Clinics in Shoulder and Elbow

Korean Shoulder and Elbow Society (대한견·주관절의학회)
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The impact of modern airport security protocols on patients with total shoulder replacements

  • Michael D. Scheidt (Department of Orthopedic Surgery and Rehabilitation, Loyola University Medical Center) ;
  • Neal Sethi (Stritch School of Medicine, Loyola University Chicago) ;
  • Matthew Ballard (Stritch School of Medicine, Loyola University Chicago) ;
  • Michael Wesolowski (Clinical Research Office Biostatistics Collaborative Core, Loyola University Chicago) ;
  • Dane Salazar (Department of Orthopedic Surgery and Rehabilitation, Loyola University Medical Center) ;
  • Nickolas Garbis (Department of Orthopedic Surgery and Rehabilitation, Loyola University Medical Center)
  • Received : 2022.12.04
  • Accepted : 2023.03.10
  • Published : 2023.12.01
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Abstract

Background: Advancements in airport screening measures in response to 9/11 have resulted in increased false alarm rates for patients with orthopedic and metal implants. With the implementation of millimeter-wave scanning technology, it is important to assess the changes in airport screening experiences of patients who underwent total shoulder arthroplasty (TSA). Methods: Here, 197 patients with prior anatomic and reverse TSA completed between 2013 and 2020 responded to a questionnaire regarding their experiences with airport travel screening after their operation. Of these patients, 86 (44%) stated that they had traveled by plane, while 111 (56%) had not. The questionnaire addressed several measures including the number of domestic and international flights following the operation, number of false alarm screenings by the millimeter-wave scanner, patient body habitus, and presence of additional metal implants. Results: A total of 53 patients (62%) responded "yes" to false screening alarms due to shoulder arthroplasty. The odds of a false screening alarm for patients with other metal implants was 5.87 times that of a false screening alarm for patients with no other metal implants (P<0.1). Of a reported 662 flights, 303 (45.8%) resulted in false screening alarms. Greater body mass index was not significantly lower in patients who experienced false screening alarms (P=0.30). Conclusions: Patients with anatomic and reverse TSA trigger false alarms with millimeter-wave scanners during airport screening at rates consistent with prior reports following 9/11. Patient education on the possibility of false alarms during airport screening is important until improvements in implant identification are made. Level of evidence: IV.

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References

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