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Article Synopsis
  • A study was conducted to compare the effectiveness and safety of 10-mg and 30-mg daily doses of prednisolone for treating acute calcium pyrophosphate (CPP) crystal arthritis.
  • In this trial, 79 patients received either dose for 7 days, with the primary focus on symptom resolution time and secondary outcomes including recurrence rates and adverse events.
  • Results showed no significant differences between the two doses in terms of symptom resolution time, recurrence rates, or safety, indicating that both doses are equally effective for managing acute CPP crystal arthritis.
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Article Synopsis
  • Reverse shoulder arthroplasty is commonly performed for patients with rotator cuff tear arthropathy, but whether to repair the subscapularis tendon during the procedure is debated.
  • A study involving 50 patients compared outcomes between those who had their subscapularis tendon repaired and those who did not, assessing various metrics over 36 months, including the Constant-Murley Score (CS).
  • After 12 months, the repaired group showed better CS results, but by 36 months, there were no significant differences in overall shoulder function between the two groups, though the repaired group had better internal rotation scores.
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Article Synopsis
  • There is ongoing debate about the best angle for the humeral component in reverse total shoulder arthroplasty (rTSA) to improve rotation and patient outcomes.
  • A study randomizing patients to either a neutral version or 30° retroversion aimed to assess the effects on shoulder motion and strength over two years.
  • Results showed no significant differences in shoulder movement, strength, or pain scores between the two groups after two years, indicating that humeral component version may not influence outcomes in rTSA.
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Background: The influence of position of the humeral tray (inlay or onlay) on clinical outcomes in reverse shoulder arthroplasty (RSA) is a topic of debate. The purpose of this study was to compare clinical and radiographic outcomes of patients with cuff tear arthropathy treated with RSA systems with inlay or onlay humeral tray design, similar neck-shaft angles, and lateralized glenospheres.

Methods: This was a retrospective study of prospectively obtained data from 1 tertiary care center.

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Article Synopsis
  • - Immune checkpoint inhibitors (ICIs) can cause immune-related adverse events (irAEs), including various forms of arthritis, which can be challenging to differentiate, particularly crystal-induced types like gout and calcium pyrophosphate (CPP) arthritis.
  • - A case study of a patient who developed CPP crystal arthritis twice after receiving pembrolizumab (an ICI) highlighted the effectiveness of intra-articular glucocorticoid injections for treatment.
  • - The use of musculoskeletal ultrasound is recommended to help distinguish between ICI-associated crystal arthritis and other types of arthritis, improving diagnosis and treatment options for affected patients.
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