Publications by authors named "Berhouet Julien"

Purpose: The purpose of this study was to determine the clinical value of diagnostic tests for the long head of the biceps tendon (LHBT) injuries in the setting of a Patte stage 1 supraspinatus tendon rupture.

Methods: This was a prospective cohort multicenter study of 361 patients aged 30 to 80 years with Patte stage 1 distal supraspinatus tendon rupture. The LHBT was assessed clinically by palpation of the bicipital groove, the speed test, the Yergason test and the Kibler test.

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Objective: Management of osteoarticular infections (OAI) represents a major public health challenge. To deal with this, the French Ministry of Health created the (CRIOAC) in 2008. CRIOAC functions as a national network of reference centers for OAI, with the aim of coordinating, providing expertise, offering training, and conducting research at the regional level.

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There is no consensus in the literature regarding the optimal treatment for complex proximal humerus fractures (PHFs). The aim of this study is to evaluate the clinical, functional, and radiological outcomes, and complications, associated with the Bilboquet implant in the treatment of PHFs. The search was conducted from the first description of the Bilboquet device in 1994 to June 2024, across PubMed, Web of Science, and Google Scholar, using specific keywords such as ("Bilboquet" OR "Bilboquet prosthesis" OR "Bilboquet device") AND ("proximal humerus fracture" OR "shoulder fracture"), along with Boolean operators.

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Introduction: This study evaluates the performance of ChatGPT, particularly its versions 4 and 4o, in answering questions from the French orthopedic and trauma surgery exam (Diplôme d'Études Spécialisées, DES), compared to the results of French orthopedic surgery residents. Previous research has examined ChatGPT's capabilities across various medical specialties and exams, with mixed results, especially in the interpretation of complex radiological images.

Hypothesis: ChatGPT version 4o was capable of achieving a score equal to or higher (not lower) than that of residents for the DES exam.

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The method of reconstruction of the anterior cruciate ligament (ACL) using the tibia-dependent femoral tunnel technique is highly criticized. It would not allow anatomical placement of the graft and would therefore lead to a high rate of retear. This retrospective study aimed to evaluate the rate of retear in ACL reconstructions using the transtibial tunnel (TT) technique and assess functional outcomes.

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Background Diagnosing anterior cruciate ligament rupture is challenging, particularly due to the subjective nature of clinical laxity assessments. Objective evaluation methods are necessary for consistency and publication in clinical research. This study aims to assess the reproducibility of the GNRB® knee arthrometer (GeNouRoB, Laval, France) across different examiners and to examine the associated learning curve for a junior examiner.

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Article Synopsis
  • The study aimed to explore if combining MRI findings with clinical tests can improve the detection of long head of the biceps tendon (LHBT) problems.
  • It involved analyzing 140 patients who had shoulder surgeries, focusing on 29 different test combinations to find the best diagnostic accuracy, with surgical findings used as a reference.
  • The 'Speed or Signal' combination was found to have the highest sensitivity (88%) for detecting LHBT issues, but it had low specificity (20%), meaning many healthy tendons could be incorrectly identified as problematic.
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Introduction: For over 10 years, the RM Pressfit cup™ has been used in our department. This is a one-piece, elastic, cementless implant designed with standard polyethylene (PE), covered with a thin coating of titanium particles. To date, there is no French study evaluating this cup after more than 10 years.

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Introduction: A popliteal cyst, or Baker's cyst, is often associated with joint diseases such as osteoarthritis and rheumatoid arthritis (RA). It is rare for these cysts to develop following total knee arthroplasty (TKA), but understanding when and why they might can optimize patient care. Presented here is a unique case of a massive, chronically recurring infected popliteal cyst in a patient with RA and prior TKA, shedding light on an unusual complication worth attention in the orthopedic literature.

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In recent years, preoperative planning has undergone significant advancements, with a dual focus: improving the accuracy of implant placement and enhancing the prediction of functional outcomes. These breakthroughs have been made possible through the development of advanced processing methods for 3D preoperative images. These methods not only offer novel visualization techniques but can also be seamlessly integrated into computer-aided design models.

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Article Synopsis
  • * Despite its advantages, GSA is not widely used because it requires highly skilled surgeons and has challenges with prosthetic fitting.
  • * The article reviews GSA's benefits, candidate selection, modifications, and compares it with traditional amputation methods, focusing on evidence from the past century.
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Chondroblastoma metastasis, though rare, represents a clinically significant and notably important aspect of bone tumors. Understanding its epidemiological characteristics, pathological features, and treatment modalities, despite its infrequency, is imperative for comprehensive patient management. This review aims to elucidate the epidemiology, molecular mechanisms, diagnostic challenges, and therapeutic strategies associated with chondroblastoma metastasis.

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Background: Reverse shoulder arthroplasty (RSA) offers promising functional outcomes for young patients, yet challenges persist in restoring internal rotation (IR). This study aimed to assess the restoration of IR after RSA in patients younger than 60 years of age and analyze the factors affecting IR recovery.

Methods: A retrospective multicenter study was conducted, examining the functional outcome of patients who underwent RSA, with a minimum follow-up period of 2 years.

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Purpose: To determine, from a sizable cohort of reverse shoulder arthroplasty (RSA), whether the deltopectoral (DP) or anterosuperior (AS) approach grant better outcomes at a minimum follow-up of 24 months.

Methods: The authors reviewed 743 RSAs in patients with primary osteoarthritis (OA) with or without rotator cuff lesions and secondary OA due to rotator cuff tears. The DP approach was used in 540 and the AS approach in 203.

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Background: Percutaneous treatment for primary aneurysmal bone cysts (ABCs) has been widely accepted. The study aimed to evaluate the efficacy of various sclerotherapy agents on patients with primary ABCs.

Methods: A meta-analysis of relevant studies.

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Periprosthetic joint infection (PJI) after shoulder arthroplasty remains a significant complication. This study aimed to explore the epidemiology and risk factors of shoulder PJI in patients aged 60 and younger, analyze treatment options, and evaluate outcomes after 1-year follow-up. In this retrospective multicentric observational study, data from 1404 shoulders in patients under 60 who underwent primary shoulder arthroplasty were analyzed.

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Background: Mixed reality may offer an alternative for computer-assisted navigation in shoulder arthroplasty. The purpose of this study was to determine the accuracy and precision of mixed-reality guidance for the placement of the glenoid axis pin in cadaver specimens. This step is essential for accurate glenoid placement in total shoulder arthroplasty.

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Introduction: Inter-observer arthroscopic assessments of the Long head of the Biceps tendon (LHB) injuries, in the absence of predefined instructions, are poorly reproducible. There are several types of LHB injuries, of varying severity, which can make its intraoperative analysis subjective.

Hypothesis: The application of a precise arthroscopic exploration protocol, particularly dynamic, associated with an equally precise analysis of the possible tendon lesions, intrinsic or extrinsic, makes it possible to obtain a reproducible analysis of the lesions of the LHB and aid decision-making around its conservation or its resection, in distal supraspinatus tendon ruptures.

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Background: Few studies have directly compared the outcomes of rotator cuff repair (RCR) with or without concomitant LHBT tenotomy or tenodesis. The aim of this literature review was to assess: (i) whether an adjuvant procedure on the LHBT at the time of RCR gives better functional results than RCR alone; and (ii) whether reoperation rates are higher after RCR alone or RCR+tenotomy or tenodesis.

Methods: A literature search was carried out on PubMed, MEDLINE, Embase, Web of Science and the Cochrane database for papers published in English or French between 1st January, 2010, and 31st December, 2021.

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Introduction: The area encompassing the long head of the biceps (LHB) can be represented as a rectangular parallelepiped. This geometric view can be likened to a box, the "biceps box", where the sides are the extrinsic structures and the LHB is the intrinsic structure. Since these structures are mobile in relation to each other, a dynamic "biceps box" model can modify assessments of the LHB, in its healthy or pathological state, and make the therapeutic approach to treating LHB lesions less arbitrary.

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Introduction: The possible applications of artificial intelligence (AI) in orthopedic surgery are promising. Deep learning can be utilized in arthroscopic surgery due to the video signal used by computer vision. The intraoperative management of the long head of biceps (LHB) tendon is the subject of a long-standing controversy.

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Article Synopsis
  • Injuries to the long head of biceps (LHB) tendon are common yet challenging to diagnose, with current methods relying on arthroscopy which lacks proven reliability.
  • The study aimed to analyze the agreement levels among different observers when evaluating LHB conditions using a unique set of standardized images, while also creating a video database for training AI.
  • Results indicated moderate to strong agreement among observers, suggesting that standardized images can effectively serve as a foundation for developing AI tools in accurately diagnosing LHB injuries.
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Introduction: The functional outcome after reverse shoulder arthroplasty (RSA) is closely linked to how much the humerus shifts because of the implants. While two-dimensional (2D) angle measurements have been used to capture this shift, it can be measured in three dimensions (3D) as the arm change position (ACP). In a previous study, the ACP was measured using 3D preoperative planning software with the passive virtual shoulder range of motion obtained after RSA.

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Article Synopsis
  • The study aimed to compare the actual range of motion (RoM) in patients who underwent reverse shoulder arthroplasty (RSA) to the virtual RoM predicted by preoperative planning software, particularly considering the role of the scapula-thoracic (ST) joint.
  • Results showed significant discrepancies in passive abduction and forward elevation between virtual and actual measurements, while external rotation with the arm at the side did not display a significant difference.
  • Measurement of angles revealed a significantly higher gleno-metaphyseal angle in actual assessments and a lower glenoid horizontal angle compared to the virtual planning, indicating notable variations in post-operative positioning.
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Article Synopsis
  • The study focused on evaluating how well different surgeons agree when diagnosing issues with the long head of the biceps (LHB) during arthroscopy, especially in cases of small rotator cuff tears.
  • The study involved 49 patients and analyzed videos of LHB assessments by seven surgeons, revealing slight agreement between them and limited consistency for the junior surgeon when analyzing the LHB's condition.
  • The results suggest that relying solely on arthroscopic assessments without additional clinical information can lead to inconsistencies, highlighting the need for a more comprehensive approach to LHB evaluation.
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