Aug 3–9, 2026 · 11 new studies, 10 reviews · Shoulder & Elbow archive · All weeks
The new Shoulder & Elbow research The Reduction sent the week of Aug 3–9, 2026, with the week’s most recent reviews, each with a one-line summary.
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Ulnar Impaction Syndrome Secondary to Chronic Monteggia Fracture: A Case Report.
A case report shows that diaphyseal ulnar-shortening osteotomy alone safely treated ulnar impaction syndrome from a chronic stable Monteggia fracture, without causing proximal radial head migration.
A cost-utility analysis found that adding subacromial decompression to rotator cuff repair is cost-effective and cost-saving at mid-term follow-up by lowering revision rates and improving QALYs versus repair alone.
In 16 patients with isolated axillary nerve injury, using partial radial-to-axillary nerve transfer as the first-line surgical treatment produced significant gains in shoulder strength and motion without donor-site morbidity, even when performed late.
Outcomes of Implant Removal After Failed Radial Head Arthroplasty:An Average 7-Year Follow-up Study.
In 25 elbows followed ~7 years after removal of failed radial head implants, most patients improved and pain from loosening resolved in 76%, supporting implant removal as a viable salvage option despite risk of proximal radioulnar impingement.
In this RCT, lesser tuberosity osteotomy repair after reverse shoulder arthroplasty significantly improved ASES scores and internal rotation compared to no repair, supporting routine subscapularis reattachment.
After total shoulder arthroplasty, patients with lower scapulohumeral rhythm (more scapular-driven motion) had worse pain and function scores, suggesting SHR monitoring could guide rehab and improve outcomes.
In 141 proximal humerus fracture ORIF cases, dual-plate constructs had significantly fewer reoperations, varus cutouts, and nonunions than single-plate fixation, especially benefiting high-energy fractures.
Arthroscopic lower trapezius tendon transfer improved pain, function, and ROM in irreparable posterosuperior cuff tears regardless of preoperative teres minor trophicity, with no significant differences in outcomes among groups.
At 5-7 years, ultrasound-guided needling and high-energy shockwave therapy for rotator cuff calcific tendinitis produced equally excellent clinical and radiographic outcomes, supporting either as effective options.
Combining tendon remnant preservation with small-diameter bone marrow stimulation during arthroscopic rotator cuff repair significantly improved tendon healing rates (80.8% vs 53.8%) versus standard repair, though clinical outcome scores were similar.
SPECT/CT after reverse shoulder arthroplasty shows increased tracer uptake at the posterior acromion, scapular spine, and coracoid, with the posterior acromion most vulnerable to stress-related changes.
This review outlines evidence-based management of greater tuberosity fractures, favoring nonoperative treatment for minimal displacement and individualized surgical fixation (arthroscopic or open) for displaced fractures, with no consensus on optimal technique.
The ABCs of shoulder measurements.
This narrative review catalogs standard radiographic shoulder measurements, their history and evidence base, and limitations, serving as a practical reference for imaging interpretation and implant planning.
Custom Implants and Patient-Specific Instrumentation in Total Shoulder Arthroplasty.
This article reviews the principles, indications, and clinical outcomes of 3D-printed patient-specific instrumentation and custom implants for managing complex anatomy in primary and revision total shoulder arthroplasty.
This review updates the glenoid track concept for assessing Hill-Sachs lesion instability risk, proposing refined landmark and MRI-based measurement methods and highlighting the new Glenoid Track Instability Management Score to improve surgical decision-making.
Management of the infected total elbow arthroplasty.
This review outlines management strategies for infected total elbow arthroplasty, noting DAIR succeeds in under a third of acute cases while staged retention and two-stage reimplantation both achieve 70-80% success.
Acute Dislocations of the Sternoclavicular Joint: A Review Article.
This review updates management of acute sternoclavicular joint dislocations, covering reduction techniques, outcomes, and complications, and recommends closed reduction first with open surgery if that fails.
Acute Fractures of the Glenoid.
This review discusses diagnosis, classification, and management of glenoid fractures, distinguishing high-energy fractures with scapular extension from lower-energy rim fractures linked to instability.
This expert consensus statement outlines a three-stage, evidence-based rehabilitation protocol for anatomic total shoulder arthroplasty and hemiarthroplasty to guide postoperative care alongside surgeon and patient factors.
Stemless Humeral Implants in Total Shoulder Arthroplasty.
This review discusses stemless humeral implants in total shoulder arthroplasty, weighing bone-preservation and surgical benefits against fixation and cost concerns based on current evidence.
Understanding and Treating Iatrogenic Nerve Injuries in Shoulder Surgery.
Reviews management of iatrogenic nerve injuries in shoulder surgery, stressing that early recognition, appropriate testing, and prompt treatment/referral optimize outcomes rather than watchful waiting.
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