Sep 21–27, 2026 · 17 new studies, 10 reviews · Shoulder & Elbow archive · All weeks
The new Shoulder & Elbow research The Reduction sent the week of Sep 21–27, 2026, with the week’s most recent reviews, each with a one-line summary.
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Surgical reconstruction of symptomatic scapular neck/body malunions and nonunions achieved universal union and significantly improved DASH scores, flexion, and abduction, though about a quarter needed further surgery.
An international expert consensus reached strong agreement on subscapularis repair technique and tendon transfer indications for rotator cuff tears, but found no consensus on optimal graft augmentation or superior capsular reconstruction approaches.
Adolescents presenting with shoulder instability commonly show bipolar bone loss and short distance to dislocation, suggesting isolated arthroscopic Bankart repair alone may be inadequate for many in this population.
Early Postoperative Predictors of Two-Year Satisfaction after Ream and Run Arthroplasty.
Comfort at rest at 3 months and comfortable sleep at 6 months after ream-and-run arthroplasty strongly predict patient satisfaction at 2 years, aiding early counseling.
Large database analysis shows prior myocardial infarction, especially within 6 months, substantially raises the risk of postoperative MI after arthroscopic rotator cuff repair, particularly without prior PCI.
In a large claims database study, preoperative sepsis within two years of total shoulder arthroplasty—especially within 3 months and from gram-positive/Staphylococcal organisms—significantly raised risks of postoperative infection and other complications, informing preoperative risk counseling.
Arthroscopic suture anchor fixation of bony Bankart lesions maintained excellent shoulder stability, high satisfaction, and low reoperation rates at a mean 18-year follow-up.
Clinical Outcomes of Arthroscopic Treatment for Shoulder Joint Tuberculosis.
Arthroscopic debridement and synovectomy combined with antitubercular therapy effectively treated shoulder joint tuberculosis, improving pain and function scores with low recurrence over a mean 54-month follow-up.
Reverse shoulder arthroplasty improves functional hand-behind-back task performance by 6 months mainly through increased trunk/lumbar compensation and altered muscle activation, despite persistent internal rotation deficits.
Combined proximal humerus and femur fragility fractures required roughly twice the hospital stay of isolated humerus fractures but showed similar one-year mortality and readmission rates, suggesting benefit from shared orthogeriatric pathways.
Interviews with UK upper-limb surgeons reveal shared heuristics—especially bone quality and implant modularity—guiding radial head arthroplasty implant and fixation choices amid limited trial evidence.
In 80 reverse shoulder arthroplasty patients, complete release of the long head of triceps preserved triceps strength at 2 years while significantly improving range of motion and patient-reported outcomes, with no dislocations or nerve injuries.
In high school baseball players, medial elbow gapping under valgus stress (not epicondyle morphology or resting gap) was significantly associated with elbow pain within the past year, suggesting it reflects a dynamic rather than structural risk factor.
This systematic review of 39 studies found ASES was the most-used shoulder arthroplasty outcome measure, but MCID, SCB, and PASS thresholds vary widely and lack standardization.
In traumatic massive rotator cuff tears, arthroscopic repair within 3 weeks of injury yielded better ASES functional scores than delayed repair, though retear rates were similar.
In a trial of 28 emergency residents, targeted education—not contralateral elbow radiographs—significantly improved diagnostic accuracy for pediatric elbow fractures.
CT-based measurements in uninjured forearms establish a normal rotational profile of the radius and ulna to aid preoperative planning for malunion/nonunion correction.
AC Joint Reconstruction Using Cortical Suture Button and Semitendinosus Allograft.
This technique review describes AC joint reconstruction combining a cortical suture button with semitendinosus allograft, citing theoretical biomechanical advantages over other methods.
Current Approaches to Arthroscopic Management of Anterior Shoulder Instability.
This review covers current arthroscopic management of anterior shoulder instability, emphasizing glenoid track concept, remplissage indications, and Latarjet versus distal tibial allograft reconstruction for bone loss.
This review outlines the rationale, potential benefits, and implementation challenges of robotic-assisted reverse shoulder arthroplasty, aimed at improving implant positioning accuracy.
Treatment and Prevention of Injuries in Skeletally Immature Throwing Athletes.
This review covers diagnosis, treatment, and prevention strategies for common overuse throwing injuries—like Little League shoulder/elbow and UCL injuries—in skeletally immature athletes.
Convertible Humeral and Glenoid Components for Anatomic Shoulder Arthroplasty.
Convertible humeral and glenoid components aim to simplify revision from anatomic to reverse shoulder arthroplasty, though glenoid loosening and stem malposition remain challenges despite recent design improvements.
A scoping review finds deep learning models for sports medicine imaging show excellent internal diagnostic accuracy but are narrowly focused, rarely externally validated, and have limited current clinical applicability.
Surgical Applications for Bone Marrow Aspirate Concentrate.
This review outlines surgical uses of bone marrow aspirate concentrate as an adjuvant orthobiologic for cartilage repair, though robust randomized trial evidence remains lacking.
Bony Bankart Lesion: Diagnosis, Management, and Outcomes.
This review covers diagnosis, nonoperative vs. arthroscopic/open management, and generally favorable outcomes of bony Bankart lesions in young athletes with anterior shoulder instability.
Elbow Arthroscopy: Essential Principles of Positioning, Anatomy, and Portal Placement.
This technical review covers essential positioning, anatomy, and portal placement principles for safe and effective elbow arthroscopy across its range of surgical indications.
Rehabilitation of the painful shoulder.
This review discusses rehabilitating painful shoulders in overhead athletes by combining pathoanatomic and movement-impairment assessments to guide more individualized, evidence-based treatment.
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