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Trends and Prospects in Shoulder and Elbow Surgery
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Trends and Prospects in Shoulder and Elbow Surgery

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

Deadline for manuscript submissions: 14 August 2025 | Viewed by 2930

Special Issue Editors

Dr. Lorenzo Diaz Balzani

E-Mail Website
Guest Editor
1. Department of Orthopaedic and Trauma Surgery, Università Campus Bio-Medico Di Roma, Via Alvaro del Portillo, 21-00128 Rome, Italy
2. Research Unit of Orthopaedic and Trauma Surgery, Fondazione Policlinico Universitario Campus Bio-Medico, Via Alvaro del Portillo, 200-00128 Rome, Italy
Interests: shoulder; anterior cruciate ligament; arthroplasty; orthopaedic and trauma surgery
Dr. Erika Albo

E-Mail Website
Guest Editor
1. Department of Orthopaedic and Trauma Surgery, Università Campus Bio-Medico Di Roma, Via Alvaro del Portillo, 21-00128 Rome, Italy
2. Research Unit of Orthopaedic and Trauma Surgery, Fondazione Policlinico Universitario Campus Bio-Medico, Via Alvaro del Portillo, 200-00128 Rome, Italy
Interests: shoulder; anterior cruciate ligament; arthroplasty; orthopaedic and trauma surgery
Prof. Dr. Rocco Papalia

E-Mail Website
Guest Editor
1. Department of Orthopaedic and Trauma Surgery, Università Campus Bio-Medico Di Roma, Via Alvaro del Portillo, 21-00128, Rome, Italy
2. Research Unit of Orthopaedic and Trauma Surgery, Fondazione Policlinico Universitario Campus Bio-Medico, Via Alvaro del Portillo, 200-00128, Rome, Italy
Interests: reverse shoulder arthroplasty (RSA); total shoulder arthroplasty (TSA); hemiarthroplasty; osteoarthritis; knee surgery; hip surgery
Special Issues, Collections and Topics in MDPI journals
Prof. Dr. Vincenzo Denaro

E-Mail
Guest Editor
Department of Orthopaedic and Trauma Surgery, Campus Bio-medico University, Via Álvaro del Portillo, 200, 00128 Rome, Italy
Interests: spine surgery; bone pathology; replacement; orthopaedic surgery
Special Issues, Collections and Topics in MDPI journals

Special Issue Information

Dear Colleagues,

We are delighted to announce a forthcoming Special Issue, and we invite you to contribute your valuable research on the theme of “Trends and Prospects in Shoulder and Elbow Surgery”.

Despite the remarkable strides and advancement in orthopedic and trauma surgery, in the field of upper extremities, knowledge remains limited and challenges persist.

We welcome submissions from researchers, clinicians, and experts in the field to share their insights on emerging trends and future prospects. We would like to invite authors to support us with original articles or reviews including, but not limited to, the following topics: minimally invasive approaches, arthroscopy, joint replacement, trauma, and rehabilitation. We would like to create a platform to foster collaboration, exchange ideas, and shape the future trajectory of this dynamic field.

We look forward to receiving your manuscripts and collectively advancing our understanding of the trends and prospects of shoulder and elbow surgery.

Dr. Lorenzo Diaz Balzani
Dr. Erika Albo
Prof. Dr. Rocco Papalia
Prof. Dr. Vincenzo Denaro
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 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
  • elbow
  • arthroplasty
  • arthroscopy
  • rehabilitation
  • trauma
  • minimally invasive
  • regenerative medicine
  • implant technology

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Published Papers (3 papers)

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Research

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12 pages, 1692 KiB  
Article
Progressive Loss of Acromioclavicular Joint Reduction Correlated with Progressive Clavicular Tunnel Widening after Coracoclavicular Stabilization in Acute High-Grade Acromioclavicular Joint Injury
by Korakot Maliwankul, Pathawin Kanyakool, Prapakorn Klabklay, Wachiraphan Parinyakhup, Tanarat Boonriong and Chaiwat Chuaychoosakoon
J. Clin. Med. 2024, 13(15), 4446; https://doi.org/10.3390/jcm13154446 - 29 Jul 2024
Viewed by 1167
Abstract
Objectives: This study aimed to compare 24-month radiographic follow-ups of clavicular tunnel widenings (CTWs) and coracoclavicular distances (CCDs) and examine correlations between these measurements in patients following combined coracoclavicular stabilization and acromioclavicular capsule repair in treatment of acute high-grade acromioclavicular joint injury. [...] Read more.
Objectives: This study aimed to compare 24-month radiographic follow-ups of clavicular tunnel widenings (CTWs) and coracoclavicular distances (CCDs) and examine correlations between these measurements in patients following combined coracoclavicular stabilization and acromioclavicular capsule repair in treatment of acute high-grade acromioclavicular joint injury. Methods: This retrospective study reviewed the records of patients with acute Rockwood type V acromioclavicular joint injury who underwent surgery within 3 weeks after their injury. All patients had follow-ups at 3 and 6 months and 1 and 2 years. The CTWs were measured on anteroposterior radiographs between the medial and lateral borders at the superior, middle and inferior levels of the tunnels. On anteroposterior radiographs of both clavicles, the CCDs were measured at the shortest distance between the upper border of the coracoid process and the inferior border of the clavicle and reported as the CCD ratio, which was defined as the ratio of the affected and unaffected clavicles. At the final follow-ups, clinical outcomes were assessed using American Shoulder and Elbow Surgeons (ASES) scores. Results: This study included seventeen men and six women with a mean age of 47.26 ± 10.68 years. At the final follow-ups, the mean ASES score of all patients was 95.28 ± 3.62. We found a significant correlation between the increase in the CTWs and the increase in the CCD ratios (Spearman’s rho correlation coefficient range 0.578–0.647, all p-values < 0.001). Conclusions: We found long-term postoperative widening of the clavicular tunnels, which correlated positively with a gradual postoperative decline in the acromioclavicular joint alignment reductions. Full article
(This article belongs to the Special Issue Trends and Prospects in Shoulder and Elbow Surgery)
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Review

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18 pages, 307 KiB  
Review
The Evolution of Arthroscopic Shoulder Surgery: Current Trends and Future Perspectives
by Gazi Huri, Ion-Andrei Popescu, Vito Gaetano Rinaldi and Giulio Maria Marcheggiani Muccioli
J. Clin. Med. 2025, 14(7), 2405; https://doi.org/10.3390/jcm14072405 - 1 Apr 2025
Viewed by 705
Abstract
Arthroscopic shoulder surgery has undergone significant advancements over the past decades, transitioning from a primarily diagnostic tool to a comprehensive therapeutic approach. Technological innovations and refined surgical techniques have expanded the indications for arthroscopy, allowing minimally invasive management of shoulder instability and rotator [...] Read more.
Arthroscopic shoulder surgery has undergone significant advancements over the past decades, transitioning from a primarily diagnostic tool to a comprehensive therapeutic approach. Technological innovations and refined surgical techniques have expanded the indications for arthroscopy, allowing minimally invasive management of shoulder instability and rotator cuff pathology. Methods: This narrative review explores the historical evolution, current trends, and future perspectives in arthroscopic shoulder surgery. Results: Key advancements in shoulder instability management include the evolution of the arthroscopic Bankart repair, the introduction of the remplissage technique for Hill–Sachs lesions, and the development of arthroscopic Latarjet procedures. Additionally, novel techniques such as Dynamic Anterior Stabilization (DAS) and bone block procedures have emerged as promising solutions for complex instability cases. In rotator cuff repair, innovations such as the suture-bridge double-row technique, superior capsular reconstruction (SCR), and biological augmentation strategies, including dermal allografts and bioinductive patches, have contributed to improving tendon healing and functional outcomes. The role of biologic augmentation, including biceps tendon autografts and subacromial bursa augmentation, is also gaining traction in enhancing repair durability. Conclusions: As arthroscopic techniques continue to evolve, the integration of biologic solutions and patient-specific surgical planning will likely define the future of shoulder surgery. This review provides a comprehensive assessment of current state-of-the-art techniques and discusses their clinical implications, with a focus on optimizing patient outcomes and minimizing surgical failure rates. Full article
(This article belongs to the Special Issue Trends and Prospects in Shoulder and Elbow Surgery)

Other

Jump to: Research, Review

16 pages, 3299 KiB  
Systematic Review
Comminuted Mason III/IV Radial Head Fractures: What Is the Best Treatment Between Prosthesis and Radial Head Resection? A Systematic Review and Meta-Analysis
by Luca Bianco Prevot, Livio Pietro Tronconi, Vittorio Bolcato, Riccardo Accetta, Stefania Fozzato and Giuseppe Basile
J. Clin. Med. 2025, 14(5), 1773; https://doi.org/10.3390/jcm14051773 - 6 Mar 2025
Viewed by 440
Abstract
Background/Objectives: Various surgical methods have been proposed for the treatment of comminuted Mason III/IV radial head fractures. In particular, the advantages and disadvantages between prosthesis implantation (RHA) or radial head resection (RHR) are not sufficiently quantified in the current literature. Methods: [...] Read more.
Background/Objectives: Various surgical methods have been proposed for the treatment of comminuted Mason III/IV radial head fractures. In particular, the advantages and disadvantages between prosthesis implantation (RHA) or radial head resection (RHR) are not sufficiently quantified in the current literature. Methods: A systematic literature search was conducted using PubMed Web of Science, Cochrane Library, and Embase in February 2024. Studies conducted on patients with Mason type III or IV radial head fractures and studies relating to surgical methods, including radial head resection or Radial head prosthesis implantation, were included. The two methods were evaluated in terms of clinical and functional results through the DASH score (Disability of the arm, shoulder, and hand), Mayo Elbow Performance Index (MEPI), and flexion-extension range of motion. The onset of osteoarthritis and complications were also assessed. Risk of bias and quality of evidence were assessed using Cochrane guidelines. Results: A total of 345 articles were evaluated and, of these, 21 were included in the study for a total of 552 patients. The results of the meta-analysis showed no significant differences in favor of RHA or RHR in terms of Mayo Elbow Performance (p = 0.58), degrees of flexion (p = 0.689), degrees of extension deficit (p = 0.697), and overall incidence of complications (p = 0.389), while it highlighted a statistically significant difference in terms of DASH score (19.2 vs. 16.2, respectively; p = 0.008) and subjects who developed osteoarthritis (13.4% vs. 47.3%, respectively; p = 0.046). Conclusions: The results of this meta-analysis confirm that both surgical methods provide good functional outcomes, with no significant differences in MEPI, DASH, and range of motion. However, a higher incidence of post-traumatic osteoarthritis was observed in patients undergoing RHR. Additionally, RHR patients exhibited slightly worse functional outcomes in the DASH score; however, this difference is not substantial enough to be considered clinically significant. These findings suggest that while both techniques are viable, RHA may be preferable in patients at higher risk of joint degeneration and instability, and the choice of treatment should be tailored to individual patient characteristics. Full article
(This article belongs to the Special Issue Trends and Prospects in Shoulder and Elbow Surgery)
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