Journal of Shoulder and Elbow Surgery

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  1. 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 populations, who frequently have more severe comorbidity burdens, would experience higher complication rates relative to privately-insured patients who are often younger with fewer comorbidities. Given the limited number of true outpatient cohorts available to study, discharge at least by postoperative day 1 may serve as a useful proxy for true same-day discharge, and we hypothesized that these Medicare patients would have increased 90-day readmission rates compared to their privately-insured counterparts.
  2. Decreases in bone density of the scapula due to age and disease can make orthopedic procedures such as arthroplasty and fracture fixation challenging. There is limited information in the literature regarding the effect of age and sex on the patterns of these density changes across the bone. Characterizing these changes could assist the surgeon in planning optimal instrumentation placement.
  3. The presence of functional somatic syndromes (chronic physical symptoms with no identifiable organic cause) in patients undergoing elective joint arthroplasty may affect the recovery experience. We explored the prevalence of functional somatic syndromes among shoulder arthroplasty patients, and their association with postoperative outcomes and costs.
  4. Hyperlipidemia is linked to poor tendon to bone healing and progression of fatty infiltration after rotator cuff repair. Statins effectively treat hyperlipidemia, but it is unknown if they have any potential detrimental effects following rotator cuff repair. The aim of this study was to evaluate the effect of statins on rotator cuff healing and fatty infiltration following repair.
  5. Management of massive irreparable rotator cuff tears (MIRCTs) remains controversial due to variability in patient features and outcomes contributing to a lack of unanimity in treatment recommendations. The purpose of this study was to implement the Delphi process using experts from the Neer Circle of the American Shoulder and Elbow Surgeons (ASES) to determine areas of consensus regarding treatment options for a variety of MIRCTs.
  6. The objective of this study is to assess patient satisfaction and preference for telemedicine- versus in-person visits for outpatient shoulder and elbow musculoskeletal consultation during the COVID-19 pandemic and in the future.
  7. Progressive displacement of diaphyseal clavicle fractures has been observed in adult patients, at times necessitating a change from non-operative to operative treatment. Whether this occurs in adolescent patients has not been well investigated. The purpose of this study was to assess the rate and extent of progressive clavicle fracture displacement in adolescent patients following injury and during the early stages of healing.
  8. Retear after arthroscopic rotator cuff repair (ARCR) consistently challenges medical staff and patients, and the incidence of retear after surgery is 10-94%. The purpose of this study was to identify the risk factors that cause retear after ARCR and provide theoretical guidance for clinical intervention to reduce the occurrence of postoperative rotator cuff retear.
  9. Patient-reported allergies have been identified as a risk factor for worse outcomes and less satisfaction in knee and hip arthroplasty. Similar associations have not been elucidated with shoulder arthroplasty; however, previous research is sparse. The purpose of this study is to assess the outcomes following shoulder arthroplasty surgery with respect to patient-reported drug allergies (PRA). It was hypothesized a higher number of allergies would be associated with worse patient reported outcomes following shoulder arthroplasty surgery.
  10. Recurrence of anterior instability after arthroscopic Bankart prevents return to sport and remains a surgical challenge.
  11. Periprosthetic joint infection (PJI) following shoulder arthroplasty represents a challenging problem for orthopedic surgeons. While recent studies have supported two-stage exchanges, this treatment choice may not be appropriate for all. Definitive antibiotic spacer placement represents one treatment strategy with limited reported outcomes in the literature. The purpose of the present study is to investigate mortality and functional outcomes associated with definitive spacer placement.
  12. Cubitus varus has been regarded as poor functional and cosmetic consequences of supracondylar humerus fracture in children. The aim of this study was to assess the clinical and radiologic outcomes of cubitus varus based on fixation methods: K-wire and cast fixation or external fixation.
  13. The purpose of this study was to determine the incidence of Popeye deformity following biceps tenotomy versus tenodesis and evaluate risk factors and subjective and objective outcomes.
  14. Glenoid labrum tears are a common cause of shoulder pain and instability and tear patterns have historically been ascribed into categorical descriptions such as anterior, posterior, and superior labral tears (SLAP) with multiple sub-types. Although often quoted as representing no more than 10% of instabilities, posterior shoulder instability may be more common than previously recognized. The purpose of this study was to review observed labral tear patterns and compare incidence and morphologies to historical descriptions.