Dr. Clevio Desouza,
Centre for Bone and Joint, Kokilaben Dhirubhai Ambani Hospital and Medical Research Institute, Mumbai, India.
E-mail: ceviod@gmail.com
This comprehensive update on shoulder surgery highlights recent advancements in managing shoulder instability, rotator cuff tears, shoulder arthroplasty, and adhesive capsulitis. It highlights the evolution of surgical techniques, non-operative interventions, and biologic augmentation approaches. Innovations in rotator cuff repair include biologic solutions, such as platelet-rich plasma, while advancements in arthroplasty focus on tailored rehabilitation and infection control strategies. Adhesive capsulitis management now incorporates novel injection techniques and surgical options for refractory cases. This summary underscores the ongoing development of individualized treatment protocols, which are essential for optimizing patient outcomes and addressing the diverse challenges in shoulder surgery.
Keywords: Shoulder instability, Rotator cuff, Biologic augmentation, Shoulder arthroplasty, Adhesive capsulitis
References
- 1. Masud S, Momtaz D, Betsch M, Migliorini F, Ghali A, Popa A, et al. A comprehensive comparison and evaluation of surgical techniques for anterior shoulder instability: A Bayesian network meta-analysis. J Shoulder Elbow Surg 2023;32:e531-47. [Google Scholar]
- 2. Hurley ET, Danilkowicz RM, Paul AV, Myers H, Anakwenze OA, Klifto CS, et al. Majority of studies show similar rates of return to play after arthroscopic bankart repair or latarjet procedure: A systematic review. Arthroscopy 2024;40:515-22. [Google Scholar]
- 3. DeClercq MG, Martin MD, Whalen RJ, Cote MP, Midtgaard KS, Peebles LA, et al. Postoperative radiographic outcomes following primary open coracoid transfer (Bristow-Latarjet) vary in definition, classification, and imaging modality: A systematic review. Arthroscopy 2024;40:1311-24.e1. [Google Scholar]
- 4. Cozzolino A, De Giovanni R, Malfi P, Bernasconi A, Scarpa S, Smeraglia F, et al. Arthroscopic latarjet versus arthroscopic free bone block procedures for anterior shoulder instability: A proportional meta-analysis comparing recurrence, complication, and reoperation rates. Am J Sports Med 2024;52:1865-76. [Google Scholar]
- 5. Hali NZ, Tahir M, Jordan RW, Laprus H, Woodmass J, D’Alessandro P, et al. Suture button fixation in latarjet has similar load to failure and clinical outcomes but lower bone resorption compared with screw fixation: A systematic review. Arthroscopy 2024;40:1637-54. [Google Scholar]
- 6. Jegatheesan V, Patel D, Lu V, Domos P. Outcomes of primary latarjet vs. Revision latarjet after prior surgery for anterior shoulder instability: A systematic review and meta-analysis. J Shoulder Elbow Surg 2023;32:2599-612. [Google Scholar]
- 7. Xue X, Xiao C, Song Q, Kuati A, Zhou X, Cui G. Arthroscopic surgery combined with platelet-rich plasma does not significantly improve pain, function, complications, and retear rate compared with arthroscopic surgery alone for full-thickness rotator cuff tears: A systematic review and meta-analysis. Arthroscopy 2024;41:289-301. [Google Scholar]
- 8. Peng Y, Li F, Ding Y, Sun X, Wang G, Jia S, et al. Comparison of the effects of platelet-rich plasma and corticosteroid injection in rotator cuff disease treatment: A systematic review and meta-analysis. J Shoulder Elbow Surg 2023;32:1303-13. [Google Scholar]
- 9. Desouza C, Shetty V. Effectiveness of platelet-rich plasma in partial-thickness rotator cuff tears: A systematic review. J ISAKOS 2024;9:699-708. [Google Scholar]
- 10. Sewpaul Y, Huynh RC, Hartland AW, Leung B, Teoh KH, Rashid MS. Non-steroidal anti-inflammatory drugs and cyclooxygenase-2 inhibitors do not affect healing after rotator cuff repair: A systematic review and meta-analysis. Arthroscopy 2024;40:930-40.e1. [Google Scholar]
- 11. Lei M, Zhu Z, Hu X, Wu D, Huang W, Zhang Y, et al. Postoperative antiosteoporotic treatment with zoledronic acid improves rotator cuff healing but does not improve outcomes in female patients with postmenopausal osteoporosis: A prospective, single-blinded, randomized study. Arthroscopy 2024;40:714-22. [Google Scholar]
- 12. Chen H, Wu S, Qiang H, Liu S. Effectiveness of abduction brace versus simple sling rehabilitation following rotator cuff repair: Systematic review and meta-analyses. J Shoulder Elbow Surg 2023;32:1524-33. [Google Scholar]
- 13. Shibata T, Izaki T, Miyake S, Shibata Y, Yamamoto T. Efficacy of bone marrow stimulation for arthroscopic knotless suture bridge rotator cuff repair: A prospective randomized controlled trial. J Shoulder Elbow Surg 2023;32:909-16. [Google Scholar]
- 14. Thamrongskulsiri N, Limskul D, Itthipanichpong T, Tanpowpong T, Kuptniratsaikul S. Similar healing rates of arthroscopic rotator cuff repair with and without bone marrow stimulation: A systematic review and meta-analysis of randomized controlled trials. Am J Sports Med 2024;52:1855-64. [Google Scholar]
- 15. Jeong JY, Kim SC, Lee SM, Yoo JC. Prospective randomized clinical trial of arthroscopic repair versus debridement for partial subscapularis tendon tears more than half of the entire first facet. Am J Sports Med 2023;51:2804-14. [Google Scholar]
- 16. Orozco E, Dhillon J, Keeter C, Brown TD, Kraeutler MJ. Rotator cuff repair with patch augmentation is associated with lower retear rates for large tears: A systematic review of randomized controlled trials. Arthroscopy 2024;40:1300-8. [Google Scholar]
- 17. Ruiz Iban MA, Garcıa Navlet M, Moros Marco S, Diaz Heredia J, Hernando Sanchez A, Ruiz Dıaz R, et al. Augmentation of a transosseous-equivalent repair in posterosuperior nonacute rotator cuff tears with a bioinductive collagen implant decreases the retear rate at 1 year: A randomized controlled trial. Arthroscopy 2024;40:1760-73. [Google Scholar]
- 18. Maguire JA, Dhillon J, Scillia AJ, Kraeutler MJ. Rotator cuff repair with or without acromioplasty: A systematic review of randomized controlled trials with outcomes based on acromial type. Am J Sports Med 2024;52:3404-11. [Google Scholar]
- 19. De Marinis R, Marigi EM, Atwan Y, Velasquez Garcia A, Morrey ME, SanchezSotelo J. Lower trapezius transfer improves clinical outcomes with a rate of complications and reoperations comparable to other surgical alternatives in patients with functionally irreparable rotator cuff tears: A systematic review. Arthroscopy 2024;40:950-9. [Google Scholar]
- 20. Velasquez Garcia A, Nieboer MJ, De Marinis R, Morrey ME, Valenti P, Sanchez-Sotelo J. Mid- to long-term outcomes of latissimus dorsi tendon transfer for massive irreparable posterosuperior rotator cuff tears: A systematic review and meta-analysis. J Shoulder Elbow Surg 2024;33:959-74. [Google Scholar]
- 21. Ribeiro FR, Nogueira MP, Costa BM, Tenor AC Jr., Costa MP. Mini-open fascia lata interposition graft results in superior 2-year clinical outcomes when compared to arthroscopic partial repair for irreparable rotator cuff tear: A single-blind randomized controlled trial. Arthroscopy 2024;40:251-61. [Google Scholar]
- 22. Berk AN, Cregar WM, Gachigi KK, Trofa DP, Schiffern SC, Hamid N, et al. Outcomes of subacromial balloon spacer implantation for irreparable rotator cuff tears: A systematic review and meta-analysis. J Shoulder Elbow Surg 2023;32:2180-91. [Google Scholar]
- 23. Khalil LS, Abbas MJ, Rahman TM, Chan D, Cross AG, McGee AC, et al. The effect of subscapularis-specific rehabilitation following total shoulder arthroplasty: A prospective, double-blinded, randomized controlled trial. J Shoulder Elbow Surg 2023;32:1857-66. [Google Scholar]
- 24. Schick S, Elphingstone J, Paul K, He JK, Arguello A, Catoe B, et al. Home-based physical therapy results in similar outcomes to formal outpatient physical therapy after reverse total shoulder arthroplasty: A randomized controlled trial. J Shoulder Elbow Surg 2023;32:1555-61. [Google Scholar]
- 25. Bethell MA, Hurley ET, Welch J, Cabell G, Levin J, Lassiter TE, et al. Subscapularis repair for reverse shoulder arthroplasty: A systematic review and meta-analysis. J Shoulder Elbow Surg 2023;32:2631-40. [Google Scholar]
- 26. Southam BR, Bedeir YH, Johnson BM, Hasselfeld KA, Kloby MA, Grawe BM. Clinical and radiological outcomes in lateralized versus nonlateralized and distalized glenospheres in reverse total shoulder arthroplasty: A randomized control trial. J Shoulder Elbow Surg 2023;32:1420-31. [Google Scholar]
- 27. Dasari SP, Menendez ME, Espinoza Orias A, Khan ZA, Vadhera AS, Ebersole JW, et al. 3-dimensionally printed patient-specific glenoid drill guides vs. Standard nonspecific instrumentation: A randomized controlled trial comparing the accuracy of glenoid component placement in anatomic total shoulder arthroplasty. J Shoulder Elbow Surg 2024;33:223-33. [Google Scholar]
- 28. Lu V, Jegatheesan V, Patel D, Domos P. Outcomes of acute vs. Delayed reverse shoulder arthroplasty for proximal humerus fractures in the elderly: A systematic review and meta-analysis. J Shoulder Elbow Surg 2023;32:1728-39. [Google Scholar]
- 29. Wright JO, Hao KA, King JJ, Farmer KW, Sutton CD, Schoch BS, et al. Does hydrogen peroxide application to the dermis following surgical incision affect Cutibacterium acnes cultures in total shoulder arthroplasty in male patients? A randomized controlled trial. J Shoulder Elbow Surg 2024;33:618-27. [Google Scholar]
- 30. Rodrigues-Lopes R, Silva F, Torres J. Periprosthetic shoulder infection management: One-stage should be the way: A systematic review and meta-analysis. J Shoulder Elbow Surg 2024;33:722-37. [Google Scholar]
- 31. Kim SJ, Park JM, Song J, Yoon SY, Shin JI, Lee SC. High- versus low-dose steroid injection for adhesive capsulitis (frozen shoulder): A systematic review and meta-analysis. Pain Physician 2023;26:437-47. [Google Scholar]
- 32. Deng Z, Li X, Sun X, Sui Y, Tang K, Shu H, et al. Comparison between multisite injection and single rotator interval injection of corticosteroid in primary frozen shoulder (adhesive capsulitis): A randomized controlled trial. Pain Physician 2023;26:E661-9. [Google Scholar]
- 33. Lin CL, Chuang TY, Lin PH, Wang KA, Chuang E, Wang JC. The comparative effectiveness of combined hydrodilatation/corticosteroid procedure with two different quantities for adhesive capsulitis. Clin Rehabil 2024;38:600-11. [Google Scholar]
- 34. Wu SY, Hsu PC, Tsai YY, Huang JR, Wang KA, Wang JC. Efficacy of combined ultrasound-guided hydrodilatation with hyaluronic acid and physical therapy in patients with adhesive capsulitis: A randomised controlled trial. Clin Rehabil 2024;38:202-15. [Google Scholar]
- 35. Lin HW, Tam KW, Liou TH, Rau CL, Huang SW, Hsu TH. Efficacy of platelet-rich plasma injection on range of motion, pain, and disability in patients with adhesive capsulitis: A systematic review and meta-analysis. Arch Phys Med Rehabil 2023;104:2109-22. [Google Scholar]
- 36. Wahezi SE, Naeimi T, Yerra S, Gruson K, Hossack M, Alvarez ET, et al. Percutaneous ultrasound-guided coracohumeral ligament release for refractory adhesive capsulitis: A prospective, randomized, controlled, crossover trial demonstrating one-year efficacy. Pain Physician 2023;26:E509-16. [Google Scholar]