ArticleJSES international2026
What are the most disruptive publications in shoulder surgery?
Article in JSES international, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
1 citing paper in PubMed.
- Disruption in Wrist Literature: Identifying Paradigm-Shifting Publications.Journal of hand surgery global online · 2026Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
8 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Background: Shoulder surgery literature has demonstrated significant advances over the past century, but a quantitative understanding of which publications truly disrupt the field vs. those that consolidate existing knowledge remains limited. The Disruption Index (DI), a validated bibliometric value, provides a novel approach to assessing whether subsequent research shifts attention away from a publication (disruptive innovation) or builds upon them (consolidation). We hypothesized that the DI analysis would identify distinct shoulder literature compared to publications identified by citation count alone. Methods: A retrospective bibliometric analysis was performed using PubMed and the DI framework to query and analyze shoulder-related publications from 15 prominent orthopedic surgery journals. Disruption scores were calculated as DS = (A-B)/(C + D), where A = future publications citing the focal article without citing its references; B = number of publications citing the focal article and at least one of its references; C = number of times the focal article was cited; and D = number of future publications that cited at least one of the references of the focal article but did not cite the focal article itself. The top 25 most disruptive publications were identified, while also recording author count and temporal trends. Statistical analyses included correlation testing and descriptive statistics. Results: A total of 5,878 shoulder surgery publications published in 15 journals between 1954 and 2014 were identified and analyzed. The mean DI for all publications was -0.01 ± 0.04. Disruptive scores were found to be poorly correlated with citation count (r = 0.148, Discussion: This study marks the first use of the disruption metric in orthopedic surgery. In contrast to prior studies investigating disruption within other specialties, shoulder literature exhibits a lower level of disruption. These findings offer a glimpse into the trajectory of shoulder literature, potentially underscoring the need to move beyond established paradigms and possibly toward paradigm-shifting topics.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.