keyword
https://read.qxmd.com/read/38510769/relationship-of-endotracheal-tube-cuff-pressures-with-changes-in-body-positions-of-critically-ill-patients-on-mechanical-ventilation-an-observational-study
#21
JOURNAL ARTICLE
Oendrila Roy, Sugata Dasgupta, Atanu Chandra, Puspendu Biswas, Arpita Choudhury, Shrestha Ghosh, Prithvijit Chatterjee
AIMS AND BACKGROUND: Endotracheal tube cuff pressure (ETCP) is an important factor to determine the development of complications associated with invasive mechanical ventilation. To avoid preventable complications arising out of immobilization, frequent changes in body positioning are necessary. Such variations in body position can affect ETCP in critically ill patients who are on mechanical ventilation. So, our study aimed to assess the effect of changes in body position on ETCP in patients who are on mechanical ventilation...
January 2024: Indian Journal of Critical Care Medicine
https://read.qxmd.com/read/38510320/when-do-patients-achieve-promis-milestones-after-rotator-cuff-repair
#22
JOURNAL ARTICLE
Nikhil R Yedulla, Nabil Mehta, David N Bernstein, Austin G Cross, Kareem G Elhage, Vasilios Moutzouros, Eric C Makhni
BACKGROUND: Given the variability of the questions asked, the Patient-Reported Outcomes Measurement Information System (PROMIS) upper extremity (UE) computer adaptive test (CAT) Version 2.0 item bank aids in the evaluation of rotator cuff repair (RCR) rehabilitation by determining when recovery milestones are possible based on the quality of patient responses at certain time points. PURPOSE: To assess the time point at which patients with RCR were able to achieve specific functional milestones, determined as positive responses to the 5 most frequently asked items on the PROMIS UE CAT Version 2...
March 2024: Orthopaedic Journal of Sports Medicine
https://read.qxmd.com/read/38507516/shoulder-arthroplasty-after-previous-nonarthroplasty-surgery-a-systematic-review-and-meta-analysis-of-clinical-outcomes-and-complications
#23
JOURNAL ARTICLE
Peyman Mirghaderi, Alireza Azarboo, Amirhossein Ghaseminejad-Raeini, Nasim Eshraghi, Hamed Vahedi, Surena Namdari
BACKGROUND: Many patients who undergo shoulder arthroplasty (SA) have had at least 1 nonarthroplasty shoulder surgery before the surgery. There is conflicting evidence regarding the effects of previous shoulder surgery on the outcome of SA. A systematic review was conducted to compare functional outcomes and complications between SA patients with and without prior non-SA surgery on the ipsilateral shoulder. METHODS: We followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines and searched MEDLINE/PubMed, Embase, Scopus, and Web of Science comprehensively from inception to January 2023...
March 1, 2024: JBJS Reviews
https://read.qxmd.com/read/38507504/heated-tobacco-products-have-detrimental-effects-on-rotator-cuff-healing-similar-to-conventional-cigarettes
#24
JOURNAL ARTICLE
Tae-Hwan Yoon, Jee-Hoon Choi, Joon-Ryul Lim, Hsien-Hao Chang, Yong-Min Chun
BACKGROUND: Cigarette smoking impairs rotator cuff healing, but no study, to our knowledge, has focused on the association between heated tobacco products and rotator cuff tears. METHODS: This study retrospectively investigated 1,133 patients who underwent arthroscopic repair of symptomatic rotator cuff tears between March 2011 and April 2021. Patients were grouped on the basis of their smoking patterns as nonsmokers, cigarette smokers, and heated tobacco smokers...
March 20, 2024: Journal of Bone and Joint Surgery. American Volume
https://read.qxmd.com/read/38506922/the-global-track-concept-for-assessment-of-engaging-hill-sachs-defects-in-anterior-shoulder-instability
#25
JOURNAL ARTICLE
Philipp Moroder, Doruk Akguen, Alp Paksoy, Henry Gebauer, Nicolas Barthod-Tonnot, Mattia Lupetti, Viktoria Markova, Oliver Zettinig, Stephen Parada, Katrin Karpinski
BACKGROUND: The glenoid track concept is used to determine preoperatively whether a Hill-Sachs defect is engaging or not. Currently, the glenoid track concept relies on measurements of bony structures as well as on the confines and elasticity of the rotator cuff as a reference point, which varies extensively among individuals and therefore limits the reliability and accuracy of this concept. PURPOSE: To evaluate the reliability of the global track concept, which determines the angular distance of the Hill-Sachs defect from the center of the articular surface of the humeral head as a new reference point with the help of an automated image analysis software and 3-dimensional analysis of the humeral head...
March 20, 2024: American Journal of Sports Medicine
https://read.qxmd.com/read/38506707/the-effect-of-concomitant-biceps-tenodesis-on-revision-surgery-rates-after-primary-rotator-cuff-repair
#26
JOURNAL ARTICLE
Zachary C Pearson, Mark Haft, Amil R Agarwal, Marco-Christopher Rupp, Jacob D Mikula, Uzoma Ahiarakwe, Matthew J Best, Uma Srikumaran
INTRODUCTION: We aimed to use a national database to compare the 4-year revision surgery rates after rotator cuff repair (RCR) in patients with concomitant biceps tenodesis (BT) versus those without BT. METHODS: A retrospective cohort analysis was conducted using the PearlDiver database from 2015 to 2017. Patients undergoing primary open and arthroscopic RCR with and without BT were identified. Demographic variables, 90-day complications, and 2- and 4-year revision surgery rates were analyzed, and a multivariable logistic regression was conducted...
March 1, 2024: Journal of the American Academy of Orthopaedic Surgeons. Global Research & Reviews
https://read.qxmd.com/read/38499998/favorable-clinical-outcomes-after-humeral-head-depressor-muscle-coactivation-training-with-emg-for-patients-with-arthroscopic-rotator-cuff-repair-a-randomized-controlled-trial
#27
JOURNAL ARTICLE
Caner Kararti, Anıl Özüdoğru, Hakkı Çağdaş Basat, İsmail Özsoy
BACKGROUND: The coactivation (Co-A) of shoulder muscles that contribute to humeral head depression can lead to mechanical unloading of the subacromial structures during abduction and thus can be beneficial for patients with arthroscopic rotator cuff repair (ARCR). The present study aims to examine the effectiveness of humeral head depressor muscle Co-A (DM-Co-A) training on clinical outcomes in a sample of patients with ARCR. HYPOTHESIS: We hypothesized that DM-Co-A training with medioinferior vector during glenohumeral exercises can improve clinical results in the rehabilitation of ARCR...
March 18, 2024: Sports Health
https://read.qxmd.com/read/38495636/the-insertion-of-a-subacromial-balloon-spacer-can-provide-symptom-relief-and-functional-improvement-at-a-minimum-5-year-follow-up-in-patients-with-massive-irreparable-rotator-cuff-tears
#28
JOURNAL ARTICLE
Mohamad Y Fares, Jonathan Koa, Jaspal Singh, Joseph A Abboud
PURPOSE: To examine long-term patient-reported outcomes and range of motion in patients with massive irreparable rotator cuff tears (MIRCTs) who underwent subacromial balloon spacer implantation. METHODS: A retrospective review of all patients who underwent subacromial balloon placement procedure for MIRCTs at our institution was conducted. Patients with adequate preoperative and postoperative data, with at least 5 years of follow-up, were included in our study...
April 2024: Arthroscopy, sports medicine, and rehabilitation
https://read.qxmd.com/read/38492869/editorial-commentary-shoulder-superior-capsular-reconstruction-has-a-high-complication-rate-whereas-reverse-total-shoulder-arthroplasty-results-in-improved-motion-strength-and-return-to-play
#29
EDITORIAL
Phob Ganokroj, Ryan J Whalen, Matthew T Provencher
Superior capsular reconstruction (SCR) was developed to restore patient biomechanics for patients with massive irreparable rotator cuff repair (MIRCT) that precludes shoulder arthroplasty. Current studies have shown excellent short-term clinical outcomes and improved pain and functional scores, a high complication rate including re-tear, loss of fixation, or incomplete healing. An alternative, reverse total shoulder arthroplasty (rTSA) is a reliable and safe method to ensure good muscle strength and return to play in this patient group...
March 14, 2024: Arthroscopy
https://read.qxmd.com/read/38492202/correction-lower-trapezius-transfer-for-irreparable-posterosuperior-rotator-cuff-tears
#30
Joaquin Sanchez-Sotelo
No abstract text is available yet for this article.
March 16, 2024: Current Reviews in Musculoskeletal Medicine
https://read.qxmd.com/read/38490501/biceps-rerouting-augmentation-technique-restores-biomechanics-improves-healing-and-has-many-advantages-for-repair-of-large-and-massive-rotator-cuff-tears
#31
EDITORIAL
Yang-Soo Kim, Sung-Hyun Cho
The biceps rerouting (BR) augmentation technique has emerged as a useful option for the repair of rotator cuff tears (RCTs) when the torn tendon does not cover the footprint or can only be reduced under excessive tension. BR offers several advantages over traditional methods. It is an all-inside joint procedure, eliminating the need for skin incisions other than those for the arthroscopic portal, thus reducing operative time and infection risk. It does not lead to donor site morbidity, (unlike superior capsular reconstruction...
March 13, 2024: Arthroscopy
https://read.qxmd.com/read/38487743/re-tear-after-arthroscopic-rotator-cuff-repair-can-be-predicted-using-deep-learning-algorithm
#32
JOURNAL ARTICLE
Zhewei Zhang, Chunhai Ke, Zhibin Zhang, Yujiong Chen, Hangbin Weng, Jieyang Dong, Mingming Hao, Botao Liu, Minzhe Zheng, Jin Li, Shaohua Ding, Yihong Dong, Zhaoxiang Peng
The application of artificial intelligence technology in the medical field has become increasingly prevalent, yet there remains significant room for exploration in its deep implementation. Within the field of orthopedics, which integrates closely with AI due to its extensive data requirements, rotator cuff injuries are a commonly encountered condition in joint motion. One of the most severe complications following rotator cuff repair surgery is the recurrence of tears, which has a significant impact on both patients and healthcare professionals...
2024: Frontiers in artificial intelligence
https://read.qxmd.com/read/38487129/is-it-time-to-rethink-the-relationship-between-subscapularis-tears-and-the-long-head-of-biceps-tendon
#33
JOURNAL ARTICLE
Rohan Prakash, Andrew P Dekker, Chetan Modi, Thomas Lawrence, Stephen Drew, Gevdeep Bhabra
Introduction Pre-operative diagnosis of subscapularis tears remains a difficult challenge. Ultrasound has been shown to be ineffective at directly detecting subscapularis tears. It has been widely accepted that medial subluxation of the long head of biceps tendon (LHBT) is associated with full-thickness subscapularis tears. The aims of this study are to assess whether LHBT subluxation on ultrasound scanning has any predictive value for subscapularis tears and to determine the relationship between LHBT subluxation and subscapularis tears at arthroscopy...
February 2024: Curēus
https://read.qxmd.com/read/38486808/combination-of-superior-and-posterior-capsular-release-versus-superior-capsular-release-alone-in-arthroscopic-repair-of-large-to-massive-rotator-cuff-tears
#34
JOURNAL ARTICLE
Jung-Taek Hwang, Yong-Been Kim, Min-Soo Cho, Su-Jung Seo, Myung Sun Hong
BACKGROUND: Superior capsular release has been used to reduce tendon tension, especially in arthroscopic repair of large-to-massive rotator cuff tears. Some clinicians have used a more extensive release of capsules in arthroscopic cuff repair for adequate reduction of torn tendons to footprints. PURPOSE: To explore the effects of additional posterior capsular release for superior capsular release in arthroscopic repair of large-to-massive rotator cuff tears. STUDY DESIGN: Cohort study; Level of evidence, 3...
March 2024: Orthopaedic Journal of Sports Medicine
https://read.qxmd.com/read/38485458/a-modified-arthroscopic-triple-row-repair-technique-for-l-shaped-delaminated-rotator-cuff-tears
#35
JOURNAL ARTICLE
Yushun Fang, Shaohua Zhang, Jun Xiong, Qingsong Zhang
OBJECTIVE: To compare the clinical outcomes of a modified arthroscopic triple-row (TR) repair technique with the suture bridge (SB) repair technique in treating L-shaped delaminated rotator cuff tears. Various surgical techniques for L-shaped delaminated rotator cuff tears have been reported, many of which aid in increasing the contact area and pressure of the rotator cuff. However, there is still debate over which technique yields superior results. METHODS: From January 2017 to March 2020, 61 cases of L-shaped delaminated rotator cuff tears were included in this study...
March 14, 2024: Orthopaedic Surgery
https://read.qxmd.com/read/38485082/reverse-total-shoulder-arthroplasty-for-primary-osteoarthritis-with-restricted-preoperative-forward-elevation-demonstrates-similar-outcomes-but-faster-range-of-motion-recovery-compared-to-anatomic-total-shoulder-arthroplasty
#36
JOURNAL ARTICLE
Amin Karimi, Rajiv P Reddy, Confidence Njoku-Austin, Ehab Nazzal, Michael G James, Albert Lin
BACKGROUND: Reverse total shoulder arthroplasty (RSA) has been increasingly utilized for a variety of shoulder pathologies that are difficult to treat with anatomical shoulder arthroplasty (TSA). Few studies have compared the outcomes of TSA versus RSA in patients with cuff intact GHOA and poor preoperative forward elevation. This study aimed to determine whether there is a difference in functional outcomes and postoperative ROM between TSA and RSA in these patients. METHODS: This retrospective cohort study included 116 patients who underwent RSA or TSA between 2013 and 2022 for the treatment of rotator cuff intact primary osteoarthritis with restricted preoperative forward flexion (FF) and a minimum 1-year follow-up...
March 12, 2024: Journal of Shoulder and Elbow Surgery
https://read.qxmd.com/read/38483642/ultrasonic-shear-wave-elastography-predicts-the-quality-of-the-residual-tendon-before-the-rotator-cuff-repair
#37
JOURNAL ARTICLE
Xianghui Chen, Siming Chen, Fei Zhang, Yaqiong Zhu, Dan Yi, Hong Xu, Jie Tang, Qiang Zhang, Yuexiang Wang
BACKGROUND AND PURPOSE: Effective evaluation of rotator cuff tear residual tendon quality is the key to surgical repair. However, until now, the evaluation of rotator cuff tissue by ultrasonic shear wave elasticity (SWE) has been controversial. This prospective study analyzed the association between preoperative SWE and arthroscopic residual tendon quality scores. METHODS: The shear wave velocity (SWV) of the deltoid muscle, the supraspinatus tendon, and the supraspinatus muscle were measured in full-thickness rotator cuff tear patients...
March 14, 2024: Insights Into Imaging
https://read.qxmd.com/read/38482338/clinical-outcomes-of-arthroscopic-superior-capsular-reconstruction-using-fascia-lata-autograft-versus-reverse-shoulder-arthroplasty-in-patients-65-years-and-older-with-irreparable-rotator-cuff-tears-a-retrospective-cohort-study
#38
JOURNAL ARTICLE
Sang-Pil So, Erica Kholinne, Hui Ben, Jun-Bum Lee, Hood Alsaqri, Hyun June Lee, Kyoung Hwan Koh, In-Ho Jeon
BACKGROUND: Arthroscopic superior capsular reconstruction (ASCR) and reverse shoulder arthroplasty (RSA) have both shown favorable outcomes in patients with irreparable rotator cuff tears (IRCTs). PURPOSE: To (1) compare the clinical outcomes of ASCR versus RSA in patients aged ≥65 years with IRCTs and (2) compare serial changes in clinical outcomes between treatment groups. STUDY DESIGN: Cohort study; Level of evidence, 3. METHODS: This study included patients with IRCTs without glenohumeral osteoarthritis who underwent either ASCR or RSA between March 2013 and December 2020 and had at least 2 years of follow-up data...
March 2024: Orthopaedic Journal of Sports Medicine
https://read.qxmd.com/read/38481565/engineering-an-extracellular-matrix-functionalized-load-bearing-tendon-substitute-for-effective-repair-of-large-to-massive-tendon-defects
#39
JOURNAL ARTICLE
Shuting Huang, Ying Rao, Meng Zhou, Anna M Blocki, Xiao Chen, Chunyi Wen, Dai Fei Elmer Ker, Rocky S Tuan, Dan Michelle Wang
A significant clinical challenge in large-to-massive rotator cuff tendon injuries is the need for sustaining high mechanical demands despite limited tissue regeneration, which often results in clinical repair failure with high retear rates and long-term functional deficiencies. To address this, an innovative tendon substitute named "BioTenoForce" is engineered, which uses (i) tendon extracellular matrix (tECM)'s rich biocomplexity for tendon-specific regeneration and (ii) a mechanically robust, slow degradation polyurethane elastomer to mimic native tendon's physical attributes for sustaining long-term shoulder movement...
June 2024: Bioactive Materials
https://read.qxmd.com/read/38480530/what-are-the-common-factors-that-lead-to-the-failure-to-achieve-minimal-clinically-important-difference-after-shoulder-surgery-a-scoping-review
#40
REVIEW
Zoe Kerhoulas, Reza Ojaghi, Emmitt Hayes, Jason Khoury, J Pollock
INTRODUCTION: The goal of this research is to identify the factors that negatively impact the achievement of the minimum clinically significant change (MCID) for the American Shoulder and Elbow Surgeons (ASES) score within the realm of various orthopedic shoulder procedures. METHODS: We conducted a comprehensive review of studies published from 2002 to 2023, utilizing OvidMedline and PubMed databases. Our search criteria included terms such as "minimal clinically important difference" or "MCID" along with associated MeSH terms, in addition to "American shoulder and elbow surgeon" or "ASES...
March 13, 2024: European Journal of Orthopaedic Surgery & Traumatology: Orthopédie Traumatologie
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