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| http://dx.doi.org/10.1016/j.amjmed.2023.09.014 | DOI Listing |
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Background: There is no consensus about the length of the immobilization period after receiving a Reverse Shoulder Arthroplasty (rTSA) for a cuff-deficient shoulder. The objective of this study was to determine whether patients receiving an rTSA for a cuff-deficient shoulder could be managed without any immobilization after surgery.
Methods: Prospective randomized study that included a primary rTSA implanted for a cuff-deficient shoulder.
Development and validation of a severity-focused score for the assessment of lateral epicondylitis using enhanced magnetic resonance imaging.
J Shoulder Elbow Surg
March 2025
Department of Orthopaedic Surgery, Hanyang University College of Medicine, Seoul, Korea. Electronic address:
Background: Magnetic resonance imaging (MRI) does not sufficiently reflect the severity of lateral epicondylitis. Although some authors have reported meaningful findings on conventional MRI, it is not widely accepted that MRI is useful for evaluating lateral epicondylitis. The aim of this study is to evaluate the relationship between the lateral epicondylitis severity score (LESS) using contrast-enhanced T1-weighted MRI and patients' perceptive pain and clinical courses.
View Article and Find Full Text PDFOptimal Timing of Reverse Total Shoulder Arthroplasty for Proximal Humerus Fractures.
J Shoulder Elbow Surg
March 2025
Orthopaedic Center of Palm Beach County, Atlantis, FL, USA. Electronic address:
Background: Reverse total shoulder arthroplasty (rTSA) has recently emerged as a popular operative management option for complex proximal humeral fractures (PHFx) in the elderly. Although rTSA seemingly provides satisfactory clinical and functional outcomes in patients with complex PHFxs, little is known about the clinical and functional outcomes of patients with delayed rTSA treatment of proximal humerus fractures. The purpose of our study was to compare postoperative clinical outcomes and complications in patients treated with rTSA for acute PHFx versus chronic PHFxs.
View Article and Find Full Text PDFBilateral Ultrasonographic Findings in Patients with Unilateral Subacromial Pain Syndrome and Intact Rotator Cuff Tendons.
J Shoulder Elbow Surg
March 2025
Sports Orthopaedic Research Center - Copenhagen (SORC-C), Department of Orthopaedic Surgery, Copenhagen University Hospital Amager-Hvidovre, Denmark.
Background: The etiology of subacromial pain syndrome (SAPS) remains enigmatic. It is theorized that the supraspinatus tendon and the subacromial bursa are the primary pain-generating structures. The supraspinatus tendon and the subacromial bursa are considered to be thickened in patients with SAPS but this assumption lacks validation.
View Article and Find Full Text PDFEffect of controlled hyperventilation on post-laparoscopic cholecystectomy shoulder pain: a prospective randomized controlled trial.
Langenbecks Arch Surg
March 2025
Department of Anesthesia, The Second People's Hospital of Liaocheng, No. 306, Jiankang Street, Liaocheng City, 252600, Shandong Province, China.
Objective: This study investigated whether intraoperative controlled hyperventilation could reduce the incidence and severity of post-laparoscopic shoulder pain.
Methods: In this prospective, randomized, double-blind controlled trial, 150 patients undergoing elective laparoscopic cholecystectomy were randomly assigned to either controlled hyperventilation (n = 75) or conventional ventilation (n = 75) groups. The hyperventilation group received mechanical ventilation with a tidal volume of 10 mL/kg and respiratory rate adjusted to maintain end-tidal CO between 30 and 35 mmHg, while the control group received conventional ventilation (tidal volume 8 mL/kg, end-tidal CO 35-45 mmHg).
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