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Biomarkers of Injury Severity in Shoulder Instability and Posttraumatic Osteoarthritis
Journal article   Peer reviewed

Biomarkers of Injury Severity in Shoulder Instability and Posttraumatic Osteoarthritis

Patrick W. Rooney, Reilly Corken, Mark D. Wishman, Cory Call, Maria Bozoghlian, Carter Lane, Mitchell C. Coleman, James V. Nepola, Brendan M. Patterson and Joseph W. Galvin
JB & JS open access, Vol.11(2), e25.00351
04/2026
DOI: 10.2106/JBJS.OA.25.00351
PMID: 42099885

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Abstract

» There is a poor understanding of the significance of biomarkers in the blood, synovial fluid, and tissue in patients with shoulder instability and posttraumatic osteoarthritis (PTOA). » Identification of biomarkers associated with injury severity in shoulder instability may provide prognostic information to help guide surgical treatment algorithms. » Current evidence suggests that the biomarkers of periostin, tumor necrosis factor-alpha, IL1B, and cartilage oligomeric matrix protein are associated with injury severity in patients with recurrent anterior shoulder instability. » There is limited information on genetic, transcriptomic, and protein biomarkers which may indicate individuals who are at more risk for development of shoulder instability. » An improved understanding of the local biomolecular tissue response to first-time and recurrent anterior shoulder instability may contribute to the development of novel therapeutic strategies for gene and protein targets to halt the early cascade of PTOA.
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