Journal of Shoulder and Elbow Surgery RSS feed. https://www.jshoulderelbow.org/issues?journalCode=ymse&publicationCode=ymse&rss=yes Elsevier Inc. en © 2026 Published by Elsevier Inc. All rights reserved. Journal of Shoulder and Elbow Surgery 1058-2746 2026-06-10-07:00 © 2026 Published by Elsevier Inc. All rights reserved. permissionshelpdesk@elsevier.com https://www.jshoulderelbow.org/article/S1058-2746(26)00361-7/fulltext?rss=yes Clarifying patient follow-up in a cohort study of testosterone levels and adhesive capsulitis Po-Yuan Chen, Joshua Wang 10.1016/j.jse.2026.06.003 Journal of Shoulder and Elbow Surgery (2026) 2026-06-09 Journal of Shoulder and Elbow Surgery 2026-06-09 Letter to the Editor https://www.jshoulderelbow.org/article/S1058-2746(26)00343-5/fulltext?rss=yes Frozen shoulder (FS) is a common condition characterized by pain and restricted range of motion; however, its definition varies widely across randomized controlled trials (RCTs). This variability in eligibility criteria may compromise comparability across studies and hinder evidence synthesis. In this scoping review, we aimed to systematically map how FS has been defined in RCTs and identify key elements requiring standardization. Towards a common definition of frozen shoulder: a scoping review of randomized controlled trials Masaki Karasuyama, Hiroaki Ishikawa, Tomoya Uchida, Masayuki Saka, Takayuki Muraki, Tomohiko Minamikawa, Kenichi Nishie, Shohei Kawachi, Manaka Shibuya, Shuhei Yamamoto 10.1016/j.jse.2026.05.040 Journal of Shoulder and Elbow Surgery (2026) 2026-06-09 Journal of Shoulder and Elbow Surgery 2026-06-09 Review Article https://www.jshoulderelbow.org/article/S1058-2746(26)00326-5/fulltext?rss=yes Perianchor fluid collection may differ according to anchor material following arthroscopic rotator cuff repair (ARCR), but its relationship with tendon healing remains unclear. This study aimed to compare perianchor fluid collection between all-suture anchors (ASA) and polyetheretherketone (PEEK) anchors following ARCR and to evaluate its relationship with tendon healing at mid-term follow-up. All-Suture Anchors Exhibit Less Perianchor Fluid Formation Independent of Healing Quality Compared With PEEK Anchors in Arthroscopic Rotator Cuff Repair: A Propensity Score-Matched Comparative Study Orkun Gül, Mustafa Afsin Ayazoglu, Alikemal Yazıcı, Serhat Durusoy, Enes Gürün, Ahmet Emin Okutan 10.1016/j.jse.2026.05.033 Journal of Shoulder and Elbow Surgery (2026) 2026-06-09 Journal of Shoulder and Elbow Surgery 2026-06-09 Original Article https://www.jshoulderelbow.org/article/S1058-2746(26)00342-3/fulltext?rss=yes Shoulder stiffness is a common complication after rotator cuff repair (RCR) that may progress to adhesive capsulitis, impeding functional recovery. Although corticosteroid injections are frequently used, treatment response varies substantially across patients. This study investigated whether preoperative fatty infiltration into shoulder musculature predicts corticosteroid injection efficacy in managing post-RCR adhesive capsulitis. Shoulder Muscle Adiposity Can Predict the Efficacy of Corticosteroid Injections in Treating Adhesive Capsulitis After Rotator Cuff Repair Surgery Nai-Hsuan Chen, Che-Li Lin, Yu-Hsuan Cheng, Yen-Shuo Chiu, Ting-Hsuan Hsu, Shih-Wei Huang 10.1016/j.jse.2026.05.039 Journal of Shoulder and Elbow Surgery (2026) 2026-06-08 Journal of Shoulder and Elbow Surgery 2026-06-08 Original Article https://www.jshoulderelbow.org/article/S1058-2746(26)00334-4/fulltext?rss=yes Letter to Editor for “Clarifying patient follow-up in a cohort study of testosterone levels and adhesive capsulitis” Zina Smadi, Joseph A. Abboud 10.1016/j.jse.2026.06.002 Journal of Shoulder and Elbow Surgery (2026) 2026-06-06 Journal of Shoulder and Elbow Surgery 2026-06-06 Response to Letter to the Editor https://www.jshoulderelbow.org/article/S1058-2746(26)00333-2/fulltext?rss=yes Hypertension is a highly prevalent comorbidity among patients undergoing total shoulder arthroplasty (TSA), and angiotensin receptor blockers (ARBs) and angiotensin-converting enzyme inhibitors (ACEIs) are among the most commonly prescribed antihypertensive medications. Emerging evidence suggests that ARBs may confer musculoskeletal benefits, including improved bone quality and reduced fracture risk, compared with ACEIs. The purpose of this study was to evaluate the association between ARB versus ACEI use and the risk of periprosthetic complications in hypertensive patients undergoing TSA. Shoulder Arthroplasty Outcomes in Hypertensive Patients: A Propensity Score-Matched Comparison of ARBs and ACE Inhibitors Seungjun Lee, Christopher Jayne, Matthew T. Kim, Peter Boufadel, Abigail E. Cook, Tyler J. Uppstrom, Xinning Li 10.1016/j.jse.2026.05.038 Journal of Shoulder and Elbow Surgery (2026) 2026-06-04 Journal of Shoulder and Elbow Surgery 2026-06-04 Original Article https://www.jshoulderelbow.org/article/S1058-2746(26)00332-0/fulltext?rss=yes Opioids are traditionally prescribed for postoperative pain management following arthroscopic glenoid labrum repair in young patients. Injudicious use has contributed to rising rates of dependence and overdose, and subsequent interest in opioid-sparing strategies. This study compared the efficacy of multimodal non-opioid to opioid-containing regimens for postoperative pain control in young patients undergoing arthroscopic labral repair. Non-Opioid Pain Management in Younger Patients Undergoing Arthroscopic Glenoid Labrum Surgery: A Randomized Controlled Trial Haley N. Tornberg, Megan K. Czachor, Caroline T. Gutowski, Jaynie X. Criscione, Cayla M. Kalani, John Dibato, Matthew T. Kleiner, Mark A. Pollard, Catherine J. Fedorka 10.1016/j.jse.2026.05.037 Journal of Shoulder and Elbow Surgery (2026) 2026-06-04 Journal of Shoulder and Elbow Surgery 2026-06-04 Original Article https://www.jshoulderelbow.org/article/S1058-2746(26)00327-7/fulltext?rss=yes Proximal radioulnar synostosis is a rare congenital anomaly that restricts forearm rotation and significantly impairs daily function. Surgical correction typically involves radial osteotomy with shortening and derotation; however, planning of osteotomy level, bone shortening, and rotational correction remains largely subjective and relies heavily on surgeon experience. This study retrospectively evaluated an image-based quantitative planning framework designed to provide objective geometric parameters for osteotomy in congenital proximal radioulnar synostosis. Image-Based Quantitative Osteotomy Planning for Congenital Proximal Radioulnar Synostosis: Plan–Execution Discrepancy and Postoperative Radiographic Outcomes Yi-Chih Chen, Hua-Ju Shih, Chia-Hsieh Chang, Ting-Ming Wang, Chen-Yu Yang, Po-Jen Shih 10.1016/j.jse.2026.05.034 Journal of Shoulder and Elbow Surgery (2026) 2026-06-04 Journal of Shoulder and Elbow Surgery 2026-06-04 Original Article https://www.jshoulderelbow.org/article/S1058-2746(26)00331-9/fulltext?rss=yes Cuff tear arthropathy (CTA) is a distinctive form of shoulder osteoarthritis characterized by superior migration of the humeral head, cartilage degeneration, synovitis, and subchondral bone collapse. Although deficiencies of the rotator cuff, superior capsule, and long head of the biceps (LHB) tendon are clinically implicated in CTA, the relative contribution of each structure and the quantitative relationship between humeral head migration and joint degeneration remain unclear. Stepwise loss of shoulder stabilizers induces humeral head migration and progression of cuff tear arthropathy in a rat model Kohei Uekama, Tomohiro Iuchi, Takayuki Ide, Kento Shimanoe, Yusuke Masuda, Seiya Takada, Shogo Tsutsumi, Hiroyuki Tominaga, Shingo Maeda, Noboru Taniguchi 10.1016/j.jse.2026.05.036 Journal of Shoulder and Elbow Surgery (2026) 2026-06-03 Journal of Shoulder and Elbow Surgery 2026-06-03 Original Article https://www.jshoulderelbow.org/article/S1058-2746(26)00330-7/fulltext?rss=yes The optimal timing between staged bilateral reverse total shoulder arthroplasty (rTSA) is unknown. Here we sought to identify the association between interprocedural time and risk of surgical complications. Operative Timing Predicts Postoperative Complications after Staged Reverse Total Shoulder Arthroplasty Julian Wier, Cory K. Mayfield, Anthony C. Mouchawar, Andrew B. Barcenas, Alexander E. Weber, Seth C. Gamradt, Frank A. Petrigliano 10.1016/j.jse.2026.05.035 Journal of Shoulder and Elbow Surgery (2026) 2026-06-03 Journal of Shoulder and Elbow Surgery 2026-06-03 Original Article https://www.jshoulderelbow.org/article/S1058-2746(26)00318-6/fulltext?rss=yes Patients with diabetes exhibit a higher incidence and more severe manifestations of rotator cuff tears (RCTs), yet the etiopathogenesis remains poorly defined. This study investigates the pathological characteristics and mechanisms underlying diabetic rotator cuff pathology. MCP-1 Exacerbates Diabetic Rotator Cuff Tear by Driving Synovial Inflammation via MAPK/ERK-Mediated Macrophage Polarization Yingming Wang, Xianzhe Gu, Jun Tu, Bin Xu 10.1016/j.jse.2026.05.025 Journal of Shoulder and Elbow Surgery (2026) 2026-06-03 Journal of Shoulder and Elbow Surgery 2026-06-03 Original Article https://www.jshoulderelbow.org/article/S1058-2746(26)00317-4/fulltext?rss=yes Multidirectional shoulder instability (MDI) remains a challenging clinical problem, particularly in patients with connective tissue disorders such as Ehlers-Danlos Syndrome (EDS). While MDI may often be successfully treated non-operatively, surgical intervention is indicated when conservative management fails. While open or arthroscopic capsular shift is often utilized, allograft tissue augmentation may be required for patients with recurrent instability and deficient capsular tissue. The purpose of this study was to evaluate long-term patient reported outcomes following open capsular shift with Achilles allograft capsular augmentation in patients with MDI. Open Capsular Shift with Achilles Allograft Augmentation for Multidirectional Shoulder Instability: Long-Term Outcomes and Implications for Patients with Ehlers-Danlos Syndrome Serge B. Albarian, Paula M.P. Trinh, Lauren Simonian, Karthik Nathan, Claire D. Eliasberg, Scott A. Rodeo 10.1016/j.jse.2026.05.024 Journal of Shoulder and Elbow Surgery (2026) 2026-06-02 Journal of Shoulder and Elbow Surgery 2026-06-02 Original Article https://www.jshoulderelbow.org/article/S1058-2746(26)00311-3/fulltext?rss=yes This study aims to evaluate the outcomes of arthroscopically assisted latissimus dorsi (LD) transfer for massive rotator cuff tears involving irreparable subscapularis tendon tears. Management Of Massive Rotator Cuff Tears Involving Irreparable Subscapularis Tear By Arthroscopically Assisted Latissimus Dorsi Transfer: Clinical Results Mohamad K. MOUSSA, Issam Khaled, Ahmad NASSAR, Carlos MURILLO-NIETO, Luis José Maria SUAREZ-JIMENEZ, Philippe VALENTI 10.1016/j.jse.2026.05.019 Journal of Shoulder and Elbow Surgery (2026) 2026-06-02 Journal of Shoulder and Elbow Surgery 2026-06-02 Original Article https://www.jshoulderelbow.org/article/S1058-2746(26)00316-2/fulltext?rss=yes Snapping scapula syndrome (SSS), or scapulothoracic bursitis, is an under-recognized disorder characterized by painful, audible, or palpable crepitus between the scapula and thoracic wall. While non-operative management is the standard first-line treatment, surgical intervention is often considered for refractory cases. Snapping Scapula Syndrome: A Systematic Review of Treatment Options and Outcomes Kyle Wallace, John Kyle Mitchell, Bradley J. Lauck, Jake Reed, Sarah Conlon, Ganesh V. Kamath 10.1016/j.jse.2026.05.023 Journal of Shoulder and Elbow Surgery (2026) 2026-06-01 Journal of Shoulder and Elbow Surgery 2026-06-01 Review Article https://www.jshoulderelbow.org/article/S1058-2746(26)00315-0/fulltext?rss=yes Total shoulder arthroplasty (TSA) is an effective treatment for shoulder arthritis. Although obesity is associated with complications after hip and knee arthroplasty, its association with TSA outcomes remains less defined. This study evaluated TSA outcomes stratified by body mass index (BMI). Overweight and Premorbid Obesity Status Correlates With Thromboembolism Risk but Not Infection After Total Shoulder Arthroplasty Joshua Wang, Philong Nguyen, Kerollos Ibrahim, Yousef Tanas, Carolyn Henein, Joshua Borja, Keenan Horani, Jeremy Somerson, William M. Weiss 10.1016/j.jse.2026.05.022 Journal of Shoulder and Elbow Surgery (2026) 2026-06-01 Journal of Shoulder and Elbow Surgery 2026-06-01 Original Article https://www.jshoulderelbow.org/article/S1058-2746(26)00314-9/fulltext?rss=yes To evaluate radiographic and functional outcomes at 2 and 5 years postoperatively for anatomic total shoulder arthroplasty (aTSA) performed with an uncemented central-peg all-polyethylene glenoid (Univers VaultLock; Arthrex, Inc., Naples, FL) designed for an uncemented central-peg fixation with peripheral cement and central osseous interdigitation. Clinical and Radiographic Survival Rates of the Arthrex Univers VaultLock Uncemented Central-Peg All-Polyethylene Glenoid Component in Anatomic Total Shoulder Arthroplasty at 2- and 5-Years Postoperatively Ehab M. Nazzal, Ryan T. Lin, Sophia McMahon, Shoulder Arthroplasty Research Committee (ShARC), Patrick J. Denard, Kevin Farmer, G. Russell Huffman, Albert Lin 10.1016/j.jse.2026.05.021 Journal of Shoulder and Elbow Surgery (2026) 2026-06-01 Journal of Shoulder and Elbow Surgery 2026-06-01 Original Article https://www.jshoulderelbow.org/article/S1058-2746(26)00313-7/fulltext?rss=yes Olecranon osteotomy is a common surgical exposure technique used for internal fixation of distal humerus fractures. Unfortunately, retained ulnar hardware and potential osteotomy complications (malunion, nonunion, or extensor mechanism insufficiency) may negatively impact subsequent total elbow arthroplasty (TEA) if needed. Although TEA is a reasonable option for management of failed distal humerus internal fixation or posttraumatic arthritis, little is known about how prior olecranon osteotomy influences TEA outcomes. How Does a Prior Olecranon Osteotomy Impact the Outcome of Subsequent Total Elbow Arthroplasty? Samuel S. Rudisill, Daniel Z. You, Bradley W. Fossum, Shawn W. O’Driscoll, Joaquin Sanchez-Sotelo, Mark E. Morrey 10.1016/j.jse.2026.05.020 Journal of Shoulder and Elbow Surgery (2026) 2026-06-01 Journal of Shoulder and Elbow Surgery 2026-06-01 Original Article https://www.jshoulderelbow.org/article/S1058-2746(26)00312-5/fulltext?rss=yes Periprosthetic joint infection (PJI) is a common method of failure following total elbow arthroplasty (TEA). Diagnosis is often guided by synovial fluid leukocyte counts and neutrophil percentages. While cutoff values have been defined for hip and knee arthroplasty PJI, the elbow has a different microbiome and a higher rate of PJI. Currently, there are no data to guide determination of PJI following TEA. The purpose of this study was to identify cutoff values of synovial fluid leukocyte counts, neutrophil percentage, erythrocyte sedimentation rate (ESR) and C-reactive protein (CRP) to aid in detection of periprosthetic total elbow infection. Morrey Award 2025: Cell Count and Differential of Aspirated Fluid in the Diagnosis of Periprosthetic Joint Infection of Total Elbow Arthroplasty Micah Nieboer, Christian Rosenow, Jack Koch, Jonathan Barlow, Joaquin Sanchez-Sotelo, Shawn O’Driscoll, Mark Morrey 10.1016/j.jse.2026.05.018 Journal of Shoulder and Elbow Surgery (2026) 2026-06-01 Journal of Shoulder and Elbow Surgery 2026-06-01 Original Article https://www.jshoulderelbow.org/article/S1058-2746(26)00310-1/fulltext?rss=yes Given the rising incidence of elbow ulnar collateral ligament (UCL) injury among young athletes in overhead sports, it is important to identify optimal treatments. The historic gold standard is UCL reconstruction. However, suture-augmented UCL repair techniques have become increasingly popular given their high rates of return to play in partial or full thickness avulsion UCL tears. The purpose of this study was to determine complications, clinical outcomes, and return to sport (RTS) in UCL repair and reconstruction. Return to Sport After Ulnar Collateral Ligament Repair and Reconstruction Mitchell S. Kirkham, Bejan A. Alvandi, Kyle B. Christy, Tyler M. Staten, Cameron R. Guy, Robert Z. Tashjian, Christopher D. Joyce, Peter N. Chalmers 10.1016/j.jse.2026.05.017 Journal of Shoulder and Elbow Surgery (2026) 2026-05-29 Journal of Shoulder and Elbow Surgery 2026-05-29 Original Article https://www.jshoulderelbow.org/article/S1058-2746(26)00309-5/fulltext?rss=yes As robotic-assisted reverse total shoulder arthroplasty (rTSA) enters an early adoption phase, widespread implementation will be shaped as much by real-world usability and reliability as by the yet to be realized purported clinical benefits of accurate implant positioning. This study sought to characterize early adopter experience with the Mako robotic rTSA system (Stryker, Kalamazoo, MI) among surgeons participating in the platform’s limited release. Early Adopter Surgeon Experience with Mako Robotic-Assisted Reverse Shoulder Arthroplasty: Perceived Utility, Workload, and Workflow Reliability Mariano E. Menendez, Vahid Entezari, John G. Costouros, David Savin, Joseph A. Coory, Karimdad Amir Otarodi, Justin Givens, Erick M. Marigi, Travis M. Falconer, Jacob J. Triplet, Caleb M. Davis, Brian W. Hill, Mark A. Mighell, Joaquin Sanchez-Sotelo, George S. Athwal 10.1016/j.jse.2026.05.016 Journal of Shoulder and Elbow Surgery (2026) 2026-05-27 Journal of Shoulder and Elbow Surgery 2026-05-27 Original Article https://www.jshoulderelbow.org/article/S1058-2746(26)00308-3/fulltext?rss=yes The primary soft tissue stabilizer of valgus stress across the elbow is the anterior oblique ligament (AOL). The posterior oblique ligament (POL) is a stabilizer of internal rotational stress. This study aimed to identify whether POL morphological changes affect the ulnar internal rotational laxity of the elbow, and whether the elbow flexors restrain it. Static and Dynamic Internal Ulnar Rotational Stability in Collegiate Baseball Pitchers Jun Sakata, Kanta Matsuzawa, Toshiharu Tsutsui, Masaki Akeda, Tadahiro Sakai 10.1016/j.jse.2026.05.015 Journal of Shoulder and Elbow Surgery (2026) 2026-05-26 Journal of Shoulder and Elbow Surgery 2026-05-26 Original Article https://www.jshoulderelbow.org/article/S1058-2746(26)00307-1/fulltext?rss=yes Surgeons historically repair terrible triad injuries of the elbow with a laterally based approach, adding a secondary medial approach when adequate stability is not achieved with lateral repair alone. The internal joint stabilizer (IJS) (Skeletal Dynamics, Inc. Miami, Florida, USA) may improve joint stability from the standard lateral approach, potentially decreasing the need for a secondary medial approach or supplementary procedures. The purpose of this study was to determine the effect of the introduction of internal joint stabilization on the rate of supplemental medial approaches in the treatment of terrible triad injuries. Has the Internal Joint Stabilizer Altered the Need for a Medial Approach in Triad Injuries? Todd Phillips, Caleb Casanova, Benjamin Fiedler, Eileen Phan, Beatrice Morrow, Scott Mitchell 10.1016/j.jse.2026.05.014 Journal of Shoulder and Elbow Surgery (2026) 2026-05-26 Journal of Shoulder and Elbow Surgery 2026-05-26 Original Article https://www.jshoulderelbow.org/article/S1058-2746(26)00304-6/fulltext?rss=yes Tendon integrity alone cannot fully explain recovery after arthroscopic rotator cuff repair (ARCR). Because the infraspinatus stabilizes the glenohumeral joint, we investigated whether postoperative infraspinatus contractility, measured using real-time tissue elastography (RTE), is related to objective recovery. Postoperative infraspinatus contractility is independently associated with objective outcomes after arthroscopic rotator cuff repair Ryuta Oishi, Nariyuki Mura, Kyosuke Hoshikawa, Tomohiro Uno, Issei Yuki, Hiroshi Satake, Yuya Takakubo, Michiaki Takagi 10.1016/j.jse.2026.05.011 Journal of Shoulder and Elbow Surgery (2026) 2026-05-25 Journal of Shoulder and Elbow Surgery 2026-05-25 Original Article https://www.jshoulderelbow.org/article/S1058-2746(26)00303-4/fulltext?rss=yes Proton pump inhibitors (PPIs) are widely prescribed and commonly used in orthopaedic patients, yet increasing evidence links chronic PPI exposure to infectious, skeletal, and thromboembolic complications. While associations have been reported following hip, knee, and spine surgery, the impact of PPI use on outcomes after total elbow arthroplasty (TEA) remains poorly characterized. Preoperative Proton Pump Inhibitor Use and Risk of Adverse Outcomes After Total Elbow Arthroplasty: A Propensity-Matched Analysis Nicholas Frappa, Morgan R. Dillon, Samuel I. Fuller, Alexandra Divasta, Vahram Gamsarian, Matthew G. Alben 10.1016/j.jse.2026.05.010 Journal of Shoulder and Elbow Surgery (2026) 2026-05-25 Journal of Shoulder and Elbow Surgery 2026-05-25 Original Article https://www.jshoulderelbow.org/article/S1058-2746(26)00302-2/fulltext?rss=yes Muscle volume and fatty infiltration of the rotator cuff and deltoid may influence shoulder function and affect outcomes following rotator cuff repair and shoulder arthroplasty. However, age- and sex-specific changes and reference values for these parameters in healthy individuals remain limited. Establishing such benchmarks may help differentiate physiological muscle changes from pathological degeneration and improve surgical decision-making and outcome predictions. This study aimed to quantify age- and sex-related differences in rotator cuff and deltoid muscle characteristics using quantitative 3D CT-based muscle segmentation in healthy shoulders. Age- and sex-related differences in rotator cuff and deltoid muscle: A 3D segmentation analysis in healthy shoulders Alexander J. Vervaecke, Maryama Dufrenot, François Boux de Casson, Jean-David Werthel 10.1016/j.jse.2026.05.009 Journal of Shoulder and Elbow Surgery (2026) 2026-05-25 Journal of Shoulder and Elbow Surgery 2026-05-25 Original Article https://www.jshoulderelbow.org/article/S1058-2746(26)00306-X/fulltext?rss=yes The debate about repairing the subscapularis in the setting of reverse shoulder arthroplasty (rTSA) is ongoing. Some reported benefits of the subscapularis repair are a reduced rate of instability, more internal rotation (IR) improvement, and better functional outcomes. However, with the popularization of lateralized implants, these benefits are becoming more limited. Therefore, this meta-analysis compared outcomes of rTSA depending on whether or not the subscapularis was repaired with a sub-analysis by rTSA design (lateralized vs medialized) and subscapularis repair technique. Subscapularis Repair in Reverse Shoulder Arthroplasty: A Systematic Review and Meta-Analysis with a Sub-analysis by Implant Lateralization and Repair Techniques Mohammad Daher, Peter Boufadel, Miguel Fiandeiro, Tarishi Parmar, Liam Kane, James R. Satalich, Christopher S. Klifto, Joseph A. Abboud 10.1016/j.jse.2026.05.013 Journal of Shoulder and Elbow Surgery (2026) 2026-05-23 Journal of Shoulder and Elbow Surgery 2026-05-23 Review Article https://www.jshoulderelbow.org/article/S1058-2746(26)00305-8/fulltext?rss=yes Posteromedial olecranon impingement is a common elbow disorder in professional baseball players that results from repetitive valgus extension overload during throwing. Osteophyte formation is a hallmark of this condition. However, its anatomical distribution and progression remain unclear. This study aimed to characterize the distribution of osteophytes in the elbows of professional baseball players using computed tomography (CT) and to evaluate the relationship between osteophyte location and player age. Computed tomography analysis of osteophyte distribution in the throwing elbows of professional baseball players Masaru Munemori, Akira Kodama, Yuichi Sumida, Nobuo Adachi 10.1016/j.jse.2026.05.012 Journal of Shoulder and Elbow Surgery (2026) 2026-05-23 Journal of Shoulder and Elbow Surgery 2026-05-23 Original Article https://www.jshoulderelbow.org/article/S1058-2746(26)00298-3/fulltext?rss=yes The discriminatory utility of synovial aspirates and frozen sections in the evaluation of a failed shoulder arthroplasty is uncertain. We performed a multi-institutional study of consecutive revision shoulder arthroplasties to define the utility and optimal cutoffs of synovial aspirates and frozen sections to predict positive intraoperative cultures. Defining Optimal Synovial Aspirate Thresholds and Utility of Frozen Sections in Predicting Bacterial Presence at the Time of Revision Shoulder Arthroplasty Andrew P. Collins, Anastasia J. Whitson, Thomas R. Duquin, Jason C. Ho, Jennifer L. Vanderbeck, Ryan C. Rauck, Eric T. Richchetti, Jason E. Hsu, American Shoulder and Elbow Surgeons (ASES) Revision Arthroplasty / Periprosthetic Joint Infection (PJI) Multicenter Group 10.1016/j.jse.2026.05.005 Journal of Shoulder and Elbow Surgery (2026) 2026-05-22 Journal of Shoulder and Elbow Surgery 2026-05-22 Original Article https://www.jshoulderelbow.org/article/S1058-2746(26)00300-9/fulltext?rss=yes Despite historical concerns regarding muscle and tendon toxicity, preclinical studies suggest statins may exert anti-inflammatory and anti-fibrotic effects relevant to rotator cuff tendon–bone healing. Clinical studies of statin use after arthroscopic rotator cuff repair (ARCR) report mixed results with respect to tendon healing, revision surgery, and functional outcomes. This systematic review and meta-analysis evaluated postoperative healing and patient-reported outcomes between statin users and non–statin users following ARCR. Statin Therapy Is Not Associated with Inferior Postoperative Outcomes After Arthroscopic Rotator Cuff Repair: A Systematic Review and Meta-analysis Areeb Ahmad, Maazen Khan, Kassem Ghayyad, Olamide Oshikoya, Daniel Goltz, G. Russell Huffman 10.1016/j.jse.2026.05.006 Journal of Shoulder and Elbow Surgery (2026) 2026-05-21 Journal of Shoulder and Elbow Surgery 2026-05-21 Review Article https://www.jshoulderelbow.org/article/S1058-2746(26)00299-5/fulltext?rss=yes This study aimed to investigate the associations of general patient and disease-specific factors with baseline patient reported outcome measures (PROMs) in patients undergoing revision rotator cuff repair (RCR). Baseline characteristics were also compared to those of patients undergoing primary RCR. Associations of preoperative patient mental health status, sociodemographic and clinical characteristics with baseline pain, function and satisfaction in patients undergoing revision rotator cuff repairs Philipp N. Streubel, Sambit Sahoo, Chao Zhang, Jason C. Ho, Vahid Entezari, Kathleen A. Derwin, Joseph P. Iannotti, Eric T. Ricchetti, “Cleveland Clinic Shoulder Group” 10.1016/j.jse.2026.05.007 Journal of Shoulder and Elbow Surgery (2026) 2026-05-21 Journal of Shoulder and Elbow Surgery 2026-05-21 Original Article https://www.jshoulderelbow.org/article/S1058-2746(26)00296-X/fulltext?rss=yes Posterior shear fractures of the distal humerus are rare and have a complex,controversial injury mechanism. Surgical treatment for posterior distal humeral shear fractures Xiaoyong Xia, Yejun Zha, Xieyuan Jiang 10.1016/j.jse.2026.05.003 Journal of Shoulder and Elbow Surgery (2026) 2026-05-21 Journal of Shoulder and Elbow Surgery 2026-05-21 Original Article https://www.jshoulderelbow.org/article/S1058-2746(26)00289-2/fulltext?rss=yes Benchmarking allows for measurements and comparisons of prostheses using agreed-upon standards so that surgeons may be informed on performance for clinical decision making. We sought to apply the Orthopaedic Data Evaluation Panel (ODEP) for Shoulders methodology to benchmark prostheses used for shoulder arthroplasty in a US integrated healthcare system. Feasibility of applying the Orthopaedic Data Evaluation Panel (ODEP) shoulder criteria for implants used in a United States-based integrated healthcare system Heather A. Prentice, Brian H. Fasig, Edward H. Yian, Anshuman Singh, Danny P. Chan, Aakash Chauhan, Ronald A. Navarro, Elizabeth W. Paxton 10.1016/j.jse.2026.04.061 Journal of Shoulder and Elbow Surgery (2026) 2026-05-21 Journal of Shoulder and Elbow Surgery 2026-05-21 Original Article https://www.jshoulderelbow.org/article/S1058-2746(26)00301-0/fulltext?rss=yes Donor-site morbidity—previously a major concern—remains a considerable issue in arthroscopic superior capsule reconstruction using a fascia lata autograft due to the limited scientific evidence. We aimed to evaluate donor-site morbidity and patient satisfaction after arthroscopic superior capsule reconstruction using a fascia lata autograft for irreparable rotator cuff tears. We hypothesized that the procedure would result in certain donor-site morbidities, would not have a significant impact on daily activities, and that improvements in shoulder function could compensate for donor-site morbidity after superior capsule reconstruction. Donor-site morbidity and patient satisfaction after arthroscopic superior capsule reconstruction using fascia lata autograft for irreparable rotator cuff tears Akihiko Hasegawa, Akihiro Uchida, Yusuke Noguchi, Hiroyuki Shimizu, Kunimoto Fukunishi, Teruhisa Mihata 10.1016/j.jse.2026.05.008 Journal of Shoulder and Elbow Surgery (2026) 2026-05-20 Journal of Shoulder and Elbow Surgery 2026-05-20 Original Article https://www.jshoulderelbow.org/article/S1058-2746(26)00293-4/fulltext?rss=yes The long head of the biceps tendon (LHBT) plays an important role in glenohumeral stability and frequently coexists with rotator cuff (RC) pathology. Although anatomical variations in the glenoid origin of the LHBT have been described, their relationship with RC tears has not been fully elucidated. This study aimed to investigate the association between LHBT origin variations and the presence of full-thickness RC tears. ASSOCIATION BETWEEN LONG HEAD OF THE BICEPS TENDON ORIGIN AND ROTATOR CUFF TEARS: A MRI-BASED RETROSPECTIVE OBSERVATIONAL COHORT STUDY Alper Dünki, Murat Birinci, Hakan Batuhan Kaya, Ömer Polat, Savaş Çamur, Serdar Kamil Çepni 10.1016/j.jse.2026.05.001 Journal of Shoulder and Elbow Surgery (2026) 2026-05-20 Journal of Shoulder and Elbow Surgery 2026-05-20 Original Article https://www.jshoulderelbow.org/article/S1058-2746(26)00292-2/fulltext?rss=yes The relationship between structural damage and functional impairment in patients with full-thickness rotator cuff tears (FT-RCTs) remains inconsistent. While some patients maintain high function despite large tears, others experience profound disability, suggesting that compensatory neuromuscular mechanisms may be more closely associated with functional status than with anatomical integrity. This study aims to identify the clinical, structural, and neuromuscular factors that differentiate high-functioning from poor-functioning individuals with FT-RCTs. Neuromuscular signatures differentiating functional and impaired cases in full-thickness rotator cuff tears Yi-Hsuan Weng, Chon-Kio Wong, Yang-Ting Chien, Kuan-Yun Liu, Yu-Cheng Weng, Chung-Hsun Chang, Jiu-Jenq Lin 10.1016/j.jse.2026.04.064 Journal of Shoulder and Elbow Surgery (2026) 2026-05-20 Journal of Shoulder and Elbow Surgery 2026-05-20 Original Article https://www.jshoulderelbow.org/article/S1058-2746(26)00297-1/fulltext?rss=yes Footprint preparation is considered an important factor influencing tendon–bone healing and fixation strength in arthroscopic rotator cuff repair. This study aimed to compare the biomechanical characteristics of all-suture anchors following three different footprint preparation techniques. Bone Marrow Stimulation and Decortication Compromise the Biomechanical Strength of All Suture Anchor in Rotator Cuff Repair Chien-An Shih, Kai-Lan Hsu, Yueh Chen, Fang-Hsien Lin, Wei-Ren Su, Fa-Chuan Kuan 10.1016/j.jse.2026.05.004 Journal of Shoulder and Elbow Surgery (2026) 2026-05-19 Journal of Shoulder and Elbow Surgery 2026-05-19 Original Article https://www.jshoulderelbow.org/article/S1058-2746(26)00295-8/fulltext?rss=yes Patient portals have become a primary mechanism for patient-provider communication, offering convenience for patients while also creating an uncompensated workload burden for providers. This issue is underexplored in shoulder and elbow surgery, where pain, quality of life burden, and complex rehabilitation plans may drive frequent messaging. This study evaluated trends in portal messaging within a shoulder and elbow orthopedic cohort. Patient Portal Messaging in Shoulder and Elbow Surgery Patients: A Retrospective Cohort Study Katelyn E. Parsons, Devika A. Shenoy, Alyssa R. Henriquez, Kevin A. Wu, Eoghan T. Hurley, Oke A. Anakwenze, Kevin P. Speer, Yaw D. Boachie-Adjei, Michael Moverman, Jay M. Levin, Jonathan F. Dickens, Christopher S. Klifto 10.1016/j.jse.2026.05.002 Journal of Shoulder and Elbow Surgery (2026) 2026-05-19 Journal of Shoulder and Elbow Surgery 2026-05-19 Original Article https://www.jshoulderelbow.org/article/S1058-2746(26)00294-6/fulltext?rss=yes Osteoporosis increases fracture risk and adversely affects outcomes after shoulder arthroplasty. Preoperative bisphosphonate use has been linked to higher rates of periprosthetic fracture after lower extremity total joint arthroplasty, but data in shoulder arthroplasty are limited. The purpose of this study was to evaluate whether anti-remodeling agents such as bisphosphonates or anabolic osteoporotic therapy influenced one-year outcomes, including periprosthetic humeral fracture, acromial stress fracture, and all-cause revision, following anatomic (aTSA) and reverse total shoulder arthroplasty (rTSA). Preoperative Anti-remodeling Osteoporotic Therapy Is Associated with Increased Periprosthetic Humeral Fracture Risk Matthew T. Eisenberg, Kinsley Wang, Evan Lederman, Michael H. Amini, Kelly Krohn, Midhat Patel 10.1016/j.jse.2026.04.065 Journal of Shoulder and Elbow Surgery (2026) 2026-05-19 Journal of Shoulder and Elbow Surgery 2026-05-19 Original Article https://www.jshoulderelbow.org/article/S1058-2746(26)00291-0/fulltext?rss=yes Amid efforts to reduce opioid use, identifying effective non-opioid pain protocols for orthopedic procedures is a priority. Shoulder arthroplasty is associated with significant postoperative pain and has traditionally relied on opioids, despite their side effects. This study evaluated the efficacy of a postoperative non-opioid, multimodal pain protocol compared to an opioid protocol for patients undergoing shoulder arthroplasty. A Non-Opioid Multimodal Pain Protocol Achieves Equivalent Pain Control After Total Shoulder Arthroplasty: A Randomized-Controlled Trial Hardy Evans, Joshua P. Castle, Johnny Kasto, Julio Nerys-Fugeroa, Aghdas Movassaghi, Alexander Jurayj, Chimdindu V. Obinero, Kai Zhu, Wade Wines, Jared M. Mahylis, Stephanie J. Muh 10.1016/j.jse.2026.04.063 Journal of Shoulder and Elbow Surgery (2026) 2026-05-19 Journal of Shoulder and Elbow Surgery 2026-05-19 Original Article https://www.jshoulderelbow.org/article/S1058-2746(26)00290-9/fulltext?rss=yes Sickle cell disease (SCD) predisposes patients to vaso-occlusive and inflammatory complications that may be exacerbated by surgical stress. While SCD has been linked to adverse outcomes after lower-extremity arthroplasty, its effect on postoperative complications following total shoulder arthroplasty (TSA) is poorly understood, particularly independent of avascular necrosis (AVN). This study evaluates the association between SCD and postoperative outcomes after TSA using a national database. Elevated Risk of Medical Complications in Sickle Cell Disease Patients after Total Shoulder Arthroplasty Akshay Khanna, Jad J. Lawand, Akin Adio, Alejandro M. Holle, Stephanie Eble, Joseph A. Abboud 10.1016/j.jse.2026.04.062 Journal of Shoulder and Elbow Surgery (2026) 2026-05-19 Journal of Shoulder and Elbow Surgery 2026-05-19 Original Article https://www.jshoulderelbow.org/article/S1058-2746(26)00283-1/fulltext?rss=yes Fixation of the glenoid component in anatomic total shoulder arthroplasty (aTSA) is critical for implant longevity. The aim of this study was to compare long-term implant survival and clinical outcomes between keeled and pegged glenoid components of the Eclipse™ stemless aTSA, and to evaluate the influence of humeral head material on revision rates and functional outcomes. Survival and clinical outcomes of the Eclipse™ stemless anatomic total shoulder arthroplasty: a comparative study of glenoid component designs and humeral head materials Moritz Kraus, Henry Gebauer, Mara Warnhoff, Asimina Lazaridou, Markus Scheibel 10.1016/j.jse.2026.04.060 Journal of Shoulder and Elbow Surgery (2026) 2026-05-15 Journal of Shoulder and Elbow Surgery 2026-05-15 Original Article https://www.jshoulderelbow.org/article/S1058-2746(26)00260-0/fulltext?rss=yes Consensus-derived diagnostic criteria for shoulder periprosthetic joint infection (PJI) were established at the 2nd International Consensus Meeting (ICM) on Musculoskeletal Infection in 2018. Data is still limited, however, on the clinical presentation and distribution of shoulder PJI cases with regards to ICM diagnostic categories. The purpose of this study was to utilize data from a multicenter prospective cohort of revision shoulder arthroplasties to evaluate the frequency of cases meeting criteria for each ICM PJI category and to examine the distribution of demographic data, microbiology, and positive criteria in each category. Evaluation of the International Consensus Meeting (ICM) Diagnostic Categories for Shoulder Periprosthetic Joint Infection: C. Acnes Predominates even in Definite Infections Eric T. Ricchetti, Andrew P. Collins, Michael S. Khazzam, Thomas W. Wright, Vahid Entezari, Nathan D. Orvets, Anastasia J. Whitson, Jason E. Hsu, American Shoulder and Elbow Surgeons (ASES) Revision Arthroplasty / Periprosthetic Joint Infection (PJI) Multicenter Group 10.1016/j.jse.2026.04.053 Journal of Shoulder and Elbow Surgery (2026) 2026-05-13 Journal of Shoulder and Elbow Surgery 2026-05-13 Original Article https://www.jshoulderelbow.org/article/S1058-2746(26)00257-0/fulltext?rss=yes Rotator cuff tears cause significant shoulder pain and functional limitation. Arthroscopic rotator cuff repair improves symptoms, yet structural failure rates remain substantial. Smoking may impair tendon-to-bone healing, but clinical studies report mixed findings due to heterogeneous methodology. Therefore, a systematic synthesis of imaging-confirmed outcomes is needed to clarify the association between smoking and structural failure after arthroscopic rotator cuff repair. Impact of Smoking on Structural Failure After Arthroscopic Rotator Cuff Repair: A Systematic Review and Meta-analysis" Van Tam Nguyen, Yi-Jie Kuo, Lien-Chen Wu, Yu-Zhi Lian, Yu-Pin Chen 10.1016/j.jse.2026.04.050 Journal of Shoulder and Elbow Surgery (2026) 2026-05-13 Journal of Shoulder and Elbow Surgery 2026-05-13 Review Article https://www.jshoulderelbow.org/article/S1058-2746(26)00266-1/fulltext?rss=yes Over the last decade, due to the increase in the number of shoulder arthroplasty procedures performed, revision to reverse total shoulder arthroplasty (rTSA) has increased by 392%. This rise has been associated with a greater incidence of complications, including implant loosening and bone loss requiring alternative strategies for management of failed arthroplasty with glenoid bone deficiency. The purpose of this paper is to review the current literature and compare outcomes of different grafts and custom implants used to address severe glenoid defects for revision of failed shoulder arthroplasty. Surgical Options for the Management of Severe Glenoid Structural Deficiencies in the Setting of Revision Reverse Shoulder Arthroplasty: A Systematic Review Robert T. Henke, Robert J. Ries, Jacqueline G. Tobin, Brandon L. Rogalski, Richard J. Friedman, Xinning Li, Josef K. Eichinger 10.1016/j.jse.2026.04.059 Journal of Shoulder and Elbow Surgery (2026) 2026-05-12 Journal of Shoulder and Elbow Surgery 2026-05-12 Original Article https://www.jshoulderelbow.org/article/S1058-2746(26)00265-X/fulltext?rss=yes The Internal Joint Stabilizer (IJS) effectively reduces varus angle deviations and mitigates maximum lateral ulnar collateral ligament (LUCL) strain during elbow flexion-extension, thereby improving elbow posterolateral rotatory stability. The Internal Joint Stabilizer in Lateral Ulnar Collateral Ligament Injuries: A Biomechanical Study Nicholas C. Semenza, Harsh A. Shah, Vicki Z. Wang, Aidan K. Copinga, Steven Regal 10.1016/j.jse.2026.04.058 Journal of Shoulder and Elbow Surgery (2026) 2026-05-12 Journal of Shoulder and Elbow Surgery 2026-05-12 Original Article https://www.jshoulderelbow.org/article/S1058-2746(26)00264-8/fulltext?rss=yes Metal-Associated Undifferentiated Pleomorphic Sarcoma Around a Long-Term Elbow Implant: A Case Report Junghan Kim, Yongrae Kim, Jihun Park 10.1016/j.jse.2026.04.057 Journal of Shoulder and Elbow Surgery (2026) 2026-05-12 Journal of Shoulder and Elbow Surgery 2026-05-12 Case Report https://www.jshoulderelbow.org/article/S1058-2746(26)00263-6/fulltext?rss=yes The Osborne-Cotterill lesion (OCL) is an osseoligamentous injury of the posterolateral capitellum associated with elbow instability. Its contribution to instability remains unclear, and evidence guiding management is limited. This study aimed to quantify the incidence and anatomy of OCLs and to correlate these findings with patterns of elbow instability, treatment, and outcome. The Osborne-Cotterill Lesion: A Radiographic Analysis of Morphology & Clinical Impact Louise S. Howse, Siddharth Virani, Labib Syed, Chan Khin, Joideep Phadnis 10.1016/j.jse.2026.04.056 Journal of Shoulder and Elbow Surgery (2026) 2026-05-12 Journal of Shoulder and Elbow Surgery 2026-05-12 Original Article https://www.jshoulderelbow.org/article/S1058-2746(26)00262-4/fulltext?rss=yes This systematic review evaluates the efficacy and safety of elective primary total elbow arthroplasty (TEA). Efficacy and safety of elective primary total elbow arthroplasty in the last 25 years: a systematic review Dimitris Challoumas, Tin-Ning Wong, Brendan Barrett, Jack Tierney, Christopher P. Little, Christopher A. Peach 10.1016/j.jse.2026.04.055 Journal of Shoulder and Elbow Surgery (2026) 2026-05-12 Journal of Shoulder and Elbow Surgery 2026-05-12 https://www.jshoulderelbow.org/article/S1058-2746(26)00261-2/fulltext?rss=yes Distal biceps tendon ruptures are increasingly common in the elderly, yet no studies have specifically examined surgical outcomes in patients over 65 years of age. This represents a significant knowledge gap given the growing elderly population and increasing activity levels among older adults. Age Is Not a Contraindication: Outcomes of Distal Biceps Tendon Repair in Elderly Patients Aseel Dib, Maria Kammire, Madeline Rieker, James Padley, Dillon Graham, Richard Arendale, Kennedy Gachigi, Nady Hamid 10.1016/j.jse.2026.04.054 Journal of Shoulder and Elbow Surgery (2026) 2026-05-12 Journal of Shoulder and Elbow Surgery 2026-05-12 Original Article https://www.jshoulderelbow.org/article/S1058-2746(26)00259-4/fulltext?rss=yes Irreparable rotator cuff tears remain a challenge for orthopedic surgeons. Reverse shoulder arthroplasty (rTSA) has become an increasingly common option for these patients. However, in patients lacking arthritis and with a functionally balanced shoulder, alternative and less invasive surgical options have been pursued. In this study we seek to investigate the outcome of arthroscopically placing an allograft on the undersurface of the acromion for pain relief. Clinical Outcomes following Bursal Acromial Reconstruction for Irreparable Rotator Cuff Tears Diego C. Villacis 10.1016/j.jse.2026.04.052 Journal of Shoulder and Elbow Surgery (2026) 2026-05-12 Journal of Shoulder and Elbow Surgery 2026-05-12 Original Article https://www.jshoulderelbow.org/article/S1058-2746(26)00258-2/fulltext?rss=yes Incurring elbow dislocations may have debilitating effects on patients’ quality of life. The purpose of this study was to identify rates of elbow dislocation presenting to United States (US) emergency departments (ED) from 2014-2023. The Epidemiology of Elbow Dislocation in the United States 2014-2023 Gabriel I. Onor, Harrison Fellheimer, Polycarpe Bagereka, Michael Chang, Benjamin Miltenberg, Brandon Martinazzi, Tobi Salako, Orett C. Burke, Jerome Murray, Pedro K. Beredjiklian 10.1016/j.jse.2026.04.051 Journal of Shoulder and Elbow Surgery (2026) 2026-05-12 Journal of Shoulder and Elbow Surgery 2026-05-12 Original Article https://www.jshoulderelbow.org/article/S1058-2746(26)00253-3/fulltext?rss=yes The re-tear rate after rotator cuff repair for large to massive tears remains high, and improving postoperative outcomes is a clinical challenge. This study aimed to evaluate the clinical and radiological outcomes of a modified graft augmentation technique using a double suture bridge (DSB) configuration. Postoperative Outcomes of Modified Graft Augmentation for Large to Massive Rotator Cuff Tears Satoru Ohta, Shusuke Masuda, Yoshiyuki Ueda, Osamu Komai 10.1016/j.jse.2026.04.047 Journal of Shoulder and Elbow Surgery (2026) 2026-05-12 Journal of Shoulder and Elbow Surgery 2026-05-12 Original Article https://www.jshoulderelbow.org/article/S1058-2746(26)00242-9/fulltext?rss=yes The Latarjet procedure is effective for recurrent anterior shoulder instability with glenoid bone loss; however, as a non-anatomic technique, it may lead to scapular dyskinesis, particularly in contact athletes. The necessity of reattaching the pectoralis minor remains a subject of debate. We hypothesized that pectoralis minor reattachment during the Latarjet procedure would be associated with a lower incidence of scapular dyskinesis and improved functional outcomes in high-performance contact athletes. Pectoralis Minor Reattachment in Latarjet Procedure: Improvement of Scapular Stability in High-Performance Contact Athletes— Retrospective Cohort Comparison Tafoya-Arreguín Gustavo Armando, Castillo-González José Rene, Villalobos-Salazar Verónica Itzel, Santibañez-Juarez José Manuel, Sepúlveda-Cadena Carlos Omar, Briseno-Ramírez Jaime 10.1016/j.jse.2026.04.045 Journal of Shoulder and Elbow Surgery (2026) 2026-05-12 Journal of Shoulder and Elbow Surgery 2026-05-12 Original Article https://www.jshoulderelbow.org/article/S1058-2746(26)00256-9/fulltext?rss=yes Although exercise therapy is an effective treatment for individuals with symptomatic rotator cuff tendon tears, tear size can increase. Understanding factors associated with tear progression will provide information that may be used to develop treatment plans and/or monitor tear size progression. Therefore, this study aims to identify factors associated with tear progression in persons with an isolated symptomatic supraspinatus tendon tear that underwent 12 weeks of personalized exercise therapy. Factors Associated with Progression of Symptomatic Isolated Supraspinatus Tears 2 Years after Exercise Therapy Jumpei Inoue, Luke T. Mattar, Keishi Takaba, Satoshi Takeuchi, Adam J. Popchak, Clair N. Smith, Volker Musahl, Richard E. Debski, James J. Irrgang 10.1016/j.jse.2026.04.049 Journal of Shoulder and Elbow Surgery (2026) 2026-05-11 Journal of Shoulder and Elbow Surgery 2026-05-11 Original Article https://www.jshoulderelbow.org/article/S1058-2746(26)00255-7/fulltext?rss=yes Cutibacterium acnes is the most frequent cause of shoulder prosthetic joint infection with skin edges as a source of wound contamination. The primary purpose of this study was to determine if the use of a wound protector device decreases the deep wound bacterial colonization in primary shoulder arthroplasty. The secondary purpose was to assess the effect of device usage on deltopectoral muscle and cephalic vein injury. Do Wound Protectors Reduce Contamination in Total Shoulder Arthroplasty? A Randomized Controlled Trial Mitchell S. Kirkham, Hunter B. Carlson, Emma Merrill, Nicholas Operti, Kyle B. Christy, Cameron R. Guy, Peter N. Chalmers, Robert Z. Tashjian, Christopher D. Joyce 10.1016/j.jse.2026.04.048 Journal of Shoulder and Elbow Surgery (2026) 2026-05-11 Journal of Shoulder and Elbow Surgery 2026-05-11 Original Article https://www.jshoulderelbow.org/article/S1058-2746(26)00252-1/fulltext?rss=yes This study aimed to fabricate an icariin (ICA)-loaded polycaprolactone (PCL) electrospun scaffold and systematically evaluate its effects on tendon-bone healing in a rat rotator cuff injury model, with particular focus on its immunomodulatory, angiogenic, and fibrocartilaginous regeneration capabilities. An Icariin-Loaded PCL Electrospun Scaffold for Enhanced Tendon-Bone Healing in Rotator Cuff Repair Qi Zhu, Huang Zhai, Bangjun Cheng, Junwu Huang, Hanxing Mao, Zhenlong Bai 10.1016/j.jse.2026.04.046 Journal of Shoulder and Elbow Surgery (2026) 2026-05-11 Journal of Shoulder and Elbow Surgery 2026-05-11 Original Article https://www.jshoulderelbow.org/article/S1058-2746(26)00231-4/fulltext?rss=yes Elbow valgus stability relies on both static and dynamic stabilizers. The medial collateral ligament (MCL), particularly the anterior bundle (AB), provides primary resistance to valgus stress, whereas the flexor–pronator mass (FPM) offers secondary, dynamic support. Combined disruption of these structures—especially following trauma—can result in significant elbow instability. This cadaveric study aimed to quantify radiographic changes in the medial ulnohumeral joint (UHJ) space and valgus alignment following sequential transection of the AB, posterior bundle (PB), and FPM. Radiographic Findings Following Sequential Transection of the Medial Collateral Ligament and Flexor–Pronator Mass Mustafa Yassin, Hamza Murad, Assil Mahamid, Mohammad shehadeh, Dror Robinson, Muhammad Khatib, Feras Qawasmi 10.1016/j.jse.2026.04.034 Journal of Shoulder and Elbow Surgery (2026) 2026-05-06 Journal of Shoulder and Elbow Surgery 2026-05-06 Original Article https://www.jshoulderelbow.org/article/S1058-2746(26)00229-6/fulltext?rss=yes The treatment of large to massive rotator cuff tears leads to a high failure rate and several techniques have been proposed to improve these results. Rerouting the long head of the biceps tendon (LHBT) appears to be a biological reinforcement to increase tendon healing. Therefore, this study aimed to compare the clinical and radiological outcomes of open repair for large and massive rotator cuff tears reinforced with the LHBT to conventional open repair. Open repairs with biceps rerouting does not impact retears in large to massive rotator cuff tears compared to conventional open repair: a randomized clinical trial Gustavo de Mello Ribeiro Pinto, Rodrigo Chauke Rezende, Eduardo Brown, Marcelo Costa de Oliveira Campos, Caio Checchia, Mauro Emilio Conforto Gracitelli, Jorge Henrique Assunção, Eduardo Angeli Malavolta 10.1016/j.jse.2026.04.032 Journal of Shoulder and Elbow Surgery (2026) 2026-05-02 Journal of Shoulder and Elbow Surgery 2026-05-02 https://www.jshoulderelbow.org/article/S1058-2746(26)00241-7/fulltext?rss=yes Cutibacterium acnes is the most common pathogen in shoulder periprosthetic joint infection (PJI) but remains difficult to distinguish from contamination due to its low virulence and presence as a skin commensal. Diagnostic ambiguity and variable antibiotic resistance further complicate management. Assessment of virulence traits in Cutibacterium acnes from shoulder periprosthetic joint infections Nicholas Frappa, Thomas R. Listopadzki, Ellen Lutnick, Lin Feng, John K. Crane, Thomas R. Duquin 10.1016/j.jse.2026.04.044 Journal of Shoulder and Elbow Surgery (2026) 2026-04-30 Journal of Shoulder and Elbow Surgery 2026-04-30 https://www.jshoulderelbow.org/article/S1058-2746(26)00240-5/fulltext?rss=yes Outpatient total shoulder arthroplasty (TSA) is increasingly performed as perioperative pathways and value-based care models expand. However, a subset of patients scheduled for outpatient TSA require unexpected inpatient admission, which may indicate higher perioperative risk and increased resource use. We hypothesized that older age, greater comorbidity burden, and longer operative time would be associated with conversion from planned outpatient TSA to inpatient admission, and that conversion would be associated with worse short-term outcomes. Factors Associated with Conversion of Outpatient Total Shoulder Arthroplasty to Inpatient Junho Song, Kevin Wu, Eric Mai, Akiro Duey, Nikan K. Namiri, John J. Corvi, Brian Beitler, Claudia Siniakowicz, Paul J. Cagle, Bradford O. Parsons, Leesa M. Galatz, Robert L. Parisien 10.1016/j.jse.2026.04.043 Journal of Shoulder and Elbow Surgery (2026) 2026-04-30 Journal of Shoulder and Elbow Surgery 2026-04-30 Original Article https://www.jshoulderelbow.org/article/S1058-2746(26)00239-9/fulltext?rss=yes Revision total elbow arthroplasty (TEA) is technically demanding and carries a substantial risk of postoperative neurological complications because of scarring, altered anatomy, implant removal, and repeated humeral and ulnar exposure. The incidence, nerve distribution, and recovery profile of nerve injury after revision TEA remain incompletely defined. This study aimed to systematically review the literature to define the incidence, recovery profile, and risk factors for nerve injury after revision TEA. Nerve injury in revision total elbow arthroplasty: a systematic review and meta-analysis Hamza Tareen, Michael Fox, Anna Panagitidou, Marco Sinisi, Ashley Simpson 10.1016/j.jse.2026.04.042 Journal of Shoulder and Elbow Surgery (2026) 2026-04-30 Journal of Shoulder and Elbow Surgery 2026-04-30 https://www.jshoulderelbow.org/article/S1058-2746(26)00238-7/fulltext?rss=yes Optimizing patient outcomes in reverse total shoulder arthroplasty remains a subject of ongoing research. Newly described radiographic angles allow the determination of the glenoid and humeral component contributions to lateralization and distalization, which might play a role in patient outcomes. Thus, this study aims to explore the effect of radiographically measured glenoid vs. humeral lateralization and distalization on patient-reported outcomes and reoperation. Do radiographic measurements of glenoid or humeral lateralization and distalization affect post-operative outcomes for reverse total shoulder arthroplasty? Mitchell S. Kirkham, Cameron R. Guy, Richard N. Puzzitiello, Tyler M. Staten, Kyle B. Christy, Chong Zhang, Bejan A. Alvandi, Robert Z. Tashjian, Christopher D. Joyce, Peter N. Chalmers 10.1016/j.jse.2026.04.041 Journal of Shoulder and Elbow Surgery (2026) 2026-04-30 Journal of Shoulder and Elbow Surgery 2026-04-30 https://www.jshoulderelbow.org/article/S1058-2746(26)00237-5/fulltext?rss=yes Shoulder arthroplasty has emerged as a reliable treatment for end-stage glenohumeral arthritis. However, as the volume of total shoulder arthroplasty (TSA) increases nationwide, revision procedures are expected to rise in parallel. These surgeries are already known to be technically challenging and associated with higher complication rates, longer recovery, and increased costs. Despite this growing demand, limited large-scale data exist to identify which patient factors predict early failure and adverse outcomes. Risk factors for early revision following primary total shoulder arthroplasty in a single health system Aghdas Movassaghi, Connor Donley, Camberly Moriconi, Keith Sims, Jocelyn Lubert, Vani J. Sabesan 10.1016/j.jse.2026.04.040 Journal of Shoulder and Elbow Surgery (2026) 2026-04-30 Journal of Shoulder and Elbow Surgery 2026-04-30 https://www.jshoulderelbow.org/article/S1058-2746(26)00236-3/fulltext?rss=yes This study was designed to compare the 2-year clinical and radiologic results of the truly anatomic coracoclavicular ligament reconstruction (TACCR) vs. TACCR with additional acromioclavicular ligament reconstruction (TACCR-AC) for patients with acute Rockwood type V acromioclavicular (AC) joint dislocations. Comparison of truly anatomic coracoclavicular ligament reconstruction with vs. without acromioclavicular ligament reconstruction for acute Rockwood type V acromioclavicular joint dislocations: a prospective cohort study Cheng Xue, Shihao Meng, Bin Zhu, Kaixiao Xue, Xingguo Zheng, Lijun Song, Xiang Li, Jiahu Fang 10.1016/j.jse.2026.04.039 Journal of Shoulder and Elbow Surgery (2026) 2026-04-30 Journal of Shoulder and Elbow Surgery 2026-04-30 https://www.jshoulderelbow.org/article/S1058-2746(26)00235-1/fulltext?rss=yes Posterior glenoid dysplasia (PGD) has been described as an adaptive osseous change in young throwing athletes exposed to repetitive mechanical stress. However, prior studies have lacked consistent definitions, reliable classifications, or sport-specific analysis. This study aimed to analyze and classify PGD in young athletes across various sports and compare its proportion and severity between symptomatic baseball players and athletes from other sports. Introducing Posterior Glenoid Dysplasia (PGD) with novel classification: comparison of proportion and morphology between young baseball players and other athletes Sang-Hoon Lhee, Dongjun Jeon, Sungkuk Chae, Do Young Lee 10.1016/j.jse.2026.04.038 Journal of Shoulder and Elbow Surgery (2026) 2026-04-30 Journal of Shoulder and Elbow Surgery 2026-04-30 Original Article https://www.jshoulderelbow.org/article/S1058-2746(26)00234-X/fulltext?rss=yes Proximal humeral fractures (PHF) are common in the elderly population, and the use of reverse total shoulder arthroplasty (rTSA) as treatment has risen substantially in recent years. As opposed to statistical significance, clinical value has increasingly been utilized to evaluate outcomes, thus this study aims to define patient acceptable symptom state (PASS) thresholds, minimal clinically important differences (MCID), and substantial clinical benefit (SCB) values for American Shoulder and Elbow Surgeons (ASES) score, Constant-Murley score (CMS), and Shoulder Arthroplasty Smart (SAS) score in patients undergoing rTSA for PHFs. Defining Patient Acceptable Symptom State (PASS) Following Reverse Total Shoulder Arthroplasty to Treat Proximal Humeral Fractures Using Advita Ortho: A Retrospective Cohort Study Young Hwan Kim, Eva Lehtonen, Kaley Beall, Josie Elwell, Chris Roche, Sarav Shah 10.1016/j.jse.2026.04.037 Journal of Shoulder and Elbow Surgery (2026) 2026-04-30 Journal of Shoulder and Elbow Surgery 2026-04-30 Original Article https://www.jshoulderelbow.org/article/S1058-2746(26)00233-8/fulltext?rss=yes The utility and optimal threshold for serum laboratory tests taken prior to revision shoulder arthroplasty are unknown. We performed a multi-institutional study of consecutive revision shoulder arthroplasties to define the optimal thresholds of serum laboratory samples to predict bacterial presence in intraoperative cultures with and without Definite Periprosthetic Joint Infection (PJI). Can Standard Preoperative Serum Laboratory Tests Predict Bacterial Presence at the Time of Revision Shoulder Arthroplasty? Andrew P. Collins, Anastasia J. Whitson, Matthew D. Budge, Michael S. Khazzam, Catherine Fedorka, Julie Y. Bishop, Eric T. Ricchetti, Jason E. Hsu, American Shoulder and Elbow Surgeons (ASES) Revision Arthroplasty / Periprosthetic Joint Infection (PJI) Multicenter Group 10.1016/j.jse.2026.04.036 Journal of Shoulder and Elbow Surgery (2026) 2026-04-30 Journal of Shoulder and Elbow Surgery 2026-04-30 Original Article https://www.jshoulderelbow.org/article/S1058-2746(26)00232-6/fulltext?rss=yes Determining which posterolateral elbow dislocations require surgery is challenging as major ligament tears often occur regardless of clinical stability. This study aimed to identify specific magnetic resonance imaging patterns that represent the functional threshold for persistent mechanical instability. Structural predictors of mechanical instability after posterolateral elbow dislocation: a magnetic resonance imaging–based threshold model Ji-Ho Lee, In Hyeok Rhyou, Kee-Baek Ahn, Min Ho Lee, Gwang-Sub Lee, Joonyoung Nho, Bogil Jeong, Jung Hyun Lee 10.1016/j.jse.2026.04.035 Journal of Shoulder and Elbow Surgery (2026) 2026-04-30 Journal of Shoulder and Elbow Surgery 2026-04-30 https://www.jshoulderelbow.org/article/S1058-2746(26)00228-4/fulltext?rss=yes This narrative review presents commonly used radiographic parameters in shoulder surgery. The review outlines the historical context, definitions, and evidence regarding diagnostic and prognostic utility of each measurement. Limitations such as variability in imaging technique and lack of standardized measurement protocols are discussed. Despite these constraints, these measurements remain central to evaluating imaging of the shoulder, guiding implant positioning, assessing pathology, and comparing outcomes across studies. The ABCs of shoulder measurements Estelle M. Strangmark, C. Lucas Myerson, Joseph D. Zuckerman 10.1016/j.jse.2026.04.031 Journal of Shoulder and Elbow Surgery (2026) 2026-04-30 Journal of Shoulder and Elbow Surgery 2026-04-30 https://www.jshoulderelbow.org/article/S1058-2746(26)00230-2/fulltext?rss=yes Anterior latissimus dorsi and teres major (aLDTM) tendon transfer is an established procedure for isolated irreparable subscapularis tendon tear and anterosuperior irreparable rotator cuff tears. However, partial tear at the musculotendinous junction (MTJ) of the teres major (TM) has been observed on post-operative magnetic resonance imaging (MRI). The associated factors and clinical significance of these lesions remain unclear. This study aimed to identify factors associated with these lesions and to evaluate their impact on clinical outcomes. Partial tear at the musculotendinous junction of the teres major after anterior latissimus dorsi and teres major tendon transfer: associated factors and clinical impact in 256 patients Chang Hee Baek, Chaemoon Lim, Jung Gon Kim, Bo Taek Kim, Seung Jin Kim 10.1016/j.jse.2026.04.033 Journal of Shoulder and Elbow Surgery (2026) 2026-04-29 Journal of Shoulder and Elbow Surgery 2026-04-29 https://www.jshoulderelbow.org/article/S1058-2746(26)00226-0/fulltext?rss=yes Reverse total shoulder arthroplasty has roughly a 4% risk of acromial stress fracture (ASF) and is associated with poor outcomes. Previous finite element analyses indicated that glenoid center of rotation lateralization significantly increased acromial strain; however, clinical studies have reported conflicting data with regards to implant position parameters on the incidence of ASFs. The purpose of this study was to evaluate whether medializing the glenoid component in patients at higher risk of ASF was associated with a lower incidence of ASF. In reverse shoulder arthroplasty, selectively medializing the glenoid in higher-risk patients is associated with reduced risk of acromial stress fracture Matthew T. Eisenberg, Clayton Hui, Kendall Schwartz, Leeann Qubain, Michael H. Amini 10.1016/j.jse.2026.04.029 Journal of Shoulder and Elbow Surgery (2026) 2026-04-24 Journal of Shoulder and Elbow Surgery 2026-04-24 https://www.jshoulderelbow.org/article/S1058-2746(26)00225-9/fulltext?rss=yes Reverse shoulder arthroplasty (rTSA) is increasingly used as a revision option, but long-term survivorship and patient-reported outcomes (PROs) after revision rTSA remain poorly defined. We hypothesized that revision rTSA for failed rTSA would have inferior survivorship and PROs when compared to revision rTSA for failed anatomic total shoulder arthroplasty (aTSA) or failed hemiarthroplasty (HA). Moreover, we hypothesized that shoulders undergoing secondary revision would have a higher risk of failure when compared to those undergoing first-time revision surgery. Revision reverse shoulder arthroplasty after failed shoulder arthroplasty: long-term survivorship and risk factors for failure Raahil Patel, Michael P. Kucharik, Christian M. Schmidt, Logan Kolakowski, Kaitlyn N. Christmas, Peter Simon, Mark A. Frankle 10.1016/j.jse.2026.04.028 Journal of Shoulder and Elbow Surgery (2026) 2026-04-24 Journal of Shoulder and Elbow Surgery 2026-04-24 https://www.jshoulderelbow.org/article/S1058-2746(26)00222-3/fulltext?rss=yes Various fixation methods of distal biceps brachii tendon rupture (buttons, screws, and anchors) have been shown to have similar outcomes. However, the impact of these different implants on total day of surgery (DOS) costing has yet to be examined. The purpose of this study was to explore the DOS costs between different types of implants used for distal biceps repairs using time-driven activity-based costing. Cost analysis of different fixation techniques for distal biceps ruptures using time-driven activity-based costing Fatumastar O. Adan, Haley D. Puckett, Ryan K. Moen, Thomas Kroymann, Rylan A. Behnke, Nicholas F. Banfield, Kehinde S. Agoro, Brian P. Cunningham, Allison J. Rao 10.1016/j.jse.2026.04.025 Journal of Shoulder and Elbow Surgery (2026) 2026-04-24 Journal of Shoulder and Elbow Surgery 2026-04-24 https://www.jshoulderelbow.org/article/S1058-2746(26)00221-1/fulltext?rss=yes Reconstruction of an oncologically resected proximal humerus poses a challenge to surgeons, and reverse total shoulder arthroplasty (rTSA) may provide greater functional improvement. However, the characteristics of patients suitable for rTSA remain unknown, owing to the lack of data in the literature regarding post-operative functional outcomes and complications. In this retrospective cohort study of patients who underwent rTSA for tumor-related proximal humerus resection, we aimed to identify the features related to improved outcomes and decreased complications. Complete resection of the deltoid insertion is associated with post-operative dislocation of reverse total shoulder arthroplasty following proximal humerus oncological resection Nong Lin, Liming Zheng, Weixu Li, Xin Huang, Xiaobo Yan, Meng Liu, Zhaoming Ye 10.1016/j.jse.2026.04.024 Journal of Shoulder and Elbow Surgery (2026) 2026-04-24 Journal of Shoulder and Elbow Surgery 2026-04-24 https://www.jshoulderelbow.org/article/S1058-2746(26)00227-2/fulltext?rss=yes While age, tear size, and fatty infiltration are established prognostic indicators for arthroscopic rotator cuff repair (ARCR), little is known about the impact of tendon stump status and concomitant subscapularis tears on healing, especially in medium-sized tears. This study aimed to evaluate their impact on tendon healing following arthroscopic repair of medium-sized rotator cuff tears. Tendon stump tendinosis and combined subscapularis tear as risk factors for healing failure after medium-sized rotator cuff repair Jung-Han Kim, Yong-Uk Kwon, Dae-Yoo Kim, Soo-Hwan Jung, Hyoung-Gu Kang, Ji-Hun Park 10.1016/j.jse.2026.04.030 Journal of Shoulder and Elbow Surgery (2026) 2026-04-23 Journal of Shoulder and Elbow Surgery 2026-04-23 https://www.jshoulderelbow.org/article/S1058-2746(26)00224-7/fulltext?rss=yes Primary total shoulder arthroplasty (TSA) utilization has grown substantially in recent years. As procedure volume increases, understanding how operative volume is distributed across the surgeon workforce has become important, as concentration of cases among a limited number of high-volume surgeons vs. broader decentralization has implications for training exposure, care accessibility, and long-term workforce capacity. However, trends in surgeon-level case volume distribution for TSA over time remain unclear. Increased decentralization of total shoulder arthroplasty procedures among surgeons in the United States: a nationwide market analysis Steven G. Persaud, Joshua R. Eskew, Simon Ortiz, Michael C. Fu, Samuel A. Taylor, Joshua S. Dines, Gabriella E. Ode, David M. Dines, Lawrence V. Gulotta, Christopher M. Brusalis 10.1016/j.jse.2026.04.027 Journal of Shoulder and Elbow Surgery (2026) 2026-04-23 Journal of Shoulder and Elbow Surgery 2026-04-23 https://www.jshoulderelbow.org/article/S1058-2746(26)00223-5/fulltext?rss=yes Ulnar collateral ligament sub-apophyseal avulsions are increasingly prevalent among youth baseball players, yet knowledge regarding avulsive changes in asymptomatic athletes is sparse. Ultrasound offers a minimal-risk method of assessing potential damage from repetitive valgus stress encountered during the throwing motion. One-third of asymptomatic youth baseball players exhibit ulnar collateral ligament sub-apophyseal avulsions James McGinley, Katherine Lampe, Bobby Van Pelt, Charles Wyatt, Sophia Ulman, Brandee Schmidt, Monique Prebensen, Philip Wilson, Jacob Jones 10.1016/j.jse.2026.04.026 Journal of Shoulder and Elbow Surgery (2026) 2026-04-22 Journal of Shoulder and Elbow Surgery 2026-04-22 https://www.jshoulderelbow.org/article/S1058-2746(26)00173-4/fulltext?rss=yes The Journal of Shoulder and Elbow Surgery was founded in 1991 and existed as the only subspecialty journal in our field for over 20 years. Since that time, research in the shoulder and elbow world has grown tremendously and JSES has grown to accommodate that need. In 2017, we founded JSES Open Access which was later re-named JSES International. The family of journals continued to grow with the additions of Seminars in Arthroplasty: JSES, devoted to shoulder and elbow arthroplasty manuscripts, and JSES Reviews, Reports and Techniques, focusing on reviews, case reports, and surgical procedures. A new JSES journal reveal William J. Mallon, John E. “Jed” Kuhn 10.1016/j.jse.2026.04.005 Journal of Shoulder and Elbow Surgery (2026) 2026-04-17 Journal of Shoulder and Elbow Surgery 2026-04-17 https://www.jshoulderelbow.org/article/S1058-2746(26)00170-9/fulltext?rss=yes Proximal humerus fractures (PHFs) are the third most common fragility fracture in older adults, and their rising incidence in the United States contributes substantially to health care spending. Although several randomized trials have evaluated outcomes across treatment strategies, the optimal management strategy remains debated. Few studies have compared all five common PHF treatment options using an integrated cost effectiveness framework. Cost-effectiveness and quality-of-life outcomes of proximal humerus fracture treatment in adults aged 65 years and older in the United States Chase Burzynski, Evan Sidebotham, Matthew T. McKinley, Aghdas Movassaghi, Jocelyn Lubert, Alexander Stubblefield, Vani J. Sabesan 10.1016/j.jse.2026.04.004 Journal of Shoulder and Elbow Surgery (2026) 2026-04-10 Journal of Shoulder and Elbow Surgery 2026-04-10 https://www.jshoulderelbow.org/article/S1058-2746(26)00169-2/fulltext?rss=yes Rotator cuff tears are the most prevalent shoulder pathology requiring surgery, yet high retear rates necessitate additional biological adjuncts. This study evaluated the effects of bone morphogenetic protein-7 (BMP-7) and low-molecular-weight peptide solution (LMWPS) on early tendon-to-bone healing. We hypothesized that these 2 agents with different mechanisms of action would histopathologically and biomechanically enhance early rotator cuff repair. Effects of bone morphogenetic protein-7 and low-molecular-weight peptide solution on healing in a rotator cuff tear model: a histopathologic and biomechanical study in rats Merve Bozer Kavukcu, Halil İbrahim Özaslan, Gülben Akcan, Fatma Kübra Erbay Elibol, Elif Naz Perdeci, Teyfik Demir, Ceyhun Çağlar, Metin Doğan 10.1016/j.jse.2026.04.003 Journal of Shoulder and Elbow Surgery (2026) 2026-04-10 Journal of Shoulder and Elbow Surgery 2026-04-10 https://www.jshoulderelbow.org/article/S1058-2746(26)00163-1/fulltext?rss=yes Return to sport (RTS), particularly golf, and athletic performance following reverse shoulder arthroplasty (rTSA) and anatomic shoulder arthroplasty (aTSA) remain largely understudied. Moreover, limited data exist on characteristics that predict successful RTS. This study aimed to evaluate return to golf after shoulder arthroplasty, as well as identify patient factors associated with optimal return to play. Return to golf after shoulder arthroplasty: an American Shoulder and Elbow Surgeons multicenter study predicting performance after reverse total shoulder arthroplasty and anatomic total shoulder arthroplasty ASES Multicenter Research Group 10.1016/j.jse.2026.03.021 Journal of Shoulder and Elbow Surgery (2026) 2026-04-10 Journal of Shoulder and Elbow Surgery 2026-04-10 https://www.jshoulderelbow.org/article/S1058-2746(26)00168-0/fulltext?rss=yes Glenoid vault defects are often observed in revision shoulder arthroplasty, and improper management of glenoid bone loss during revision to reverse total shoulder arthroplasty (rTSA) increases the risk of complications. However, there is limited understanding of the types of glenoid vault defects that occur in patients. Therefore, the purpose of this study was to three-dimensionally characterize the underlying glenoid morphology of patients with failed shoulder arthroplasties subsequently undergoing revision arthroplasty to rTSA. Three-dimensional characterization of glenoid defects in failed shoulder arthroplasties Kyle B. Christy, Jared L. Zitnay, Chong Zhang, Mitchell S. Kirkham, Peyton L. King, Breydon J. Hardy, Angela P. Presson, Christopher D. Joyce, Peter N. Chalmers, Heath B. Henninger, Robert Z. Tashjian 10.1016/j.jse.2026.04.002 Journal of Shoulder and Elbow Surgery (2026) 2026-04-09 Journal of Shoulder and Elbow Surgery 2026-04-09 https://www.jshoulderelbow.org/article/S1058-2746(26)00167-9/fulltext?rss=yes Osteochondritis dissecans of the capitellum occurs in adolescent baseball players, with repetitive throwing recognized as a major risk factor. Whether repetitive batting contributes to cumulative capitellar loading remains unclear. We hypothesized that repetitive batting would increase cumulative mechanical loading on the humeral capitellum, as assessed with computed tomography (CT) osteoabsorptiometry. Influence of repetitive batting on capitellar subchondral bone density distribution Yuki Matsui, Daisuke Momma, Shota Ike, Kyosuke Numaguchi, Eiji Kondo, Norimasa Iwasaki 10.1016/j.jse.2026.04.001 Journal of Shoulder and Elbow Surgery (2026) 2026-04-09 Journal of Shoulder and Elbow Surgery 2026-04-09 https://www.jshoulderelbow.org/article/S1058-2746(26)00166-7/fulltext?rss=yes The majority of studies that measure glenoid bone loss in the context of shoulder instability are based on a sagittal image, termed the en face view, with the aid of best-fit circles. However, the en face view has never been standardized. We created a mathematical en face view of the glenoid and demonstrated the effect that rotation of the glenoid has on best-fit circle size and position. The effect of glenoid rotational malalignment on best-fit circles based on AI-generated mathematically true glenoid en face views Angelos Assiotis, Adam Rumian, Matt Guilliatt, Tim Andrews, Akash Soogumbur, Harpal Singh Uppal 10.1016/j.jse.2026.03.024 Journal of Shoulder and Elbow Surgery (2026) 2026-04-09 Journal of Shoulder and Elbow Surgery 2026-04-09 https://www.jshoulderelbow.org/article/S1058-2746(26)00165-5/fulltext?rss=yes While reverse shoulder arthroplasty (rTSA) is commonly utilized for rotator cuff tear arthropathy, indications have expanded to include, primary glenohumeral osteoarthritis (GHOA) with intact cuff. The presence of an intact cuff may influence outcomes after rTSA because preserved cuff musculature can contribute to shoulder stability and force which could potentially improve postoperative function and reduce complication rates. However, studies have reported contradictory results on whether or not an intact cuff would provide better outcomes in patients receiving an rTSA. The impact of an intact rotator cuff on the outcomes of reverse shoulder arthroplasty: a meta-analysis of 20,924 patients Mohammad Daher, Imad Ashkar, Tarishi Parmar, Liam Kane, James R. Satalich, Christopher S. Klifto, Joseph A. Abboud 10.1016/j.jse.2026.03.023 Journal of Shoulder and Elbow Surgery (2026) 2026-04-09 Journal of Shoulder and Elbow Surgery 2026-04-09 https://www.jshoulderelbow.org/article/S1058-2746(26)00164-3/fulltext?rss=yes Favard E3 type glenoids are characterized by superior and global erosion patterns and can be successfully treated with reverse total shoulder arthroplasty. However, with severe bone loss, implant loosening remains a concern. Since little is known about the regional density variations of Favard type glenoids, this study analyzed E3 types from central to peripheral regions of the glenoid. The study worked with the following hypotheses: First, that regional variations of cortical as well as trabecular bone densities of E3 type glenoids exist; second, that a novel three-dimensional orientational grid can assess and show significant variability in topographical density distributions from central to peripheral regions of the glenoid; third, that the density distributions of E3 types correlate with their erosion pattern. Bone densities in type E3 glenoids: quantitative assessments and topographical distributions Moritz Klarer, Cole T. Fleet, Joshua W. Giles, George S. Athwal, James A. Johnson 10.1016/j.jse.2026.03.022 Journal of Shoulder and Elbow Surgery (2026) 2026-04-09 Journal of Shoulder and Elbow Surgery 2026-04-09 Case Series https://www.jshoulderelbow.org/article/S1058-2746(26)00109-6/fulltext?rss=yes The Publisher apologises that an error occurred during the publication of this article, the Level of Evidence should have been listed as: Level V, Basic Science Study, Biomechanics. Erratum to “Biomechanical effectiveness of lower trapezius tendon transfer with intercalary tendon-bone graft versus the modified l’Episcopo procedure in reverse total shoulder arthroplasty with proximal humeral bone loss [Journal of Shoulder and Elbow Surgery, 2025;35:e69-e79]” Franziska Eckers, Bettina Hochreiter, Paul Johnson, Ashen Fernando, Yichen Huang, Lukas Ernstbrunner, David C. Ackland, Eugene T. Ek 10.1016/j.jse.2026.02.012 Journal of Shoulder and Elbow Surgery (2026) 2026-04-09 Journal of Shoulder and Elbow Surgery 2026-04-09 Corrigendum https://www.jshoulderelbow.org/article/S1058-2746(26)00162-X/fulltext?rss=yes Lateral epicondylar tendinopathy (tennis elbow) is a degenerative tendinopathy of the common extensor tendon (CET), often affecting individuals engaged in repetitive upper-limb activities. While clinical diagnosis is standard, MRI enables an objective assessment of tendon pathology and treatment response. This randomized controlled trial aimed to evaluate the effect of platelet-rich plasma injections on tendon healing in lateral epicondylar tendinopathy using MRI. The primary outcome was the reduction in partial tendon tear size measured on MRI. Morphological changes in tennis elbow after PRP injection: A novel MRI-based assessment in a randomized controlled study Joanna Walecka, Marcin Dzianach, Izabela Rachwal-Czyzewicz, Zofia Ringwelska, Przemyslaw Lubiatowski 10.1016/j.jse.2026.03.020 Journal of Shoulder and Elbow Surgery (2026) 2026-04-07 Journal of Shoulder and Elbow Surgery 2026-04-07 Original Article https://www.jshoulderelbow.org/article/S1058-2746(26)00161-8/fulltext?rss=yes Total shoulder arthroplasty (TSA), especially reverse shoulder arthroplasty, has expanded rapidly, yet contemporary national trends and projections relative to hip and knee arthroplasty are not fully defined. This study evaluates trends of shoulder arthroplasty in the United States from 2012 to 2022 and projects volumes through 2035. Evolving trends in shoulder arthroplasty: a decade of growth and future projections in comparison with hip and knee arthroplasty Kevin Y. Heo, Haley N. Tornberg, Evan P. Bailey, Victoria Conn, Joseph D. Lee, Michael B. Gottschalk, Nicole A. Zelenski, Eric R. Wagner 10.1016/j.jse.2026.03.019 Journal of Shoulder and Elbow Surgery (2026) 2026-04-07 Journal of Shoulder and Elbow Surgery 2026-04-07 https://www.jshoulderelbow.org/article/S1058-2746(26)00160-6/fulltext?rss=yes Aseptic glenoid loosening is the most common cause of revision after anatomic total shoulder arthroplasty (aTSA). Inlay glenoid components have been shown to reduce edge loading and opposite-edge lift-off forces compared with onlay glenoids. Early clinical results of inlay glenoids have been promising, although there is a paucity of literature detailing mid-term to long-term follow-up. We report the minimum 5-year clinical and radiographic outcomes after aTSA with the Arthrosurface inlay glenoid component and a stemless, aspherical humeral head in an active, young patient population. Minimum 5-year outcomes of anatomic total shoulder arthroplasty with the Arthrosurface aspherical humerus and inlay glenoid William Harkin, Ryan M. Lew, Alexander Hornung, Jennifer Kurowicki, Zaamin B. Hussain, Amelia Hummel, Grant E. Garrigues, Gregory P. Nicholson 10.1016/j.jse.2026.03.018 Journal of Shoulder and Elbow Surgery (2026) 2026-04-06 Journal of Shoulder and Elbow Surgery 2026-04-06 https://www.jshoulderelbow.org/article/S1058-2746(26)00159-X/fulltext?rss=yes Proximal humeral fracture (PHF) is the fourth most common nonspinal fracture in adults. The long-term clinical outcomes after nonoperative treatment for different PHF types are unclear. This study aims to evaluate the long-term clinical outcomes of a nonoperatively treated PHF across various fracture types using the Neer and Arbeitsgemeinschaft für Osteosynthesefragen (AO) classifications. The Neer classification, but not the AO classification, is associated with 10-year clinical outcomes in nonoperatively treated proximal humeral fractures: a cohort study in Malmö, Sweden Anton Cederwall, Anders Nordqvist, Magnus K. Karlsson, Björn E. Rosengren 10.1016/j.jse.2026.03.017 Journal of Shoulder and Elbow Surgery (2026) 2026-04-03 Journal of Shoulder and Elbow Surgery 2026-04-03 https://www.jshoulderelbow.org/article/S1058-2746(26)00156-4/fulltext?rss=yes Many patients undergoing shoulder arthroplasty—either reverse shoulder arthroplasty (rTSA) or anatomic shoulder arthroplasty (aTSA)—strongly desire to return to sport, yet return-to-sport (RTS) outcomes remain incompletely defined. This study aimed to determine RTS rates following rTSA and aTSA and to identify patient-specific and sport-specific factors associated with postoperative athletic performance. Return to sport after shoulder arthroplasty: an ASES multicenter analysis of sport-specific predictors of performance in reverse shoulder arthroplasty and total shoulder arthroplasty Jason Corban, Jacob M. Kirsch, Adam Bowler, Evan A. Glass, Declan R. Diestel, Regan P. Arnold, Miranda McDonald-Stahl, Calista S. Stevens, Richard Puzzitiello, Michael A. Moverman, Kiet Le, Warren Dunn, Andrew Jawa, ASES Multicenter Research Group 10.1016/j.jse.2026.03.014 Journal of Shoulder and Elbow Surgery (2026) 2026-04-02 Journal of Shoulder and Elbow Surgery 2026-04-02 https://www.jshoulderelbow.org/article/S1058-2746(26)00158-8/fulltext?rss=yes Children with brachial plexus birth injury often rely on compensatory movements due to limited shoulder mobility. In clinical practice, the Modified Mallet Scale (MMS) is frequently used to assess shoulder movements. However, MMS scores can be influenced by trunk contributions, preventing an accurate evaluation of pure shoulder complex motion. This study aimed to quantify the relative contributions of the extremity and trunk during MMS movements using wearable inertial sensors. The relative contribution of trunk movements to Modified Mallet Scores in children with brachial plexus birth injury Merve Sarıipek, Oğuz F. Seven, Ali İ. Yalçın, Semra Topuz, Tüzün Fırat 10.1016/j.jse.2026.03.016 Journal of Shoulder and Elbow Surgery (2026) 2026-03-26 Journal of Shoulder and Elbow Surgery 2026-03-26 https://www.jshoulderelbow.org/article/S1058-2746(26)00157-6/fulltext?rss=yes Revision total elbow arthroplasty (TEA) is increasing as the number of primary TEA increases. In a revision setting, surgeons often face the challenge of distal humeral bone loss. Techniques described include large segment allografts, allograft prosthetic composites, and megaprosthesis. Within the literature, there is limited evidence on the use of megaprosthesis in a revision TEA setting for nontumor indications. We present our institutions’ experience of managing significant distal humeral bone loss in this context using a novel custom uncemented distal humeral replacement with a locked flange. Custom distal humeral replacement with locked flange in revision total elbow arthroplasty Hassan Raja, Mohammed Shaath, Parag Raval, Oubida Asaad, Mark Falworth, Addie Majed, Will Rudge, David Butt, Deborah Higgs 10.1016/j.jse.2026.03.015 Journal of Shoulder and Elbow Surgery (2026) 2026-03-26 Journal of Shoulder and Elbow Surgery 2026-03-26 https://www.jshoulderelbow.org/article/S1058-2746(26)00155-2/fulltext?rss=yes Total shoulder arthroplasty (TSA) utilization has increased rapidly following the adoption of the reverse TSA. Contemporary forecasts of TSA incidence and prevalence are limited and outdated, particularly in comparison with total hip arthroplasty (THA) and total knee arthroplasty (TKA). We sought to update TSA projections in the United States through 2040 and compare them against THA and TKA. Reassessing the arthroplasty landscape: updated incidence and future projections of shoulder arthroplasty compared with hip and knee arthroplasty in the United States Tej Joshi, Swara R. Kalva, Dario Fucich, Brian O. Molokwu, Jacquelyn J. Xu, Neel Vallurupalli, Joseph D. Zuckerman, Mandeep S. Virk 10.1016/j.jse.2026.03.013 Journal of Shoulder and Elbow Surgery (2026) 2026-03-26 Journal of Shoulder and Elbow Surgery 2026-03-26 https://www.jshoulderelbow.org/article/S1058-2746(26)00154-0/fulltext?rss=yes The purpose of this study is to examine the effect of humeral abduction, as expressed by the humeral abduction resting angle (HARA) and scapular HARA (SHARA) on the lateralization shoulder angle (LSA) and distalization shoulder angle (DSA) using a) three-dimensional computed tomography-derived reverse total shoulder arthroplasty (rTSA) preoperative models, and b) consecutive postoperative radiographs obtained at multiple follow-up time points. Humeral resting abduction influences LSA and DSA: a radiographic and CT-derived 3D model analysis of rTSA using the Medacta shoulder system Vasileios Mitrousias, Jérémie Dor, André Farias, Julian Devigne, Gregory Cunningham 10.1016/j.jse.2026.03.012 Journal of Shoulder and Elbow Surgery (2026) 2026-03-26 Journal of Shoulder and Elbow Surgery 2026-03-26 https://www.jshoulderelbow.org/article/S1058-2746(26)00153-9/fulltext?rss=yes Adhesive capsulitis is a debilitating shoulder disorder characterized by pain and restricted motion. While arthroscopic capsular release is a well-established surgical treatment, transarterial musculoskeletal embolization (TAME) has recently emerged as a minimally invasive alternative. The aim of this study is to compare the short-term clinical outcomes of arthroscopic capsular release and TAME in patients with adhesive capsulitis of the shoulder. Comparison of therapeutic efficacy between arthroscopic capsular release and transarterial musculoskeletal embolization in patients with adhesive capsulitis of the shoulder Bow Wang, Fa-Chuan Kuan, Chia-Yu Gean, Wei-Ren Su, Chien-Kuo Wang, Keng-Wei Liang, Kai-Lan Hsu 10.1016/j.jse.2026.03.011 Journal of Shoulder and Elbow Surgery (2026) 2026-03-26 Journal of Shoulder and Elbow Surgery 2026-03-26 https://www.jshoulderelbow.org/article/S1058-2746(26)00152-7/fulltext?rss=yes Robotic assistance in reverse total shoulder arthroplasty (rTSA) is likely to improve implant positioning and may reduce revision risk, but its cost-effectiveness is unknown. Break-even models can determine the economic viability of interventions in settings with low outcome event rates that would realistically preclude a randomized clinical trial. We applied this approach to determine the economic plausibility of robotic assistance for the prevention of revision after rTSA. Is robotic-assisted reverse shoulder arthroplasty economically justified? A break-even analysis Mariano E. Menendez, Michael A. Moverman, Corey J. Schiffman, Frederick A. Matsen 10.1016/j.jse.2026.03.010 Journal of Shoulder and Elbow Surgery (2026) 2026-03-26 Journal of Shoulder and Elbow Surgery 2026-03-26 https://www.jshoulderelbow.org/article/S1058-2746(26)00151-5/fulltext?rss=yes Instability associated with isolated coronoid fractures can be subtle and frequently missed on routine imaging. A stress-based computed tomography (CT) protocol may improve detection of occult instability in isolated coronoid fractures. The purpose of this study was to evaluate the diagnostic performance of a gravity varus stress CT protocol in detecting instability in isolated coronoid fractures and compare it with routine static CT. Diagnostic performance of a gravity varus stress computed tomography protocol in detecting instability in isolated coronoid fractures Armin Badre, Moayd Abdullah H Awad, Robert Chan, Michael Lapner, Thomas Goetz 10.1016/j.jse.2026.03.009 Journal of Shoulder and Elbow Surgery (2026) 2026-03-25 Journal of Shoulder and Elbow Surgery 2026-03-25 https://www.jshoulderelbow.org/article/S1058-2746(26)00150-3/fulltext?rss=yes Prior studies suggest familial clustering of rotator cuff tears (RCT) but are limited by sample size or by approach, and no study has estimated narrow-sense heritability of RCT. We perform a comprehensive assessment of the familial heritability of RCT. Family history and heritability of rotator cuff tears Ravi Prakash, Til Bahadur Basnet, Wenting Liu, Max Alexander Breyer, Simone D. Ueland, Michael S. Khazzam, Brian R. Wolf, Xinning Li, Keith M. Baumgarten, Alison Cabrera, Joseph P. DeAngelis, Ayush Giri, Nitin B. Jain 10.1016/j.jse.2026.03.008 Journal of Shoulder and Elbow Surgery (2026) 2026-03-20 Journal of Shoulder and Elbow Surgery 2026-03-20 https://www.jshoulderelbow.org/article/S1058-2746(26)00148-5/fulltext?rss=yes Cervical spine pathology frequently coexists with shoulder pathology, which may contribute to referred pain and muscle weakness that can compromise shoulder function. This study aimed to evaluate clinical outcomes of patients with prior cervical fusion undergoing total shoulder arthroplasty (TSA). Clinical outcomes of total shoulder arthroplasty in patients with prior cervical fusion Scott P. Stephens, Matthew R. Rohl, Bailey Hall, Taylor J. Manes, Paul H. Eichenseer, Brian L. Badman 10.1016/j.jse.2026.03.006 Journal of Shoulder and Elbow Surgery (2026) 2026-03-19 Journal of Shoulder and Elbow Surgery 2026-03-19 https://www.jshoulderelbow.org/article/S1058-2746(26)00147-3/fulltext?rss=yes Cannabis use has become increasingly common in the general population, with cannabis use disorder (CUD) defined as clinically significant impairment and/or distress related to cannabis consumption. Prior studies have associated CUD with increased postoperative pain and opioid use, but its impact following arthroscopic rotator cuff repair (RCR) remains unclear. This study aimed to compare short- and long-term surgical outcomes following RCR between patients with and without CUD. Cannabis use disorder is associated with increased early postoperative opioid use and pain but no long-term differences after arthroscopic rotator cuff repair: a retrospective cohort study using TriNetX Tarun R. Sontam, Sri Tummala, Harmon S. Khela, Liane Miller, John D. Kelly 10.1016/j.jse.2026.03.005 Journal of Shoulder and Elbow Surgery (2026) 2026-03-19 Journal of Shoulder and Elbow Surgery 2026-03-19 https://www.jshoulderelbow.org/article/S1058-2746(26)00146-1/fulltext?rss=yes Assessment of bony parameters—such as glenoid version, glenoid concavity, and the bony shoulder stability ratio (BSSR)—has gained increasing attention after anterior shoulder dislocation, as they may contribute to persistent instability. Although computed tomography (CT) remains the gold standard for bony assessment, magnetic resonance imaging (MRI) is the primary imaging modality in many patients. Yet evidence comparing CT and MRI for these specific parameters remains limited. This study aimed to evaluate the agreement between MRI and CT in measuring glenoid version, glenoid concavity, and BSSR following anterior shoulder dislocation. Magnetic resonance imaging provides computed tomography-equivalent measurements of glenoid retroversion, concavity, and bony shoulder stability ratio after anterior shoulder dislocation Philipp Zehnder, Max Kersten, Tobias Resch, Frederik Aasen-Hartz, Michael Zyskowski, Peter Biberthaler, Markus Schwarz, Lukas Willinger 10.1016/j.jse.2026.03.004 Journal of Shoulder and Elbow Surgery (2026) 2026-03-19 Journal of Shoulder and Elbow Surgery 2026-03-19 https://www.jshoulderelbow.org/article/S1058-2746(26)00145-X/fulltext?rss=yes Previous studies have reported that human dermal allograft (HDA) augmentation can improve clinical outcomes and reduce retears in large-to-massive rotator cuff tears (LMRCTs). However, its effectiveness in cases with anterior cable disruptions has not been well established. The purpose of this study was to evaluate whether patch augmentation is still effective in the presence of anterior cable disruption. Patch augmentation for large-to-massive rotator cuff tears: do they heal well in anterior cable disruption? Ji-Won Jung, Hyun Ho Kim, Pratik Rathod, Yong Girl Rhee 10.1016/j.jse.2026.03.003 Journal of Shoulder and Elbow Surgery (2026) 2026-03-19 Journal of Shoulder and Elbow Surgery 2026-03-19 https://www.jshoulderelbow.org/article/S1058-2746(26)00149-7/fulltext?rss=yes The Minimal Clinically Important Difference (MCID) helps interpret whether changes in patient-reported outcomes reflect meaningful benefit. For adhesive capsulitis, an MCID for the University of California, Los Angeles (UCLA) Shoulder Score has not been established for patients treated nonoperatively. Establishing the minimal clinically important difference for the University of California, Los Angeles (UCLA) functional scale in patients undergoing clinical treatment for adhesive capsulitis Leonardo Zanesco, João Felipe de Medeiros Filho, Henry Dan Kiyomoto, Rodrigo Beraldo, Jorge Henrique Assunção, Mauro Emilio Conforto Gracitelli, Nuno Sevivas, Eduardo Angeli Malavolta 10.1016/j.jse.2026.03.007 Journal of Shoulder and Elbow Surgery (2026) 2026-03-17 Journal of Shoulder and Elbow Surgery 2026-03-17 https://www.jshoulderelbow.org/article/S1058-2746(26)00144-8/fulltext?rss=yes Reverse total shoulder arthroplasty (rTSA) consistently improves pain and function; however, the biomechanical mechanisms underpinning post-operative function and joint-level adaptations remain incompletely defined. Advanced measurement tools, including motion capture, electromyography (EMG), inertial measurement units, and accelerometry, enable objective assessment of joint motion, muscle activation, and real-world arm use. This systematic review synthesizes evidence from studies using advanced biomechanical methods to evaluate post-operative kinematics, upper-limb activity, and muscle activation after rTSA. Biomechanical changes after reverse total shoulder arthroplasty: a systematic review of advanced measurement technologies Anna Thomson, Terence Felix, Glen Lichtwark, Sarah Whitehouse, Ashish Gupta, Graham Kerr 10.1016/j.jse.2026.03.002 Journal of Shoulder and Elbow Surgery (2026) 2026-03-17 Journal of Shoulder and Elbow Surgery 2026-03-17 https://www.jshoulderelbow.org/article/S1058-2746(26)00143-6/fulltext?rss=yes In osteochondritis dissecans of the humeral capitellum, defect location and size were important in surgical planning. Recently, it was reported that posterior or large osteochondral defects of the humeral capitellum on pre-operative sagittal computed tomography affected outcomes of arthroscopic débridement for osteochondritis dissecans in adolescent baseball players. Here, we investigated radiocapitellar joint contact pressure for anterior and posterior osteochondral defect positions in the sagittal section of the humeral capitellum. Increased contact pressure at the radiocapitellar joint with anterior and posterior osteochondral defects in the sagittal section of the humeral capitellum: a cadaveric study Joji Iwase, Tetsuya Matsuura, Toshiyuki Iwame, Kenji Yokoyama, Nobutoshi Takamatsu, Koichi Tomita, Koichi Sairyo 10.1016/j.jse.2026.03.001 Journal of Shoulder and Elbow Surgery (2026) 2026-03-17 Journal of Shoulder and Elbow Surgery 2026-03-17 https://www.jshoulderelbow.org/article/S1058-2746(26)00142-4/fulltext?rss=yes It has previously been considered that approximately 30% of acute traumatic posterior sternoclavicular joint (SCJ) injuries are associated with a significant injury to the retrosternal structures. However, over the past 50 years there have only been a handful of such cases described in the literature. We have undertaken a computed tomography (CT) arteriogram within 48 hours on a series of patients who have sustained an acute posterior SCJ injury to assess the incidence of associated retrosternal vascular injuries. The incidence of retrosternal vascular injuries following acute traumatic posterior sternoclavicular joint injuries is less than had previously been considered Graham Tytherleigh-Strong, Andrew Winterbottom, Matthew Donaldson 10.1016/j.jse.2026.02.028 Journal of Shoulder and Elbow Surgery (2026) 2026-03-16 Journal of Shoulder and Elbow Surgery 2026-03-16 https://www.jshoulderelbow.org/article/S1058-2746(26)00141-2/fulltext?rss=yes Proximal humerus fractures (PHFs) account for 5% to 6% of all adult fractures. The optimal surgical management for PHFs remains under debate, with 2 of the most common operations being open reduction and internal fixation (ORIF) and reverse total shoulder arthroplasty (rTSA). Social determinants of health (SDOHs) have gained particular attention in many medical fields because of their relationship to health outcomes, with the Social Vulnerability Index (SVI) as an example of an adopted measure of geographic disadvantage. Social determinants of health and outcomes in proximal humerus fractures based on surgery type Kai Zhu, Mary Hennekes, Chimdindu Obinero, Christian Freitag, Frass Ahmed, Mahdi Mazeh, Jared Mahylis, Stephanie Muh 10.1016/j.jse.2026.02.027 Journal of Shoulder and Elbow Surgery (2026) 2026-03-13 Journal of Shoulder and Elbow Surgery 2026-03-13 https://www.jshoulderelbow.org/article/S1058-2746(26)00140-0/fulltext?rss=yes Margin convergence repair is a technique that embraces the philosophy of “harnessing the ox rather than roping the bull” for the repair of massive rotator cuff tears and has been shown to provide satisfactory functional outcomes. However, previous studies have generally relied on traditional scoring systems, leaving the clinical relevance of the outcomes from the patient's perspective and the effect of patient characteristics on these results largely unknown. Therefore, this study aimed to evaluate the Minimal Clinically Important Difference (MCID), substantial clinical benefit (SCB), and patient-acceptable symptom state (PASS) in patients who underwent arthroscopic margin convergence repair for massive rotator cuff tears and to analyze the impact of patient-related factors on functional recovery. Older age, longer symptom duration, and larger sagittal tear size predict poorer outcomes after margin convergence repair of massive rotator cuff tears Ethem Burak Oklaz, Asim Ahmadov, Furkan Aral, Saffet Bugra Korkut, Huseyin Ozturk, Inci Hazal Ayas, Erdem Aras Sezgin, Ulunay Kanatli 10.1016/j.jse.2026.02.026 Journal of Shoulder and Elbow Surgery (2026) 2026-03-13 Journal of Shoulder and Elbow Surgery 2026-03-13 https://www.jshoulderelbow.org/article/S1058-2746(26)00139-4/fulltext?rss=yes Failed shoulder arthroplasty often presents with glenoid bone loss, posing a challenge for both surgeons and patients. This study aimed to evaluate the available revision strategies for failed shoulder arthroplasty in the presence of severe glenoid bone loss. Severe bone loss was defined as a glenoid that is not capable of reconstruction using a standard reverse total shoulder glenoid or augmented baseplate. Current treatment options for severe glenoid bone loss in revision shoulder arthroplasty: a systematic review and meta-analysis Mina Shenouda, James H. Padley, Necati B. Eravsar, Eve R. Glenn, Alexander R. Zhu, Russell Edafetanure-Ibeh, Radhakrishna Kantanavar, Edward G. McFarland 10.1016/j.jse.2026.02.025 Journal of Shoulder and Elbow Surgery (2026) 2026-03-13 Journal of Shoulder and Elbow Surgery 2026-03-13 https://www.jshoulderelbow.org/article/S1058-2746(26)00138-2/fulltext?rss=yes Olecranon fractures are common fractures of the elbow and may lead to symptomatic post-traumatic osteoarthritis (OA). The incidence and risk factors for ulnohumeral OA after an olecranon fracture remain uncertain. Therefore, this review aimed to: (1) determine the incidence of OA following isolated olecranon fractures, (2) assess the role of instability and comminution in the development of OA, and (3) assess the impact of OA on patient-reported outcome measures. Incidence of post-traumatic osteoarthritis in olecranon fractures and the role of instability and comminution in its development: a systematic review Jort P. Wiersma, Huub H. de Klerk, Simone Priester-Vink, Job N. Doornberg, Abhiram R. Bhashyam, Michel P.J. van den Bekerom 10.1016/j.jse.2026.02.024 Journal of Shoulder and Elbow Surgery (2026) 2026-03-13 Journal of Shoulder and Elbow Surgery 2026-03-13 https://www.jshoulderelbow.org/article/S1058-2746(26)00137-0/fulltext?rss=yes The lateral para-olecranon approach preserves triceps integrity while providing adequate exposure for unlinked total elbow arthroplasty (TEA). However, its effectiveness in patients with rheumatoid arthritis (RA) remains unclear. This study aimed to evaluate midterm clinical and radiographic outcomes of unlinked TEA performed via the lateral para-olecranon approach in patients with RA, focusing on triceps function, range of motion (ROM), strength, and complications. The lateral para-olecranon approach for unlinked total elbow arthroplasty with the Kudo prosthesis in patients with rheumatoid arthritis: midterm outcomes Shosuke Akita, Naomi Sato, Koji Yachi, Shogo Ikeda, Shunichi Henmi, Takenori Oda 10.1016/j.jse.2026.02.023 Journal of Shoulder and Elbow Surgery (2026) 2026-03-13 Journal of Shoulder and Elbow Surgery 2026-03-13 https://www.jshoulderelbow.org/article/S1058-2746(26)00136-9/fulltext?rss=yes Current patient-reported outcome measures (PROMs) are long, have complex scoring systems, suffer from ceiling and floor effects, are not universally applicable, and have a high administrative burden. In response, we have developed the Subjective Shoulder Scale (S3), a novel PROM designed to overcome these limitations and provide a comprehensive, efficient, and patient-centered evaluation of 7 key domains. Development and psychometric testing of a novel scale for shoulder assessment Seyedeh Zahra Mousavi, Rashelle J. Musci, Brienna K. Buchanan, Umasuthan Srikumaran 10.1016/j.jse.2026.02.022 Journal of Shoulder and Elbow Surgery (2026) 2026-03-13 Journal of Shoulder and Elbow Surgery 2026-03-13 https://www.jshoulderelbow.org/article/S1058-2746(26)00135-7/fulltext?rss=yes Compared with the traditional Grammont design, modern reverse total shoulder arthroplasty (rTSA) implant designs often introduce lateralization of the glenoid and/or humeral components. This study aimed to evaluate the impact of different strategies for achieving lateralization (ie, humeral or glenoid lateralization) in rTSA implant design on rotator cuff biomechanics. Source of lateralization in reverse total shoulder arthroplasty matters: a comparison of glenoid and humeral lateralization on rotator cuff biomechanics Christopher M. Brusalis, Jonathan Glenday, Michael C. Fu, Joshua S. Dines, Theodore A. Blaine, David M. Dines, Lawrence V. Gulotta, Samuel A. Taylor, Andreas Kontaxis 10.1016/j.jse.2026.02.021 Journal of Shoulder and Elbow Surgery (2026) 2026-03-13 Journal of Shoulder and Elbow Surgery 2026-03-13 https://www.jshoulderelbow.org/article/S1058-2746(26)00117-5/fulltext?rss=yes The purpose of this study was to evaluate the Latarjet coracoid graft status using computed tomography (CT) at minimum 5-year follow-up in a population with less than 5% glenoid bone loss preoperatively. We hypothesized that complete graft lysis would occur in accordance with Wolff's law. Long-term minimum 5-year follow-up 3D CT evaluation of bone graft status after Latarjet in patients with no or minimal preoperative glenoid bone loss Lionel Neyton, Yash Sewpaul, Louis Lajoinie, Lisa Peduzzi, Joris Tiercelin, Xavier Ohl 10.1016/j.jse.2026.02.020 Journal of Shoulder and Elbow Surgery (2026) 2026-03-04 Journal of Shoulder and Elbow Surgery 2026-03-04 https://www.jshoulderelbow.org/article/S1058-2746(26)00116-3/fulltext?rss=yes Glenohumeral arthritis (GHA) decreases shoulder range of motion, yet the extent of glenohumeral motion loss and accompanying whole-body compensations are not well quantified. Glenohumeral arthritis impairs shoulder mobility and promotes dynamic compensatory strategies during overhead reach Nicholas Morriss, Patrick Castle, Dylan N. Greif, Joshua Pezzullo, Matthew Ambalavanar, Jordan Manning, Ye Shu, Jacob Earnhart, Gabriel Ramirez, Gregg Nicandri, Sandeep Mannava, Ram Haddas, Ilya Voloshin 10.1016/j.jse.2026.02.019 Journal of Shoulder and Elbow Surgery (2026) 2026-03-04 Journal of Shoulder and Elbow Surgery 2026-03-04 https://www.jshoulderelbow.org/article/S1058-2746(26)00112-6/fulltext?rss=yes Return to sport and sport-specific performance following shoulder arthroplasty are not well-characterized, particularly in strength-based activities such as weightlifting. This study evaluates return-to-weightlifting rates, exercise-specific performance, and patient-reported outcomes following reverse shoulder arthroplasty (rTSA) and anatomic shoulder arthroplasty (aTSA). Return to weightlifting after shoulder arthroplasty: an ASES multicenter study predicting performance after reverse shoulder arthroplasty and anatomic shoulder arthroplasty Declan R. Diestel, Suleiman Sudah, Nick Veale, Regan Arnold, Jason Corban, Jacob M. Kirsch, Adam Bowler, Evan A. Glass, Shannon E. Gray, Miranda McDonald-Stahl, Calista S. Stevens, Richard Puzzitiello, Michael A. Moverman, Kiet Le, Warren Dunn, Andrew Jawa, ASES Multicenter Research Group 10.1016/j.jse.2026.02.015 Journal of Shoulder and Elbow Surgery (2026) 2026-02-26 Journal of Shoulder and Elbow Surgery 2026-02-26 https://www.jshoulderelbow.org/article/S1058-2746(26)00115-1/fulltext?rss=yes Rotator cuff repair (RCR) is one of the most common orthopedic procedures, yet 20%-40% of repairs fail structurally within two years, leading to pain, functional decline, and costly revision surgery. Platelet-rich plasma (PRP) has been proposed to enhance tendon–bone healing, but prior reviews frequently pooled heterogeneous formulations as a homogeneous intervention, producing conflicting conclusions. This review aimed to clarify formulation-specific effects within the PRP literature and, where benefit is observed, examine the biological rationale and practical economic implications for surgical adoption. Leukocyte-poor platelet-rich plasma reduces retear risk after arthroscopic rotator cuff repair: a meta-analysis with mechanistic and economic evaluation Quinn Dunivan, Michael Allen, Brian E. Caplan, Brian J. Cole 10.1016/j.jse.2026.02.018 Journal of Shoulder and Elbow Surgery (2026) 2026-02-25 Journal of Shoulder and Elbow Surgery 2026-02-25 https://www.jshoulderelbow.org/article/S1058-2746(26)00113-8/fulltext?rss=yes Proximal humerus fractures (PHFs) are becoming more common, especially among older adults, and often require surgical management. Two widely used surgical techniques are intramedullary nailing (IMN) and locking plate fixation (open reduction and internal fixation), yet there is ongoing debate regarding their comparative effectiveness. This study aims to systematically evaluate and compare functional, clinical, and complication-related outcomes of IMN and plating for adult patients with displaced PHFs. Effectiveness of intramedullary nailing vs. locked plating (open reduction and internal fixation) in adult displaced proximal humerus fractures: a systematic review and meta-analysis Malik Takreem Ahmad, Gaayen Ravii Sahgal, Hamza Tareen, Bilaal Dar, Reubeen Ahmad, Rauhaan Tahir, Jonathan Joy Angelo, Burhan Mirza, Peter Domos 10.1016/j.jse.2026.02.016 Journal of Shoulder and Elbow Surgery (2026) 2026-02-25 Journal of Shoulder and Elbow Surgery 2026-02-25 https://www.jshoulderelbow.org/article/S1058-2746(26)00111-4/fulltext?rss=yes Metal-free fixation methods, such as the all-suture cerclage technique for the Latarjet procedure, aim to minimize implant-related complications. Clinical studies suggest equivalent clinical results while reducing implant-related complications. However, recent studies have shown increased rates of graft migration and failure due to cortical cut-through. Revision strategies after such failures remain poorly described. The aim of this study is to evaluate the primary stability of revision Latarjet surgery using 2 conventional malleolar screws after failure of all-suture cerclage fixation compared with primary screw fixation. Biomechanical evaluation of primary stability in revision Latarjet surgery using malleolar screws following failure of all-suture cerclage fixation Tobias P. Bayer, Anna-Katharina Nolte, Benjamin Panzram, Patric Raiss, Kilian Wegmann, J. Philippe Kretzer, Matthias Bülhoff, Sebastian Jaeger 10.1016/j.jse.2026.02.014 Journal of Shoulder and Elbow Surgery (2026) 2026-02-25 Journal of Shoulder and Elbow Surgery 2026-02-25 https://www.jshoulderelbow.org/article/S1058-2746(26)00110-2/fulltext?rss=yes Distal humerus fractures (DHFs) in older adults can have significant clinical consequences. Prior mortality estimates are broad and confounded by concomitant injuries. The purpose of this study was to characterize 1- and 2-year mortality after isolated DHFs in older adults and identify predictors of survival, including comorbidity burden, operative status, and preinjury ambulation ability. We hypothesized that mortality would parallel that of other upper extremity fractures and be primarily influenced by baseline health and functional independence. Predictors of mortality after isolated distal humerus fractures in older adults Samuel W. Rice, Michael G. Flood, Gregory Iovanel, Harlene Kaur, Samhitha Satish Kumar, Saoirse Connolly, John McDonald, Matthew DeFazio, Scott Pascal, Lydia Parzych, Christine Decker Bub 10.1016/j.jse.2026.02.013 Journal of Shoulder and Elbow Surgery (2026) 2026-02-25 Journal of Shoulder and Elbow Surgery 2026-02-25 https://www.jshoulderelbow.org/article/S1058-2746(26)00114-X/fulltext?rss=yes Long-term data at 15 years following implantation of reverse total shoulder arthroplasty (rTSA) are very limited. The aim of this study was to analyze patients at a minimum of 15 years following rTSA implantation. Long-term clinical and radiologic outcomes of primary reverse total shoulder arthroplasty at a minimum follow-up of 15 years Philipp Kriechling, Martina Scherer, Bettina Hochreiter, Felix Düppers, Eliane Willemsen, Samy Bouaicha, Karl Wieser 10.1016/j.jse.2026.02.017 Journal of Shoulder and Elbow Surgery (2026) 2026-02-24 Journal of Shoulder and Elbow Surgery 2026-02-24 https://www.jshoulderelbow.org/article/S1058-2746(26)00106-0/fulltext?rss=yes Reverse shoulder arthroplasty (rTSA) has become increasingly common for inflammatory arthritis (IA) due to concerns regarding rotator cuff failure and glenoid loosening in anatomic total shoulder arthroplasty (aTSA). Comparative data between these procedures in IA, however, remains limited. This study aims to compare functional outcomes and revision-free survival between aTSA and rTSA in IA using data from the New Zealand Joint Registry. Anatomic shoulder replacement has superior functional outcomes with equivalent survivorship compared with reverse shoulder replacement in patients with inflammatory arthritis—New Zealand registry results Brendon N. Newton, Chris M.A. Frampton, Ritwik Kejriwal 10.1016/j.jse.2026.02.009 Journal of Shoulder and Elbow Surgery (2026) 2026-02-19 Journal of Shoulder and Elbow Surgery 2026-02-19 https://www.jshoulderelbow.org/article/S1058-2746(26)00098-4/fulltext?rss=yes Enhanced Recovery After Surgery (ERAS) is a multimodal, evidence-based perioperative care framework designed to reduce surgical stress, optimize physiological function, and accelerate post-operative recovery through standardized protocols. ERAS protocols have demonstrated clear benefits in hip and knee arthroplasty, yet their role in shoulder arthroplasty (SA) remains overlooked. The aim of this study is to assess the impact of ERAS protocols on perioperative outcomes in SA including pain control, opioid consumption, length of stay (LOS), and post-operative complications. Enhanced recovery after surgery in shoulder arthroplasty: a systematic review of perioperative outcomes Hussayn Shinwari, Zakariya Mouyer, Asmaar Butt, Hanan Taimur Shinwari, Saran Singh Gill, Abith Ganesh Kamath, Kapil Sugand 10.1016/j.jse.2026.01.026 Journal of Shoulder and Elbow Surgery (2026) 2026-02-19 Journal of Shoulder and Elbow Surgery 2026-02-19 https://www.jshoulderelbow.org/article/S1058-2746(26)00097-2/fulltext?rss=yes It is undetermined whether the quality of surgical technique in a humeral shaft fracture (reduction and fixation) affects outcomes. The aim of this study was to score the quality of surgical technique performed in patients with humeral shaft fractures and to assess whether the quality of surgical technique was associated with complications and (functional) outcomes. Quality of surgical technique in patients with a humeral shaft fracture in the HUMMER study (HUMMER-Survey): an international survey among expert surgeons Dennis Den Hartog, Leendert H.T. Nugteren, Lars E. Adolfsson, Hector J. Aguado, Robert Jan Derksen, Peter V. Giannoudis, Kiran C. Mahabier, Sven A.G. Meylaerts, William T. Obremskey, Shawn W. O’Driscoll, Saskia H. Van Bergen, Mathieu M.E. Wijffels, Michael H.J. Verhofstad, Esther M.M. Van Lieshout, HUMMER Expert panel, HUMMER Investigators 10.1016/j.jse.2026.01.025 Journal of Shoulder and Elbow Surgery (2026) 2026-02-19 Journal of Shoulder and Elbow Surgery 2026-02-19 https://www.jshoulderelbow.org/article/S1058-2746(26)00096-0/fulltext?rss=yes Corticosteroid injections (CSIs) are widely used for symptomatic relief in shoulder arthritis, yet concerns persist regarding their impact on post-operative outcomes following shoulder arthroplasty. This study evaluates the dose-dependent relationship between pre-operative CSIs and post-operative complications in patients undergoing anatomic or reverse total shoulder arthroplasty (TSA). Pre-operative corticosteroid injections are associated with a dose-dependent risk for complications following anatomic and reverse total shoulderarthroplasty Ron Gilat, Matthew C. Johnson, Jacob S. Budin, Melissa L. Carpenter, Ameer Tabbaa, Juan Bernardo Villareal-Espinosa, Bhavya Sheth, Nata Parnes, Jack Choueka, Grant E. Garrigues 10.1016/j.jse.2026.01.024 Journal of Shoulder and Elbow Surgery (2026) 2026-02-19 Journal of Shoulder and Elbow Surgery 2026-02-19 https://www.jshoulderelbow.org/article/S1058-2746(26)00095-9/fulltext?rss=yes Revision shoulder arthroplasty in the setting of severe glenoid bone loss presents significant reconstructive challenges. The use of femoral head allograft (FHA) has emerged as a potential solution to restore glenoid bone stock and provide a stable foundation for component fixation. This study evaluates the outcomes and viability of FHA in managing severe glenoid defects during revision procedures. Outcomes of revision reverse shoulder arthroplasty utilizing bulk femoral head allograft with a monoblock central screw baseplate for severe glenoid defects with minimum 2-year follow-up Todd Phillips, Casey M. Beleckas, Albert Mousad, John Abdelshaheed, Jonathan C. Levy 10.1016/j.jse.2026.01.023 Journal of Shoulder and Elbow Surgery (2026) 2026-02-19 Journal of Shoulder and Elbow Surgery 2026-02-19 https://www.jshoulderelbow.org/article/S1058-2746(26)00093-5/fulltext?rss=yes The Nexel total elbow arthroplasty (TEA) was introduced as an enhancement of the Coonrad-Morrey TEA, which through design modifications aimed to improve patient outcomes. However, high revision rates due to loosening have been reported for this implant. Cohort of 101 consecutive Nexel total elbow arthroplasties Lars Eilertsen, Idar F. Brekke, Erik Haavardsholm, Inger Storrønning, Silje MU. Sand, Ivar E. Husby, Joeseph Sexton, Mette I. Martinsen, Haldor Valland, Siri Lillegraven, Alexander N. Fraser 10.1016/j.jse.2026.01.021 Journal of Shoulder and Elbow Surgery (2026) 2026-02-19 Journal of Shoulder and Elbow Surgery 2026-02-19 https://www.jshoulderelbow.org/article/S1058-2746(26)00108-4/fulltext?rss=yes Sleep disturbance is common among patients undergoing rotator cuff repair (RCR), yet the perioperative course of pain-related sleep disruption and the influence of behavioral factors are not well defined. Patients frequently ask perioperative sleep-related questions that lack evidence-based answers. This study aimed to characterize changes in sleep quality and sleeping patterns before and after RCR. How patients sleep after rotator cuff repair: a prospective analysis of pain, position, and recovery Miguel Fiandeiro, Adam A. Rizk, Jay M. Levin, Margaret Danziger, Ryan Lopez, Alayna Vaughan, Luke Austin, Surena Namdari 10.1016/j.jse.2026.02.011 Journal of Shoulder and Elbow Surgery (2026) 2026-02-18 Journal of Shoulder and Elbow Surgery 2026-02-18 https://www.jshoulderelbow.org/article/S1058-2746(26)00107-2/fulltext?rss=yes Rotator cuff (RC) repair often fails due to poor healing at the tendon-to-bone interface (TBI) and irreversible fatty infiltration (FI) of the muscle. GATA6 has emerged as a potential transcriptional regulator of tissue regeneration, but no therapeutic agents currently target this pathway. Isotretinoin improves tendon-bone interface healing and inhibits muscle-fatty infiltration through GATA6 activation in a rat model of rotator cuff repair Jong Pil Yoon, Sung-Jin Park, Dong-Hyun Kim, Yuki Yoshida, Chul-Hyun Cho, Jun-Young Kim, Seok Won Chung 10.1016/j.jse.2026.02.010 Journal of Shoulder and Elbow Surgery (2026) 2026-02-18 Journal of Shoulder and Elbow Surgery 2026-02-18 https://www.jshoulderelbow.org/article/S1058-2746(26)00105-9/fulltext?rss=yes Fragment displacement is a key determinant of treatment strategy and functional outcomes in isolated greater tuberosity (GT) fractures. However, the relative contributions of fracture morphology and shoulder dislocation to displacement remain unclear. This study aimed to identify factors associated with fragment displacement, with a particular focus on facet involvement, fracture type, and the presence of shoulder dislocation using three-dimensional computed tomography (CT). Secondary displacement during nonoperative management was also explored. Analysis of factors influencing fragment displacement in greater tuberosity fractures: the number of involved facets as a key risk factor Yuki Yoshida, Atsushi Yoshida 10.1016/j.jse.2026.02.008 Journal of Shoulder and Elbow Surgery (2026) 2026-02-18 Journal of Shoulder and Elbow Surgery 2026-02-18 https://www.jshoulderelbow.org/article/S1058-2746(26)00104-7/fulltext?rss=yes While two-dimensional methods quantify glenohumeral relationships, they are unable to capture three-dimensional anatomy and define the geometric relationship of the humeral head in the registry of the glenoid. We hypothesize that a geometric relationship of the humeral head and the glenoid exists in the three-dimensional space defined by the relationship of the best-fit sphere of the humeral head relative to the best-fit sphere of the glenoid such that relative measurements will define the normal shoulder and the pathologic shoulder. Restoration of joint line and soft tissue balance: a 3D reference system to quantify shoulder pathologies Austin F. Smith, Connor Park, Estelle Wigmore, Tiane O'Connor, Alex A. Malone, Praveen Vijaysegaran, Samuel Bennett, Benjamin W. Kenny 10.1016/j.jse.2026.02.007 Journal of Shoulder and Elbow Surgery (2026) 2026-02-18 Journal of Shoulder and Elbow Surgery 2026-02-18 https://www.jshoulderelbow.org/article/S1058-2746(26)00103-5/fulltext?rss=yes There are no reports addressing the treatment and outcomes of kissing osteochondritis dissecans (OCD) of the radiocapitellar joint. This study aimed to retrospectively investigate the outcomes of the surgical treatment for kissing OCD of the radiocapitellar joint. Concomitant osteochondritis dissecans of the capitellum and radial head: kissing osteochondritis dissecans of the radiocapitellar joint Satoru Shiraishi, Masatoshi Takahara, Ryo Mitachi, Junichiro Shibuya, Tomohiro Uno, Hiroshi Satake, Michiaki Takagi 10.1016/j.jse.2026.02.006 Journal of Shoulder and Elbow Surgery (2026) 2026-02-18 Journal of Shoulder and Elbow Surgery 2026-02-18 https://www.jshoulderelbow.org/article/S1058-2746(26)00102-3/fulltext?rss=yes Preoperative three-dimensional (3D) templating can improve surgical accuracy in anatomic-press-fit radial head arthroplasty (RHA). However, current imaging segmentation methods used for templating are time-consuming and prone to variability. This study aimed to train and validate an no-new U-Net (nnU-Net) deep learning model to automate multiclass bone segmentation for RHA templating. We hypothesized that the nnU-Net model would achieve high accuracy in segmenting the upper extremity bones thereby supporting 3D bone templating in RHA. Automated multiclass bone segmentation using deep learning: implications for templating in radial head replacement Ausberto R. Velasquez Garcia, Linjun Yang, Hiroki Nishikawa, James S. Fitzsimmons, Adam J. Wentworth, Jonathan M. Morris, Michael J. Taunton, Shawn W. O'Driscoll 10.1016/j.jse.2026.02.005 Journal of Shoulder and Elbow Surgery (2026) 2026-02-18 Journal of Shoulder and Elbow Surgery 2026-02-18 https://www.jshoulderelbow.org/article/S1058-2746(26)00101-1/fulltext?rss=yes Reconstruction of bone defects after distal humeral tumor resection remains technically challenging because of the complex anatomy of the elbow and the need to preserve postoperative joint function. This study aimed to investigate the clinical value of a custom 3D-printed hemi-elbow prosthesis for the repair and reconstruction of distal humeral bone defects after tumor resection and to evaluate the short-term and midterm outcomes of patients treated with this technique. The application of custom 3D-printed hemi-elbow prosthesis in the repair and reconstruction of bone defects following distal humeral tumor resection Hongfa Li, Zhenchao Yuan, Jiachang Tan, Bin Liu 10.1016/j.jse.2026.02.004 Journal of Shoulder and Elbow Surgery (2026) 2026-02-18 Journal of Shoulder and Elbow Surgery 2026-02-18 https://www.jshoulderelbow.org/article/S1058-2746(26)00100-X/fulltext?rss=yes Glenoid loosening remains a principal failure mode after anatomic total shoulder arthroplasty. Cement pressurization improves fixation; however, the optimal timing of axial compression during polymethylmethacrylate curing remains unknown. We hypothesized that brief-early compression, followed by undisturbed curing would yield a more favorable cement-bone morphology than continuous or intermittent compression. Effect of glenoid component compression timing on the cement-bone interface of pegged all-polyethylene glenoid components: a micro-computed tomography study Alper Şükrü Kendirci, İsmail Tarık Atasoy, Muhammed Oğuzhan Albayrak, Fatma Betül Kabadaş, Furkan Okatar, Ali Erşen 10.1016/j.jse.2026.02.003 Journal of Shoulder and Elbow Surgery (2026) 2026-02-18 Journal of Shoulder and Elbow Surgery 2026-02-18 https://www.jshoulderelbow.org/article/S1058-2746(26)00099-6/fulltext?rss=yes Weightlifting is a common form of recreational activity that can place higher levels of stress on the shoulder joint and is of particular interest to many patients undergoing shoulder arthroplasty. Despite the growing number of individuals receiving anatomic (aTSA) and reverse total shoulder arthroplasty (rTSA), recommendations regarding return to weightlifting remain unclear. The purpose of this study was to report the rate of return to weightlifting following primary shoulder arthroplasty and to evaluate postoperative function and performance outcomes. Return to weightlifting following anatomic and reverse shoulder arthroplasty John Abdelshaheed, Rishi Chatterji, Jordan Levy, Garrett Flynn, Casey M. Beleckas, Jonathan C. Levy 10.1016/j.jse.2026.02.002 Journal of Shoulder and Elbow Surgery (2026) 2026-02-18 Journal of Shoulder and Elbow Surgery 2026-02-18 https://www.jshoulderelbow.org/article/S1058-2746(26)00094-7/fulltext?rss=yes Shoulder arthroplasty effectively treats various degenerative and traumatic shoulder conditions, but outcomes can be compromised by complications, limited mobility, and persistent pain. The impact of previous nonarthroplasty surgery on functional outcomes remains unclear. Therefore, the purpose of this study is to determine if a history of prior nonarthroplasty shoulder surgery is associated with worse functional outcomes after primary shoulder arthroplasty. The influence of prior shoulder surgery on implant survival and patient-reported outcomes of shoulder arthroplasty as analyzed by the Dutch Arthroplasty Register Evy E.J. Jetten, Esther R.C. Janssen, Freek Hollman, Sem M.M. Hermans, Anneke Spekenbrink-Spooren, Taco Gosens, Frederik O. Lambers Heerspink 10.1016/j.jse.2026.01.022 Journal of Shoulder and Elbow Surgery (2026) 2026-02-18 Journal of Shoulder and Elbow Surgery 2026-02-18 https://www.jshoulderelbow.org/article/S1058-2746(26)00092-3/fulltext?rss=yes Reverse total shoulder arthroplasty (rTSA) has surpassed anatomic total shoulder arthroplasty in popularity due to its superior outcomes in patients with rotator cuff deficiency and other complex shoulder pathologies. While primary rTSA demonstrates excellent functional improvements, revision rTSA remains challenging, with limited data available on outcomes. Previous studies on revision total shoulder arthroplasty have primarily focused on anatomic total shoulder arthroplasty, with fewer studies evaluating revision rTSA outcomes. Revision reverse total shoulder arthroplasty: clinical and radiographic outcomes compared to primary reverse total shoulder arthroplasty Jacqueline G. Tobin, Marco E. Guareschi, Josie A. Elwell, Hyeongmin Kim, Christopher P. Roche, Brandon L. Rogalski, Josef K. Eichinger, Richard J. Friedman 10.1016/j.jse.2026.01.020 Journal of Shoulder and Elbow Surgery (2026) 2026-02-18 Journal of Shoulder and Elbow Surgery 2026-02-18 https://www.jshoulderelbow.org/article/S1058-2746(26)00091-1/fulltext?rss=yes Common indications for total elbow arthroplasty include fracture, osteoarthritis, and rheumatoid arthritis. Total elbow arthroplasty is increasingly being performed for fracture in the context of an aging population, improved medical management of rheumatoid arthritis, and improving surgical technologies. This study aimed to investigate survivorship of total elbow arthroplasty implants by indication using data from the New Zealand Joint Registry. A comparison of survivorship and functional outcomes for total elbow arthroplasty performed for distal humerus fracture, rheumatoid arthritis, and osteoarthritis, a New Zealand Joint Registry study Alex B. Boyle, Chris Frampton, Peter C. Poon, Simon B.M. MacLean 10.1016/j.jse.2026.01.019 Journal of Shoulder and Elbow Surgery (2026) 2026-02-18 Journal of Shoulder and Elbow Surgery 2026-02-18 https://www.jshoulderelbow.org/article/S1058-2746(26)00090-X/fulltext?rss=yes Scapulopexy can effectively treat symptomatic scapulothoracic dyskinesis. In patients with preserved serratus anterior function, restoring scapular positioning without rib-based fixation may reduce surgical risks and rib osteolysis. This study introduces a modified technique—Serratus Anterior Plication and PEctoralis minor Release (SAPPER)—and reports its outcomes in patients with refractory scapular dyskinesis associated with neurologic symptoms. Combined serratus anterior plication and pectoralis minor release improves clinical outcomes in refractory scapular dyskinesis with neurological involvement Christos Koukos, Fredy Montoya, Alejandro Marty, Max Julian Friedrich, Davide Cucchi 10.1016/j.jse.2026.01.018 Journal of Shoulder and Elbow Surgery (2026) 2026-02-18 Journal of Shoulder and Elbow Surgery 2026-02-18 https://www.jshoulderelbow.org/article/S1058-2746(26)00089-3/fulltext?rss=yes With the introduction of reverse total shoulder arthroplasty (TSA) in the United States in 2004, the indications for TSA have expanded significantly, leading to a dramatic rise in primary and revision TSA procedures. Despite these increases in utilization, the epidemiology of revision TSA has not been studied on a large scale. The purpose of this study is to determine the epidemiology of revision TSA over the past 10 years and forecast the incidence over the next 5 years. The rising incidence and future trends of revision total shoulder arthroplasty Sophia A. Sitsis, Robert T. Henke, Maxwell A. Northrop, Alexander C. Dippre, Jakob M. Miller, John W. Moore, J. Ambrose Martino, Brandon L. Rogalski, Josef K. Eichinger, Richard J. Friedman 10.1016/j.jse.2026.01.017 Journal of Shoulder and Elbow Surgery (2026) 2026-02-18 Journal of Shoulder and Elbow Surgery 2026-02-18 https://www.jshoulderelbow.org/article/S1058-2746(26)00088-1/fulltext?rss=yes Tension band wiring (TBW) is a widely used technique for displaced olecranon fractures but carries a substantial risk of complications, often due to technical errors. Despite being a designated core competency in orthopedic curricula, no standardized, procedure-specific tool exists to assess technical performance in TBW. This study aimed to establish international expert consensus on assessment parameters for evaluating surgical competence in TBW of simple transverse olecranon fractures. Defining technical competence in olecranon fracture fixation: an international Delphi consensus on tension band wiring assessment Emmy Nordlund, Daniel Wenger, Mads Emil Jacobsen, Leizl Joy Nayahangan, Monica Ghidinelli, Chitra Subramaniam, Kristoffer Borbjerg Hare, Lars Konge, Amandus Gustafsson 10.1016/j.jse.2026.01.016 Journal of Shoulder and Elbow Surgery (2026) 2026-02-18 Journal of Shoulder and Elbow Surgery 2026-02-18 https://www.jshoulderelbow.org/article/S1058-2746(26)00087-X/fulltext?rss=yes Rotator cuff tears (RCTs) are commonly repaired after failure of conservative management. Prior literature has demonstrated that racial disparities exist in surgical management of RCTs. There is limited literature addressing whether certain patient populations are less likely to receive corticosteroid injection. Our hypothesis is that minority groups are less likely to undergo a corticosteroid injection for the nonoperative treatment of RCTs. Additionally, we hypothesize that minority patients are less likely to undergo surgical management of RCTs compared to non-Hispanic White patients. Minority groups are less likely to undergo surgical fixation or receive a corticosteroid injection for rotator cuff disease: a large database study Kelsey Loyd, Dylan N. Greif, Christopher M. Dussik, Amy Phan, Nicholas Morriss, Sandeep Mannava 10.1016/j.jse.2026.01.015 Journal of Shoulder and Elbow Surgery (2026) 2026-02-18 Journal of Shoulder and Elbow Surgery 2026-02-18 https://www.jshoulderelbow.org/article/S1058-2746(26)00086-8/fulltext?rss=yes Total shoulder arthroplasty (TSA) has been removed from the Center for Medicare and Medicaid Services “in-patient only” list. Thus, the onus of TSA outpatient versus inpatient classification has become more complex, leading to failed outpatient TSA and unintended extended hospital stays. While most patients can be safely treated with outpatient TSA, a select vulnerable population may benefit from inpatient designation. This study aims to identify the rate of failure to discharge after 2 midnights, perioperative reasons for failure to discharge, and independent risk factors associated with failure to discharge. Beyond the “two-midnight rule”: social factors drive prolonged stay after outpatient total shoulder arthroplasty Terence L. Thomas, Claude J. Regis, Polycarpe Bagereka, Therasa Chua, Margaret Danziger, Surena Namdari 10.1016/j.jse.2026.01.014 Journal of Shoulder and Elbow Surgery (2026) 2026-02-18 Journal of Shoulder and Elbow Surgery 2026-02-18 https://www.jshoulderelbow.org/article/S1058-2746(26)00085-6/fulltext?rss=yes Despite the clinical importance of rehabilitation after arthroscopic rotator cuff repair, standardized postoperative rehabilitation protocols are yet to be established. Therefore, this study aimed to investigate the current consensus on rehabilitation protocols after arthroscopic rotator cuff repair among active members of the Korean Shoulder and Elbow Society (KSES). We hypothesized that rehabilitation protocols would vary and that there might be a tendency to adjust rehabilitation based on the preoperative tear size and level of physical demand of the individual patient. Rehabilitation protocols after arthroscopic rotator cuff repair: a survey of active members of the Korean Shoulder and Elbow Society Hyeon Jang Jeong, Jung-Youn Kim, Nam Su Cho, Chae-Gwan Kong, Jong-Ho Kim, Jin-Young Bang, Sang Don Shim, Sang-Jin Lee, Yong Beom Lee, Yon-Sik Yoo, Jae Hyung Lee, Young-Min Noh, Ho-Min Lee, Jong-Hun Ji, Chul Hong Kim, Tae-Yon Rhie, Jin-Young Park, Sung Min Kim, Tae Kang Lim 10.1016/j.jse.2026.01.013 Journal of Shoulder and Elbow Surgery (2026) 2026-02-18 Journal of Shoulder and Elbow Surgery 2026-02-18 https://www.jshoulderelbow.org/article/S1058-2746(26)00084-4/fulltext?rss=yes Adhesive capsulitis, commonly known as frozen shoulder, is a fibro-inflammatory condition characterized by the gradual onset of pain and progressive restriction of shoulder motion, with evidence suggesting that endocrine factors may play a role in its pathogenesis. Despite biologic plausibility linking testosterone to capsular fibrosis, the relationship between endogenous androgen levels and adhesive capsulitis has not been thoroughly investigated. The purpose of this study is to assess the risk of developing adhesive capsulitis within 1 year, 2 years, and 5 years after their serum testosterone level lab draw. Testosterone levels and risk of adhesive capsulitis: a 1:1 propensity matched analysis Zina Smadi, Katie McBee, Bilal Irfan, Awab Osman, Peter Boufadel, Daniel E. Pereira, Eileen Phan, John G. Horneff, Adam Z. Khan, Joseph A. Abboud 10.1016/j.jse.2026.01.012 Journal of Shoulder and Elbow Surgery (2026) 2026-02-18 Journal of Shoulder and Elbow Surgery 2026-02-18 https://www.jshoulderelbow.org/article/S1058-2746(26)00083-2/fulltext?rss=yes Diagnosing simple valgus instability of the elbow currently involves time- and cost-intensive imaging modalities such as magnetic resonance imaging or magnetic resonance arthrography. Previous studies have demonstrated that stress radiography represents an alternative diagnostic tool for such conditions. The aim of this study was to investigate whether standardized valgus stress radiography can identify soft-tissue lesions of the medial elbow. Radiographic assessment of medial elbow stability Maximilian Gressl, Flamur Zendeli, Benjamin Fritz, Karl Wieser, Paul Borbas 10.1016/j.jse.2026.01.011 Journal of Shoulder and Elbow Surgery (2026) 2026-02-18 Journal of Shoulder and Elbow Surgery 2026-02-18 https://www.jshoulderelbow.org/article/S1058-2746(26)00082-0/fulltext?rss=yes Patient-reported outcome measures (PROMs) are routinely used to assess pain, function, and quality of life in shoulder care. Although rotator cuff repair (RCR) is a highly effective treatment for symptomatic tears, the relationship between structural healing and PROM responsiveness remains unclear. This study aimed to evaluate and compare the responsiveness of 5 common shoulder PROMs—the Penn Shoulder Score, modified American Shoulder and Elbow Surgeons score, Single Assessment Numeric Evaluation, Shoulder Activity Level (SAL), and Patient-Reported Outcome Measure Information System Upper Extremity—as well as individual items from these measures and the Western Ontario Rotator Cuff Index, to RCR surgery and healing at 1 year postoperatively, with secondary analyses at 6 months and 2 years. Comparative responsiveness of shoulder patient-reported outcome measures (PROMs) to rotator cuff repair surgery and healing Sambit Sahoo, Yadi Li, Charles J. Cogan, Vahid Entezari, Jason C. Ho, Joseph P. Iannotti, Eric T. Ricchetti, Brittany Lapin, Kathleen A. Derwin 10.1016/j.jse.2026.01.010 Journal of Shoulder and Elbow Surgery (2026) 2026-02-18 Journal of Shoulder and Elbow Surgery 2026-02-18 https://www.jshoulderelbow.org/article/S1058-2746(26)00081-9/fulltext?rss=yes In subacromial pain syndrome (SAPS), a common cause of shoulder pain, thoracic spine targeted interventions have been associated with improvements in shoulder outcomes. This study aimed to investigate the effects of adding thoracic extension exercises (TEE) or thoracic kinesio taping (KT) to shoulder exercises (SE) on shoulder pain, disability, active range of motion (AROM), and strength in adults with SAPS. Effects of adding thoracic extension exercises or thoracic kinesio taping to shoulder exercises on pain and function in adults with subacromial pain syndrome: a randomized controlled trial Elif Umay Altaş, Müge Kırmızı, Aynur Şahin, Ayşenur Yüksel, Eylem Çağla Danacı, Filiz Meryem Sertpoyraz, Sevtap Günay Uçurum 10.1016/j.jse.2026.02.001 Journal of Shoulder and Elbow Surgery (2026) 2026-02-18 Journal of Shoulder and Elbow Surgery 2026-02-18 https://www.jshoulderelbow.org/article/S1058-2746(26)00061-3/fulltext?rss=yes Shoulder arthroplasty is indicated to treat pain and dysfunction associated with advanced glenohumeral osteoarthritis (GHOA). However, the relationship between preoperative pathoanatomy and clinical presentation remains unclear. The purpose of this study was to evaluate associations between radiographic pathoanatomy, physical examination findings, patient-reported outcomes (PROMs), and health-related quality of life (HRQoL) in patients with advanced GHOA who elect to undergo shoulder arthroplasty. Advanced glenohumeral osteoarthritis: the relationship between radiographic pathoanatomy and clinical presentation Oscar Covarrubias, Lauren Luther, Brandon Portnoff, James Levins, Ryan Hoffman, Vadim Molla, Trevor Toavs, Janine Molino, E Scott Paxton, Andrew Green 10.1016/j.jse.2026.01.007 Journal of Shoulder and Elbow Surgery (2026) 2026-02-09 Journal of Shoulder and Elbow Surgery 2026-02-09 https://www.jshoulderelbow.org/article/S1058-2746(26)00048-0/fulltext?rss=yes Reconstruction after proximal humerus tumor resection poses challenges in restoring stability and function due to loss of rotator cuff attachments and soft-tissue integrity. Hemiarthroplasty (HA) with synthetic mesh augmentation has traditionally been used, whereas reverse total shoulder arthroplasty (rTSA) has emerged as an alternative. Comparative data between these techniques in oncologic settings remain limited. This study compared functional outcomes and complication profiles between HA with aortograft mesh (HA-aortograft) and rTSA endoprosthetic reconstructions following proximal humeral oncologic resection. A comparison of hemiarthroplasty with aortograft vs. reverse total shoulder arthroplasty following proximal humeral oncologic resection Thomas L. Karadimas, Michael P. Kucharik, Sarah C. Tepper, David M. Joyce, G. Douglas Letson, Odion T. Binitie, Caroline M. Chebli, Alexander L. Lazarides 10.1016/j.jse.2026.01.006 Journal of Shoulder and Elbow Surgery (2026) 2026-02-09 Journal of Shoulder and Elbow Surgery 2026-02-09 https://www.jshoulderelbow.org/article/S1058-2746(26)00047-9/fulltext?rss=yes Frailty is a well-established predictor of poor outcomes after orthopedic surgery. The 6-item modified Frailty Index (mFI) 6, which includes hypoalbuminemia, may provide enhanced risk stratification compared to the widely used 5-item mFI-5. The predictive value of the mFI-6 vs. the mFI-5 for short-term complications after surgical management of proximal humerus fractures (PHFs) remains unclear. Predicting complications following proximal humerus fracture repair using the 6-item modified frailty index Alexander R. Zhu, Grace Q. Chen, Eve R. Glenn, Joseph Seta, Ashley R. Zhu, Umasuthan Srikumaran 10.1016/j.jse.2026.01.005 Journal of Shoulder and Elbow Surgery (2026) 2026-02-09 Journal of Shoulder and Elbow Surgery 2026-02-09 https://www.jshoulderelbow.org/article/S1058-2746(26)00063-7/fulltext?rss=yes Lesser tuberosity osteotomy (LTO) repair in total stemless shoulder arthroplasty has a high nonunion rate and thus presents a challenge to shoulder surgeons. Improved repair techniques may mitigate nonunion from excessive fragment motion or inadequate compression. The purpose of this study was to evaluate the biomechanical properties of 3 LTO repair techniques in the setting of stemless shoulder arthroplasty. Tensionable cortical button (Button) and suture anchor (Anchor) constructs were compared to a reference suture with a lateral plate construct (Suture). Lesser tuberosity osteotomy repair in stemless anatomic shoulder arthroplasty: a biomechanical analysis of repair techniques Mitchell S. Kirkham, Brittany Percin, Kyle B. Christy, Cameron R. Guy, Peter N. Chalmers, Robert Z. Tashjian, Heath B. Henninger, Christopher D. Joyce 10.1016/j.jse.2026.01.009 Journal of Shoulder and Elbow Surgery (2026) 2026-02-08 Journal of Shoulder and Elbow Surgery 2026-02-08 https://www.jshoulderelbow.org/article/S1058-2746(26)00062-5/fulltext?rss=yes Scapular dyskinesis is frequently observed with various types of shoulder instability, but whether scapular dyskinesis could contribute to shoulder instability is still unclear. The purpose of this study was to determine the effects of scapular orientation on anterior and posterior glenohumeral translation using a cadaveric model of anterior and posterior labral tears. Scapular orientation influences glenohumeral translation after anterior and posterior labral tears: a cadaveric study Hiroaki Ishikawa, Jared L. Zitnay, Heath B. Henninger, Robert Z. Tashjian, Nobuyuki Yamamoto, Peter N. Chalmers 10.1016/j.jse.2026.01.008 Journal of Shoulder and Elbow Surgery (2026) 2026-02-08 Journal of Shoulder and Elbow Surgery 2026-02-08 https://www.jshoulderelbow.org/article/S1058-2746(26)00043-1/fulltext?rss=yes We read with great interest the article by Sierra et al6 reporting no difference in 2-year outcomes of arthroscopic rotator cuff repair between patients with and without osteoporosis. This study addresses a clinically important question, but it also illustrates why directed acyclic graphs (DAGs)5—now widely used in epidemiology—are critical for causal inference and deserve greater use in orthopedic research. Letter to the Editor regarding Sierra et al: “No difference in 2-year outcomes of arthroscopic rotator cuff repair in patients with osteoporosis” Lucas Mena, Leonardo Zanesco, Eduardo A. Malavolta 10.1016/j.jse.2026.01.001 Journal of Shoulder and Elbow Surgery (2026) 2026-02-03 Journal of Shoulder and Elbow Surgery 2026-02-03 Letter to the Editor https://www.jshoulderelbow.org/article/S1058-2746(26)00041-8/fulltext?rss=yes The advent of modern, precontoured locking plates has improved treatment of distal humerus fractures (DHFs) by providing an anatomic fit and a reliable locking mechanism with interdigitating screws. However, severe articular comminution may predispose surgical failure despite anatomic reduction and a biomechanically strong construct. Outcomes of intra-articular distal humerus open reduction and internal fixation based on severity of articular comminution Carl Cirino, Hannah S. Rhee, Jimmy J. Chan, Gregory Frechette, Michael R. Hausman, Amanda Walsh, Jaehon M. Kim 10.1016/j.jse.2025.12.020 Journal of Shoulder and Elbow Surgery (2026) 2026-02-03 Journal of Shoulder and Elbow Surgery 2026-02-03 https://www.jshoulderelbow.org/article/S1058-2746(26)00040-6/fulltext?rss=yes Fatty infiltration (FI) and muscle atrophy following rotator cuff (RC) tears are largely irreversible and are major determinants of poor surgical outcomes, increased re-tear risk, and long-term functional disability. No pharmacologic therapies have been validated to prevent or reverse these degenerative changes. Glucagon-like peptide-1 receptor agonists (GLP-1RAs), including liraglutide, have demonstrated antiadipogenic and tissue-preserving effects in other organ systems, suggesting potential application in RC-related muscle degeneration. GLP-1 receptor agonist suppresses fatty infiltration while improving range of motion and electromyographic function in a chronic rotator cuff tear rat model Jong Pil Yoon, Sung-Jin Park, Dong-Hyun Kim, Hyun Joo Lee, Jun-Young Kim, Dinh The Pham, Chul-Hyun Cho, Seok Won Chung 10.1016/j.jse.2025.12.019 Journal of Shoulder and Elbow Surgery (2026) 2026-02-03 Journal of Shoulder and Elbow Surgery 2026-02-03 https://www.jshoulderelbow.org/article/S1058-2746(26)00046-7/fulltext?rss=yes Olecranon fractures occur more commonly in older individuals. For patients aged ≥70 years, operative management is often considered standard of care, although recent evidence has supported nonoperative treatment in frail and/or elderly patients. With evolving treatment indications, more granular evidence is beneficial to guide patient-specific decision-making. The aim of this investigation was to explore patient and treatment factors associated with outcomes after displaced, closed olecranon fractures in older individuals. What factors influence outcomes in olecranon fractures in older adults? A cohort study of operative and nonoperative management Taylor Woolnough, Shaelene Standing, JW. Pollock, Wassim Elmasry, Zoe Rubin, Steven R. Papp 10.1016/j.jse.2026.01.004 Journal of Shoulder and Elbow Surgery (2026) 2026-02-02 Journal of Shoulder and Elbow Surgery 2026-02-02 https://www.jshoulderelbow.org/article/S1058-2746(26)00045-5/fulltext?rss=yes Hand-behind-back (HBB) motion is commonly used to assess shoulder internal rotation; however, it involves multiple joint movements, including scapulothoracic, glenohumeral, and elbow joint motions, thus complicating the interpretation of the HBB position. This study aimed to investigate 3-dimensional joint alignment during HBB motion of the bilateral shoulders in patients with frozen shoulder and to identify which joint motions primarily contribute to motion limitation. Three-dimensional analysis of shoulder hand-behind-back motion in patients with frozen shoulder Takafumi Niwa, Noboru Matsumura, Yuki Yoshida, Yoichi Yokoyama, Minoru Yamada, Yoshitake Yamada, Takeo Nagura, Masaya Nakamura, Masahiro Jinzaki 10.1016/j.jse.2026.01.003 Journal of Shoulder and Elbow Surgery (2026) 2026-02-02 Journal of Shoulder and Elbow Surgery 2026-02-02 https://www.jshoulderelbow.org/article/S1058-2746(26)00044-3/fulltext?rss=yes We appreciate the insight provided by Mena et al in the Letter to the Editor for our article, “No Difference in Two-Year Outcomes of Arthroscopic Rotator Cuff Repair in Patients with Osteoporosis.” They suggest 2 main points as they relate to this study: directed acyclic graphs may have improved the visual mapping of the exposure (low bone mineral density) and effect (clinical outcome) and an open data policy would have allowed independent verification of the results. We agree that directed acyclic graphs are a useful method to visually simplify complex workflows. Response to Mena et al regarding: “No difference in 2-year outcomes of arthroscopic rotator cuff repair in patients with osteoporosis” Stephan G. Pill 10.1016/j.jse.2026.01.002 Journal of Shoulder and Elbow Surgery (2026) 2026-02-02 Journal of Shoulder and Elbow Surgery 2026-02-02 Letter to the Editor https://www.jshoulderelbow.org/article/S1058-2746(26)00042-X/fulltext?rss=yes Reverse total shoulder arthroplasty (rTSA) has increasingly become a reliable intervention to improve function and pain for a variety of indications. Glenoid fixation is critical to the success of rTSA, and traditionally the standard anatomic centerline is used, allowing for central baseplate fixation. However, in cases of severe bone loss, baseplate fixation along the alternative centerline has been described. The baseplate axis is anteverted and inferiorly tilted, allowing for fixation into a column of bone where the base of the scapular spine and coracoid meet, thereby prioritizing glenoid fixation. Standard vs. the alternative centerline technique for baseplate fixation in reverse shoulder arthroplasty: a comparison of anterior shoulder pain Olawale A. Sogbein, Adam A. Rizk, Christopher A. Colasanti, Pranav Jain, Ben Campbell, Rohan Patil, Jay Levin, Gerald Williams, Surena Namdari 10.1016/j.jse.2025.12.021 Journal of Shoulder and Elbow Surgery (2026) 2026-02-02 Journal of Shoulder and Elbow Surgery 2026-02-02 https://www.jshoulderelbow.org/article/S1058-2746(26)00034-0/fulltext?rss=yes Rotator cuff repair (RCR) is increasingly performed due to advancements in surgical techniques and an aging population. While generally successful, complications like re-tear, stiffness, infection, and thromboembolic events remain concerns. The rising use of testosterone replacement therapy (TRT) in middle-aged and older men raises questions about its impact on surgical outcomes, as its effect on RCR complications remains unclear. Association of preoperative testosterone replacement therapy with postoperative complications following rotator cuff repair Jad Lawand, Alireza Mirahmadi, Alejandro M. Holle, Romir P. Parmar, Tristan Elias, Jeremy Somerson, Brian Hill, Adam Khan, John Horneff, Joseph Abboud 10.1016/j.jse.2025.12.013 Journal of Shoulder and Elbow Surgery (2026) 2026-01-30 Journal of Shoulder and Elbow Surgery 2026-01-30 https://www.jshoulderelbow.org/article/S1058-2746(26)00026-1/fulltext?rss=yes Glucagon-like peptide-1 agonists (GLP-1s) are increasingly prescribed for type 2 diabetes mellitus (T2DM) and obesity, with over 12% of the United States population reported to being using this medication. While GLP-1s have been associated with reduced complication rates in total hip and knee arthroplasty populations, their association with outcomes after shoulder surgery remains unclear. The purpose of the current study was to perform a systematic review and meta-analysis of studies comparing adverse events between GLP-1 users and non-users following shoulder surgery. GLP-1 receptor agonist therapy is not associated with adverse events following shoulder surgery: a systematic review and meta-analysis Logan D. Moews, Kyle N. Kunze, Napatpong Thamrongskulsiri, Tomas F. Vega, Jacob T. Morgan, Tanner Nishioka, Jorge Chahla, Nikhil N. Verma 10.1016/j.jse.2025.12.005 Journal of Shoulder and Elbow Surgery 35, 6 (2026) 2026-01-29 Journal of Shoulder and Elbow Surgery 2026-01-29 35 6 S1058-2746(26)X2003-1 Review Articles 1560 1569 https://www.jshoulderelbow.org/article/S1058-2746(26)00030-3/fulltext?rss=yes Extraction of well-fixed humeral implants during revision shoulder arthroplasty is difficult and prone to complications, especially humeral fracture (up to 12% in anatomic stem revision and 30% in reverse stem revision). To prevent this complication, we perform a vertical incomplete humerotomy (VIH) and use cerclages with suture loops and Nice knots for fixation. The purpose of this study is to describe the VIH technique with suture cerclage fixation, report the perioperative complications, and evaluate the radiological and clinical results outcomes. Vertical incomplete humerotomy with suture loop cerclages for humeral stem extraction and reimplantation in revision of shoulder arthroplasty Juan-David Lacouture, Ethan Harlow, Manon Biegun, Pascal Boileau 10.1016/j.jse.2025.12.009 Journal of Shoulder and Elbow Surgery (2026) 2026-01-27 Journal of Shoulder and Elbow Surgery 2026-01-27 https://www.jshoulderelbow.org/article/S1058-2746(26)00033-9/fulltext?rss=yes Scapular dyskinesis is an alteration in scapular position and movement that disrupts glenohumeral kinematics. Among its causes, pectoralis minor retraction induces scapular protraction and internal rotation, altering shoulder biomechanics. Often asymptomatic, scapular dyskinesis may also cause pain and reduced joint mobility, compromising function. Initial management relies on targeted rehabilitation, which generally ensures recovery. However, when conservative treatment fails, surgery may be considered. Pectoralis minor tenotomy in the treatment of painful shoulder syndromes associated with scapular dyskinesis Philippe Collin, Laurent Baverel, Donald Tedah, Céline Daniel, Alexandre Lädermann 10.1016/j.jse.2025.12.012 Journal of Shoulder and Elbow Surgery (2026) 2026-01-23 Journal of Shoulder and Elbow Surgery 2026-01-23 https://www.jshoulderelbow.org/article/S1058-2746(26)00039-X/fulltext?rss=yes Online physician review websites are being increasingly utilized by patients when choosing their surgeon. Although most reviews are positive, extremely negative reviews can significantly compromise a physician's online reputation. The purpose of this study was to analyze factors that contribute to negative reviews for orthopedic shoulder surgeons. Characterizing clinical and nonclinical factors in extremely negative online reviews of orthopedic shoulder surgeons Joseph C. Brinkman, Evan H. Richman, Zachary G. LeBaron, Benjamin R. Paul, Boaz Goldberg, John M. Tokish, Eric C. McCarty 10.1016/j.jse.2025.12.018 Journal of Shoulder and Elbow Surgery (2026) 2026-01-22 Journal of Shoulder and Elbow Surgery 2026-01-22 https://www.jshoulderelbow.org/article/S1058-2746(26)00038-8/fulltext?rss=yes Glenohumeral internal rotation deficit (GIRD) has been associated to shoulder injuries in overhead athletes. The glenohumeral posterior capsule stretching techniques, such as the sleeper stretch and cross-body stretch, are used to improve range of motion (ROM) and reduce pain. However, there are no studies comparing these techniques in symptomatic overhead athletes with GIRD. This study aimed to compare the effects of sleeper stretch and cross-body stretch on shoulder pain and shoulder ROM in overhead athletes with GIRD and shoulder pain. The effects of sleeper stretch vs. crossbody stretch in overhead athletes with shoulder pain and glenohumeral internal rotation deficit: a randomized controlled trial Janaynna N. de Araújo, Ana B.A. Oliveira, Danyelle L.F. de Araújo, Gabriel A. dos Santos, Mayara R. da Silva, Danilo H. Kamonseki, Valéria M.A. de Oliveira 10.1016/j.jse.2025.12.017 Journal of Shoulder and Elbow Surgery (2026) 2026-01-22 Journal of Shoulder and Elbow Surgery 2026-01-22 https://www.jshoulderelbow.org/article/S1058-2746(26)00032-7/fulltext?rss=yes Dislocation of the sternoclavicular joint (SCJ) is the most common SCJ condition reported to be managed surgically. However, primary SCJ osteoarthritis (OA) is substantially more common. There are few reports in the literature on the outcome of surgical management of primary SCJ OA. We have successfully adopted sternal docking allograft reconstruction for SCJ instability and have now expanded the technique to patients with primary SCJ OA. This is our first report on the outcome of the sternal docking technique specifically for patients with primary SCJ OA. Primary osteoarthritis of the sternoclavicular joint: surgical management using the sternal docking technique Amanda S. Vazquez-Lloret, Leilani Garayua-Cruz, Michael D. Baird, Kristin E. Yu, Farah Selman, Joaquin Sanchez-Sotelo 10.1016/j.jse.2025.12.011 Journal of Shoulder and Elbow Surgery (2026) 2026-01-22 Journal of Shoulder and Elbow Surgery 2026-01-22 https://www.jshoulderelbow.org/article/S1058-2746(26)00037-6/fulltext?rss=yes Frozen shoulder (FS) is a common fibroinflammatory disorder of the glenohumeral joint capsule, characterized by persistent pain and progressive restriction of range of motion. The fibroblast-to-myofibroblast transition is a central pathological event driving capsular fibrosis, yet the molecular regulators underlying this process remain poorly defined. Protein tyrosine phosphatase 1B (PTP1B) has emerged as a key regulator of fibrosis in multiple organs, but its role in musculoskeletal fibrosis, particularly in FS, has not been investigated. PTP1B as a novel therapeutic target in frozen shoulder: evidence from human capsular tissue analysis Yu-Hang Yang, Wen-Jing Li, Zi-Yan Huang, Xi-Wu Liao, Xiao-Qin Li, Rui-Li Sun, Ji-Zu Wang, Xing-Bo Wang, Ning Ding, Song-Bo Shi, Shu-Jin Wu, Qing-Shan Yang 10.1016/j.jse.2025.12.016 Journal of Shoulder and Elbow Surgery (2026) 2026-01-21 Journal of Shoulder and Elbow Surgery 2026-01-21 https://www.jshoulderelbow.org/article/S1058-2746(26)00036-4/fulltext?rss=yes Stemless anatomic total shoulder arthroplasty (aTSA) has gained considerable traction as an alternative to traditional stemmed implants for the management of glenohumeral arthritis, particularly for patients where bone preservation is a priority. However, some surgeons remain cautious employing a lesser tuberosity osteotomy (LTO) when using stemless implants due to concerns of metaphyseal fixation and implant stability. This study evaluates clinical, radiographic, and functional outcomes of a novel transosseous suture-cable repair for LTO in stemless aTSA. Outcomes of transosseous suture-cable repair for lesser tuberosity osteotomy in stemless anatomic total shoulder arthroplasty: a retrospective case series Teja Yeramosu, Jamal Zahir, Kassem Ghayyad, Daniel E. Goltz, Olamide Oshikoya, G. Russell Huffman 10.1016/j.jse.2025.12.015 Journal of Shoulder and Elbow Surgery (2026) 2026-01-21 Journal of Shoulder and Elbow Surgery 2026-01-21 https://www.jshoulderelbow.org/article/S1058-2746(26)00035-2/fulltext?rss=yes Preoperative planning software enables virtual implantation of reverse total shoulder arthroplasty (rTSA) and assessment of impingement-free range of motion (ROM). Recent studies have shown that scapular resting position varies significantly among individuals and impacts impingement-free ROM. The resting position of the arm also varies between individuals, yet its impact on simulated outcomes and whether this parameter should be integrated into planning programs remains unclear. The objective of this study was to assess the effect of the resting arm position in the coronal plane on simulated impingement-free ROM and on implant positioning metrics, specifically the lateralization shoulder angle (LSA) and distalization shoulder angle (DSA) in rTSA planning. SECEC Grammont Award 2025: the resting arm position influences impingement-free range of motion and the distalization and lateralization shoulder angle in reverse shoulder arthroplasty using Imascap preoperative planning software Alexander J. Vervaecke, Marc-Olivier Gauci, Jules Le Brigand, Olivier Verborgt, Jean-David Werthel, Alexandre Caubère 10.1016/j.jse.2025.12.014 Journal of Shoulder and Elbow Surgery (2026) 2026-01-21 Journal of Shoulder and Elbow Surgery 2026-01-21 https://www.jshoulderelbow.org/article/S1058-2746(26)00031-5/fulltext?rss=yes Lower trapezius transfer (LTT) has been demonstrated to restore external rotation (ER) in patients with brachial plexus palsies. In certain cases of cuff tear arthropathy, patients exhibit preserved forward elevation but lack active ER. This study evaluates the clinical outcomes of LTT, augmented with a semitendinosus tendon autograft and anchored to the infraspinatus insertion using an arthroscopically assisted technique and, to determine whether pain relief and functional improvement are maintained at minimum 7.5-year follow-up compared to the 11-month follow-up. Arthroscopic assisted lower trapezius transfer for the treatment of irreparable posterosuperior rotator cuff tears with nonfunctional teres minor: are the results sustained after more than 7.5 years? Luis José María Suárez Jiménez, Ahmad Nassar, Mohamad K. Moussa, Carlos Murillo Nieto, Philippe Valenti 10.1016/j.jse.2025.12.010 Journal of Shoulder and Elbow Surgery (2026) 2026-01-21 Journal of Shoulder and Elbow Surgery 2026-01-21 https://www.jshoulderelbow.org/article/S1058-2746(26)00029-7/fulltext?rss=yes Reverse shoulder arthroplasty (rTSA) and anatomic total shoulder arthroplasty (aTSA) treat glenohumeral osteoarthritis (GHOA) with comparable early outcomes. Given increasing utilization of rTSA for GHOA, we sought to evaluate outcomes of rTSA and aTSA for GHOA at early and midterm follow-up. Reverse and anatomic total shoulder arthroplasty for glenohumeral osteoarthritis: a propensity-matched comparison at early and midterm follow-up Kathleen A. Leinweber, Adam R. Bowler, Declan R. Diestel, Miranda McDonald-Stahl, Regan P. Arnold, Kiet Le, Warren R. Dunn, Jacob M. Kirsch, Andrew Jawa 10.1016/j.jse.2025.12.008 Journal of Shoulder and Elbow Surgery (2026) 2026-01-19 Journal of Shoulder and Elbow Surgery 2026-01-19 https://www.jshoulderelbow.org/article/S1058-2746(26)00028-5/fulltext?rss=yes Intra-articular corticosteroids are widely used for adhesive capsulitis, but alternatives are needed for patients with contraindications. Hyaluronic acid (HA) and ketorolac have demonstrated individual benefits; however, evidence regarding their combined use remains limited. This study aimed to evaluate and compare the clinical outcomes of intra-articular injection of combined moderate -molecular-weight HA and ketorolac versus ketorolac alone in patients with adhesive capsulitis, focusing on shoulder function, pain reduction, and improvement in range of motion (ROM). Efficacy of combined intra-articular hyaluronic acid and ketorolac versus ketorolac alone in the treatment of adhesive capsulitis: a randomized controlled trial Sorawut Thamyongkit, Pratantat Charoenchaipong, Praman Fuangfa, Rachaporn Taweesakulvashra, Nadhaporn Saengpetch 10.1016/j.jse.2025.12.007 Journal of Shoulder and Elbow Surgery (2026) 2026-01-16 Journal of Shoulder and Elbow Surgery 2026-01-16 https://www.jshoulderelbow.org/article/S1058-2746(26)00027-3/fulltext?rss=yes The requirements for medical device approvals are based on the classification and the associated risks. Based on the type of approval, there can be a higher risk of recall for orthopedic medical devices. The purpose of this study is to analyze the risk of recall for shoulder/elbow devices. Recall trends of FDA-cleared shoulder and elbow devices Johnlevi S. Lazaro, Denise Bion, Luke S. Austin 10.1016/j.jse.2025.12.006 Journal of Shoulder and Elbow Surgery (2026) 2026-01-16 Journal of Shoulder and Elbow Surgery 2026-01-16 https://www.jshoulderelbow.org/article/S1058-2746(26)00025-X/fulltext?rss=yes Arthroscopic Bankart repair (ABR) using the knotless double-row technique, called the knotless double anchor footprint fixation (DAFF), involves inserting anchors into the scapular neck, passing sutures through the anterior inferior glenohumeral ligament complex, and using face anchors to secure the ligament complex under increased tension. In single-row arthroscopic Bankart repair, a postoperative reduction in glenoid width is frequently observed. This phenomenon is associated with mechanical stress shielding at the anterior glenoid rim, particularly in the area situated anterior to the anchor insertion. Morphologic changes in the glenoid after arthroscopic Bankart repair using the double-row technique Tomohiro Uno, Nariyuki Mura, Ryuta Oishi, Issei Yuki, Hiroshi Satake, Yuya Takakubo, Michiaki Takagi 10.1016/j.jse.2025.12.004 Journal of Shoulder and Elbow Surgery 35, 6 (2026) 2026-01-14 Journal of Shoulder and Elbow Surgery 2026-01-14 35 6 S1058-2746(26)X2003-1 Online Only e681 e688 https://www.jshoulderelbow.org/article/S1058-2746(25)00873-0/fulltext?rss=yes Vitamin D is crucial in musculoskeletal health, supporting bone, tendon, and muscle function. However, its localized delivery for tendon healing and muscle regeneration remains underexplored. We hypothesized that combining systemic and localized vitamin D delivery would enhance healing in a rotator cuff repair model. Localized vitamin D delivery via 3D-printed nanofiber sheets combined with systemic supplementation enhances tendon-to-bone healing in a rabbit rotator cuff tear model: a preclinical study Sung-Min Rhee, Young Ki Min, Joo Hyun Park, Hyeon Jang Jeong, Kyung Hoon Lee, Suk-Hee Park, Joo Han Oh 10.1016/j.jse.2025.12.003 Journal of Shoulder and Elbow Surgery 35, 6 (2026) 2025-12-30 Journal of Shoulder and Elbow Surgery 2025-12-30 35 6 S1058-2746(26)X2003-1 Basic Science 1539 1550 https://www.jshoulderelbow.org/article/S1058-2746(25)00872-9/fulltext?rss=yes The purpose of this study was to analyze rates of recurrent shoulder instability and subsequent surgery, as well as the risk factors associated with those outcomes, in a large prospective multicenter cohort of patients. Recurrence after soft-tissue anterior shoulder stabilization: 2-year results from the MOON shoulder cohort Brian R. Wolf, Warren R. Dunn, Richard J. VanTienderen, Shannon F. Ortiz, MOON Shoulder Group, Carolyn M. Hettrich 10.1016/j.jse.2025.12.002 Journal of Shoulder and Elbow Surgery 35, 6 (2026) 2025-12-29 Journal of Shoulder and Elbow Surgery 2025-12-29 35 6 S1058-2746(26)X2003-1 Shoulder 1474 1483 https://www.jshoulderelbow.org/article/S1058-2746(25)00870-5/fulltext?rss=yes Proximal ulna fracture-dislocations are challenging injuries with variable patterns of elbow instability. Accurate identification of the affected structures and classification of the injury are essential for guiding treatment. The Mayo Clinic coronoid-centric classification organizes these injuries based on the continuity of the coronoid process with major ulnar fragments, placing the coronoid process at the center of the classification criteria. This study assessed the external validity of this classification using an independent cohort of patients with proximal ulna fracture-dislocations. Inter- and intraobserver reliability of the Mayo coronoid-centric classification for proximal ulna fracture-dislocations Ezequiel Fernando Martínez, Fernando Holc, Pedro Bronenberg Victorica, Gerardo L. Gallucci, Mariano O. Abrego, Pablo De Carli, Jorge G. Boretto 10.1016/j.jse.2025.11.027 Journal of Shoulder and Elbow Surgery (2025) 2025-12-29 Journal of Shoulder and Elbow Surgery 2025-12-29 https://www.jshoulderelbow.org/article/S1058-2746(25)00871-7/fulltext?rss=yes Bony increased-offset–reverse shoulder arthroplasty (BIO-RSA) has shown promising short- to medium-term results; however, long-term outcomes are lacking. The goal of the present study was to report on survival and long-term (minimum 10-year follow-up) outcomes of BIO-RSA. Survival and long-term (minimum 10-year) outcomes of bony increased-offset–reverse shoulder arthroplasty Gregorio Secci, Mark Mouchantaf, Manon Biegun, Philipp Schippers, Mikaël Chelli, Pascal Boileau 10.1016/j.jse.2025.11.028 Journal of Shoulder and Elbow Surgery 35, 6 (2026) 2025-12-28 Journal of Shoulder and Elbow Surgery 2025-12-28 35 6 S1058-2746(26)X2003-1 Shoulder 1409 1419 https://www.jshoulderelbow.org/article/S1058-2746(25)00869-9/fulltext?rss=yes Clinical studies support that augmenting rotator cuff repair through the induction of new host tissue can prevent gapping or retear by increasing tendon thickness and strength. To date, most implants for augmentation have focused solely on biologic healing or mechanical reinforcement of the repair. This preclinical study evaluated the short- and long-term performance of a biocomposite (type I collagen and poly-l-lactic acid [PLLA]) scaffold to support the rapid proliferation, maturation, and remodeling of new host tissue in a large-animal rotator cuff repair model. Augmentation of a rotator cuff tendon repair using a bioinductive biocomposite scaffold in an ovine infraspinatus model William R. Walsh, Joaquin Batista, Vedran Lovric, James D. Crowley, Dan Wills, Andrew J. Carter, Tian Wang, Robert Stanton, Kevin Rocco, Robert Arciero 10.1016/j.jse.2025.11.026 Journal of Shoulder and Elbow Surgery 35, 6 (2026) 2025-12-28 Journal of Shoulder and Elbow Surgery 2025-12-28 35 6 S1058-2746(26)X2003-1 Basic Science 1551 1559 https://www.jshoulderelbow.org/article/S1058-2746(25)00868-7/fulltext?rss=yes Locking plate fixation is an effective treatment for greater tuberosity (GT) fractures. This study aimed to compare the clinical and radiological outcomes between a low-profile anatomical locking plate (LPALP) and the proximal humeral internal locking system (PHILOS) for displaced split-type GT fractures. A low-profile anatomical locking plate for the treatment of humerus split-type greater tuberosity fractures compared to the proximal humerus internal locking system (PHILOS): a retrospective study Ning-Jie Zhang, Yi-Jie Chai, Yu-Wen Jiang, Jian-Ming He, Yun-Feng Chen, Lang-Qing Zeng 10.1016/j.jse.2025.11.025 Journal of Shoulder and Elbow Surgery (2025) 2025-12-28 Journal of Shoulder and Elbow Surgery 2025-12-28 https://www.jshoulderelbow.org/article/S1058-2746(25)00867-5/fulltext?rss=yes Although risk factors for recurrent instability following arthroscopic Bankart repair (ABR) have been extensively investigated in the general population, research focusing specifically on military cohorts remains scarce. This study aimed to assess the predictive value of the Instability Shoulder Index (ISI) score and distance to dislocation (DTD) for recurrent instability following ABR in a military population. The distance to dislocation outperforms the instability severity index score in predicting recurrent instability after arthroscopic Bankart repair in a military population Guangqian Shang, Yuhao Mu, Zhidong Zhao, Zheng Guo, Qiang Zhang, Zhongli Li, Ji Li 10.1016/j.jse.2025.11.024 Journal of Shoulder and Elbow Surgery 35, 6 (2026) 2025-12-27 Journal of Shoulder and Elbow Surgery 2025-12-27 35 6 S1058-2746(26)X2003-1 Shoulder 1484 1491 https://www.jshoulderelbow.org/article/S1058-2746(25)00866-3/fulltext?rss=yes Introduction of reverse total shoulder arthroplasty (rTSA) has contributed to a large increase in primary rTSA volume. The impact of rTSA on revision TSA has not been well described. This study aims to describe the change of 1) the volume of revision and re-revision TSA, 2) the indications for revision TSA, and 3) patient reported outcomes related to revision indication. Trends in 1030 revision shoulder arthroplasty cases: changing rates, indications, and treatments Logan Kolakowski, Monica Stadecker, Michael Kucharik, Josué G. Layuno-Matos, Caleb A. Jones, Audrey Hunt, Otho R. Plummer, Kaitlyn N. Christmas, Peter Simon, Mark A. Frankle 10.1016/j.jse.2025.11.023 Journal of Shoulder and Elbow Surgery 35, 6 (2026) 2025-12-27 Journal of Shoulder and Elbow Surgery 2025-12-27 35 6 S1058-2746(26)X2003-1 Shoulder 1434 1443 https://www.jshoulderelbow.org/article/S1058-2746(25)00865-1/fulltext?rss=yes Revision total elbow arthroplasty (TEA) is increasing as more primary TEAs are performed. Bone loss in the proximal ulnar can provide a complex challenge in the revision setting. Limited options are discussed in the literature, including use of impaction grafting, strut allograft, and allograft prosthetic composite. Custom ulna megaprosthesis (CUMP) is another viable option for this problem, but there remains a significant lack of evidence on its use in revision TEA for nontumor indications. We present our institution’s experience with CUMP use in revision TEA for nontumor indications. Custom ulna megaprosthesis use in revision total elbow replacement Parag Raval, Hassan Raja, Oubida Asaad, Mark Falworth, Addie Majed, Will Rudge, David Butt, Deborah Higgs 10.1016/j.jse.2025.11.022 Journal of Shoulder and Elbow Surgery (2025) 2025-12-27 Journal of Shoulder and Elbow Surgery 2025-12-27 https://www.jshoulderelbow.org/article/S1058-2746(25)00864-X/fulltext?rss=yes Retear following rotator cuff repair is relatively common. Onlay biological grafts offer a potential solution, as a source of additional healing. The purpose of this study was to determine whether the addition of an onlay bioinductive implant would improve repair integrity and examiner-measured and/or patient-rated shoulder function at ≥2 years after revision arthroscopic rotator cuff repair in workers’ compensation patients. We hypothesized that the addition of the onlay bioinductive implant in arthroscopic revision rotator cuff repairs would improve repair integrity and functional outcomes at minimum 2-year follow-up compared with standard repair. The effectiveness of arthroscopically inserted onlay bioinductive implant on revision rotator cuff repair in workers’ compensation patients: a case-controlled cohort study with minimum 2-year follow-up Jamie Lau, Ryan S. Ting, Patrick H. Lam, George A.C. Murrell 10.1016/j.jse.2025.11.021 Journal of Shoulder and Elbow Surgery 35, 6 (2026) 2025-12-26 Journal of Shoulder and Elbow Surgery 2025-12-26 35 6 S1058-2746(26)X2003-1 Shoulder 1492 1501 https://www.jshoulderelbow.org/article/S1058-2746(25)00863-8/fulltext?rss=yes Despite extensive study of the treatment of glenohumeral osteoarthritis (GHOA), there has been little investigation of the progression of the pathoanatomy, and associations between longitudinal radiographic changes and clinical manifestations of GHOA remain poorly understood. The purpose of this study was to evaluate the progression of plain radiographic features of GHOA, as well as the effect on clinical presentation. The natural history of glenohumeral osteoarthritis: an analysis of sequential plain radiographs Ty Agaisse, Trevor Toavs, Oscar Covarrubias, Brandon Portnoff, Janine Molino, E. Scott Paxton, Andrew Green 10.1016/j.jse.2025.12.001 Journal of Shoulder and Elbow Surgery 35, 6 (2026) 2025-12-26 Journal of Shoulder and Elbow Surgery 2025-12-26 35 6 S1058-2746(26)X2003-1 Shoulder 1387 1401 https://www.jshoulderelbow.org/article/S1058-2746(25)00862-6/fulltext?rss=yes Reverse total shoulder arthroplasty (rTSA) is an alternative to anatomic total shoulder arthroplasty for the treatment of primary glenohumeral osteoarthritis (GHOA) with intact rotator cuff. The utility of subscapularis (SC) repair in rTSA remains controversial. The purpose of this study was to investigate the effect of an SC repair treatment protocol on the outcome of rTSA for treating GHOA with an intact rotator cuff using a lateralized glenoid and inlay humerus rTSA system (Enovis/DJO RSP and AltiVate). Is subscapularis repair beneficial in patients undergoing reverse shoulder arthroplasty for glenohumeral osteoarthritis with an intact rotator cuff: evaluation of a treatment protocol? Kenny Chang, Trevor Toavs, Oscar Covarrubias, Mohammad Daher, Andrew Green 10.1016/j.jse.2025.11.020 Journal of Shoulder and Elbow Surgery 35, 6 (2026) 2025-12-21 Journal of Shoulder and Elbow Surgery 2025-12-21 35 6 S1058-2746(26)X2003-1 Shoulder 1444 1456 https://www.jshoulderelbow.org/article/S1058-2746(25)00861-4/fulltext?rss=yes Coronoid fracture characterization is crucial in treatment decision-making. The base of the coronoid is a fundamental reference used for fracture classification and to perform measurements to quantify fragment size, both of which guide the decision to proceed with surgical intervention. Furthermore, computed tomography used for fracture analysis relies on the acquisition of planar images aligned with specific anatomical axes, which should be referenced to the ulna rather than the humerus to minimize variability introduced by the flexion-extension positioning or ulno-humeral alignment. The base of the coronoid as a reliable anatomical reference for elbow axis of rotation: evidence from a cadaveric study Sara Iribarren-Baró, Natalia Martinez-Catalan, Pablo Sanchez-Urgelles, María Valencia, Antonio M. Foruria 10.1016/j.jse.2025.11.019 Journal of Shoulder and Elbow Surgery (2025) 2025-12-19 Journal of Shoulder and Elbow Surgery 2025-12-19 https://www.jshoulderelbow.org/article/S1058-2746(25)00860-2/fulltext?rss=yes Reverse total shoulder arthroplasty (rTSA) designs have evolved from Grammont's original design due to the sequelae of postoperative problems that arose. However, the impact of rTSA design on shoulder muscle function is not fully understood. The purpose of this study was to calculate and compare deltoid and rotator cuff function during abduction in the native shoulder and in 3 generic rTSA designs: lateral glenosphere-medial humerus (LG/MH), medial glenosphere-medial humerus (MG/MH), and medial glenosphere-lateral humerus (MG/LH). Effect of reverse shoulder arthroplasty design on deltoid and rotator cuff function in abduction Marcus G. Pandy, Kaiwen Yang, Shanyuanye Guan, Christian M. Schmidt II, Mark A. Frankle 10.1016/j.jse.2025.11.018 Journal of Shoulder and Elbow Surgery 35, 6 (2026) 2025-12-18 Journal of Shoulder and Elbow Surgery 2025-12-18 35 6 S1058-2746(26)X2003-1 Rehabilitation and Peformance 1605 1617 https://www.jshoulderelbow.org/article/S1058-2746(25)00859-6/fulltext?rss=yes Strut allograft reconstruction represents an appealing option to address bone deficiency in revision total elbow arthroplasty (TEA), offering immediate structural support and potential for graft incorporation to restore bone stock. However, evidence supporting its efficacy is limited to small case series studies. This study aimed to assess strut allograft incorporation, complication, and re-revision rates in a large series of elbows that underwent revision TEA with strut allograft augmentation. Strut allograft augmentation restores bone stock in revision elbow arthroplasty, but is not universally successful in preventing a second revision Daniel Z. You, Samuel S. Rudisill, Michael Baird, Shawn O’. Driscoll, Joaquin Sanchez-Sotelo, Mark Morrey 10.1016/j.jse.2025.11.017 Journal of Shoulder and Elbow Surgery 35, 6 (2026) 2025-12-18 Journal of Shoulder and Elbow Surgery 2025-12-18 35 6 S1058-2746(26)X2003-1 Online Only e697 e704 https://www.jshoulderelbow.org/article/S1058-2746(25)00858-4/fulltext?rss=yes The available data on heterotopic ossification (HO) following implantation of reverse total shoulder arthroplasty (rTSA) is limited. It was the aim of this study to determine occurrence of HO following rTSA and the impact on clinical outcome. Heterotopic ossification following primary reverse total shoulder arthroplasty Philipp Kriechling, Marco Bösch, Bettina Hochreiter, Torsten Pastor, Mazda Farshad, Karl Wieser 10.1016/j.jse.2025.11.016 Journal of Shoulder and Elbow Surgery 35, 6 (2026) 2025-12-18 Journal of Shoulder and Elbow Surgery 2025-12-18 35 6 S1058-2746(26)X2003-1 Shoulder 1457 1465 https://www.jshoulderelbow.org/article/S1058-2746(25)00857-2/fulltext?rss=yes There has been a trend toward the use of shorter humeral components with the goal of preserving bone, decreasing operative time, and a theoretical decrease in stress shielding. The purpose of this study was to compare the clinical and functional outcomes of anatomic total shoulder arthroplasty among standard-length stem, short-stem, and stemless humeral components, with a minimum of 2-year follow-up. Comparing clinical and functional outcomes following anatomic total shoulder arthroplasty based on humeral component length (Equinoxe; Exactech, Inc.) William R. Aibinder, Mahdi Mazeh, Josie A. Elwell, Joseph Zuckerman, Thomas Wright, Pierre-Henri Flurin, Christopher Roche, Stephanie J. Muh 10.1016/j.jse.2025.11.015 Journal of Shoulder and Elbow Surgery 35, 6 (2026) 2025-12-18 Journal of Shoulder and Elbow Surgery 2025-12-18 35 6 S1058-2746(26)X2003-1 Shoulder 1466 1473 https://www.jshoulderelbow.org/article/S1058-2746(25)00856-0/fulltext?rss=yes Accurate positioning of the glenoid baseplate and peripheral screws is critical in reverse total shoulder arthroplasty (rTSA). Patient-specific instrumentation (PSI) has been introduced to improve surgical accuracy, but its benefits over conventional free-hand techniques remain uncertain. This study aimed to evaluate the accuracy of glenoid baseplate and peripheral screw placement between PSI-assisted and conventional free-hand rTSA. Patient-specific instrumentation vs. a free-hand technique for glenoid baseplate and peripheral screw placement in reverse total shoulder arthroplasty using the Exactech implant system: a multicenter randomized controlled trial Hyojune Kim, HwaYong Lee, Tae Kang Lim, Seong Hun Kim, Hyo-Jin Lee, Hyeon Jang Jeong, Min Soo Shon, In-Ho Jeon, Kyoung Hwan Koh 10.1016/j.jse.2025.11.014 Journal of Shoulder and Elbow Surgery 35, 6 (2026) 2025-12-15 Journal of Shoulder and Elbow Surgery 2025-12-15 35 6 S1058-2746(26)X2003-1 Shoulder 1420 1433 https://www.jshoulderelbow.org/article/S1058-2746(25)00855-9/fulltext?rss=yes More older adults with displaced proximal humerus fracture (PHF) are managed nonsurgically and referred to supervised rehabilitation, but its effectiveness is unknown. The primary objective of this trial was to investigate if supervised rehabilitation is superior to a single session of advice on patient-reported shoulder pain and function at 6 months postinjury, in older adults with displaced PHF treated nonoperatively. Supervised rehabilitation comparable to single advice session after nonoperative treatment of displaced proximal humerus fracture: a randomized controlled trial Behnam Liaghat, Signe Amalie Meier Borg, Tobias Haugegaard, Robin Christensen, Stig Brorson 10.1016/j.jse.2025.11.013 Journal of Shoulder and Elbow Surgery 35, 6 (2026) 2025-12-15 Journal of Shoulder and Elbow Surgery 2025-12-15 35 6 S1058-2746(26)X2003-1 Rehabilitation and Peformance 1587 1595 https://www.jshoulderelbow.org/article/S1058-2746(25)00848-1/fulltext?rss=yes The majority of patients with symptomatic sternoclavicular joint (SCJ) osteoarthritis (OA) can be successfully treated nonoperatively. For patients who remain symptomatic, an arthroscopic or open SCJ excision arthroplasty is usually successful. However, a standard SCJ excision arthroplasty is contraindicated in patients with associated instability. We have developed an open intracapsular excision arthroplasty and augmented capsular plication technique to treat patients with SCJ OA and associated instability. Sternoclavicular joint osteoarthritis with associated anterior instability treated with open excision arthroplasty and an augmented anterior capsular plication Graham Tytherleigh-Strong, Lee Van Rensburg 10.1016/j.jse.2025.11.006 Journal of Shoulder and Elbow Surgery 35, 6 (2026) 2025-12-15 Journal of Shoulder and Elbow Surgery 2025-12-15 35 6 S1058-2746(26)X2003-1 Online Only e689 e696 https://www.jshoulderelbow.org/article/S1058-2746(25)00853-5/fulltext?rss=yes Repair and augmentation techniques have been successfully applied in the treatment of acute ligament injuries causing elbow instability. This study evaluates whether the chronicity of elbow instability affects postoperative outcomes following ligament repair with augmentation using suture tape internal bracing. Injury chronicity does not affect outcomes following ligament repair with suture tape augmentation for post-traumatic elbow instability Xunqi Cheow, Sophia Schramm, Andreas Voss, Stefan Greiner 10.1016/j.jse.2025.11.011 Journal of Shoulder and Elbow Surgery 35, 6 (2026) 2025-12-13 Journal of Shoulder and Elbow Surgery 2025-12-13 35 6 S1058-2746(26)X2003-1 Elbow 1529 1538 https://www.jshoulderelbow.org/article/S1058-2746(25)00851-1/fulltext?rss=yes Medial elbow injuries, particularly ulnar collateral ligament injuries, are a major concern in youth and adolescent pitchers. Elbow varus torque (EVT) is commonly used as an index of medial valgus load. We examined whether the Forearm Whip Angle (FWA)—defined as the sagittal-plane inclination of the throwing-forearm segment relative to the horizontal—relates independently to EVT and which phase-specific lower-extremity/trunk motions determine FWA. Biomechanical risk factors for medial elbow valgus stress in baseball pitchers: the role of Forearm Whip Angle Tomoyuki Matsui, Kazuya Seo, Tetsuya Miyazaki, Yoshikazu Azuma, Yudai Kikuchi, Noriyuki Kida, Toru Morihara 10.1016/j.jse.2025.11.008 Journal of Shoulder and Elbow Surgery 35, 6 (2026) 2025-12-13 Journal of Shoulder and Elbow Surgery 2025-12-13 35 6 S1058-2746(26)X2003-1 Rehabilitation and Peformance 1596 1604 https://www.jshoulderelbow.org/article/S1058-2746(25)00849-3/fulltext?rss=yes The COVID-19 pandemic accelerated the demand for remote assessment tools in rehabilitation, especially the need for accurate and reliable technologies to measure shoulder range of motion (ROM) outside of clinical environments. Emerging tools such as smartphone apps, wearable sensors, and markerless motion capture systems are increasingly being adopted, yet their accuracy and reliability compared to reference standards remains unclear. Accuracy and reliability of remote shoulder motion capturing methods: a systematic review and meta-analysis Pengchi Chen, Mia Prosser, Bob Phillips, Peter Ellison CEng, Amar Rangan 10.1016/j.jse.2025.11.007 Journal of Shoulder and Elbow Surgery 35, 6 (2026) 2025-12-13 Journal of Shoulder and Elbow Surgery 2025-12-13 35 6 S1058-2746(26)X2003-1 Review Article 1570 1586 https://www.jshoulderelbow.org/article/S1058-2746(25)00854-7/fulltext?rss=yes Lateral epicondylitis (LE) is commonly treated with triamcinolone injections, but ketorolac, a nonsteroidal anti-inflammatory drug (NSAID), may offer a safer alternative. This non-inferiority trial evaluated whether ketorolac is non-inferior to triamcinolone in LE patients for pain relief measured by Visual Analog Scale (VAS) at 24 weeks (primary outcome, non-inferiority margin: 1 cm). The KINDLE trial: ketorolac vs. triamcinolone injections for lateral epicondylitis- a non-inferiority randomized controlled multicentric trial Kavin Khatri, Nikhil Gupta, Nitin Bansal, Neeraj Malhotra, Amit Lakhani, Anshul Dahuja 10.1016/j.jse.2025.11.012 Journal of Shoulder and Elbow Surgery 35, 6 (2026) 2025-12-12 Journal of Shoulder and Elbow Surgery 2025-12-12 35 6 S1058-2746(26)X2003-1 Elbow 1518 1528 https://www.jshoulderelbow.org/article/S1058-2746(25)00852-3/fulltext?rss=yes Patients with massive irreparable rotator cuff tears sometimes experience significant functional impairment due to external rotation deficits, categorized as isolated loss of external rotation (ILER) or combined loss of elevation and external rotation (CLEER). Existing shoulder measurement tools primarily assess range of motion or power, overlooking specific deficits in activities of daily living (ADLs) related to external rotation. The ADLER (Activities of Daily Living in External Rotation) score was developed to address this gap, focusing on active external rotation disability. The ADLER score: how to quantify and qualify deficits of external rotation Harry Constantin, Quentin Rialet, Luis José María Suárez Jiménez, Pascal Boileau 10.1016/j.jse.2025.11.009 Journal of Shoulder and Elbow Surgery 35, 6 (2026) 2025-12-12 Journal of Shoulder and Elbow Surgery 2025-12-12 35 6 S1058-2746(26)X2003-1 Online Only e672 e680 https://www.jshoulderelbow.org/article/S1058-2746(25)00850-X/fulltext?rss=yes Reverse total shoulder arthroplasty (rTSA) has become the standard surgical option for managing complex proximal humerus fractures (PHFs) in elderly patients. Despite its widespread use, postoperative functional outcomes remain inconsistent, and patient selection criteria are not well defined. A preoperative decision algorithm for reverse shoulder arthroplasty in complex proximal humerus fractures in the elderly Yaiza Lopiz, Andres Bartrina, Alejandro Landero, Pablo Checa-Betegón, Carlos García-Fernandez, Daniel Garríguez-Pérez, Fernando Marco 10.1016/j.jse.2025.11.010 Journal of Shoulder and Elbow Surgery 35, 6 (2026) 2025-12-12 Journal of Shoulder and Elbow Surgery 2025-12-12 35 6 S1058-2746(26)X2003-1 Shoulder 1502 1509 https://www.jshoulderelbow.org/article/S1058-2746(25)00811-0/fulltext?rss=yes Small, isolated coronoid fractures involving less than one-third of the coronoid height are often underestimated on plain radiographs due to minimal displacement and preserved joint congruity. However, these fractures can be associated with significant soft tissue injuries, leading to occult elbow instability. This study aimed to investigate the mechanisms and characteristics of isolated small coronoid fractures and to analyze their three-dimensional (3D) morphology using computed tomography (CT)-based modeling. What injury makes an isolated small coronoid fracture? Morphological analysis using three-dimensional computed tomography reconstruction An-Seong Chang, Seong Min Jeong, Wonseok Choi, Jun-Gyu Moon 10.1016/j.jse.2025.11.003 Journal of Shoulder and Elbow Surgery (2025) 2025-12-08 Journal of Shoulder and Elbow Surgery 2025-12-08 https://www.jshoulderelbow.org/article/S1058-2746(25)00810-9/fulltext?rss=yes The annual incidence of reverse total shoulder arthroplasty (rTSA) indications has surpassed that of anatomic total shoulder arthroplasty. Its unique complications include prosthetic dislocation, acromial and scapular stress fractures, and scapular notching. Anterior shoulder pain is a less recognized, poorly understood complication, with little literature describing its existence, risk factors, and causes. The purpose of this work was to describe its prevalence in our patient population undergoing rTSA and its potential associations. Prevalence and risk factors associated with anterior shoulder pain following reverse total shoulder arthroplasty Andrew Nahr, Stefan Hanish, Matthew Colatruglio, Tori Coble, Mary C. Hunter, Jeff Murphy, Thomas W. Throckmorton, Tyler J. Brolin 10.1016/j.jse.2025.11.002 Journal of Shoulder and Elbow Surgery 35, 6 (2026) 2025-12-08 Journal of Shoulder and Elbow Surgery 2025-12-08 35 6 S1058-2746(26)X2003-1 Shoulder 1402 1408 https://www.jshoulderelbow.org/article/S1058-2746(25)00809-2/fulltext?rss=yes The purpose of this investigation was to evaluate the impact of scapular neck length (SNL) on outcomes following reverse total shoulder arthroplasty (rTSA) using a lateralized 135° implant (Univers Revers; Arthrex Inc.; Naples, FL). Our hypothesis was that increased postoperative SNL would be associated with improved range of motion (ROM) following rTSA. Postoperative scapular neck length is associated with strength and rotational range of motion following reverse total shoulder arthroplasty with the Arthrex Univers Revers Annalise D. Denard, Brian C. Werner, Hayden B. Schuette, Abbey E. DeBruin, Shoulder 90 Arthroplasty Research Committee (ShARC) group, Benjamin W. Sears 10.1016/j.jse.2025.10.021 Journal of Shoulder and Elbow Surgery 35, 6 (2026) 2025-12-08 Journal of Shoulder and Elbow Surgery 2025-12-08 35 6 S1058-2746(26)X2003-1 Online Only e664 e671 https://www.jshoulderelbow.org/article/S1058-2746(25)00808-0/fulltext?rss=yes Radial head replacement (RHR) is a well-established treatment for comminuted fractures (radial head fracture). In most cases, it provides satisfactory long-term functional results. However, some patients have pain and significant functional limitations. Our aim was to identify patients who underwent an RHR for acute trauma and had a clinical outcome that was considered an outlier. We assessed specific factors that contributed to an unfavorable result. Predictors for outlier results after radial head replacement for acute complex elbow instability Blanca Diez Sánchez, Luis Palacios-Díaz, Samuel A. Antuña, Raúl Barco 10.1016/j.jse.2025.10.020 Journal of Shoulder and Elbow Surgery 35, 6 (2026) 2025-12-06 Journal of Shoulder and Elbow Surgery 2025-12-06 35 6 S1058-2746(26)X2003-1 Elbow 1510 1517 https://www.jshoulderelbow.org/article/S1058-2746(25)00807-9/fulltext?rss=yes Reverse total shoulder arthroplasty (rTSA) is a well-established treatment for cuff tear arthropathy and consistently restores active forward elevation. However, when there is a deficiency of the posterior rotator cuff (infraspinatus and teres minor), patients can exhibit lag signs at the side and a “Hornblower's sign.” This loss of active external rotation (ER) in abduction can be functionally disabling, and rTSA alone may not reliably restore active ER ability in this clinical scenario. We present a series of rTSA with lower trapezius transfer (LTT) (utilizing tibialis anterior allograft) as the primary surgery for patients with a combined loss of active elevation and severe loss of active ER, both at the side and in elevation. Reverse total shoulder arthroplasty with the Tornier Perform implant with lower trapezius transfer for symptomatic rotator cuff deficiency with external rotation lag and Hornblower's sign John P. Scanaliato, Tyler Williams, Sydney Garelick, Ryan Lew, Arden Shen, Burton Dunlap, Grant E. Garrigues, Gregory P. Nicholson 10.1016/j.jse.2025.10.019 Journal of Shoulder and Elbow Surgery 35, 6 (2026) 2025-12-05 Journal of Shoulder and Elbow Surgery 2025-12-05 35 6 S1058-2746(26)X2003-1 Online Only e654 e663 https://www.jshoulderelbow.org/article/S1058-2746(25)00745-1/fulltext?rss=yes Physician reimbursement for orthopedic procedures, such as total shoulder arthroplasty (TSA) and related revision surgeries, has been subject to economic pressures over the past 2 decades. Understanding trends in reimbursement, especially when adjusted for inflation, provides insight into health care economics and informs policy decisions. Inflation-adjusted Medicare reimbursement for primary and revision shoulder arthroplasty: an updated analysis Tej Joshi, Akhil Katakam, Amanda Azer, Christopher Hawryluk, Andrew Bloh, Daniel Calem, Ari J. Clements, Eitan M. Kohan, Francis G. Alberta 10.1016/j.jse.2025.08.028 Journal of Shoulder and Elbow Surgery 35, 6 (2026) 2025-10-17 Journal of Shoulder and Elbow Surgery 2025-10-17 35 6 S1058-2746(26)X2003-1 Online Articles e645 e653 https://www.jshoulderelbow.org/article/S1058-2746(23)00886-8/fulltext?rss=yes WITHDRAWN: Are glenoid retroversion, humeral subluxation and Walch classification associated with a muscle imbalance Jean-David Werthel, Maryama Dufrenot, Bradley S. Schoch, Arnaud Walch, Yannick Morvan, Manuel Urvoy, Gilles Walch, Marc-Olivier Gauci 10.1016/j.jse.2023.11.002 Journal of Shoulder and Elbow Surgery (2023) 2023-12-27 Journal of Shoulder and Elbow Surgery 2023-12-27 https://www.jshoulderelbow.org/article/S1058-2746(22)00326-3/fulltext?rss=yes WITHDRAWN: Comparison of Glenoid Bone Grafting versus Augmented Glenoid Baseplates in Reverse Shoulder Arthroplasty: A Systematic Review Nathan S. Lanham, Joel R. Peterson, Rifat Ahmed, Charles M. Jobin, William N. Levine 10.1016/j.jse.2022.02.022 Journal of Shoulder and Elbow Surgery (2022) 2022-03-25 Journal of Shoulder and Elbow Surgery 2022-03-25 Original Article https://www.jshoulderelbow.org/article/S1058-2746(21)00152-X/fulltext?rss=yes This article has been withdrawn at the request of the author(s) and/or editor. The Publisher apologizes for any inconvenience this may cause.The full Elsevier Policy on Article Withdrawal can be found at https://www.elsevier.com/about/our-business/policies/article-withdrawal WITHDRAWN: Midterm outcomes of a short cemented bipolar radial head arthroplasty, in a cohort of 56 cases with minimum 2-years follow-up Marie Le Mapihan, Lior Amsallem, David Ing, Emmanuel H. Masmejean 10.1016/j.jse.2021.02.011 Journal of Shoulder and Elbow Surgery (2021) 2021-03-04 Journal of Shoulder and Elbow Surgery 2021-03-04 https://www.jshoulderelbow.org/article/S1058-2746(20)30885-5/fulltext?rss=yes This article has been withdrawn at the request of the author(s) and/or editor. The Publisher apologizes for any inconvenience this may cause.The full Elsevier Policy on Article Withdrawal can be found at https://www.elsevier.com/about/our-business/policies/article-withdrawal WITHDRAWN: Fracture line morphology of greater tuberosity fragments of Neer 3 and 4 part proximal humerus fractures Jianhai Chen, Jiabao Ju, Mingtai Ma, Yanhua Wang, Yichong Zhang, Yuhui Kou, Zixiao Zhang, Dianying Zhang, Baoguo Jiang 10.1016/j.jse.2020.10.013 Journal of Shoulder and Elbow Surgery (2020) 2020-11-18 Journal of Shoulder and Elbow Surgery 2020-11-18 https://www.jshoulderelbow.org/article/S1058-2746(26)00196-5/fulltext?rss=yes Sponsoring Societies 10.1016/S1058-2746(26)00196-5 Journal of Shoulder and Elbow Surgery 35, 6 (2026) 2026-06 Journal of Shoulder and Elbow Surgery 2026-06 35 6 S1058-2746(26)X2003-1 A10 https://www.jshoulderelbow.org/article/S1058-2746(26)00195-3/fulltext?rss=yes Table of Contents 10.1016/S1058-2746(26)00195-3 Journal of Shoulder and Elbow Surgery 35, 6 (2026) 2026-06 Journal of Shoulder and Elbow Surgery 2026-06 35 6 S1058-2746(26)X2003-1 A3 A7 https://www.jshoulderelbow.org/article/S1058-2746(26)00194-1/fulltext?rss=yes Editorial Board 10.1016/S1058-2746(26)00194-1 Journal of Shoulder and Elbow Surgery 35, 6 (2026) 2026-06 Journal of Shoulder and Elbow Surgery 2026-06 35 6 S1058-2746(26)X2003-1 A1