends in shoulder and elbow surgery.

Journal Article J Shoulder Elbow Surg · September 2021 BACKGROUND: Medical malpractice is a very common occurrence that many medical providers will have to face; approximately 17,000 medical malpractice cases are filed in the United States each year, and more than 99% of all surgeons are faced with at least 1 ... Full text Link to item Cite

Fracture location impacts opioid demand in upper extremity fracture surgery.

Journal Article Injury · August 2021 IntroductionOpioid sparing protocols should be formulated with appropriate demand. Specific fracture location has been hypothesized as an important predictor of post-operative pain. The purpose of this study is to evaluate the impact of fracture l ... Full text Cite

Opioid Prescription After Carpal Tunnel Release Is Declining Independent of State Laws.

Journal Article J Am Acad Orthop Surg · June 1, 2021 BACKGROUND: The opioid misuse crisis focused attention on opioid overprescribing prompting legislation, limiting prescribing. The purpose of this study was to evaluate of opioid filling surrounding carpal tunnel release (CTR) with the hypothesis that filli ... Full text Link to item Cite

Application of the ICM diagnostic criteria for shoulder periprosthetic joint infection

Journal Article Seminars in Arthroplasty JSES · May 1, 2021 Background: Diagnosis for shoulder periprosthetic infection (PJI) is a challenge in shoulder arthroplasty. The 2018–2019 International Consensus Meeting (ICM) on Orthopedic Infections created a scoring system with minor and major criteria for shoulder PJI. ... Full text Cite

Humeral intramedullary nail placement through the rotator interval: an anatomic and radiographic analysis.

Journal Article J Shoulder Elbow Surg · April 2021 BACKGROUND: Antegrade humeral intramedullary nails are an effective fixation method for certain proximal humeral fractures and humeral shaft fractures. However, owing to potential rotator cuff damage during nail insertion, shoulder pain remains a common po ... Full text Link to item Cite

Revision total elbow arthroplasty with the ulnar component implanted into the radius for management of large ulna defects.

Journal Article J Shoulder Elbow Surg · April 2021 BACKGROUND: Total elbow arthroplasty (TEA) has a higher rate of revision and complications than other total joint arthroplasties. Salvage options for failed TEAs are limited, especially when patients have poor ulna bone stock. The purpose of this study is ... Full text Link to item Cite

Reverse total shoulder arthroplasty clinical and patient-reported outcomes and complications stratified by preoperative diagnosis: a systematic review.

Journal Article J Shoulder Elbow Surg · April 2021 OBJECTIVE: This systematic review aimed to investigate differences in clinical outcomes, patient-reported outcomes (PROs), and complication types and rates among preoperative diagnoses following reverse total shoulder arthroplasty (RTSA): rotator cuff tear ... Full text Link to item Cite

Outcomes Associated With Scapholunate Ligament Injury Following Intra-Articular Distal Radius Fractures.

Journal Article J Hand Surg Am · April 2021 PURPOSE: The purpose of this study was to evaluate a series of intra-articular distal radius fractures (DRFs) to determine whether patients without radiographic evidence of scapholunate (SL) ligament injury have a difference in outcomes in comparison with ... Full text Link to item Cite

Direct admission versus transfer to a tertiary hospital for definitive management of lower extremity injuries: Systematic review and meta-analysis.

Journal Article J Trauma Acute Care Surg · April 1, 2021 BACKGROUND: Delays in definitive management for traumatic lower extremity injuries may result in morbidity. We compared patients with lower extremity injuries directly admitted to a tertiary hospital for definitive care with patients transferred to that ho ... Full text Link to item Cite

The Value of an Orthoplastic Approach to Management of Lower Extremity Trauma: Systematic Review and Meta-analysis

Journal Article Plastic and Reconstructive Surgery - Global Open · March 22, 2021 Background: Management of traumatic lower extremity injuries requires a skill set of orthopedic surgery and plastic surgery to optimize the return of form and function. A systematic review and meta-analysis was performed comparing demographics, injuries, a ... Full text Cite

Mental health and substance use affect perioperative opioid demand in upper extremity trauma surgery.

Journal Article J Shoulder Elbow Surg · March 2021 BACKGROUND: Patients undergoing upper extremity fracture surgery often have postoperative pain that can be mitigated with opioid pain medications. Opioid misuse and abuse are growing concerns regarding the liberal use of opioids in the perioperative settin ... Full text Link to item Cite

Risk of suprascapular nerve injury during glenoid baseplate fixation for reverse total shoulder arthroplasty: a cadaveric study.

Journal Article J Shoulder Elbow Surg · March 2021 BACKGROUND: Reverse total shoulder arthroplasty (rTSA) is an effective treatment for patients with advanced rotator cuff arthropathy. During implantation of the glenoid baseplate, screws are inserted through the glenoid face into the scapular body to achie ... Full text Link to item Cite

Use of a 5-item modified Fragility Index for risk stratification in patients undergoing surgical management of proximal humerus fractures.

Journal Article JSES Int · March 2021 HYPOTHESIS: We hypothesized that the modified Fragility Index (mFI) would predict complications in patients older than 50 years who underwent operative intervention for a proximal humerus fracture. METHODS: We retrospectively reviewed the American College ... Full text Open Access Link to item Cite

Intravenous tranexamic acid vs. topical thrombin in total shoulder arthroplasty: a comparative study.

Journal Article J Shoulder Elbow Surg · February 2021 BACKGROUND: Blood loss and transfusions have been highlighted as a significant predictor of postoperative morbidity. Tranexamic acid (TXA) has been shown to decrease blood loss and transfusion in shoulder arthroplasty. However, the utility of topical throm ... Full text Link to item Cite

Trends in reimbursement for primary and revision total elbow arthroplasty.

Journal Article J Shoulder Elbow Surg · January 2021 BACKGROUND: Relative value units (RVUs) are an essential component of reimbursement calculations from the Centers for Medicare & Medicaid Services. RVUs are calculated based on physician work, practice expense, and professional liability insurance. Procedu ... Full text Link to item Cite

Utility of postoperative hemoglobin testing following total shoulder arthroplasty.

Journal Article JSES Int · January 2021 BACKGROUND: Identifying areas of excess cost for shoulder arthroplasty patients can play a role in effective health care spending. The purpose of this study was to assess the utility of postoperative complete blood count (CBC) testing after total shoulder ... Full text Open Access Link to item Cite

Legislation Only Limiting Opioid Prescription Length Has Minimal Impact on Prescribing in Orthopaedic Trauma.

Journal Article J Surg Orthop Adv · 2021 This study evaluates the efficacy of North Carolina's Strengthen Opioid Misuse Prevention (STOP) Act in reducing the volume and rate of 90-day perioperative opioid prescribing to patients ages 18 and older after orthopaedic trauma surgery. Patients undergo ... Link to item Cite

Relationships Between Vein Repairs, Postoperative Transfusions, and Survival in Single Digit Replantation.

Journal Article Hand (N Y) · July 2020 Background: The general teaching is that increased number of vein repairs in digit replantation leads to improved venous outflow, resulting in lower need for iatrogenic bleeding, lower postoperative transfusion requirements, and better survival rates. The ... Full text Link to item Cite

Hand transplantation in the United States: A review of the Organ Procurement and Transplantation Network/United Network for Organ Sharing Database.

Journal Article Am J Transplant · May 2020 Hand transplantation is the most common application of vascularized composite allotransplantation (VCA). Since July 3, 2014, VCAs were added to the definition of organs covered by federal regulation (the Organ Procurement and Transplantation Network (OPTN) ... Full text Link to item Cite

Pediatric Fingertip Injuries: Association With Child Abuse.

Journal Article J Hand Surg Glob Online · January 2020 PURPOSE: Pediatric fingertip injuries are most commonly reported in the setting of an accidental occurrence. The purpose of this study was to determine whether there is an association of child abuse and neglect with pediatric fingertip injuries. METHODS: T ... Full text Link to item Cite

The MARBLE Study Protocol: Modulating ApoE Signaling to Reduce Brain Inflammation, DeLirium, and PostopErative Cognitive Dysfunction.

Journal Article J Alzheimers Dis · 2020 BACKGROUND: Perioperative neurocognitive disorders (PND) are common complications in older adults associated with increased 1-year mortality and long-term cognitive decline. One risk factor for worsened long-term postoperative cognitive trajectory is the A ... Full text Open Access Link to item Cite

Prosthetic Arthroplasty of Proximal Interphalangeal Joints for Treatment of Osteoarthritis and Posttraumatic Arthritis: Systematic Review and Meta-Analysis Comparing the Three Ulnar Digits With the Index Finger.

Journal Article Hand (N Y) · September 2019 Background: It is common teaching that treatment of index finger alone is a relative contraindication for arthroplasty of the proximal interphalangeal joint (PIPJ). However, limited data exist reporting the digit-specific complication of PIPJ arthroplasty ... Full text Link to item Cite

Postsurgical Rehabilitation of Flexor Tendon Injuries.

Journal Article J Hand Surg Am · August 2019 Rehabilitation after surgical repair of flexor injuries is a controversial topic. Motion at the repair site decreases risk for adhesions but increases risk for rupture. We review the current concepts behind various rehabilitation protocols based on zone of ... Full text Link to item Cite

Analysis of Expected Costs of Carpal Tunnel Syndrome Treatment Strategies.

Journal Article Hand (N Y) · May 2019 BACKGROUND: Over 500 000 carpal tunnel releases costing over $2 billion are performed each year in the United States. The study's purpose is to perform a cost-minimizing analysis to identify the least costly strategy for carpal tunnel syndrome treatment ut ... Full text Link to item Cite

Survival after Digit Replantation and Revascularization Is Not Affected by the Use of Interpositional Grafts during Arterial Repair.

Conference Plast Reconstr Surg · March 2019 BACKGROUND: Interpositional grafts can be used to reconstruct the digital artery during revascularization and replantation when primary repair is not possible. The purpose of this study was to determine the effect of using interpositional grafts on the rat ... Full text Link to item Cite

Trends and Demographics in the Utilization of Total Wrist Arthroplasty.

Journal Article J Hand Surg Asian Pac Vol · December 2018 BACKGROUND: Health disparities exist among many patient populations, with race, payer status, hospital size and access to teaching versus non-teaching hospitals potentially affecting whether certain patients have access to the benefits of total wrist arthr ... Full text Link to item Cite

Musculoskeletal Injuries in Yoga.

Journal Article Bull Hosp Jt Dis (2013) · September 2018 While yoga has been widely studied for its benefits to many health conditions, little research has been performed on the nature of musculoskeletal injuries occurring during yoga practice. Yoga is considered to be generally safe, however, injury can occur i ... Link to item Cite

Bone Graft Options in Upper-Extremity Surgery.

Journal Article J Hand Surg Am · August 2018 Bone grafting in the upper extremity is an important consideration in patients with injuries or conditions resulting in missing bone stock. A variety of indications can necessitate bone grafting in the upper extremity, including fractures with acute bone l ... Full text Link to item Cite

Partial Wrist Denervation: The Evidence Behind a Small Fix for Big Problems.

Journal Article J Hand Surg Am · March 2018 Wrist denervation addresses symptomatic wrist pain without the morbidity and complication profile of more extensive surgical procedures aimed to correct the underlying pathology. The concept of wrist denervation is not new, but its practical application ha ... Full text Link to item Cite

Scaphoid Nonunions.

Journal Article Bull Hosp Jt Dis (2013) · March 2018 Scaphoid nonunions are challenging injuries to manage and the optimal treatment algorithm continues to be debated. Most scaphoid fractures heal when appropriately treated; however, when nonunions occur, they require acute treatment to prevent future compli ... Link to item Cite

Flexor Tendon Injuries.

Journal Article J Am Acad Orthop Surg · January 15, 2018 Flexor tendon injuries of the hand are uncommon, and they are among the most challenging orthopaedic injuries to manage. Proper management is essential to ensure optimal outcomes. Consistent, successful management of flexor tendon injuries relies on unders ... Full text Link to item Cite

Microsurgery Case Volume During Orthopedic Surgery Residency: A 7-Year Assessment.

Journal Article Hand (N Y) · November 2017 BACKGROUND: Microsurgery is a specialized surgical technique with wide clinical application. The purpose of this study was to analyze case logs of graduating orthopedic surgery residents to assess trends in case volume for microsurgery procedures. METHODS: ... Full text Link to item Cite

Current concepts of shared decision making in orthopedic surgery.

Journal Article Curr Rev Musculoskelet Med · June 2017 PURPOSE OF REVIEW: The Shared Decision Making (SDM) model, a collaborative decision making process between the physician and patient to make an informed clinical decision that enhances the chance of treatment success as defined by each patient's preference ... Full text Link to item Cite

Treatment of Pregnant Patients With Orthopaedic Trauma.

Journal Article J Am Acad Orthop Surg · May 2017 Fracture management in pregnant patients is challenging. Anatomic and physiologic changes in pregnancy increase the complexity of treatment. Maternal trauma increases the risk of fetal loss, preterm birth, placental abruption, cesarean delivery, and matern ... Full text Link to item Cite

Degenerative Spondylolisthesis: An Analysis of the Nationwide Inpatient Sample Database.

Journal Article Spine (Phila Pa 1976) · August 1, 2015 STUDY DESIGN: Analysis of the Nationwide Inpatient Sample database. OBJECTIVE: To investigate national trends, risks, and benefits of surgical interventions for degenerative spondylolisthesis (DS). SUMMARY OF BACKGROUND DATA: The surgical management of DS ... Full text Link to item Cite

Analysis of the Wrist in Selected Yoga Positions

Conference Medicine & Science in Sports & Exercise · May 2015 Full text Cite

Timing of forearm deformity correction in a child with multiple hereditary exostosis.

Journal Article Am J Orthop (Belle Mead NJ) · September 2014 Multiple hereditary exostosis (MHE) can cause progressive skeletal deformities (eg, ulnar shortening, bowing, radial head dislocation) in the upper extremity. Various procedures have been used to correct forearm deformity in children with MHE. The timing o ... Link to item Cite

The high failure rate of biologic resurfacing of the glenoid in young patients with glenohumeral arthritis.

Journal Article J Shoulder Elbow Surg · March 2014 BACKGROUND: The current study evaluated the outcomes of biologic resurfacing of the glenoid using a lateral meniscus allograft or human acellular dermal tissue matrix at intermediate-term follow-up. METHODS: Forty-five patients (mean age, 42.2 years) under ... Full text Link to item Cite

10-year follow-up wear analysis of first-generation highly crosslinked polyethylene in primary total hip arthroplasty.

Journal Article J Arthroplasty · March 2014 Our goal was to report a 10-year follow up of linear penetration rates for HCLPE, and to determine whether a difference exists between penetrations measured on pelvis or hip anterior-posterior radiographs. We reviewed 48 total hip arthroplasties where a fi ... Full text Link to item Cite

Percutaneous reduction and flexible intramedullary nailing for monteggia fracture in a skeletally mature patient

Journal Article International Journal of Surgery Case Reports · January 1, 2014 Monteggia lesions are defined as a fracture of the proximal ulna with an associated radial head dislocation. Management of these injuries varies depending upon the patient population, ranging from non-operative treatment with closed reduction and immobiliz ... Full text Cite