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Innovation in Shoulder Surgery: Navigating the Future with New Technologies
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Innovation in Shoulder Surgery: Navigating the Future with New Technologies

A special issue of Journal of Clinical Medicine (ISSN 2077-0383). This special issue belongs to the section "Orthopedics".

Deadline for manuscript submissions: 31 May 2025 | Viewed by 2260

Special Issue Editors

Prof. Dr. Francesco Franceschi

E-Mail Website
Guest Editor
1. Department of Orthopaedic and Trauma Surgery, San Pietro Fatebenefratelli Hospital, 00189 Rome, Italy
2. UniCamil-lus-Saint Camillus International University of Health Sciences, 00189 Rome, Italy
Interests: shoulder arthroplasty; rotator cuff repair; shoulder surgery; sport medicine; arthroplasty
Dr. Angelo Baldari

E-Mail Website
Guest Editor Assistant
1. Department of Orthopaedic and Trauma Surgery, San Pietro Fatebenefratelli Hospital, 00189 Rome, Italy
2. UniCamil-lus-Saint Camillus International University of Health Sciences, 00189 Rome, Italy
Interests: shoulder arthroplasty; rotator cuff repair; shoulder surgery; sport medicine; arthroplasty
Dr. Antonio Caldaria

E-Mail Website
Guest Editor Assistant
1. Department of Orthopaedic and Trauma Surgery, San Pietro Fatebenefratelli Hospital, 00189 Rome, Italy
2. UniCamil-lus-Saint Camillus International University of Health Sciences, 00189 Rome, Italy
Interests: shoulder arthroplasty; rotator cuff repair; shoulder surgery; sport medicine; arthroplasty; trauma

Special Issue Information

Dear Colleagues,

We live in an era of great technological innovation, in which the advent of diagnosis and surgery techniques guided by machine learning and artificial intelligence is profoundly changing every aspect of contemporary medicine and surgery.

Recent years have seen remarkable advancements in shoulder surgery, markedly enhancing patient outcomes for those afflicted with shoulder pathologies such as rotator cuff lesions and osteoarthritis. Innovations in technology, surgical methodologies and the development of new implant designs have paved the way for minimally invasive and personalized surgical approaches.

This Special Issue is dedicated to exploring the essence of cutting-edge advancements and the integration of novel technologies in the field of shoulder surgery. The topics of discussion will include arthroscopic shoulder surgery, shoulder arthroplasty, advanced imaging techniques such as virtual and augmented reality, machine learning and artificial intelligence, and the evolution of implant design. The contributions contained in this issue aim to provide doctors and researchers specializing in shoulder surgery with critical insights into the latest technologies applied to every aspect of shoulder surgery, from diagnosis to treatment and follow-up.

Prof. Dr. Francesco Franceschi
Guest Editor

Dr. Angelo Baldari
Dr. Antonio Caldaria
Guest Editor Assistants

Manuscript Submission Information

Manuscripts should be submitted online at www.mdpi.com by registering and logging in to this website. Once you are registered, click here to go to the submission form. Manuscripts can be submitted until the deadline. All submissions that pass pre-check are peer-reviewed. Accepted papers will be published continuously in the journal (as soon as accepted) and will be listed together on the special issue website. Research articles, review articles as well as short communications are invited. For planned papers, a title and short abstract (about 100 words) can be sent to the Editorial Office for announcement on this website.

Submitted manuscripts should not have been published previously, nor be under consideration for publication elsewhere (except conference proceedings papers). All manuscripts are thoroughly refereed through a single-blind peer-review process. A guide for authors and other relevant information for submission of manuscripts is available on the Instructions for Authors page. Journal of Clinical Medicine is an international peer-reviewed open access semimonthly journal published by MDPI.

Please visit the Instructions for Authors page before submitting a manuscript. The Article Processing Charge (APC) for publication in this open access journal is 2600 CHF (Swiss Francs). Submitted papers should be well formatted and use good English. Authors may use MDPI's English editing service prior to publication or during author revisions.

Keywords

  • shoulder biomechanics
  • arthroscopic shoulder surgery
  • shoulder arthroplasty
  • revision shoulder arthroplasty
  • aug-mented reality
  • machine learning
  • artificial intelligence

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Published Papers (3 papers)

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Research

9 pages, 391 KiB  
Article
Both Isolated Long Head of the Biceps Tenotomy and Tenodesis Are Effective for Symptomatic Rotator Cuff Repair Revision
by Alessander D’Ascoli, Edoardo Giovannetti de Sanctis, Nicolas Bronsard, Marc-Olivier Gauci and Jean-François Gonzalez
J. Clin. Med. 2025, 14(3), 852; https://doi.org/10.3390/jcm14030852 - 28 Jan 2025
Viewed by 545
Abstract
Background: Symptomatic rotator cuff (RC) repair continues to be a complex issue. Leaving the long head of the biceps (LHB) in place might increase the risk of residual pain, even in the case of a healed RC. The purpose of this study was [...] Read more.
Background: Symptomatic rotator cuff (RC) repair continues to be a complex issue. Leaving the long head of the biceps (LHB) in place might increase the risk of residual pain, even in the case of a healed RC. The purpose of this study was to assess the clinical outcomes of isolated LHB tenotomy and tenodesis as a revision procedure in symptomatic patients that had previously undergone an arthroscopic RC repair with no clinical or MRI evidence of RC retear. Methods: A retrospective analysis was conducted on patients with a persisting painful shoulder after an arthroscopic RC repair with no clinical or MRI signs of cuff retear, undergoing an isolated arthroscopic biceps tenotomy or tenodesis as a revision procedure. Functional outcomes were assessed preoperatively and at a minimum of 24 months of follow-up. Results: A total of 88 patients were included. The biceps tendon was managed with biceps tenodesis in 64 patients and tenotomy in 24 patients. VAS, Constant Score, SSV and active anterior elevation were all significantly improved after revision surgery. There was no significant difference between pre- and postoperative anterior passive elevation. No significant difference was shown between the tenodesis and tenotomy groups. Conclusions: The present study demonstrated that both isolated tenotomy and tenodesis are effective and safe in treating patients with a symptomatic shoulder after RC repair at a 2-year follow-up with a very low complication rate. Although tenodesis did not show any significant clinical benefit outcomes compared to tenotomy, it might be associated with a lower risk of Popeye deformity. Full article
(This article belongs to the Special Issue Innovation in Shoulder Surgery: Navigating the Future with New Technologies)
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7 pages, 359 KiB  
Article
5-Year Mortality After Complex Displaced Proximal Humerus Fractures in Elderly Patients: Conservative Versus Reverse Total Shoulder Arthroplasty
by Gal Maman, Ofir Chechik, Efi Kazum, Assaf Bivas, Eran Maman and Dani Rotman
J. Clin. Med. 2025, 14(1), 167; https://doi.org/10.3390/jcm14010167 - 31 Dec 2024
Viewed by 567
Abstract
Background: The mortality rate following proximal humerus fractures (PHFs) in elderly patients is increased, but currently, there are no medium-term studies comparing mortality following treatment with Reverse Total Shoulder Arthroplasty (RTSA) to non-surgical treatment. Methods: This retrospective study compares two groups of elderly [...] Read more.
Background: The mortality rate following proximal humerus fractures (PHFs) in elderly patients is increased, but currently, there are no medium-term studies comparing mortality following treatment with Reverse Total Shoulder Arthroplasty (RTSA) to non-surgical treatment. Methods: This retrospective study compares two groups of elderly patients (aged 75 to 95 at the time of injury) who were diagnosed with PHFs. A total of 79 patients (mean age: 83.1 ± 4.6) were treated conservatively between 2008 and 2010, a time when RTSA was not yet considered a treatment option, and 81 patients (mean age: 82.4 ± 4.4) underwent RTSA between 2012 and 2017. Also, 1-month, 1-year, and 5-year mortality rates were recorded. Results: The 1-month, 1-year, and 5-year mortality rates were 1.2%, 7.4%, and 33.3% in the RTSA group and 2.5%, 11.4%, and 38.0% in the non-surgical treatment group (p = 0.98, p = 0.55, p = 0.65). A subgroup analysis revealed that the mild difference between groups can be attributed to male patients only. Conclusions: This study explored the impact of RTSA versus non-surgical treatment on mortality in elderly patients with PHFs and found similar mortality rates over five years. Better segmentation of the patient population may reveal subgroups with different mortality patterns. Full article
(This article belongs to the Special Issue Innovation in Shoulder Surgery: Navigating the Future with New Technologies)
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8 pages, 4983 KiB  
Article
Greater Tuberosity Healing Rate and Clinical Results Following RSA Are Similar for Two Fracture-Specific Implant Systems
by Dani Rotman, Omer Avraham, Yariv Goldstein, Efi Kazum, Jorge Rojas Lievano, Ofir Chechik and Eran Maman
J. Clin. Med. 2024, 13(22), 6967; https://doi.org/10.3390/jcm13226967 - 19 Nov 2024
Viewed by 606
Abstract
Background: Various fracture-specific reverse shoulder arthroplasty (RSA) systems exist on the market. We set out to examine whether the type of prosthesis used and the means of fixation (cemented or non-cemented) influenced the rate of tuberosity healing or the functional outcome of the [...] Read more.
Background: Various fracture-specific reverse shoulder arthroplasty (RSA) systems exist on the market. We set out to examine whether the type of prosthesis used and the means of fixation (cemented or non-cemented) influenced the rate of tuberosity healing or the functional outcome of the operation. Methods: This retrospective cohort multicenter study included 146 patients who underwent RSA for an acute three- or four-part proximal humerus fracture and had a minimum follow-up of one year. Six fellowship-trained surgeons at two different centers performed all operations. The implants were either Tornier Aequalis or Depuy Delta Xtend, both fracture-specific Grammont-style systems. Results: The mean age ± standard deviation (SD) was 76 ± 7 years, and 83% of patients were female. The mean ± SD follow-up time was 30 ± 31 months. The Aequalis prosthesis was used in 82 patients (56%), and the Delta Xtend in 64 patients (44%). A total of 105 RSAs (72%) were cemented. Tuberosity healing rate was similar for the two implant systems (71% Aequalis vs. 82% Delta Xtend, p = 0.15) and for the cemented or non-cemented, respectively (73% cemented vs. 83% non-cemented, p = 0.22). There was no significant difference in the motion and functional outcomes between the two implant systems in this study. Conclusions: RSA for complex PHF in the elderly has similar short-term results, regardless of the type of fracture-specific implant or the fixation technique (cemented vs. cementless). Full article
(This article belongs to the Special Issue Innovation in Shoulder Surgery: Navigating the Future with New Technologies)
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