This study queried the database in order to identify the patient cohorts, including patients undergoing RSA, and those that received TRT. To our knowledge, there are no current studies that investigate the effect of TRT on patients undergoing RSA. One study demonstrated an increased risk of prosthetic joint infection following any form of total shoulder arthroplasty (TSA) in patients who were on TRT . While there is established research on the basic science of the musculoskeletal system, there remains a paucity of literature on the effect of TRT on the clinical outcomes of orthopedic shoulder surgeries . Given the prevalence of transgender individuals who may be on TRT during the perioperative period of an orthopedic procedure, understanding the proper management of these patients is important.
In total, 189 patients were included, with 84 receiving perioperative testosterone and 105 receiving placebo or a control intervention. One study investigated patients undergoing elective anterior cruciate ligament reconstruction. One study evaluated patients undergoing elective total knee arthroplasty. Demographic data, surgical indications, details of testosterone use, and outcomes were recorded and analyzed. Three reviewers independently screened all titles, abstracts, and full texts of articles investigating perioperative testosterone use in orthopaedic surgery.
The database was queried for all patients who underwent RSA with at least two years of follow-up. Since PearlDiver is a deidentified database, this study was exempt from institutional review board approval. The PearlDiver database contains Humana Insurance claims data for more than 150 million patients and tracks the patients over time using diagnosis and procedure. A retrospective cohort study was conducted using the PearlDiver Mariner database (PearlDiver Technologies, Colorado Springs, CO, USA) from 2010 to 2022.
They’ll tell you how often you’ll need follow-up bone density tests. Your provider might suggest weight-bearing exercise to strengthen your muscles and train your balance. Staying active can strengthen your bones. The most important part of treating osteoporosis is preventing broken bones. Providers sometimes refer to bone density tests as DEXA scans, DXA scans or bone density scans. People in postmenopause lose bone mass even faster. This causes a gradual loss of bone mass.
Movements were performed at an angular velocity of 60 deg/s, and the peak torque of leg extension was recorded to one-tenth of a newton-meter (Nm). Graft choice, tourniquet use, time to surgery, and all other surgical decisions were left to the normal practice of the orthopaedic surgeon. Informed consent documentation included a discussion of the possible but uncommon risks of testosterone such as allergic reactions, liver function test alterations, breast tenderness, hair growth or loss, polycythemia, and mood or mental changes. Serum testosterone was measured to the nearest one-tenth (ng/dL) by a competitive radioimmunoassay using a solid-phase polyclonal antibody. All participants followed a standard-of-care, structured rehabilitation protocol, as determined by a licensed physical therapist, beginning shortly after surgery.

Gender: Female

Social links