Journal ArticleJ 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 ...
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Journal ArticleJ 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 ...
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Journal ArticleSeminars 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 ...
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Journal ArticleJ 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 ...
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Journal ArticleJ 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 ...
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Journal ArticleEur 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 ...
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Journal ArticleJ ISAKOS · October 2023
OBJECTIVES: The purpose of this study was to report and compare postoperative range of motion (ROM), patient-reported outcomes, and failure rates following superior capsular reconstruction (SCR) and to compare outcomes between arthroscopic and mini-open te ...
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Journal ArticleSeminars 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 ...
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Journal ArticleJ 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 ...
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Journal ArticleJ 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 ...
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Journal ArticleSeminars 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 ...
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Journal ArticleJ 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 ...
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Journal ArticleSeminars 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 ...
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Journal ArticleJ 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 ...
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Journal ArticleJ 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 ...
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Journal ArticleSeminars 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 ...
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Journal ArticleSeminars 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 ...
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Journal ArticleSeminars 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 ...
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Journal ArticleJ 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 textLink to itemCite
Journal ArticleJ 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 textLink to itemCite
Journal ArticleJ 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 textLink to itemCite
Journal ArticleSeminars 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 textCite
Journal ArticleJ 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 textLink to itemCite
Journal ArticleJ 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 textLink to itemCite
Journal ArticleEur 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 textLink to itemCite
Journal ArticleJ ISAKOS · October 2023
OBJECTIVES: The purpose of this study was to report and compare postoperative range of motion (ROM), patient-reported outcomes, and failure rates following superior capsular reconstruction (SCR) and to compare outcomes between arthroscopic and mini-open te ...
Full textLink to itemCite
Journal ArticleSeminars 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 textCite
Journal ArticleJ 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 textLink to itemCite
Journal ArticleJ 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 textLink to itemCite
Journal ArticleSeminars 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 textCite
Journal ArticleJ 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 textLink to itemCite
Journal ArticleSeminars 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 textCite
Journal ArticleJ 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 textLink to itemCite
Journal ArticleJ 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 textLink to itemCite
Journal ArticleSeminars 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 textCite
Journal ArticleSeminars 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 textCite
Journal ArticleSeminars 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 textCite
Journal ArticleJ 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 textLink to itemCite
Journal ArticleClin 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 ...
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Journal ArticleJ 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 ...
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Journal ArticleJ 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 ...
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Journal ArticleJ 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- ...
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Journal ArticleJ 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 ...
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Journal ArticleJ 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 ...
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Journal ArticleJ 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 ...
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Journal ArticleJ 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 ...
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Journal ArticleSeminars in Arthroplasty JSES · November 1, 2021
Background: Stemless total shoulder arthroplasty (TSA) is aimed at better re-creating native anatomy, facilitating revision, and preserving bone. The purpose of this study is to determine which pre-operative patient characteristics or radiographic paramete ...
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Journal ArticleSeminars 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 ...
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Journal ArticleJSES 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 ...
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Journal ArticleJSES 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 ...
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Journal ArticleJSES 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 ...
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Journal ArticleJ 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 ...
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Journal ArticleJ Shoulder Elbow Surg · May 2021
HYPOTHESIS/BACKGROUND: In 2017, the American Orthopaedic Association advocated for the increased use of telehealth as an assessment and treatment platform, and demand has significantly increased during the coronavirus disease 2019 pandemic. Diagnostic effe ...
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Journal ArticleJ 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 ...
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Journal ArticleAm J Sports Med · February 2021
BACKGROUND: Bone contusions are commonly observed on magnetic resonance imaging (MRI) in individuals who have sustained a noncontact anterior cruciate ligament (ACL) injury. Time from injury to image acquisition affects the ability to visualize these bone ...
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Journal ArticleJSES 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 ...
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Journal ArticleKnee Surg Sports Traumatol Arthrosc · December 2019
PURPOSE: Surgical management for long head of the biceps (LHB) tendinopathy with either biceps tenotomy or tenodesis is a reliable, but debated treatment option. The aim of this prospective, randomized, single-blinded study is to evaluate differences in p ...
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Journal ArticleAm J Sports Med · September 2019
BACKGROUND: The Single Assessment Numerical Evaluation (SANE) is a single-question outcome score that has been shown to be a reliable measure of outcomes for shoulder and knee injuries but has not been compared with other validated outcome scores in hip pa ...
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Journal ArticleJ Bone Joint Surg Am · April 6, 2016
BACKGROUND: Stemmed humeral components have been used since the 1950s; canal-sparing (also known as stemless) humeral components became commercially available in Europe in 2004. The Simpliciti total shoulder system (Wright Medical, formerly Tornier) is a p ...
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Journal ArticleAm J Sports Med · January 2015
BACKGROUND: Diagnostic imaging represents the fastest growing segment of costs in the US health system. This study investigated the cost-effectiveness of alternative diagnostic approaches to meniscus tears of the knee, a highly prevalent disease that tradi ...
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Journal ArticleJ Shoulder Elbow Surg · March 2012
BACKGROUND: Variants of the origin of the long head of the biceps have been described intraoperatively. It is unclear whether these variants contribute to shoulder pathology. Our purpose was to describe an anatomic variation of the origin of the long head ...
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Journal ArticleOrthop Clin North Am · October 1989
Ankle sprains are common and often are treated inadequately. Unstable lateral ankle ligaments cause abnormal ankle motion and can lead to degenerative changes. Arthrography is the superior radiographic study in acutely injured ankles. Stress tests are usef ...
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