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https://www.readbyqxmd.com/read/29473831/understanding-the-importance-of-the-teres-minor-for-shoulder-function-functional-anatomy-and-pathology
#1
Matthew D Williams, Thomas Bradley Edwards, Gilles Walch
Although the teres minor is often overlooked in a normal shoulder, it becomes a key component in maintaining shoulder function when other rotator cuff tendons fail. The teres minor maintains a balanced glenohumeral joint and changes from an insignificant to the most significant external rotator in the presence of major rotator cuff pathology. The presence or absence of the teres minor provides prognostic information on the outcomes of reverse total shoulder arthroplasty and tendon transfers. Clinical tests include the Patte test, the Neer dropping sign, the external rotation lag sign, and the Hertel drop sign...
March 1, 2018: Journal of the American Academy of Orthopaedic Surgeons
https://www.readbyqxmd.com/read/29472967/pulmonary-embolism-after-arthroscopic-bankart-and-rotator-cuff-repair
#2
Joshua M Matthews, Susan S Wessel, Ryan C Pate, Alexander Cm Chong
No abstract text is available yet for this article.
May 2017: Kansas Journal of Medicine
https://www.readbyqxmd.com/read/29471558/indication-technique-and-long-term-results-after-shoulder-arthrodesis-performed-with-plate-fixation
#3
Ulrich Irlenbusch, Olaf Rott, Lars Irlenbusch
AIM: Arthrodesis of the shoulder joint is a radical event, so it is difficult to explain its significance to patients. It has been the last resort in hopeless cases. Knowledge of long-term results and evaluation of advantages and disadvantages seems to be helpful in this regard. METHODS: Eleven patients with mean age of 45 (31 - 58) years were operated between 2000 and 2013. All patients could be included in the investigation (FU mean 8.5 [3 - 16] years; 8 male and 3 female; right 9, left 2)...
February 2018: Zeitschrift Für Orthopädie und Unfallchirurgie
https://www.readbyqxmd.com/read/29471221/estimating-the-minimal-important-difference-for-the-western-ontario-rotator-cuff-index-worc-in-adults-with-shoulder-pain-associated-with-partial-thickness-rotator-cuff-tears
#4
Cordula Braun, Helen H Handoll
BACKGROUND: Knowledge about Minimal Important Differences (MIDs) is essential for the interpretation of continuous outcomes, especially patient-reported outcome measures (PROMS). OBJECTIVE: The aim of this study was to estimate the MID for the Western Ontario Rotator Cuff Index (WORC: score 0 (best) to 2100 (worst disability)) in adults with shoulder pain associated with partial-thickness rotator cuff tears, 'symptomatic PTTs', undergoing conservative treatment with physiotherapy...
February 12, 2018: Musculoskeletal Science & Practice
https://www.readbyqxmd.com/read/29470237/primary-shoulder-hemiarthroplasty-what-can-be-learned-from-359-cases-that-were-surgically-revised
#5
Daniel J Hackett, Jason E Hsu, Frederick A Matsen
BACKGROUND: Primary shoulder hemiarthroplasty is used to address a range of glenohumeral disorders, including fracture, arthritis, avascular necrosis, and capsulorrhaphy arthropathy; some patients with hemiarthroplasties undergo revision surgery for persistent pain or residual shoulder dysfunction. The literature does not clarify the features of the hemiarthroplasties having repeat surgery in a way that can guide surgeons' efforts to minimize the need for revision. To help address this gap, we analyzed the characteristics of patients from our region for whom we performed surgical revision of a prior humeral hemiarthroplasty QUESTIONS/PURPOSES: (1) What are the common characteristics of shoulder hemiarthroplasties having a revision? (2) What are the common characteristics of the subset of revised shoulder hemiarthroplasties that were performed for fracture? (3) What are characteristics of the subset of all revised hemiarthroplasties that were associated with glenoid bone erosion? METHODS: Data for 983 patients for whom we performed a surgical revision of any type of shoulder arthroplasty between January 1991 and January 2017 were identified in our longitudinally maintained institutional arthroplasty revision database...
February 21, 2018: Clinical Orthopaedics and related Research
https://www.readbyqxmd.com/read/29470095/subacromial-local-anesthetics-do-not-interfere-with-rotator-cuff-healing-after-arthroscopic-repair
#6
Sung-Min Rhee, Nam Yun Chung, Hyeon Jang Jeong, Joo Han Oh
BACKGROUND: Subacromial pain pumps are used for analgesia after arthroscopic rotator cuff surgery. However, there is controversy about myotoxic or tendinotoxic effects of local anesthetics. HYPOTHESIS: Ropivacaine administered via a subacromial pain pump would have no adverse effect on rotator cuff tendon healing, fatty degeneration, strength, or functional outcomes after arthroscopic repair. STUDY DESIGN: Cohort study; Level of evidence, 3...
February 1, 2018: American Journal of Sports Medicine
https://www.readbyqxmd.com/read/29467045/systematic-review-with-network-meta-analysis-of-randomized-controlled-trials-of-rotator-cuff-tear-treatment
#7
Seihee Kim, Jinseub Hwang, Min Jee Kim, Jae-Young Lim, Woo Hyung Lee, Ji Eun Choi
OBJECTIVES: Rotator cuff tear is the leading cause of the decline in quality of life for older adults, but comparative evidence on treatment effectiveness is lacking. This study systematically reviewed the effects of various rotator cuff tear treatments through a Bayesian meta-analysis of the related randomized clinical trials (RCTs). METHODS: We searched nine electronic databases for RCTs evaluating rotator cuff tear treatments from their inception through June 2017...
February 22, 2018: International Journal of Technology Assessment in Health Care
https://www.readbyqxmd.com/read/29466688/the-efficacy-of-platelet-rich-plasma-and-platelet-rich-fibrin-in-arthroscopic-rotator-cuff-repair-a-meta-analysis-of-randomized-controlled-trials
#8
Eoghan T Hurley, Daren Lim Fat, Cathal J Moran, Hannan Mullett
BACKGROUND: Basic science studies suggest that platelet-rich therapies have a positive effect on tendon repair. However, the clinical evidence is conflicted on whether this translates to increased tendon healing and improved functional outcomes. PURPOSE: To perform a systematic review of randomized controlled trials (RCTs) in the literature to ascertain whether platelet-rich plasma (PRP) or platelet-rich fibrin (PRF) improved patient outcomes in arthroscopic rotator cuff repair...
February 1, 2018: American Journal of Sports Medicine
https://www.readbyqxmd.com/read/29466076/the-effects-of-rigid-scapular-taping-on-the-subacromial-space-in-athletes-with-and-without-rotator-cuff-tendinopathy-a-randomized-controlled-study
#9
Hio Teng Leong, Siu Ngor Fu
CONTEXT: Reduction of the subacromial space (SAS) during arm elevation may contribute to rotator cuff tendinopathy. The effects of scapular taping on the SAS in athletes with and without RC tendinopathy is unknown. OBJECTIVES: To investigate the immediate effects of scapular taping on the SAS in athletes with and without RC tendinopathy. DESIGN: Randomized-controlled with repeated measures. SETTING: University laboratory...
February 21, 2018: Journal of Sport Rehabilitation
https://www.readbyqxmd.com/read/29463941/differences-in-risk-factors-for-rotator-cuff-tears-between-elderly-patients-and-young-patients
#10
Akihisa Watanabe, Qana Ono, Tomohiko Nishigami, Takahiko Hirooka, Hirohisa Machida
It has been unclear whether the risk factors for rotator cuff tears are the same at all ages or differ between young and older populations. In this study, we examined the risk factors for rotator cuff tears using classification and regression tree analysis as methods of nonlinear regression analysis. There were 65 patients in the rotator cuff tears group and 45 patients in the intact rotator cuff group. Classification and regression tree analysis was performed to predict rotator cuff tears. The target factor was rotator cuff tears; explanatory variables were age, sex, trauma, and critical shoulder angle≥35°...
February 2018: Acta Medica Okayama
https://www.readbyqxmd.com/read/29461266/use-of-pocket-sized-ultrasound-device-in-the-diagnosis-of-shoulder-pathology
#11
Brian C Lau, Daria Motamedi, Anthony Luke
OBJECTIVE: Musculoskeletal ultrasound imaging is increasingly being used for static and dynamic imaging of tendons, muscles, ligaments, and bones. New, hand-held, pocket-sized ultrasounds are more portable and affordable. The purpose of this study was to evaluate the feasibility of pocket-sized ultrasound to diagnose shoulder pathology. DESIGN: Prospective cohort study. SETTING: Tertiary Care Hospital. METHODS: Ten consecutive patients (mean age 54; range 42-68 years) referred for a shoulder ultrasound for evaluation of shoulder pain were recruited...
February 14, 2018: Clinical Journal of Sport Medicine: Official Journal of the Canadian Academy of Sport Medicine
https://www.readbyqxmd.com/read/29459083/therapeutic-outcomes-of-muscular-advancement-by-an-arthroscopic-assisted-modified-debeyre-patte-procedure-for-irreparable-large-and-massive-rotator-cuff-tears
#12
Toru Morihara, Yoshikazu Kida, Ryuhei Furukawa, Tsuyoshi Sukenari, Yukichi Kabuto, Masao Kurokawa, Hiroyoshi Fujiwara, Toshikazu Kubo
BACKGROUND: In cases of the large or massive rotator cuff tears, retear rates after rotator cuff repairs remain high. We introduced an arthroscopic-assisted modified Debeyre-Patte procedure which enables to decrease the tension of torn rotator cuff by sliding supraspinatus and infraspinatus laterally keeping fascia connection to the rhomboids. PURPOSE: The objective of this study was to examine the clinical outcomes and retear rates after an arthroscopic-assisted modified Debeyre-Patte procedure for irreparable large and massive rotator cuff tears...
February 16, 2018: Journal of Orthopaedic Science: Official Journal of the Japanese Orthopaedic Association
https://www.readbyqxmd.com/read/29459078/biomechanical-histologic-and-molecular-evaluation-of-tendon-healing-in-a-new-murine-model-of-rotator-cuff-repair
#13
Amir H Lebaschi, Xiang-Hua Deng, Christopher L Camp, Jianchun Zong, Guang-Ting Cong, Camila B Carballo, Zoe Album, Scott A Rodeo
PURPOSE: To develop a clinically relevant, robust murine model of rotator cuff tendon repair to examine cellular and molecular mechanisms of healing. METHODS: Sixty C57BL/6 male mice underwent rotator cuff transection and repair using microsurgical techniques. A modified Kessler suturing technique was used prior to tendon detachment. Sutures were passed through 2 intersecting bone tunnels that were made at the tendon attachment site. Mice were sacrificed at 2 and 4 weeks with subsequent biomechanical, histologic, micro-CT, and gene expression evaluations...
February 16, 2018: Arthroscopy: the Journal of Arthroscopic & related Surgery
https://www.readbyqxmd.com/read/29456069/arthroscopic-superior-capsular-reconstruction-with-acellular-dermal-allograft-for-the-treatment-of-massive-irreparable-rotator-cuff-tears-short-term-clinical-outcomes-and-the-radiographic-parameter-of-superior-capsular-distance
#14
William T Pennington, Brian A Bartz, Joann M Pauli, Carol E Walker, William Schmidt
PURPOSE: This outcome analysis presents 88 consecutive shoulders presenting with irreparable rotator cuff tears that we treated with arthroscopic superior capsular reconstruction (SCR) using an acellular dermal allograft. We also present the concept of superior capsular distance to quantitatively measure the decreased distance present upon restoration of superior capsular integrity. METHODS: A retrospective review was conducted of patients treated with arthroscopic SCR with a minimum 12-month follow-up...
February 15, 2018: Arthroscopy: the Journal of Arthroscopic & related Surgery
https://www.readbyqxmd.com/read/29456064/triple-loaded-suture-anchors-versus-a-knotless-rip-stop-construct-in-a-single-row-rotator-cuff-repair-model
#15
Matthew P Noyes, Evan Lederman, Christopher R Adams, Patrick J Denard
PURPOSE: To compare the biomechanical properties of single-row repair with triple-loaded (TL) anchor repair versus a knotless rip stop (KRS) repair in a rotator cuff repair model. METHODS: Rotator cuff tears were created in 8 cadaveric matched-pair specimens and repaired with a TL anchor or KRS construct. In the TL construct, anchors were placed in the greater tuberosity and then all suture limbs were passed through the rotator cuff as simple sutures and tied. In the KRS construct, a 2-mm suture tape was passed through the tendon in an inverted mattress fashion, and a free suture was passed medial to the suture tape to create a rip-stop...
February 15, 2018: Arthroscopy: the Journal of Arthroscopic & related Surgery
https://www.readbyqxmd.com/read/29455632/arthroscopic-undersurface-rotator-cuff-repair-versus-conventional-arthroscopic-double-row-rotator-cuff-repair-comparable-results-at-2-year-follow-up
#16
Benjamin Fu Hong Ang, Jerry Yongqiang Chen, William Yeo, Denny Tijauw Tjoen Lie, Paul Chee Cheng Chang
AIM: The aim of our study is to compare the improvement in clinical outcomes after conventional arthroscopic double-row rotator cuff repair and arthroscopic undersurface rotator cuff repair. METHOD: A consecutive series of 120 patients who underwent arthroscopic rotator cuff repair was analysed. Sixty-one patients underwent conventional double-row rotator cuff repair and 59 patients underwent undersurface rotator cuff repair. Several clinical outcomes, including numerical pain rating scale (NPRS), constant shoulder score (CSS), Oxford shoulder score (OSS) and University of California Los Angeles shoulder score (UCLASS), were prospectively recorded by a trained healthcare professional preoperatively and at 3, 6, 12 and 24 months after surgery...
January 2018: Journal of Orthopaedic Surgery
https://www.readbyqxmd.com/read/29455500/-comparison-and-analysis-of-clinical-effects-of-total-arthroscopic-repair-and-arthroscopic-assisted-small-incision-repair-for-the-treatment-of-rotator-cuff-injury
#17
Hai-Qing Wei, Jin-Rong Lu, Wen-Xiao Jin, Shi-Yuan Shen, Cheng Wu, Guo-Qing Xie, Jun Xue, Jing Du
OBJECTIVE: To investigate the clinical effects of arthroscopic repair and arthroscopic-assisted small incision repair for the treatment of rotator cuff injury. METHODS: The clinical data of 86 patients with rotator cuff injury from January 2012 to January 2015 were analyzed retrospectively. All the patients were divided into two groups: arthroscopic assisted small incision repair group(group A) and arthroscopic repair group(group B). There were 46 patients in group A, including 25 males and 21 females, with an average age of (52...
August 25, 2017: Zhongguo Gu Shang, China Journal of Orthopaedics and Traumatology
https://www.readbyqxmd.com/read/29455496/-comparison-of-therapeutic-effects-of-three-repair-methods-for-rotator-cuff-tears-under-arthroscopy
#18
Xiao-Bo Zhou, Jun-Bo Liang, Zhong-Yi Chen
OBJECTIVE: To retrospectively study curative effects of three repair methods for rotator cuff tears under arthroscopy, and to explore relationships between different repair methods and cuff lesions. METHODS: From January 2009 to Jaunary 2014, a total of 353 patients with rotator cuff tears treated with surgical repair under arthroscopy were included in this study. All the patients were divided into three groups according to time of visitiny hospital and it was divided into three periods...
August 25, 2017: Zhongguo Gu Shang, China Journal of Orthopaedics and Traumatology
https://www.readbyqxmd.com/read/29453500/isolated-greater-tuberosity-fractures-of-the-proximal-humerus-anatomy-injury-patterns-multimodality-imaging-and-approach-to-management
#19
Eric A White, Matthew R Skalski, Dakshesh B Patel, Jordan S Gross, Anderanik Tomasian, Nathanael Heckmann, George R Matcuk
The greater tuberosity is an important anatomic structure and its integrity is important for shoulder abduction and external rotation. Isolated fractures of the greater tuberosity are often subtle and may not be detected on initial radiographs. Clinically, these patients display symptoms which mimic a full thickness rotator cuff tear. It is important to differentiate these two entities, as their treatment is different (typically nonsurgical management for minimally displaced fractures versus rotator cuff repair for acute full thickness rotator cuff tears)...
February 16, 2018: Emergency Radiology
https://www.readbyqxmd.com/read/29452899/influence-of-dominant-as-compared-with-nondominant-side-symptoms-on-disabilities-of-the-arm-shoulder-and-hand-and-western-ontario-rotator-cuff-scores-in-patients-with-rotator-cuff-tendinopathy
#20
David Høyrup Christiansen, Lori Michener, Jean-Sébastien Roy
HYPOTHESIS AND BACKGROUND: The Disabilities of the Arm, Shoulder and Hand (DASH) questionnaire and the Western Ontario Rotator Cuff (WORC) index are 2 widely used patient-reported questionnaires in individuals with rotator cuff (RC) tendinopathy. In contrast to the WORC index, for which the items are specific to the affected shoulder, the items of the DASH questionnaire assess the ability to perform activities regardless of the arm used. The objective of this study is to determine whether scores on the DASH questionnaire and WORC index are affected if the symptoms are on the dominant or nondominant side in individuals with RC tendinopathy...
February 13, 2018: Journal of Shoulder and Elbow Surgery
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