Similar Rates of Return to Play After Operative and Nonoperative Management of Physeal Nonunions and Stress Fractures of the Proximal Ulna in Athletes: A Systematic Review of 174 Patients.

Purpose: To analyze the clinical and demographic presentation, treatment strategies, and outcomes of athletes who sustained proximal ulna stress injuries and elucidate the available evidence on management and anatomic variation.

Methods: A literature search was performed on the basis of the medical databases MEDLINE/PubMed and Embase. Articles reporting on sports-related physeal injuries and stress fractures of the proximal ulna were eligible for inclusion.

Descriptive study on injuries and illness in Dutch female adolescent and young adult handball players.

Objective: This study describes the magnitude and burden of injuries and illnesses in elite Dutch female adolescent and young adult handball players.

Design: A retrospective open cohort study.

Methods: 10 consecutive seasons were studied using a database including all injuries and illnesses needing medical attention.

What should be documented for an anterior shoulder dislocation? A Delphi study.

Background: Standardised consensus-based documentation following anterior shoulder dislocation in the ED might improve clinical quality, reduce heterogeneity in research and reduce workload. The aim of this study was to determine important elements and the extent of variability for the ED documentation following anterior shoulder dislocation.

Methods: An expert panel of physicians who perform the documentation (emergency physicians) of diagnosis and management of anterior shoulder dislocation and those who may read it (orthopaedic surgeons and general practitioners) was recruited in a three-round Delphi design between May and November 2022.

Return to Active Duty following Bankart Repair and Latarjet Procedure for Traumatic Anterior Shoulder Dislocation in a Military Population: a Single Center Retrospective Cohort Study.

Background: Given that shoulder instability mostly affects young patients, it is likely that return to active duty (RTAD) is an important factor in the military population. However, knowledge on factors associated with failure to RTAD in this patient group following arthroscopic Bankart repair (ABR) and Latarjet is limited.

Purpose: The aims were to (1) assess RTAD rates following ABR and Latarjet (2) determine prognostic factors that are associated with failure to RTAD and (3) assess the degree of limitation in work performance due to shoulder complaints.

Similar patient-reported outcomes, but lower re-dislocation and higher revision rates following primary Latarjet vs primary Arthroscopic Bankart Repair in patients with 10-20% glenoid bone loss at minimum 2 years follow-up.

Purpose: The amount of glenoid bone loss is closely related to the success rate of surgical treatment following anterior shoulder dislocations. There is an ongoing debate on the most successful treatment in patients with a subcritical amount (10-20%) of glenoid bone loss (GBL). This study aimed to compare patient-reported outcome measures (PROMs) following primary open Latarjet procedure and primary arthroscopic Bankart repair (ABR) in patients with 10-20% GBL at minimum 2 years follow-up.

More Anteromedial Coronoid Involvement in Combined Fractures of the Coronoid and Radial Head Than Traditional Teaching.

Background: The terrible triad injury involves an ulnohumeral dislocation, radial head fracture, and coronoid process fracture. According to traditional teaching, these injuries are strongly associated with anterolateral coronoid tip fractures and can be addressed via a lateral approach to the elbow. However, recent small clinical series suggest that some terrible triad injuries have larger coronoid fractures involving the anteromedial facet.

Pediatric Patients Who Underwent Elbow Arthroscopy Had an 86% Return-to-Sport Rate, a 12% Reoperation Rate, and a 3.7% Complication Rate.

Purpose: To assess the applicability and safety of elbow arthroscopy in the pediatric population at our institution by analyzing the indications and complications in a large pediatric patient series.

Methods: We retrospectively identified all patients who underwent elbow arthroscopy at age 18 years or younger from 2006 to 2017 performed by a single fellowship-trained surgeon. The exclusion criteria were follow-up shorter than 8 weeks and open surgical procedures (not fully arthroscopic).

Pre-operative virtual three-dimensional planning for proximal humerus fractures: A proof-of-concept study.

Purpose: To (1) evaluate surgeon agreement on plating features (position and screw length) in virtual 3D planning software, (2) describe outcomes (fracture reduction, plate position, malpositioning of calcar screws and screw lengths) of plate fixations planned with routine pre-operative assessment (2D- and 3D CT imaging) and those planned with dedicated virtual 3D software of the same proximal humerus fracture.

Methods: Fourteen proximal humerus fractures were retrospectively reduced and fixed with virtual planning software by eight attending orthopaedic surgeons and compared to the true surgical fixation with post-operative computed tomography (CT) scans. Reduction differences were quantified using CT micromotion analysis.

Type of fixation is not associated with range of motion after operative treatment of proximal radius fractures- a systematic review of 519 patients.

Background: The aims of this study are 1) to assess whether open reduction internal fixation (ORIF) techniques for fractures of the proximal radius are associated with the range of motion (ROM), 2) to determine the incidence of hardware-related complications and removal following plate and screw fixation of the proximal radius, and 3) to evaluate whether the safe-zone definition is described in the literature and its relation to the ROM.

Methods: A literature search was performed in the PubMed, Embase, and Cochrane databases. Studies reporting ROM in patients undergoing ORIF for radial head or neck fractures were included.

Patient-Reported Outcome Measures Show No Relevant Change Between 1-Year and 2-Year Follow-Up After Treatment for Anterior Shoulder Instability: A Systematic Review.

Purpose: To compare patient-reported outcome measures (PROMs) at 1-year and 2-year follow-up after treatment for anterior shoulder instability.

Methods: Randomized controlled trials and prospective studies that evaluated and reported PROMs after a capsulolabral repair (with or without remplissage), bone augmentation, or nonoperative treatment to treat anterior shoulder instability at both 1-year and 2-year follow-up were included. PROMs were compared between 1-year and 2-year follow-up; forest plots with mean difference were created to compare baseline, 1-year, and 2-year follow-up; and scatterplots were created to visualize clinical improvement over time.

Substantial variability in what is considered important in the radiological report for anterior shoulder instability: a Delphi study with Dutch musculoskeletal radiologists and orthopedic surgeons.

Background: Standardized consensus-based radiological reports for shoulder instability may improve clinical quality, reduce heterogeneity, and reduce workload. Therefore, the aim of this study was to determine important elements for the x-ray, magnetic resonance imaging (MRI) arthrography (MRA), and computed tomography (CT) report, the extent of variability, and important MRI views and settings.

Methods: An expert panel of musculoskeletal radiologists and orthopedic surgeons was recruited in a three-round Delphi design.

Surgeon Prioritization of Mental, Social, and Pathophysiological Aspects of Health Among People With Traumatic and Nontraumatic Musculoskeletal Conditions.

Background: There is mounting evidence that, among musculoskeletal patients, variation in capability has more notable associations with variations in mental and social health factors than with variation in pathophysiology severity. This study sought factors that could limit the integration of this evidence into more comprehensive care models.

Methods: In two scenario-based experiments, surgeon participants in an international collaborative, the Science of Variation Group, reviewed scenarios of (a) nontraumatic (83 participants) and (b) trauma-related (130 participants) pathophysiologies for which tests and treatments were discretionary.

The ulnar collateral ligament response to valgus stress, repetitive pitching, and elbow muscle contraction in asymptomatic baseball pitchers.

Background: In baseball, repetitive pitching leads to medial elbow injuries, particularly to the ulnar collateral ligament (UCL). To prevent pitchers from UCL injuries, it is important to quantify the response to elbow stress. Repetitive elbow external valgus torque and muscular fatigue induced by repetitive pitching could affect markers of the response, that is, humeroulnar joint gap and UCL morphology.

Lateralising reverse shoulder arthroplasty using bony increased offset (BIO-RSA) or increasing glenoid component diameter: comparison of clinical, radiographic and patient reported outcomes in a matched cohort.

Background: This study aims to compare the range of motion (ROM) of reverse shoulder arthroplasty lateralised by bony increased offset (BIO-RSA) using a standard 38-mm (mm) component to regular reverse shoulder arthroplasty (RSA) lateralised by using a 42-mm glenoid component. The secondary aims are to compare patient-reported and radiographic outcomes between the two groups.

Materials And Methods: All patients with a BIO-RSA and size 38 glenosphere were retrospectively identified and matched to patients with a regular RSA and size 42 glenosphere.