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Clinical Advances in Arthroscopic Shoulder Surgery
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Clinical Advances in Arthroscopic Shoulder Surgery

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

Deadline for manuscript submissions: closed (10 December 2025) | Viewed by 1740

Special Issue Editors

Dr. Anup Ajit Shah

E-Mail Website
Guest Editor
Department of Orthopaedic Surgery, College of Medicine—Phoenix, Banner Health, University of Arizona, Tucson, AZ 85721, USA
Interests: orthopedic sports medicine; knee and shoulder surgery; advanced arthroscopic surgery; complex shoulder reconstruction
Prof. Dr. Michael J. O’Brien

E-Mail Website
Guest Editor
Department of Orthopaedic Surgery, Tulane University School of Medicine, New Orleans, LA, USA
Interests: shoulder and elbow surgery; rotator cuff surgery; shoulder instability; total shoulder replacement; reverse shoulder replacement; total elbow replacement
Dr. Asheesh Bedi

E-Mail Website
Guest Editor
Department of Orthopedic Surgery, University of Chicago, Chicago, IL 60637, USA
Interests: orthopaedic sports medicine; knee and shoulder surgery; hip arthroscopy; complex reconstruction of the knee, and shoulder replacement surgery

Special Issue Information

Dear Colleagues,

Recent advancements in shoulder arthroscopy have allowed surgeons to perform traditional open procedures and address complex procedures with minimally invasive techniques. Some of these procedures include the arthroscopic Latarjet, free bone block procedures, rotator cuff augmentation, biologic tuberoplasty, and lower trapezius tendon transfer. The current Special Issue highlights these advanced procedures and the evolution of these prior open procedures performed arthroscopically. More importantly, the surgical outcomes from these procedures are presented by experts in the field. We hope you find their contribution to the orthopedic literature beneficial and useful in your practices.

Dr. Anup Ajit Shah
Prof. Dr. Michael J. O’Brien
Dr. Asheesh Bedi
Guest Editors

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 250 words) can be sent to the Editorial Office for assessment.

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

  • rotator cuff
  • biologic tuberoplasty
  • lower trapezius tendon transfer
  • arthroscopic Latarjet
  • arthroscopic bone block
  • augmentation of the cuff

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Published Papers (2 papers)

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Research

11 pages, 563 KB  
Article
Injectable Tranexamic Acid Use in Arthroscopic Rotator Cuff Repair Is Safe and Associated with Reduced Postoperative Opioid Use
by Ronak J. Mahatme, Shawn A. Moore, Anish Gangavaram, Esha Reddy, Paul McMillan and Brian M. Grawe
J. Clin. Med. 2026, 15(2), 524; https://doi.org/10.3390/jcm15020524 - 8 Jan 2026
Viewed by 610
Abstract
Background/Objectives: Tranexamic acid (TXA) is widely used to reduce bleeding in orthopedic surgery, but its safety and impact on outcomes in arthroscopic rotator cuff repair (ARCR) remain unclear. The purpose of this study was to evaluate the safety and effects of injectable TXA [...] Read more.
Background/Objectives: Tranexamic acid (TXA) is widely used to reduce bleeding in orthopedic surgery, but its safety and impact on outcomes in arthroscopic rotator cuff repair (ARCR) remain unclear. The purpose of this study was to evaluate the safety and effects of injectable TXA on short- and long-term postoperative outcomes and opioid use following ARCR. Methods: The TriNetX Research Network, an insurance claims-based database, was utilized to conduct this retrospective, propensity-matched cohort study. Patients aged ≥18 years undergoing ARCR were identified and divided into TXA (n = 5855) and non-TXA (n = 5855) groups after propensity score matching. Outcomes assessed included 30-day hospital utilization, complications (infection, thromboembolism, hemarthrosis, blood transfusion), one-year revision and shoulder surgery rates, and early, prolonged, and chronic postoperative opioid use. Results: No significant differences were observed between groups in 30-day emergency department visits (2.0% vs. 1.8%, p = 0.502), readmissions, infections, wound dehiscence, blood transfusions, hemarthrosis, or one-year revision and shoulder surgery rates. TXA use was associated with significantly lower rates of early (24.8% vs. 26.8%, p = 0.011), prolonged (9.5% vs. 12.8%, p < 0.001), and chronic opioid use (6.6% vs. 9.6%, p < 0.001). Conclusions: Injectable TXA is safe in ARCR, with no increase in postoperative complications or hospital utilization. Furthermore, TXA use is linked to reduced postoperative opioid consumption, suggesting benefits in pain management and recovery. Prospective studies are warranted to further explore these findings. Full article
(This article belongs to the Special Issue Clinical Advances in Arthroscopic Shoulder Surgery)
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14 pages, 1818 KB  
Article
Dynamic Kinematic Assessment with 3D Motion Analysis After Arthroscopic Bankart Repair: A Mid- to Long-Term Study
by Pit Hetto, Raissa Liewald, David M. Spranz and Stefanos Tsitlakidis
J. Clin. Med. 2025, 14(22), 8204; https://doi.org/10.3390/jcm14228204 - 19 Nov 2025
Viewed by 538
Abstract
Background/Objectives: The aim of the study is to first evaluate mid- to long-term changes in shoulder range of motion (ROM) and functional performance in activities of daily living (ADLs) after arthroscopic Bankart repair using three-dimensional (3D) motion analysis. Methods: We prospectively analyzed five [...] Read more.
Background/Objectives: The aim of the study is to first evaluate mid- to long-term changes in shoulder range of motion (ROM) and functional performance in activities of daily living (ADLs) after arthroscopic Bankart repair using three-dimensional (3D) motion analysis. Methods: We prospectively analyzed five patients (mean age: 31.8 years) pre- and postoperatively at 8.4 months and eight patients retrospectively at 12.1 years (mean age: 40.4 years). Fifteen asymptomatic adults served as controls. Shoulder kinematics were assessed using the Heidelberg Upper Extremity (HUX) model during maximum ROM and four ADL tasks (apron, neck, wash, and book). Results: At short-term follow-up, forward flexion improved by 31° (p < 0.05) and abduction improved by 70° (p < 0.05), while other movements showed non-significant trends toward improvement. Long-term follow-up demonstrated sustained or increased gains in flexion (+9°) and abduction (+7°) but significant declines in external rotation (−5°) and internal rotation (−30°). ADL analyses showed significant postoperative gains in abduction/adduction during “apron” (+6.7°) and “neck” (+49.8°) tasks. The long-term results remained comparable to or better than postoperative values in most planes, although external/internal rotation during the “wash” task decreased over time. Compared with normative controls, patients employed a larger ROM during some ADLs, suggesting compensatory mechanisms. Conclusions: Arthroscopic Bankart repair yields sustained mid- to long-term improvements in shoulder ROM and ADL performance. Rotational deficits persist despite maintained flexion and abduction in the long run, underscoring the need for targeted rehabilitation strategies. Full article
(This article belongs to the Special Issue Clinical Advances in Arthroscopic Shoulder Surgery)
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