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Shoulder and Elbow

RCT | Arthroscopic capsular shift surgery shows no significant pain or functional improvement in atraumatic shoulder instability

29 Jun, 2023 | 13:45h | UTC

Arthroscopic capsular shift surgery in patients with atraumatic shoulder joint instability: a randomised, placebo-controlled trial – British Journal of Sports Medicine (link to abstract – $ for full-text)

 

Cohort Study | Increased revision rates seen in shoulder replacement surgeries by surgeons with less than 10 procedures annually

27 Jun, 2023 | 13:48h | UTC

Summary: This prospective cohort study investigated the correlation between surgeon volume and patient outcomes after elective shoulder replacement surgeries. Utilizing data from 39,281 procedures performed by 638 surgeons in UK public and private hospitals between 2012-20, the study focuses on adults aged 18 years or older.

The results indicate a significant connection between a surgeon’s mean annual volume and risk of adverse patient outcomes. Surgeons performing fewer than 10.4 procedures per year demonstrated a significantly increased risk of revision surgery, with the hazard ratio being almost twice as high as that of the lowest risk surgeons. Higher mean annual surgical volume correlated with lower risks of reoperations, fewer serious adverse events, and shorter hospital stays.

These findings suggest the need for strategic resource planning in surgical services, with considerations given to surgeon’s annual procedure volume to improve patient outcomes after shoulder replacement surgery. It should be noted that the study was limited in scope to surgeries performed within the NHS and private hospitals in England. Furthermore, potential confounding factors like patients’ social circumstances, carer availability, or body mass index were not considered.

Article: Association between surgeon volume and patient outcomes after elective shoulder replacement surgery using data from the National Joint Registry and Hospital Episode Statistics for England: population based cohort study – The BMJ

Editorial: Surgeon volume and patient outcomes in shoulder replacement surgery – The BMJ

News Release: Patients do better when surgeon averages 10 + annual shoulder ops – BMJ Newsroom

 

Position statement | Management of rotator cuff tears in adults

8 May, 2023 | 12:49h | UTC

Position statement: management of rotator cuff tears in adults – Canadian Journal of Surgery

 

Position Paper | Diagnosis, prevention and treatment of common shoulder injuries in sport

10 Feb, 2023 | 14:01h | UTC

Diagnosis, prevention and treatment of common shoulder injuries in sport: grading the evidence – a statement paper commissioned by the Danish Society of Sports Physical Therapy (DSSF) – British Journal of Sports Medicine

 

Commentary on Twitter

 

Opinion | Is it time to reconsider the indications for surgery in patients with tennis elbow?

7 Feb, 2023 | 13:51h | UTC

Is it time to reconsider the indications for surgery in patients with tennis elbow? – The Bone & Joint Journal

 

RCT | Shoulder stretching vs. shoulder muscle strength training for the prevention of baseball-related arm injuries

27 Jan, 2023 | 11:57h | UTC

Shoulder stretching versus shoulder muscle strength training for the prevention of baseball-related arm injuries: a randomized, active-controlled, open-label, non-inferiority study – Scientific Reports

 

Commentary on Twitter

 

Preliminary study suggests decompression surgery may improve symptoms in neurogenic thoracic outlet syndrome

26 Jan, 2023 | 12:23h | UTC

Surgery Versus Continued Conservative Treatment for Neurogenic Thoracic Outlet Syndrome: the First Randomised Clinical Trial (STOPNTOS Trial) – European Journal of Vascular and Endovascular Surgery

Related: Neurogenic Thoracic Outlet Syndrome: Presentation, diagnosis, and treatment – Deutsches Ärzteblatt international

 

Neurogenic thoracic outlet syndrome: presentation, diagnosis, and treatment

26 Jan, 2023 | 12:22h | UTC

Neurogenic Thoracic Outlet Syndrome: Presentation, diagnosis, and treatment – Deutsches Ärzteblatt international

 

M-A | Intra-articular lidocaine vs. intravenous sedation for closed reduction of acute anterior shoulder dislocation in the emergency department

23 Jan, 2023 | 13:10h | UTC

Intra-articular lidocaine versus intravenous sedation for closed reduction of acute anterior shoulder dislocation in the emergency department: a systematic review and meta-analysis – Canadian Journal of Emergency Medicine

 

SR | Clinical predictors of fracture in patients with shoulder dislocation

11 Jan, 2023 | 14:00h | UTC

Clinical predictors of fracture in patients with shoulder dislocation: systematic review of diagnostic test accuracy studies – Emergency Medicine

Journal (link to abstract – $ for full-text / free link to the article here)

 

RCT | Comparing bupivacaine alone to liposomal bupivacaine plus bupivacaine in interscalene blocks for total shoulder arthroplasty.

15 Dec, 2022 | 13:36h | UTC

Comparing bupivacaine alone to liposomal bupivacaine plus bupivacaine in interscalene blocks for total shoulder arthroplasty: a randomized, non-inferiority trial – Regional Anesthesia & Pain Medicine

 

Pictorial Review | Nerve entrapment syndromes of the upper limb.

15 Dec, 2022 | 13:25h | UTC

Nerve entrapment syndromes of the upper limb: a pictorial review – Insights into Imaging

 

SR | Global prevalence and incidence of shoulder pain.

13 Dec, 2022 | 14:09h | UTC

A systematic review of the global prevalence and incidence of shoulder pain – BMC Musculoskeletal Disorders

 

RCT | Comparison between different corticosteroid injection techniques in adhesive capsulitis.

21 Nov, 2022 | 14:18h | UTC

Comparison Between Corticosteroid Injection Into Coracohumeral Ligament and Inferior Glenohumeral Capsule and Corticosteroid Injection Into Posterior Glenohumeral Recess in Adhesive Capsulitis: A Prospective Randomized Trial – Pain Physician (PDF) 

 

M-A | Clinical effectiveness of tenotomy versus tenodesis for long head of biceps pathology.

13 Oct, 2022 | 13:41h | UTC

Clinical effectiveness of tenotomy versus tenodesis for long head of biceps pathology: a systematic review and meta-analysis – BMJ Open

 

Review | Regional anesthesia for shoulder surgery.

7 Oct, 2022 | 14:05h | UTC

Regional anesthesia for shoulder surgery – Minerva Anestesiologica

 

RCT | A postoperative multimodal opioid-sparing protocol can reduce opioid consumption after knee or shoulder arthroscopy.

5 Oct, 2022 | 13:57h | UTC

Effect of a Postoperative Multimodal Opioid-Sparing Protocol vs Standard Opioid Prescribing on Postoperative Opioid Consumption After Knee or Shoulder Arthroscopy: A Randomized Clinical Trial – JAMA (free for a limited period)

News Release: Orthopedic surgery patients do fine without opioid painkillers – McMaster University

See also: Visual Abstract

Video Editor’s Note: Effect of an Opioid-Sparing Protocol vs Standard Prescribing on Opioid Consumption After Knee or Shoulder Arthroscopy

 

Cohort Study | Serious adverse event rates and reoperation after arthroscopic shoulder surgery.

8 Jul, 2022 | 11:49h | UTC

Serious adverse event rates and reoperation after arthroscopic shoulder surgery: population based cohort study – The BMJ

News Release: Overall risks of shoulder surgery low, but study finds significant risk of reoperation – BMJ Newsroom

 

RCT: Diclofenac–hyaluronate conjugate intra-articular injection for hip, ankle, shoulder, and elbow osteoarthritis.

1 Jul, 2022 | 10:55h | UTC

Diclofenac–hyaluronate conjugate (diclofenac etalhyaluronate) intra-articular injection for hip, ankle, shoulder, and elbow osteoarthritis: a randomized controlled trial – BMC Musculoskeletal Disorders

 

RCT: Subacromial balloon spacer is not better than debridement only for irreparable rotator cuff tears of the shoulder.

25 Apr, 2022 | 00:27h | UTC

Subacromial balloon spacer for irreparable rotator cuff tears of the shoulder (START:REACTS): a group-sequential, double-blind, multicentre randomised controlled trial – The Lancet

 

International consensus meeting on venous thromboembolism in orthopedic surgery.

28 Mar, 2022 | 09:45h | UTC

Homepage: International Consensus Meeting on Venous Thromboembolism (free articles for a limited period)

Editorial

Recommendations from the ICM-VTE: General

Recommendations from the ICM-VTE:: Foot & Ankle

Recommendations from the ICM-VTE: Hand & Wrist

Recommendations from the ICM-VTE: Hip & Knee

Recommendations from the ICM-VTE: Oncology

Recommendations from the ICM-VTE: Pediatric

Recommendations from the ICM-VTE: Shoulder & Elbow

Recommendations from the ICM-VTE: Sports

Recommendations from the ICM-VTE: Trauma

Recommendations from the ICM-VTE: Spine

 

Shoulder injury related to SARS-CoV-2 vaccine administration.

18 Jan, 2022 | 09:40h | UTC

Shoulder injury related to SARS-CoV-2 vaccine administration – Canadian Medical Association Journal

 

Five-year follow-up of RCT: Arthroscopic subacromial decompression provided no benefit over diagnostic arthroscopy or exercise therapy on return to work in patients with shoulder impingement syndrome.

21 Oct, 2021 | 09:54h | UTC

Return to work after subacromial decompression, diagnostic arthroscopy, or exercise therapy for shoulder impingement: a randomised, placebo-surgery controlled FIMPACT clinical trial with five-year follow-up – BMC Musculoskeletal Disorders

Related:

Randomized Trial: Subacromial Decompression vs Diagnostic Arthroscopy for Shoulder Impingement

Research: Arthroscopic subacromial decompression for subacromial shoulder pain

BMJ Guideline: Subacromial Decompression Surgery For Adults With Shoulder Pain Does Not Improve Outcomes

Systematic Review: Subacromial Decompression Surgery for Rotator Cuff Disease

Systematic Review: Surgery for Rotator Cuff Tears

 

Systematic review: Kinesio taping provides little or no benefit for rotator cuff disease.

16 Aug, 2021 | 00:52h | UTC

Kinesio taping for rotator cuff disease – Cochrane Library

Summary: Kinesio taping for rotator cuff disease – Cochrane Library

 

Commentary on Twitter

 

RCT: Progressive exercise compared with best practice advice, with or without corticosteroid injection, for the treatment of patients with rotator cuff disorders.

22 Jul, 2021 | 10:42h | UTC

Progressive exercise compared with best practice advice, with or without corticosteroid injection, for the treatment of patients with rotator cuff disorders (GRASP): a multicentre, pragmatic, 2 × 2 factorial, randomised controlled trial – The Lancet

Commentaries: Optimising treatment for patients with rotator cuff disorders – The Lancet (free registration required)

 

Commentary on Twitter (thread – click for more)

 

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