Arthritis Severity and Medical Comorbidities Are Prognostic of Worse Outcomes Following Arthroscopic Rotator Cuff Repair in Patients With Concomitant Glenohumeral Osteoarthritis

Reddy, Rajiv P.; Charles, Shaquille; Solomon, David A.; Sabzevari, Soheil; Hughes, Jonathan D.; Lesniak, Bryson P.; Lin, Albert

doi:10.1016/j.asmr.2022.08.005

Cited by 3 publications

(2 citation statements)

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“…Pathology in this joint can greatly decrease quality of life and the ability to perform activities of daily living. A radiological study found that 16.1% of patients over age 65 were found to have glenohumeral joint (GHJ) osteoarthritis while another described the incidence of adhesive capsulitis as 3–5% in the general population 2,3 . Initial therapy of shoulder pathologies such as lifestyle modifications, limb strengthening exercises, and NSAIDs are not always effective and may even be ineffective against certain conditions such as persistent osteoarthritis, adhesive capsulitis, and rheumatoid arthritis 4 .…”

Section: Introductionmentioning

confidence: 99%

“…A radiological study found that 16.1% of patients over age 65 were found to have glenohumeral joint (GHJ) osteoarthritis while another described the incidence of adhesive capsulitis as 3-5% in the general population. 2,3 Initial therapy of shoulder pathologies such as lifestyle modifications, limb strengthening exercises, and NSAIDs are not always effective and may even be ineffective against certain conditions such as persistent osteoarthritis, adhesive capsulitis, and rheumatoid arthritis. 4 Corticosteroids or local anesthetics are a next-line therapeutic option that can provide pain relief and improved functionality, both of which can be administered by landmark-based or ultrasound (US)-guided injections.…”

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confidence: 99%

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Creating an Inexpensive PVC Shoulder Model for the Training of Ultrasound‐Guided Posterior Glenohumeral Joint Injections

Melanson

Davidson

McDermott

et al. 2023

J of Ultrasound Medicine

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ObjectivesUltrasound‐guided injections are used to treat common shoulder pathologies and have been shown to be more accurate and effective than traditional landmark‐guided procedures. Currently, there exists no inexpensive shoulder model that accurately simulates the anatomical structures of the shoulder while also facilitating glenohumeral joint (GHJ) injection. Our model is an alternative to the traditional bedside training and provides a low‐risk training environment.MethodsWe created this model from easily accessible materials. Polyvinyl chloride pipe was used to create the skeletal infrastructure pectoral girdle. A detergent pod was used to represent the GHJ space. Steaks were used to simulate the infraspinatus and deltoid muscles, with meat glue as a fascial layer between the two simulated muscles. Total cost of materials for the model was $19.71.ResultsOur model successfully replicates known anatomical features of the GHJ. Additionally, the model facilitates injection into a GHJ space, representing a GHJ injection. Our model was replicated to train medical student practitioners during five different educational sessions. The model was validated through comparison to standardized educational ultrasound training videos. It was further validated by ultrasound experts.ConclusionsThe shoulder model we created is effective in simulating GHJ injections under ultrasound guidance. It simulates realistic muscle and bony landmarks both for ultrasound imaging and injection feel. Importantly, it is inexpensive and easy to replicate allowing more access to medical practitioners and students to be educated on the procedure.

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Section: Introductionmentioning

confidence: 99%

mentioning

confidence: 99%

Creating an Inexpensive PVC Shoulder Model for the Training of Ultrasound‐Guided Posterior Glenohumeral Joint Injections

Melanson

Davidson

McDermott

et al. 2023

J of Ultrasound Medicine

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Self‐defined former smokers consume the highest opioid quantities following knee and shoulder arthroscopy

Abdel Khalik,

Shanmugaraj,

Ekhtiari

et al. 2024

Knee surg. sports traumatol. arthrosc.

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PurposeTo identify risk factors associated with increased postoperative opioid consumption and inferior pain outcomes following knee and shoulder arthroscopy.MethodsUsing the data set from the NonOpioid Prescriptions after Arthroscopic Surgery in Canada (NO PAin) trial, eight prognostic factors were chosen a priori to evaluate their effect on opioid consumption and patient‐reported pain following arthroscopic knee and shoulder surgery. The primary outcome was the number of oral morphine equivalents (OMEs) consumed at 2 and 6 weeks postoperatively. The secondary outcome was patient‐reported postoperative pain using the Visual Analogue Scale (VAS) at 2 and 6 weeks postoperatively. A multivariable linear regression was used to analyse these outcomes with eight prognostic factors as independent variables.ResultsTobacco usage was significantly associated with higher opioid usage at 2 (p < 0.001) and 6 weeks (p = 0.02) postoperatively. Former tobacco users had a higher 2‐week (p = 0.002) and cumulative OME (p = 0.002) consumption compared to current and nonsmokers. Patients with a higher number of comorbidities (p = 0.006) and those who were employed (p = 0.006) reported higher pain scores at 6 weeks. Patients in the ‘not employed/other’ category had significantly lower pain scores at 6 weeks postoperatively (p = 0.046).ConclusionFormer smoking status was significantly associated with increased post‐operative opioid consumption following knee and shoulder arthroscopy at 2 and 6 weeks postoperatively. Increased pain was found to be significantly associated with employment status and an increasing number of comorbidities at 6 weeks postoperatively. These findings can aid clinicians in identifying and mitigating increased opioid utilization as well as worse pain outcomes in high‐risk patient populations.Level of EvidenceLevel III, cohort study.

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Clinical and Structural Outcomes of Arthroscopic Rotator Cuff Repair in Patients Over 75 Years Are Comparable to Those in Younger Patients: A Propensity Score-Matched Comparative Study

Kim,

Park

et al. 2024

Arthroscopy: The Journal of Arthroscopic & Related Surgery

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Arthritis Severity and Medical Comorbidities Are Prognostic of Worse Outcomes Following Arthroscopic Rotator Cuff Repair in Patients With Concomitant Glenohumeral Osteoarthritis

Cited by 3 publications

References 42 publications

Creating an Inexpensive PVC Shoulder Model for the Training of Ultrasound‐Guided Posterior Glenohumeral Joint Injections

Creating an Inexpensive PVC Shoulder Model for the Training of Ultrasound‐Guided Posterior Glenohumeral Joint Injections

Self‐defined former smokers consume the highest opioid quantities following knee and shoulder arthroscopy

Clinical and Structural Outcomes of Arthroscopic Rotator Cuff Repair in Patients Over 75 Years Are Comparable to Those in Younger Patients: A Propensity Score-Matched Comparative Study

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