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Oke Adrian Anakwenze

Professor of Orthopaedic Surgery
Orthopaedic Surgery
Office hours 8am-5pm  

Selected Publications


Myosteatosis and skeletal muscle atrophy, but not fibrosis, are correlated with increasing tear sizes of full-thickness rotator cuff tears.

Journal Article J Shoulder Elbow Surg · January 2026 BACKGROUND: Rotator cuff tears (RCTs) are a common shoulder pathology associated with degenerative muscle changes, including fatty accumulation (myosteatosis), muscle atrophy, and fibrosis. The purpose of this study was to utilize immunohistochemistry to a ... Full text Link to item Cite

Glenohumeral decentering in rotator cuff deficiency: relationship to rotator cuff muscle, scapula morphology, and shoulder function.

Journal Article J Shoulder Elbow Surg · January 2026 BACKGROUND: The purpose of this study is to assess the influence of 3-dimensional (3D) quantitative rotator cuff muscle volume, percentage fat infiltration and scapula morphology on decentering of the humeral head (HH) from the glenoid in patients with sev ... Full text Link to item Cite

Revision reverse total shoulder arthroplasty as an outpatient procedure.

Journal Article J Shoulder Elbow Surg · December 2025 BACKGROUND: Outpatient arthroplasty offers several benefits, including reduced hospital stay, lower costs, and decreased risk of hospital-acquired infections. The purpose of this study is to compare short-term outcomes, including complication rates, readmi ... Full text Link to item Cite

Quantitative Underestimation of Two-Dimensional Anterior and Posterior Glenoid Bone Loss Measurements Varies According to Bone Morphology.

Journal Article J Orthop Res · November 2025 Quantitative means of characterizing glenoid bone loss (GBL) remain a growing field of interest. Here, a 3D volumetric GBL estimation is compared against standard 2D methods for GBL computation to elucidate the effect of morphological differences in glenoi ... Full text Link to item Cite

A standardized fluoroscopic sequence to reveal residual MCL instability after repair of the LUCL in elbow injury.

Journal Article Injury · November 2025 BACKGROUND: Indications for stabilization of the medial collateral ligament (MCL) after repair of the lateral ulnar collateral ligament (LUCL) remain controversial. Here, we propose a standardized fluoroscopic sequence to reveal residual medial elbow insta ... Full text Link to item Cite

Bone block options for treating glenoid bone loss and glenohumeral instability: A systematic review.

Journal Article Shoulder Elbow · October 2025 BACKGROUND: To systematically review the literature assessing glenoid bone loss restoration by different bone block options and compare their dimensions. METHODS: Systematic examination of articles in PubMed and EMBASE databases was performed per the Prefe ... Full text Link to item Cite

Assessment of periprosthetic joint infection in revision shoulder arthroplasty.

Journal Article J Shoulder Elbow Surg · October 2025 BACKGROUND: In those undergoing revision shoulder arthroplasty, the diagnosis of periprosthetic joint infection (PJI) remains challenging with many clinical and diagnostic variables being considered. The purpose of the study was to evaluate the predictive ... Full text Link to item Cite

Clinical Outcomes of Arthroscopic Treatment of High-Grade Partial Thickness Rotator Cuff Tears With Augmentation Using Bioinductive Collagen Implants Are Comparable With Tear Completion and Repair.

Journal Article Arthroscopy · October 2025 PURPOSE: To evaluate and compare the functional outcomes and reoperation rates after bioinductive collagen implant repair (BCIR) versus arthroscopic tear completion and rotator cuff repair (ARCR) for the management of partial rotator cuff tears at a minimu ... Full text Link to item Cite

Concomitant joint infection in shoulder periprosthetic fracture patients: a case series

Journal Article Seminars in Arthroplasty Jses · September 1, 2025 Full text Cite

Short-term outcomes of reverse total shoulder arthroplasty for proximal humerus fractures in patients under 70 versus patients 70 and over.

Journal Article JSES Int · September 2025 BACKGROUND: This study aims to compare the short-term outcomes of reverse total shoulder arthroplasty (rTSA) in patients with proximal humerus fractures stratified by age into young and elderly cohorts. METHODS: This retrospective review analyzed patients ... Full text Link to item Cite

Deep learning for automated 3D assessment of rotator cuff muscle atrophy and fat infiltration prior to total shoulder arthroplasty.

Journal Article J Shoulder Elbow Surg · September 1, 2025 BACKGROUND: Rotator cuff muscle pathology affects outcomes following total shoulder arthroplasty, yet current assessment methods lack reliability in quantifying muscle atrophy and fat infiltration. We developed a deep learning-based model for automated seg ... Full text Link to item Cite

One-Year Follow-Up Is Sufficient Time for Patient-Reported Outcomes Following Rotator Cuff Repair: A Systematic Review and Meta-analysis.

Journal Article Arthroscopy · August 2025 PURPOSE: To perform a systematic review to determine whether there were clinically significant differences in patient-reported outcome measures from 1- to 2-year follow-up following rotator cuff repair (RCR). METHODS: A literature search of 3 databases was ... Full text Link to item Cite

Tension band wiring and plate fixation for Olecranon fractures: a systematic review and meta-analysis.

Journal Article JSES Rev Rep Tech · August 2025 BACKGROUND: The purpose of this study is to perform a systematic review of the literature comparing the utilization of tension-band wiring (TBW) and plate fixation for the surgical management of olecranon fractures. METHODS: A systematic search of articles ... Full text Link to item Cite

Arthroscopic Fixation of Large Glenoid Bony Bankart Fracture Using Halifax Portal With Dual Screw Fixation and Labral Repair

Journal Article Arthroscopy Techniques · August 1, 2025 Bony Bankart fractures occurring after traumatic dislocations are challenging to manage. Large fractures may render the shoulder at high risk of recurrent instability and/or arthritis. The purpose of this Technical Note is to present the arthroscopic fixat ... Full text Cite

A machine learning prediction model for total shoulder arthroplasty procedure duration: an evaluation of surgeon, patient, and shoulder-specific factors.

Journal Article J Shoulder Elbow Surg · July 2025 BACKGROUND: Operating room efficiency is of paramount importance for scheduling, cost efficiency, and to allow for the high operating volume required to address the growing demand for arthroplasty. The purpose of this study was to develop a machine learnin ... Full text Link to item Cite

Clinical outcomes following intramedullary nailing of humerus fractures: a systematic review.

Journal Article JSES Int · July 2025 BACKGROUND: The purpose of this study is to systematically review the literature to assess clinical outcomes arising from intramedullary nailing (IMN) of humerus fractures. METHODS: Two independent reviewers performed a literature search in accordance with ... 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 · May 2025 BACKGROUND: 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 th ... Full text Link to item Cite

The impact of socioeconomic factors on 90-day postoperative readmissions and cost in shoulder arthroplasty patients.

Journal Article J Shoulder Elbow Surg · May 2025 BACKGROUND: Understanding the impact of Social Drivers of Health on shoulder arthroplasty is pivotal for the development of equitable value-based payment models that enhance the quality of patient care. This investigation aims to understand the influence o ... Full text Link to item Cite

Do constrained liners (in a 145° onlay implant) provide any benefit? A matched retrospective study.

Journal Article J Shoulder Elbow Surg · May 2025 BACKGROUND: The purpose of this study was to compare the outcomes of primary reverse total shoulder arthroplasty (rTSA) using constrained liners (in a 145° onlay implant, Equinoxe [Exactech]) with primary rTSA using standard liners with a minimum 1-year fo ... Full text Link to item Cite

Risk factors for recurrence after Latarjet procedure: a systematic review and meta-analysis.

Journal Article J Shoulder Elbow Surg · May 2025 BACKGROUND: The risk factors associated with recurrent instability following Latarjet procedure remain poorly understood. The purpose of this study was to conduct a systematic review to elucidate risk factors contributing to therapeutic failure after the L ... 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 · March 2025 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

Complications Associated with Surgical Management of Olecranon Fractures: A Systematic Review.

Journal Article JBJS Rev · March 1, 2025 PURPOSE: The purpose of this study was to systematically review the literature to assess surgical complications following surgical management of olecranon fractures. METHODS: A literature search of MEDLINE, Embase, and the Cochrane Library was performed ba ... 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 · February 2025 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 · February 2025 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

Complications following intramedullary nailing of proximal humerus and humeral shaft fractures: a systematic review.

Journal Article J Shoulder Elbow Surg · February 2025 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

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

Journal Article Shoulder Elbow · January 2025 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 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 · January 2025 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

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

Journal Article J Shoulder Elbow Surg · January 2025 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

The Role of Sleep Apnea in Postoperative Neurocognitive Disorders Among Older Noncardiac Surgery Patients: A Prospective Cohort Study.

Journal Article Anesth Analg · January 1, 2025 BACKGROUND: Obstructive sleep apnea is associated with increased dementia risk, yet its role in postoperative neurocognitive disorders is unclear. Here, we studied whether the severity of untreated obstructive sleep apnea is associated with the severity of ... Full text Link to item Cite

How is infection diagnostic criteria for shoulder periprosthetic joint infection reported in literature: systematic review.

Journal Article JSES Int · January 2025 BACKGROUND: The purpose of this study was to elucidate which criteria are being reported in the literature for the workup and diagnosis of shoulder periprosthetic joint infection (PJI). Studies published prior to or after 2019 were compared to elucidate an ... Full text Link to item Cite

Treatment of Anterior Shoulder Instability: A Comprehensive Review

Journal Article Journal of Hand Surgery Global Online · January 1, 2025 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 Cite

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

Journal Article Am J Sports Med · December 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

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

Journal Article Seminars in Arthroplasty Jses · December 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

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

Can Patient-Reported Outcomes Measurement Information System estimate high-impact chronic pain after total shoulder arthroplasty?

Journal Article JSES Int · November 2024 BACKGROUND: Identification of high-impact chronic pain (HICP) among patients receiving total shoulder arthroplasty (TSA) may allow for the design and implementation of tailored pain interventions to address the negative impact on postoperative outcomes and ... 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

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

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

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

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

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

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

Incidence of anatomic total shoulder arthroplasty vs. reverse total shoulder arthroplasty in cuff intact osteoarthritis in males vs. females 70 years or older

Journal Article Seminars in Arthroplasty Jses · June 1, 2024 Background: While there has been increased attention to the use of reverse total shoulder arthroplasty (RTSA) to treat rotator cuff intact glenohumeral osteoarthritis (RCIOA) for older age groups, there has not been as precise an assessment of the differen ... Full text 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

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

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

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

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

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

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

Is the use of abduction pillows crucial for post-operative rehabilitation following reverse total shoulder arthroplasty?

Journal Article Shoulder and Elbow · January 1, 2024 Background: Surgeons often use abduction pillows after reverse total shoulder arthroplasty (rTSA), but evidence for their benefits is limited. This study compares outcomes for patients using a sling with or without an abduction pillow post-operatively. Met ... Full text Cite

Use of a Low Profile Ultra-High Molecular Weight Polyethylene Diaphyseal Humeral Cement Restrictor in Shoulder Arthroplasty.

Journal Article J Shoulder Elb Arthroplast · 2024 BACKGROUND: When implanting a cemented humeral stem, a reliable method to prevent inappropriate extension and enable pressurization of cement in the intramedullary canal is required. The aim was to assess the outcomes of a dedicated humeral diaphyseal ceme ... Full text 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

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

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

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 Am J Sports Med · July 2023 BACKGROUND: Atrophy 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) on ma ... Full text Link to item 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

The role of center of rotation on subscapularis biomechanics in reverse shoulder arthroplasty: a simulation study

Journal Article Seminars in Arthroplasty Jses · June 1, 2023 Background: Reverse shoulder arthroplasty (RSA) has been associated with poor internal rotation (IR) postoperatively. While studies have demonstrated lateralized glenospheres to achieve greater impingement-free range of motion (ROM), the underlying biomech ... 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

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

Journal Article J Am Acad Orthop Surg Glob Res Rev · June 1, 2023 BACKGROUND: Because 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 in ana ... Full text Open Access Link to item Cite

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

Journal Article J Shoulder Elbow Surg · May 2023 BACKGROUND: Recent 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 risk of ... Full text Link to item 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

Distal Clavicle Autograft Versus Traditional and Congruent Arc Latarjet Procedures: A Comparison of Surface Area and Glenoid Apposition With 3-Dimensional Computed Tomography and 3-Dimensional Magnetic Resonance Imaging.

Journal Article Am J Sports Med · April 2023 BACKGROUND: Limited studies have compared graft-glenoid apposition and glenoid augmentation area between the Latarjet procedure and distal clavicle graft in glenohumeral stabilization. Additionally, preoperative planning is typically performed using comput ... Full text 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

Short-term radiographic analysis of a stemless humeral component for anatomic total shoulder arthroplasty

Journal Article Jses International · March 1, 2023 Background: Standard stemmed humeral implants have traditionally been utilized for total shoulder arthroplasty (TSA) with a recent trend to implant smaller stems including short and stemless humeral designs. However, the rate of stress shielding after stem ... Full text Cite

My Reverse Has Failed: Top Five Complications and How to Manage Them.

Journal Article Instr Course Lect · 2023 Reverse total shoulder arthroplasty implantation has increased dramatically over the past 4 decades since it was first introduced in France in 1985. It has greatly improved the ability to treat patients with cuff tear arthropathy, proximal humeral fracture ... Link to item 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

Perioperative Management in Shoulder Arthroplasty: A Review of Current Practice.

Journal Article Orthop Clin North Am · October 2022 Perioperative management for patients undergoing shoulder arthroplasty has evolved significantly over the years to reduce overt complications and improve patient outcomes. The groundwork for perioperative care encompasses initial patient selection and educ ... 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

Early clinical and radiographic outcomes of anatomic total shoulder arthroplasty with a biconvex posterior augmented glenoid for patients with posterior glenoid erosion: minimum 2-year follow-up.

Journal Article J Shoulder Elbow Surg · August 2022 BACKGROUND: Glenoid bone loss in anatomic total shoulder arthroplasty (aTSA) remains a controversial and challenging clinical problem. Previous studies have shown high rates of glenoid loosening for aTSA in shoulders with retroversion, posterior bone loss, ... Full text Link to item Cite

The cultural sensitivity continuum of mental health interventions in Sub-Saharan Africa: A systematic review.

Journal Article Soc Sci Med · August 2022 Although there is a small but growing literature examining mental health interventions in Sub-Saharan Africa (SSA), there are very few systematic reviews of mental health interventions in the region. Those that exist primarily examine interventions for spe ... 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

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 J Shoulder Elbow Surg · April 2022 BACKGROUND: Psychological 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 psycholo ... Full text Link to item 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

Distal Clavicle Autograft Fixed with Buttons for the Management of Shoulder Instability with Glenoid Defect: A Case Report.

Journal Article JBJS Case Connect · April 1, 2022 CASE: In this case report, we presented the case of a 39-year-old male lawyer who presented to our tertiary care clinic with recurrent instability of his right shoulder and significant glenoid bone loss. This patient was treated with arthroscopic glenoid b ... 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

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

The Impact of COVID-19 on Surgical Volume and Productivity at an Academic Orthopaedic Surgery Department.

Journal Article J Surg Orthop Adv · 2022 COVID-19 pandemic rapidly progressed, resulting in temporary cessation of elective surgery in the U.S. The goal of this study was to evaluate the impact of COVID-19 on surgical volume, charges, work relative value units (WRVUs), and net receipts at an acad ... 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 INTRODUCTION: Opioid 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 location ... 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

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

How Are Orthopaedic Sports Medicine Physicians Triaging Cases and Using Telehealth in Response to COVID-19? A Survey of AOSSM Membership

Journal Article Orthopaedic Journal of Sports Medicine · January 1, 2021 Background: The COVID-19 pandemic has changed the practice of orthopaedic sports medicine. The threat of COVID-19 persists, and future restrictions to elective procedures are possible. It is important to understand how sports surgeons are prioritizing surg ... Full text Cite

Physician burnout and professional satisfaction in orthopedic surgeons during the COVID-19 Pandemic.

Journal Article Work · 2021 BACKGROUND: Burnout and professional satisfaction is an often an overlooked component for healthcare outcomes; the COVID-19 pandemic represents an unprecedented stressor that could contribute to higher levels of burnout. OBJECTIVES: Our primary objective w ... Full text Link to item Cite

Rotator cuff to deltoid and pectoralis tendon to anatomic neck distances: methods for anatomic restoration of humeral height and tuberosity position in proximal humerus fractures for operative fixation and arthroplasty.

Journal Article JSES Int · December 2020 INTRODUCTION: Proper anatomic tuberosity reduction and restoration of humeral height during surgical treatment of proximal humerus fractures leads to fewer complications and better outcomes. In the presence of significant displacement and comminution in pr ... Full text Link to item Cite

Strategies to decolonize the shoulder of Cutibacterium acnes: a review of the literature.

Journal Article J Shoulder Elbow Surg · April 2020 Cutibacterium acnes is the most prevalent cause of joint infection after shoulder surgery. Current methods for decolonizing this bacterium from the shoulder region have proved ineffective owing to its unique niche within dermal sebaceous glands and hair fo ... 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

Medical Complications and Outcomes After Total Shoulder Arthroplasty: A Nationwide Analysis.

Journal Article Am J Orthop (Belle Mead NJ) · October 2018 There is a paucity of evidence describing the types and rates of postoperative complications following total shoulder arthroplasty (TSA). We sought to analyze the complications following TSA and determine their effects on described outcome measures. Using ... Full text Link to item Cite

Operative Management of Acute Triceps Tendon Ruptures: Review of 184 Cases.

Journal Article Am J Sports Med · May 2018 BACKGROUND: Distal triceps tendon ruptures are rare. The authors present a series of 184 surgically treated, acute, traumatic triceps tendon avulsions and compare the complications between those treated with anchors (A) versus transosseous (TO) suture repa ... Full text Link to item Cite

Medial Patellofemoral Ligament Reconstruction Using Dual Patella Docking Technique.

Journal Article Arthrosc Tech · December 2017 Medial patellofemoral ligament (MPFL) injuries are common in children and young adults. In patients with recurrent patellar dislocations with normal lower-extremity alignment, anatomic reconstruction of the MPFL has been shown to restore patellar stability ... Full text Link to item Cite

Complications in total shoulder and reverse total shoulder arthroplasty by body mass index.

Journal Article J Shoulder Elbow Surg · July 2017 INTRODUCTION: The purpose of this study was to identify the effects of body mass index (BMI) on long-term outcomes (revision rate, 1-year mortality rate, 3-year surgical site infection rate, and 90-day inpatient all-cause readmission rate) after total shou ... Full text Link to item Cite

Cement technique correlates with tuberosity healing in hemiarthroplasty for proximal humeral fracture.

Journal Article J Shoulder Elbow Surg · March 2017 BACKGROUND: Tuberosity healing correlates with clinical outcomes after hemiarthroplasty for 4-part proximal humeral fractures (4PHFs). We seek to examine variables that affect tuberosity healing. METHODS: This was a retrospective comparative study. At 1 ye ... Full text Link to item Cite

Histological Evidence of Muscle Degeneration in Advanced Human Rotator Cuff Disease.

Journal Article J Bone Joint Surg Am · February 1, 2017 BACKGROUND: Cellular remodeling in rotator cuff muscles following a massive rotator cuff tear is poorly understood. The aim of the current study was to provide histological evidence to elucidate the mode of muscle loss in advanced human rotator cuff diseas ... Full text Link to item Cite

Effect of Age on Outcomes of Shoulder Arthroplasty.

Journal Article Perm J · 2017 CONTEXT: Outcomes of total shoulder arthroplasty (TSA) and reverse total shoulder arthroplasty (RTSA) as a function of age are not well known. OBJECTIVE: To understand the effects of age on revision rate, mortality, and hospital readmissions. DESIGN: A ret ... Full text Link to item Cite

Management of Acute Proximal Humeral Fractures.

Journal Article J Am Acad Orthop Surg · January 2017 Proximal humeral fractures, which typically occur in elderly persons, are among the most common fractures. A myriad of nonsurgical and surgical treatment options exist for these injuries, including short-term immobilization and early physical therapy, perc ... Full text Link to item Cite

Profile of Current Opinion on Arthroscopic Acromioplasty: A Video Survey Study.

Journal Article Arthroscopy · July 2016 PURPOSE: To provide a baseline profile of current opinion on use of arthroscopic acromioplasty and evaluate the consistency of surgical decision making on whether or not to perform acromioplasty across different surgeon practices. METHODS: Twenty-two fello ... Full text Link to item Cite

Lateral Ulnar Collateral Ligament Reconstruction: An Analysis of Ulnar Tunnel Locations.

Journal Article Am J Orthop (Belle Mead NJ) · February 2016 We conducted a study to determine precise ulnar tunnel location during lateral ulnar collateral ligament reconstruction to maximize bony bridge and graft construct perpendicularity. Three-dimensional computer models of 15 adult elbows were constructed. The ... Link to item Cite

Coracoid fracture after reverse total shoulder arthroplasty: a report of 2 cases.

Journal Article Am J Orthop (Belle Mead NJ) · November 2015 Although reverse total shoulder arthroplasty is largely successful, there are still complications that require appropriate diagnostic workup and treatment. These 2 cases of patients with a coracoid fracture were encountered at 3 months and 15 months after ... Link to item Cite

Reverse shoulder arthroplasty for the management of proximal humerus fractures.

Journal Article J Am Acad Orthop Surg · March 2015 The use of reverse shoulder arthroplasty is becoming increasingly popular for the treatment of complex three- and four-part proximal humerus fractures in the elderly compared with the often unpredictable and poor outcomes provided by open reduction and int ... Full text Link to item Cite

Calcific tendinitis of the rotator cuff: management options.

Journal Article J Am Acad Orthop Surg · November 2014 Calcific tendinitis of the rotator cuff tendons is a common cause of shoulder pain in adults and typically presents as activity-related shoulder pain. It is thought to be an active, cell-mediated process, although the exact pathophysiology remains unclear. ... Full text Link to item Cite

Surgical treatment of posterolateral rotatory instability of the elbow.

Journal Article Arthroscopy · July 2014 PURPOSE: The purpose of this systematic review was to critically examine the outcomes of lateral ulnar collateral ligament reconstruction for posterolateral rotatory instability (PLRI) of the elbow. METHODS: A systematic review of the literature was perfor ... Full text Link to item Cite

Arthroscopic Hill-Sachs remplissage: a systematic review.

Journal Article J Bone Joint Surg Am · April 2, 2014 BACKGROUND: Failure to address humeral osseous defects during arthroscopic stabilization surgery for glenohumeral instability leads to an increased rate of recurrence. Arthroscopic remplissage has been proposed as a treatment option for substantial Hill-Sa ... Full text Link to item Cite

Characterization of the supinator tubercle for lateral ulnar collateral ligament reconstruction

Journal Article Orthopaedic Journal of Sports Medicine · April 1, 2014 Background: Lateral ulnar collateral ligament (LUCL) reconstruction requires proper understanding and identification of anatomic structures about the lateral elbow. The insertion site of the LUCL is based on the supinator tubercle. Purpose: To characterize ... Full text Cite

Reverse shoulder arthroplasty for acute proximal humerus fractures: a systematic review.

Journal Article J Shoulder Elbow Surg · April 2014 BACKGROUND: Proximal humerus fractures are one of the most common fractures among elderly patients. We performed a systematic review to detail the demographics, outcomes, and complications of patients who undergo reverse shoulder arthroplasty for complex p ... Full text Link to item Cite

Posterolateral rotatory instability of the elbow.

Journal Article Am J Sports Med · February 2014 Symptomatic posterolateral rotatory instability (PLRI) results from a lateral collateral ligament complex injury and presents with pain, clicking, and subluxation within the flexion and extension arcs of elbow motion. Often, symptoms and examination charac ... Full text Link to item Cite

Medial epicondyle morphology in elite overhead athletes

Journal Article Orthopaedic Journal of Sports Medicine · January 1, 2014 Background: Prior studies have attempted to determine morphological characteristics of the medial epicondyle in overhead athletes, but no study has reported on precise quantitative differences between elite overhead athletes and control patients. Hypothesi ... Full text Cite

Isolated sciatic nerve entrapment by ectopic bone after femoral head fracture-dislocation.

Journal Article Am J Orthop (Belle Mead NJ) · June 2013 Although posttraumatic pelvic heterotopic ossification (HO) after hip fracture dislocation is well established, and nerve encasement by HO may occur, the development of neurologic deficit is rare. A thorough history and adequate clinical suspicion are impe ... Link to item Cite

Myotendinous lengthening of the elbow flexor muscles to improve active motion in patients with elbow spasticity following brain injury.

Journal Article J Shoulder Elbow Surg · March 2013 BACKGROUND: The objective of this study was to evaluate the outcomes of a novel technique of fractional myotendinous lengthening of the elbow flexors in patients with volitional motor control and spastic elbow flexion deformities after brain injury. METHOD ... Full text Link to item Cite

Arthroscopic rotator cuff repair: impact of diabetes mellitus on patient outcomes.

Journal Article Phys Sportsmed · February 2013 INTRODUCTION: Arthroscopic repair of rotator cuff tears has been associated with satisfactory improvement in pain and function. The goal of this study was to compare the results of patients with diabetes and patients without diabetes after the 2 cohorts un ... Full text Link to item Cite

Trabecular metal fixation: A new chemical concoction

Journal Article Seminars in Arthroplasty Jses · January 1, 2013 Secure fixation of metal prosthesis to bone has always been a challenge. Bone cement has been a great help in achieving this goal, but there can be complications, such as cement loosening and breakage. Therefore, it is reasonable to consider types of coati ... Full text Cite

Orthopaedic residency applications increase after implementation of 80-hour workweek general

Journal Article Clinical Orthopaedics and Related Research · January 1, 2013 Background: The factors that influence interest among medical students toward different medical specialties with time are important. The potential impact of changes in work-hour rules on orthopaedic applications in comparison to that of primary care medici ... Full text Cite

Soft-tissue management in revision total shoulder arthroplasty.

Journal Article J Am Acad Orthop Surg · January 2013 Revision total shoulder arthroplasty can be technically challenging. Results are inferior to those of primary arthroplasty, particularly when the indications for revision are related to soft-tissue problems. Patient selection is important. In the stiff art ... Full text Link to item Cite

Arthroscopic repair of large rotator cuff tears using the double-row technique: an analysis of surgeon experience on efficiency and outcomes.

Journal Article J Shoulder Elbow Surg · January 2013 BACKGROUND: Arthroscopic rotator cuff repair is one of the most commonly performed procedures in the orthopaedic specialty. The goal of this study was to evaluate the effect(s) of surgical experience on efficiency and patient outcomes after double-row rota ... Full text Link to item Cite

Distal biceps tendon repair: an analysis of timing of surgery on outcomes.

Journal Article J Athl Train · 2013 CONTEXT: Surgical repair of the ruptured distal biceps brachaii tendon is an effective treatment in injured patients. Timing of surgery is considered an important factor when managing these patients. OBJECTIVE: To compare our outcomes after distal biceps t ... Full text Link to item Cite

Foot and ankle infections: diagnosis and management.

Journal Article J Am Acad Orthop Surg · November 2012 Infections of the foot are a common source of morbidity, disability, and potential limb loss. A large proportion of lower extremity infections occurs in the setting of diabetic neuropathy, with or without circulatory compromise, and are potentially prevent ... Full text Link to item Cite

Neuralgic amyotrophy (Parsonage-Turner syndrome).

Journal Article J Am Acad Orthop Surg · July 2012 Neuralgic amyotrophy (Parsonage-Turner syndrome or brachial plexus neuritis) is an uncommon syndrome whose cause is unknown. The suprascapular and axillary nerves and corresponding muscles are affected most frequently. The disorder exhibits a broad range o ... Full text Link to item Cite

Segmental contribution toward total cervical range of motion: a comparison of cervical disc arthroplasty and fusion.

Journal Article Spine (Phila Pa 1976) · December 1, 2011 STUDY DESIGN: Prospective radiographic evaluation of patients that underwent cervical total disc replacement (TDR-C) or anterior cervical discectomy and fusion (ACDF) for one-level cervical disc disease. OBJECTIVE: To evaluate the following: (1) total cerv ... Full text Link to item Cite

Outcomes of modified 2-incision technique with use of indomethicin in treatment of distal biceps tendon rupture.

Journal Article Orthopedics · November 9, 2011 Multiple surgical techniques for distal biceps tendon ruptures exist. Heterotopic ossification is an associated omplication of the 2-incision technique. The purpose of this study was to review the results of distal biceps tendon repairs via the modified 2- ... Full text Link to item Cite

Acromioclavicular joint pain in patients with adhesive capsulitis: a prospective outcome study.

Journal Article Orthopedics · September 9, 2011 Diagnosis of adhesive capsulitis is a clinical diagnosis based on history and physical examination. Afflicted patients exhibit active and passive loss of motion in all planes and a positive capsular stretch sign. The effect of adhesive capsulitis on acromi ... Full text Link to item Cite

Incidence and implications of early postoperative wound complications after total elbow arthroplasty.

Journal Article J Shoulder Elbow Surg · September 2011 HYPOTHESIS: Other than an awareness, there is little detailed information regarding wound problems after total elbow arthroplasty. The purpose of this study was to (1) determine the incidence of wound complications after elbow arthroplasty, (2) document th ... Full text Link to item Cite

Recurrent anterior shoulder instability associated with bony defects.

Journal Article Orthopedics · July 2011 Mobility of the glenohumeral joint is facilitated through the complex interplay of soft tissue and osseous anatomy. Arthroscopic shoulder stabilization is commonly used in the surgical management of shoulder instability. However, the management of the unst ... Full text Link to item Cite

Evaluation and treatment of shoulder instability.

Journal Article Phys Sportsmed · May 2011 The shoulder joint has a wide range of motion as a result of a complex interplay of soft tissue and bone structures. It is also the most frequently dislocated joint in the body. Shoulder dislocations are generally classified as traumatic and nontraumatic. ... Full text Link to item Cite

Current review of adhesive capsulitis.

Journal Article J Shoulder Elbow Surg · April 2011 Full text Link to item Cite

Adolescent disc dysplasia and back pain

Journal Article Journal of Children S Orthopaedics · February 1, 2011 Purpose: Adolescent disc dysplasia can be a cause of significant back pain and functional impairment in patients. We present a case series of patients inflicted with adolescent disc dysplasia (ADD). Methods: A retrospective search was performed identifying ... Full text Cite

Staged custom, intramedullary antibiotic spacers for severe segmental bone loss in infected total hip arthroplasty.

Journal Article Adv Orthop · 2011 Introduction. Total hip arthroplasty (THA) infections with severe bone loss pose significant reconstructive challenges. We present our experience with two-stage hip reimplantation using an intramedullary, antibiotic-impregnated nail. Methods. Three patient ... Full text Link to item Cite

The role of concurrent fusion to prevent spinal deformity after intramedullary spinal cord tumor excision in children.

Journal Article J Pediatr Orthop · 2011 OBJECTIVES: Spinal deformity is a common development after laminectomy and resection of pediatric intramedullary spinal cord tumors. Our objective is to compare the occurrence of postlaminectomy spinal deformity in children with intramedullary spinal cord ... Full text Link to item Cite

Recurrent shoulder instability and arthritis treated with graft jacket resurfacing, hemiarthroplasty, and bone grafting.

Journal Article Orthopedics · January 1, 2011 The treatment of recurrent shoulder instability in the presence of large bony defects of the glenoid and/or the humeral head is evolving. The young patient with significant glenohumeral arthrosis presents unique challenges in terms of management. In the pr ... Full text Link to item Cite

Extrusion of tibial tunnel bioabsorbable screw 15 months after anterior cruciate ligament reconstruction.

Journal Article Arthroscopy · December 2010 The use of bioabsorbable implants in orthopaedic surgery has become a common practice. Despite their many theoretical advantages, recent reports have proposed certain concerns and complications associated with their use. We report the case of a bioabsorbab ... Full text Link to item Cite

Case reports: two cases of glenohumeral chondrolysis after intraarticular pain pumps.

Journal Article Clin Orthop Relat Res · September 2010 BACKGROUND: Acute idiopathic chondrolysis in young adults is rare. The etiology often is unknown and outcomes can be devastating owing to rapid development of painful secondary osteoarthritis. There have been some recent reports of chondrolysis after arthr ... Full text Link to item Cite

Primary musculoskeletal sarcoidosis.

Journal Article Orthopedics · May 12, 2010 Sarcoidosis is a well-described clinical entity with several types of presentation among different organ systems. However, primary musculoskeletal manifestation is a rare and seldom-described manifestation. A retrospective review of patients seen at our in ... Full text Link to item Cite

Athletic performance outcomes following lumbar discectomy in professional basketball players.

Journal Article Spine (Phila Pa 1976) · April 1, 2010 STUDY DESIGN: Retrospective case-control study. OBJECTIVE: To quantify the athletic performance profiles after lumbar discectomy (LD) in a cohort of National Basketball Association (NBA) players in comparison with a control group of matched NBA players who ... Full text Link to item Cite

Segmental contribution toward total lumbar range of motion in disc replacement and fusions: a comparison of operative and adjacent levels.

Journal Article Spine (Phila Pa 1976) · November 1, 2009 STUDY DESIGN: Radiographic results from a prospective, randomized, multicenter trial assessing patients who underwent lumbar total disc replacement (TDR) or circumferential arthrodesis for 1-level degenerative disc disease. OBJECTIVE: To quantify the relat ... Full text Link to item Cite

Sagittal cervical alignment after cervical disc arthroplasty and anterior cervical discectomy and fusion: results of a prospective, randomized, controlled trial.

Journal Article Spine (Phila Pa 1976) · September 1, 2009 STUDY DESIGN: Radiographic results of a multicenter, prospective randomized study comparing 1-level cervical total disc replacement (TDR-C) with anterior cervical discectomy and fusion (ACDF). OBJECTIVE: To evaluate the effect on device-level lordosis, cra ... Full text Link to item Cite

Results and performance after microfracture in National Basketball Association athletes.

Journal Article Am J Sports Med · May 2009 BACKGROUND: Microfracture technique is commonly used to treat symptomatic chondral lesions of the knee. Performance outcomes and attrition rates associated with this injury/surgery in National Basketball Association athletes are unclear. HYPOTHESIS: Nation ... Full text Link to item Cite

Ewing's sarcoma of the hand.

Journal Article J Hand Surg Eur Vol · February 2009 A retrospective case review was carried out to report the outcomes in a contemporary case series of Ewing's sarcoma originating in the hand. We identified five patients treated since 1995. All five had wide surgical excision, one by ray amputation. All wer ... Full text Link to item Cite

Clinical features of multiple glomus tumors.

Journal Article Dermatol Surg · July 2008 BACKGROUND: While glomus tumors are usually solitary, multiple glomus tumors do occur. The purpose of this study was to review the clinical characteristics and outcomes in a series of patients with multiple glomus tumors presenting to our institution. METH ... Full text Link to item Cite

Death during coronary angiography in a woman with cardiac amyloidosis.

Journal Article Amyloid · June 2006 Amyloidosis is a well-recognized systemic disease entity. Patients with cardiac amyloidosis have a poor prognosis; the median survival time after development of congestive heart failure is 4 months. We describe a 72-year-old woman with unsuspected cardiac ... Full text Link to item Cite

Extradigital glomus tumors: A 20-year experience

Journal Article Mayo Clinic Proceedings · January 1, 2006 OBJECTIVE: To review a large series of extradigital glomus tumors in order to gain a better understanding of their presentation and provide guidelines to aid in their diagnosis and treatment. PATIENTS AND METHODS: We performed a retrospective review of all ... Full text Cite