Acromion fractures after reverse shoulder arthroplasty occur in predictable clusters.

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Abstract

[Indexed for MEDLINE] 16. J Shoulder Elbow Surg. 2024 Aug;33(8):1799-1804. doi: 10.1016/j.jse.2023.11.026. Epub 2024 Jan 17. Gender differences among shoulder arthroplasty surgeons: past, present, and future. Wright MA(1), Aleem A(2), Murthi AM(3), Zmistowski B(2). Author information: (1)Department of Orthopedic Surgery, Washington University School of Medicine, St. Louis, MO, USA. Electronic address: Melissa.wright88@gmail.com. (2)Department of Orthopedic Surgery, Washington University School of Medicine, St. Louis, MO, USA. (3)Department of Orthopedic Surgery, MedStar Union Memorial Hospital, Baltimore, MD, USA. BACKGROUND: Reducing differences in the gender representation of shoulder arthroplasty surgeons may help optimize patient care. This work aimed to determine (1) the current gender distribution of surgeons performing shoulder arthroplasty, (2) how gender relates to practice patterns among shoulder arthroplasty surgeons, and (3) how gender distribution has been changing over time. METHODS: The Medicare Provider Utilization and Payment Data for the years 2012-2020 were used to identify orthopedic surgeons performing anatomic and reverse total shoulder arthroplasty (Current Procedural Terminology code 23472). The data set provides self-reported gender, credentials, National Provider Identifier, annual volume of all procedures (based on Current Procedural Terminology codes) that were performed ≥11 times in the calendar year, and location for all included providers. The data set was linked to the Medicare Physician Compare data set using National Provider Identifiers to determine hospital affiliations, year of medical school graduation, and graduating medical school. All included hospitals were queried to determine academic status (affiliated orthopedic residency or fellowship program). The American Shoulder and Elbow Surgeons (ASES) directory was reviewed to determine the gender breakdown of current members. RESULTS: The number of surgeons performing ≥11 shoulder arthroplasties annually increased from 821 (13 women [1.6%]) in 2012 to 1840 (53 women [2.9%], P = .05) in 2019. One female surgeon ranked in the top 100 surgeons by shoulder arthroplasty volume in 2012 and in 2020. Female surgeons graduated more recently from medical school (mean, 2005) compared with male surgeons (mean, 1997; P