{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,30]],"date-time":"2026-09-30T19:23:36Z","timestamp":1790796216090,"version":"4.1.0"},"reference-count":63,"publisher":"Bioscientifica","issue":"4","license":[{"start":{"date-parts":[[2026,6,15]],"date-time":"2026-06-15T00:00:00Z","timestamp":1781481600000},"content-version":"vor","delay-in-days":75,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["journals.bioscientifica.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2026,4,1]]},"abstract":"<jats:p>Glenohumeral osteoarthritis (OA) is a disabling disease that leads to poor shoulder function and pain. Primary or idiopathic osteoarthritis occurs in previously intact joints without any inciting agent. Its precise incidence is not known. If conservative treatment fails, there are a variety of surgical procedures described in the literature. Total shoulder arthroplasty (TSA) is primarily indicated in patients above 60 years old with symptomatic glenohumeral OA and intact rotator cuff and failed conservative treatment. However, it is rarely recommended to young or active patients under the age of 50 due to its increased morbidity, limited lifespan, potential for revision surgeries, and difficulty achieving the same preoperative activity level, particularly in patients with high preoperative level of activity. Comprehensive arthroscopic management (CAM), hemiarthroplasty (HA), and TSA provide good results even in the long term for treatment of primary OA in properly selected young patients. A CAM procedure seems to be a reasonable option in case of conservative treatment failure, localized cartilage defect, tendinopathy of the long head of the biceps, stiffness, inferior osteophytes, and humeral head congruity. However, in case of humeral head incongruity, large anterior osteophytes, and an intact rotator cuff, an HA or a TSA is a feasible option.<\/jats:p>","DOI":"10.1530\/eor-2023-0156","type":"journal-article","created":{"date-parts":[[2026,4,7]],"date-time":"2026-04-07T17:28:16Z","timestamp":1775582896000},"page":"328-337","update-policy":"https:\/\/doi.org\/10.1530\/crossmarkpolicy-16","source":"Crossref","is-referenced-by-count":1,"title":["Comprehensive arthroscopic management versus total shoulder arthroplasty and hemiarthroplasty in patients with primary glenohumeral arthritis younger than 50 years old"],"prefix":"10.1530","volume":"11","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6709-2139","authenticated-orcid":true,"given":"Marko","family":"Nabergoj","sequence":"first","affiliation":[{"name":"1"},{"name":"2"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Patrick J","family":"Denard","sequence":"additional","affiliation":[{"name":"3"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Philippe","family":"Collin","sequence":"additional","affiliation":[{"name":"4"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2797-8936","authenticated-orcid":true,"given":"Alexandre","family":"L\u00e4dermann","sequence":"additional","affiliation":[{"name":"5"},{"name":"6"},{"name":"7"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"416","published-online":{"date-parts":[[2026,4,7]]},"reference":[{"key":"2026070713571044300_bib1","doi-asserted-by":"crossref","first-page":"25","DOI":"10.1067\/mse.2002.120143","article-title":"Non-prosthetic management of grade IV osteochondral lesions of the glenohumeral joint","volume":"11","author":"Cameron","year":"2002","journal-title":"J Shoulder Elb Surg"},{"key":"2026070713571044300_bib2","doi-asserted-by":"crossref","first-page":"42","DOI":"10.2106\/JBJS.I.00071","article-title":"Comparison of patients undergoing primary shoulder arthroplasty before and after the age of fifty","volume":"92","author":"Saltzman","year":"2010","journal-title":"J Bone Joint Surg Am"},{"key":"2026070713571044300_bib3","doi-asserted-by":"crossref","first-page":"559","DOI":"10.1016\/S0030-5898(03)00092-0","article-title":"Management of glenohumeral arthritis: a role for arthroscopy?","volume":"34","author":"Bishop","year":"2003","journal-title":"Orthop Clin North Am"},{"key":"2026070713571044300_bib4","doi-asserted-by":"crossref","first-page":"S231","DOI":"10.1016\/j.jse.2007.03.011","article-title":"Nonarthroplasty alternatives for the treatment of glenohumeral arthritis","volume":"16","author":"Cole","year":"2007","journal-title":"J Shoulder Elb Surg"},{"key":"2026070713571044300_bib5","doi-asserted-by":"crossref","first-page":"50","DOI":"10.1016\/j.jse.2005.04.009","article-title":"Shoulder arthroplasty in Olmsted County, Minnesota, 1976\u20132000: a population-based study","volume":"15","author":"Adams","year":"2006","journal-title":"J Shoulder Elb Surg"},{"key":"2026070713571044300_bib6","doi-asserted-by":"crossref","first-page":"361","DOI":"10.1016\/j.jse.2004.10.007","article-title":"Total arthroplasty versus hemiarthroplasty for glenohumeral osteoarthritis: role of provider volume","volume":"14","author":"Jain","year":"2005","journal-title":"J Shoulder Elb Surg"},{"key":"2026070713571044300_bib7","doi-asserted-by":"crossref","first-page":"885","DOI":"10.2106\/JBJS.J.00960","article-title":"Management of glenohumeral arthritis in the young adult","volume":"93","author":"Denard","year":"2011","journal-title":"J Bone Joint Surg Am"},{"key":"2026070713571044300_bib8","doi-asserted-by":"crossref","first-page":"634","DOI":"10.1007\/s11999-007-0088-0","article-title":"Outcome of arthroscopic d\u00e9bridement is worse for patients with glenohumeral arthritis of both sides of the joint","volume":"466","author":"Kerr","year":"2008","journal-title":"Clin Orthop Relat Res"},{"key":"2026070713571044300_bib9","doi-asserted-by":"crossref","first-page":"260","DOI":"10.2106\/00004623-199602000-00013","article-title":"Early effectiveness of shoulder arthroplasty for patients who have primary glenohumeral degenerative joint disease","volume":"78","author":"Matsen","year":"1996","journal-title":"J Bone Joint Surg Am"},{"key":"2026070713571044300_bib10","first-page":"2279","article-title":"Complications of total shoulder arthroplasty","volume":"88","author":"Bohsali","year":"2006","journal-title":"J Bone Joint Surg Am"},{"key":"2026070713571044300_bib11","doi-asserted-by":"crossref","first-page":"2355","DOI":"10.1016\/j.jse.2021.01.038","article-title":"Survival of the aequalis total shoulder replacement at a minimum 20-year follow-up: a clinical and radiographic study","volume":"30","author":"Evans","year":"2021","journal-title":"J Shoulder Elb Surg"},{"key":"2026070713571044300_bib12","doi-asserted-by":"crossref","first-page":"251","DOI":"10.2106\/00004623-200302000-00011","article-title":"Influence of preoperative factors on outcome of shoulder arthroplasty for glenohumeral osteoarthritis","volume":"85","author":"Iannotti","year":"2003","journal-title":"J Bone Joint Surg Am"},{"key":"2026070713571044300_bib13","doi-asserted-by":"crossref","first-page":"1767","DOI":"10.1007\/s00167-010-1155-8","article-title":"Arthroscopic debridement and biological resurfacing of the glenoid in glenohumeral arthritis","volume":"18","author":"de Beer","year":"2010","journal-title":"Knee Surg Sports Traumatol Arthrosc"},{"key":"2026070713571044300_bib14","doi-asserted-by":"crossref","first-page":"856","DOI":"10.1016\/j.arthro.2009.02.009","article-title":"Outcomes of full-thickness articular cartilage injuries of the shoulder treated with microfracture","volume":"25","author":"Millett","year":"2009","journal-title":"Arthroscopy"},{"key":"2026070713571044300_bib15","doi-asserted-by":"crossref","first-page":"1019","DOI":"10.1016\/j.arthro.2006.11.016","article-title":"Arthroscopic debridement and capsular release for glenohumeral osteoarthritis","volume":"23","author":"Richards","year":"2007","journal-title":"Arthroscopy"},{"key":"2026070713571044300_bib16","doi-asserted-by":"crossref","first-page":"494","DOI":"10.1016\/j.arthro.2014.08.025","article-title":"Arthroscopic debridement and capsular release for the treatment of shoulder osteoarthritis","volume":"31","author":"Skelley","year":"2015","journal-title":"Arthroscopy"},{"key":"2026070713571044300_bib17","doi-asserted-by":"crossref","first-page":"1296","DOI":"10.1016\/j.arthro.2011.03.089","article-title":"Arthroscopic management of glenohumeral arthrosis: humeral osteoplasty, capsular release, and arthroscopic axillary nerve release as a joint-preserving approach","volume":"27","author":"Millett","year":"2011","journal-title":"Arthroscopy"},{"key":"2026070713571044300_bib18","doi-asserted-by":"crossref","first-page":"440","DOI":"10.1016\/j.arthro.2012.10.028","article-title":"Comprehensive arthroscopic management (CAM) procedure: clinical results of a joint-preserving arthroscopic treatment for young, active patients with advanced shoulder osteoarthritis","volume":"29","author":"Millett","year":"2013","journal-title":"Arthroscopy"},{"key":"2026070713571044300_bib19","doi-asserted-by":"crossref","first-page":"160923","DOI":"10.1155\/2012\/160923","article-title":"Glenohumeral joint preservation: a review of management options for young, active patients with osteoarthritis","volume":"2012","author":"van der Meijden","year":"2012","journal-title":"Adv Orthop"},{"key":"2026070713571044300_bib20","doi-asserted-by":"crossref","DOI":"10.2106\/JBJS.K.00204","article-title":"Impact of total shoulder arthroplasty on generic and shoulder-specific health-related quality-of-life measures: a systematic literature review and meta-analysis","volume":"94","author":"Carter","year":"2012","journal-title":"J Bone Joint Surg Am"},{"key":"2026070713571044300_bib21","doi-asserted-by":"crossref","first-page":"130","DOI":"10.1177\/0363546520962756","article-title":"Survivorship and patient-reported outcomes after comprehensive arthroscopic management of glenohumeral osteoarthritis: minimum 10-year follow-up","volume":"49","author":"Arner","year":"2021","journal-title":"Am J Sports Med"},{"key":"2026070713571044300_bib22","doi-asserted-by":"crossref","first-page":"1451","DOI":"10.1016\/j.arthro.2010.02.026","article-title":"Retrospective analysis of arthroscopic management of glenohumeral degenerative disease","volume":"26","author":"Van Thiel","year":"2010","journal-title":"Arthroscopy"},{"key":"2026070713571044300_bib23","doi-asserted-by":"crossref","first-page":"471","DOI":"10.1053\/jars.2000.5042","article-title":"Arthroscopic debridement of the shoulder for osteoarthritis","volume":"16","author":"Weinstein","year":"2000","journal-title":"Arthroscopy"},{"key":"2026070713571044300_bib24","doi-asserted-by":"crossref","first-page":"794","DOI":"10.1177\/0363546516668823","article-title":"Comprehensive arthroscopic management of glenohumeral osteoarthritis: preoperative factors predictive of treatment failure","volume":"45","author":"Mitchell","year":"2017","journal-title":"Am J Sports Med"},{"key":"2026070713571044300_bib25","doi-asserted-by":"crossref","first-page":"113","DOI":"10.1016\/j.jse.2021.06.002","article-title":"Short-term outcomes and survival of pyrocarbon hemiarthroplasty in the young arthritic shoulder","volume":"31","author":"Cointat","year":"2022","journal-title":"J Shoulder Elb Surg"},{"key":"2026070713571044300_bib26","doi-asserted-by":"crossref","first-page":"449","DOI":"10.1016\/S1058-2746(97)70052-1","article-title":"Hemiarthroplasty for glenohumeral osteoarthritis: results correlated to degree of glenoid wear","volume":"6","author":"Levine","year":"1997","journal-title":"J Shoulder Elb Surg"},{"key":"2026070713571044300_bib27","doi-asserted-by":"crossref","first-page":"603","DOI":"10.2106\/00004623-199604000-00018","article-title":"Complications of total shoulder-replacement arthroplasty","volume":"78","author":"Wirth","year":"1996","journal-title":"J Bone Joint Surg Am"},{"key":"2026070713571044300_bib28","first-page":"214","article-title":"Humeral head replacement for glenohumeral arthritis","volume":"6","author":"Cofield","year":"1995","journal-title":"Semin Arthroplasty"},{"key":"2026070713571044300_bib29","doi-asserted-by":"crossref","DOI":"10.1016\/j.otsr.2020.102756","article-title":"Osteoarthritis of the shoulder in under-50 year-olds: a multicenter retrospective study of 273 shoulders by the French society for shoulder and elbow (SOFEC)","volume":"107","author":"Kany","year":"2021","journal-title":"Orthop Traumatol Surg Res"},{"key":"2026070713571044300_bib30","doi-asserted-by":"crossref","first-page":"19","DOI":"10.1016\/j.jse.2005.05.005","article-title":"Complications of total shoulder arthroplasty: are they fewer or different?","volume":"15","author":"Chin","year":"2006","journal-title":"J Shoulder Elb Surg"},{"key":"2026070713571044300_bib31","doi-asserted-by":"crossref","first-page":"e361","DOI":"10.5435\/JAAOS-D-16-00657","article-title":"Glenohumeral osteoarthritis in the young patient","volume":"26","author":"Saltzman","year":"2018","journal-title":"J Am Acad Orthop Surg"},{"key":"2026070713571044300_bib32","doi-asserted-by":"crossref","first-page":"745","DOI":"10.5435\/JAAOS-D-17-00214","article-title":"Arthroscopic management of glenohumeral arthritis: a joint preservation approach","volume":"26","author":"Millett","year":"2018","journal-title":"J Am Acad Orthop Surg"},{"key":"2026070713571044300_bib33","doi-asserted-by":"crossref","first-page":"2009","DOI":"10.1007\/s11548-018-1707-9","article-title":"ArthroPlanner: a surgical planning solution for acromioplasty","volume":"13","author":"Charbonnier","year":"2018","journal-title":"Int J Comput Assist Radiol Surg"},{"key":"2026070713571044300_bib34","doi-asserted-by":"crossref","first-page":"651","DOI":"10.1016\/j.otsr.2020.02.010","article-title":"Guided versus freehand acromioplasty during rotator cuff repair. A randomized prospective study","volume":"106","author":"Ladermann","year":"2020","journal-title":"Orthop Traumatol Surg Res"},{"key":"2026070713571044300_bib35","doi-asserted-by":"crossref","first-page":"592","DOI":"10.1016\/j.jseint.2020.03.009","article-title":"Acromioplasty during repair of rotator cuff tears removes only half of the impinging acromial bone","volume":"4","author":"Ladermann","year":"2020","journal-title":"JSES Int"},{"key":"2026070713571044300_bib36","doi-asserted-by":"crossref","first-page":"1918","DOI":"10.1016\/j.jse.2016.07.032","article-title":"Immediate versus delayed passive range of motion following total shoulder arthroplasty","volume":"25","author":"Denard","year":"2016","journal-title":"J Shoulder Elb Surg"},{"key":"2026070713571044300_bib37","doi-asserted-by":"crossref","first-page":"157","DOI":"10.1016\/j.ocl.2020.12.006","article-title":"Factors influencing appropriate implant selection and position in reverse total shoulder arthroplasty","volume":"52","author":"Callegari","year":"2021","journal-title":"Orthop Clin North Am"},{"key":"2026070713571044300_bib38","first-page":"964","article-title":"Treatment of glenohumeral arthritis with a hemiarthroplasty: a minimum five-year Follow-up outcome study","volume":"88","author":"Wirth","year":"2006","journal-title":"JBJS"},{"key":"2026070713571044300_bib39","doi-asserted-by":"crossref","first-page":"e164","DOI":"10.2106\/JBJS.K.00603","article-title":"Long-term follow-up of shoulder hemiarthroplasty for glenohumeral osteoarthritis","volume":"94","author":"Levine","year":"2012","journal-title":"J Bone Joint Surg Am"},{"key":"2026070713571044300_bib40","doi-asserted-by":"crossref","first-page":"599","DOI":"10.1016\/j.jse.2004.03.016","article-title":"Conversion of painful hemiarthroplasty to total shoulder arthroplasty: long-term results","volume":"13","author":"Carroll","year":"2004","journal-title":"J Shoulder Elb Surg"},{"key":"2026070713571044300_bib41","doi-asserted-by":"crossref","first-page":"26","DOI":"10.2106\/00004623-200001000-00004","article-title":"Shoulder arthroplasty with or without resurfacing of the glenoid in patients who have osteoarthritis","volume":"82","author":"Gartsman","year":"2000","journal-title":"J Bone Joint Surg Am"},{"key":"2026070713571044300_bib42","doi-asserted-by":"crossref","first-page":"1666","DOI":"10.1016\/j.jse.2019.03.006","article-title":"Mid- to long-term follow-up of shoulder arthroplasty for primary glenohumeral osteoarthritis in patients aged 60 or under","volume":"28","author":"Neyton","year":"2019","journal-title":"J Shoulder Elb Surg"},{"key":"2026070713571044300_bib43","doi-asserted-by":"crossref","first-page":"145","DOI":"10.1007\/s00590-011-0806-x","article-title":"Analysis of infection in shoulder arthroplasty: a multicentre study","volume":"22","author":"Amaravathi","year":"2012","journal-title":"Eur J Orthop Surg Traumatol"},{"key":"2026070713571044300_bib44","doi-asserted-by":"crossref","first-page":"e243","DOI":"10.1016\/j.jse.2017.01.019","article-title":"The main cause of instability after unconstrained shoulder prosthesis is soft tissue deficiency","volume":"26","author":"Kany","year":"2017","journal-title":"J Shoulder Elb Surg"},{"key":"2026070713571044300_bib45","doi-asserted-by":"crossref","first-page":"206","DOI":"10.1097\/00003086-200101000-00028","article-title":"Infection after shoulder arthroplasty","volume":"382","author":"Sperling","year":"2001","journal-title":"Clin Orthop Relat Res"},{"key":"2026070713571044300_bib46","doi-asserted-by":"crossref","first-page":"1156","DOI":"10.1016\/j.arthro.2014.11.012","article-title":"Surgical treatment options for glenohumeral arthritis in young patients: a systematic review and meta-analysis","volume":"31","author":"Sayegh","year":"2015","journal-title":"Arthroscopy"},{"key":"2026070713571044300_bib47","doi-asserted-by":"crossref","first-page":"705","DOI":"10.1016\/j.jse.2014.07.016","article-title":"Shoulder arthroplasty in patients younger than 50 years: minimum 20-year follow-up","volume":"24","author":"Schoch","year":"2015","journal-title":"J Shoulder Elb Surg"},{"key":"2026070713571044300_bib48","doi-asserted-by":"crossref","first-page":"4","DOI":"10.1177\/17585732221075037","article-title":"Anatomical shoulder replacements in young patients: a systematic review and meta-analysis","volume":"15","author":"Davies","year":"2023","journal-title":"Shoulder Elbow"},{"key":"2026070713571044300_bib49","doi-asserted-by":"crossref","first-page":"549","DOI":"10.1016\/j.csm.2018.05.005","article-title":"Total shoulder arthroplasty in the athlete and active individual","volume":"37","author":"Christensen","year":"2018","journal-title":"Clin Sports Med"},{"key":"2026070713571044300_bib50","doi-asserted-by":"crossref","first-page":"100","DOI":"10.1007\/s00167-017-4547-1","article-title":"Return to sport after shoulder arthroplasty: a systematic review and meta-analysis","volume":"26","author":"Liu","year":"2018","journal-title":"Knee Surg Sports Traumatol Arthrosc"},{"key":"2026070713571044300_bib51","doi-asserted-by":"crossref","first-page":"1499","DOI":"10.2106\/JBJS.20.00678","article-title":"Total shoulder arthroplasty is cost-effective compared with hemiarthroplasty: a real-world economic evaluation","volume":"103","author":"Lapner","year":"2021","journal-title":"J Bone Joint Surg Am"},{"key":"2026070713571044300_bib52","doi-asserted-by":"crossref","first-page":"297","DOI":"10.1016\/j.semarthrit.2013.04.002","article-title":"Total shoulder arthroplasty versus hemiarthroplasty in patients with shoulder osteoarthritis: a meta-analysis of randomized controlled trials","volume":"43","author":"Duan","year":"2013","journal-title":"Semin Arthritis Rheum"},{"key":"2026070713571044300_bib53","doi-asserted-by":"crossref","first-page":"3081","DOI":"10.3390\/jcm10143081","article-title":"Clinical and radiological results of hemiarthroplasty and total shoulder arthroplasty for primary avascular necrosis of the humeral head in patients less than 60 years old","volume":"10","author":"Herve","year":"2021","journal-title":"J Clin Med"},{"key":"2026070713571044300_bib54","doi-asserted-by":"crossref","first-page":"819","DOI":"10.1016\/j.jse.2009.05.008","article-title":"The glenoid in shoulder arthroplasty","volume":"18","author":"Strauss","year":"2009","journal-title":"J Shoulder Elb Surg"},{"key":"2026070713571044300_bib55","doi-asserted-by":"crossref","first-page":"e435","DOI":"10.1016\/j.eats.2015.04.003","article-title":"The comprehensive arthroscopic management procedure for treatment of glenohumeral osteoarthritis","volume":"4","author":"Mook","year":"2015","journal-title":"Arthrosc Tech"},{"key":"2026070713571044300_bib56","article-title":"Arthroscopic management of glenohumeral osteoarthritis: a systematic review of clinical outcomes and treatment durability","volume":"1","author":"Nabergoj","year":"2025","journal-title":"Hive Musculoskelet J"},{"key":"2026070713571044300_bib57","doi-asserted-by":"crossref","first-page":"1392","DOI":"10.1016\/j.arthro.2014.06.011","article-title":"The role of arthroscopy in the management of glenohumeral osteoarthritis: a markov decision model","volume":"30","author":"Spiegl","year":"2014","journal-title":"Arthroscopy"},{"key":"2026070713571044300_bib58","doi-asserted-by":"crossref","first-page":"2010","DOI":"10.1016\/j.arthro.2020.02.036","article-title":"Outcomes and survivorship after arthroscopic treatment of glenohumeral arthritis: a systematic review","volume":"36","author":"Williams","year":"2020","journal-title":"Arthroscopy"},{"key":"2026070713571044300_bib59","doi-asserted-by":"crossref","first-page":"66","DOI":"10.1016\/S1058-2746(09)80112-2","article-title":"Extra-glenohumeral joint shoulder surgery in rheumatoid arthritis: the role of bursectomy, acromioplasty, and distal clavicle excision","volume":"3","author":"Simpson","year":"1994","journal-title":"J Shoulder Elb Surg"},{"key":"2026070713571044300_bib60","doi-asserted-by":"crossref","first-page":"3206","DOI":"10.1177\/0363546516656372","article-title":"Survivorship and patient-reported outcomes after comprehensive arthroscopic management of glenohumeral osteoarthritis: minimum 5-year follow-up","volume":"44","author":"Mitchell","year":"2016","journal-title":"Am J Sports Med"},{"key":"2026070713571044300_bib61","doi-asserted-by":"crossref","first-page":"1093","DOI":"10.1007\/s00264-013-1848-y","article-title":"Risk factors for dislocation arthropathy after latarjet procedure: a long-term study","volume":"37","author":"L\u00e4dermann","year":"2013","journal-title":"Int Orthop"},{"key":"2026070713571044300_bib62","doi-asserted-by":"crossref","first-page":"2023","DOI":"10.1016\/j.jse.2019.03.002","article-title":"Mid-term results of reverse shoulder arthroplasty for glenohumeral osteoarthritis with posterior glenoid deficiency and humeral subluxation","volume":"28","author":"Collin","year":"2019","journal-title":"J Shoulder Elb Surg"},{"key":"2026070713571044300_bib63","doi-asserted-by":"crossref","first-page":"1196","DOI":"10.3390\/jcm10061196","article-title":"Could subtle obstetrical brachial plexus palsy be related to unilateral B glenoid osteoarthritis?","volume":"10","author":"Ladermann","year":"2021","journal-title":"J Clin Med"}],"container-title":["EFORT Open Reviews"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/eor.bioscientifica.com\/view\/journals\/eor\/11\/4\/EOR-2023-0156.xml","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/eor.bioscientifica.com\/downloadpdf\/journals\/eor\/11\/4\/EOR-2023-0156.xml","content-type":"text\/html","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/journals.bioscientifica.com\/eor\/article-pdf\/11\/4\/328\/505819\/eor-2023-0156.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/journals.bioscientifica.com\/eor\/article-pdf\/11\/4\/328\/505819\/eor-2023-0156.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,7,7]],"date-time":"2026-07-07T17:58:07Z","timestamp":1783447087000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.bioscientifica.com\/eor\/article\/11\/4\/328\/75466\/Comprehensive-arthroscopic-management-versus-total"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,4,1]]},"references-count":63,"journal-issue":{"issue":"4","published-online":{"date-parts":[[2026,4,7]]},"published-print":{"date-parts":[[2026,4,1]]}},"URL":"https:\/\/doi.org\/10.1530\/eor-2023-0156","relation":{},"ISSN":["2058-5241"],"issn-type":[{"value":"2058-5241","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,4,1]]}}}