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Acromioplasty

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https://www.readbyqxmd.com/read/30314499/influence-of-the-site-of-acromioplasty-on-reduction-of-the-critical-shoulder-angle-csa-an-anatomical-study
#1
Dominik Kaiser, Elias Bachmann, Christian Gerber, Dominik C Meyer
BACKGROUND: A large critical shoulder angle (CSA) >35° is associated with the development of rotator cuff tearing. Lateral acromioplasty (AP) has the theoretical potential to prevent rotator cuff tearing and/ or to reduce the risk of re-tears after repair. It is, however unclear which part of the lateral acromion has to be reduced to obtain the desired CSA. It was the purpose of this study to determine which part of the lateral acromion has to be resected to achieve a desired reduction of the CSA in a given individual...
October 13, 2018: BMC Musculoskeletal Disorders
https://www.readbyqxmd.com/read/30296313/arthroscopically-guided-cannulated-headless-compression-screw-fixation-of-the-symptomatic-os-acromiale
#2
Zeke J Walton, Robert E Holmes, Shane K Woolf
Os acromiale is a failure of fusion between 1 or more ossification centers of the scapula and the acromion process. Pain can be caused by motion and impingement of the unfused segment. Several methods for the management of os acromiale have been described. Internal fixation is the most common surgical technique, followed by excision and acromioplasty. We present a novel technique for treatment of symptomatic os acromiale using arthroscopically-guided headless compression screws. This is a viable technique in the management of symptomatic os acromiale due to preservation of the periosteal blood supply and less concern for symptomatic hardware...
September 2018: American Journal of Orthopedics
https://www.readbyqxmd.com/read/30286875/editorial-commentary-critical-shoulder-angle-perhaps-not-so-critical-for-clinical-outcomes-following-rotator-cuff-repair
#3
EDITORIAL
Ryan M Degen
The critical shoulder angle (CSA) has been associated with the development of rotator cuff pathology. More recent studies have also identified a correlation between an increased CSA and recurrent tears after arthroscopic rotator cuff repair. Although this observation is significant, several studies have failed to identify a correlation between CSA and clinical outcomes after rotator cuff repair. As a result, the usefulness of this measurement, and the need to address it with lateral acromioplasty, remains ill defined...
October 2018: Arthroscopy: the Journal of Arthroscopic & related Surgery
https://www.readbyqxmd.com/read/30182541/-comparison-of-the-functional-outcomes-of-patients-with-arthroscopic-repair-of-massive-rotator-cuff-ruptures-alone-or-combined-with-acromioplasty-or-biceps-tenotomy
#4
J Ríos-Fak, A Olivos-Meza, L Sierra-Suárez, A Almazán-Díaz, F Pérez-Jiménez, F Cruz-López
BACKGROUND: The rotator cuff injury it is one of the most common causes of pain and functional disability of the shoulder with an annual reported incidence of 4.5 million cases in the United States. It is one of the leading causes of pain of shoulder in patients older than 60 years. In Mexico, there are no reports of the incidence or the results of arthroscopic repair of massive rotator cuff lesions alone or combined with other procedures. OBJECTIVE: To evaluate the clinical evolution of patients post-surgery of arthroscopic rotator cuff massive injury repair AR-RCMI alone or in combination with other techniques...
January 2018: Acta Ortopédica Mexicana
https://www.readbyqxmd.com/read/30182028/short-term-outcomes-of-arthroscopic-debridement-and-selected-acromioplasty-of-bursal-vs-articular-sided-partial-thickness-rotator-cuff-tears-of-less-than-50
#5
Tim Dwyer, Helen Razmjou, Patrick Henry, Shashank Misra, Eran Maman, Richard Holtby
Background: While it is believed that good results can be achieved by arthroscopic debridement of partial-thickness tears (PTTs) of <50% tendon thickness, few studies have directly compared the treatment of articular- versus bursal-sided PTTs of <50%. Purpose: To compare the postoperative outcomes of patients with articular- versus bursal-sided PTTs of <50% tendon thickness that were treated with arthroscopic debridement and selective acromioplasty (for type II or III acromions)...
August 2018: Orthopaedic Journal of Sports Medicine
https://www.readbyqxmd.com/read/30001291/clinical-faceoff-what-is-the-role-of-acromioplasty-in-the-treatment-of-rotator-cuff-disease
#6
Edward G McFarland, Frederick A Matsen, Joaquin Sanchez-Sotelo
No abstract text is available yet for this article.
September 2018: Clinical Orthopaedics and related Research
https://www.readbyqxmd.com/read/29984032/sarcoid-of-the-upper-humerus-found-incidentally-on-mr-images-obtained-for-work-up-of-rotator-cuff-tear-where-compromised-tissue-quality-was-a-concern-for-surgical-success
#7
Tanner R Henrie, John G Skedros
Sarcoidosis is an idiopathic systemic inflammatory disorder characterized histologically by noncaseating granulomas. The pathogenesis likely includes genetic, immunologic, and environmental factors. The lungs, skin, and eyes are most commonly affected. Although bone involvement is possible, sarcoidosis of the humerus is rare, with few cases reported. Furthermore, we are unaware of any reports of sarcoidosis of the upper humerus with a coexisting rotator cuff tear. We report the case of a 50-year-old female with sarcoidosis of the humerus and a coexisting tear of the supraspinatus tendon...
2018: Case Reports in Radiology
https://www.readbyqxmd.com/read/29895091/arthroscopic-reconstruction-of-intratendinous-lesions-of-the-supraspinatus-tendon-a-systematic-review
#8
Marius von Knoch, Stephan Frosch, Wolfgang Lehmann
BACKGROUND: Intratendinous lesions of the rotator cuff of the shoulder are frequent and may be a distinct clinical entity. Nevertheless, there are only a few publications which deal specifically with this subject. This study analyses the existing literature for the arthroscopic reconstruction of the intratendinous lesion of the supraspinatus tendon, by means of a systematic review, and identifies relevant research questions for future studies. MATERIAL AND METHODS: In January 2017, a systematic review of the U...
October 2018: Zeitschrift Für Orthopädie und Unfallchirurgie
https://www.readbyqxmd.com/read/29786825/the-comparison-of-arthroscopic-acromioplasty-with-and-without-acromioclavicular-coplaning
#9
Nuri Aydın, Barış Kocaoğlu, Ender Sarıoğlu, Okan Tok, Osman Güven
BACKGROUND: Coplaning means the removal of medial acromial spurs and inferior aspect of the distal clavicle. The aim of the study was to evaluate the outcomes of arthroscopic acromioplasty with and without coplaning in patients without acromioclavicular (AC) joint arthritis. METHODS: Because of impingement syndrome, arthroscopic subacromial decompression and acromioplasty was performed in Group 1 (9 males/31 female). In addition, coplaning was performed in Group 2 (8 males/21 females) by two different surgeons...
May 2018: Ulusal Travma Ve Acil Cerrahi Dergisi, Turkish Journal of Trauma & Emergency Surgery: TJTES
https://www.readbyqxmd.com/read/29543510/subacromial-decompression-yields-a-better-clinical-outcome-than-therapy-alone-a-prospective-randomized-study-of-patients-with-a-minimum-10-year-follow-up
#10
Stefanos Farfaras, Ninni Sernert, Lars Rostgard Christensen, Erling K Hallström, Jüri-Toomas Kartus
BACKGROUND: The long-term outcome after the treatment of subacromial impingement syndrome (SAIS) with either nonsurgical or surgical methods has not been thoroughly investigated. Hypothesis/Purpose: The purpose was to evaluate the long-term clinical outcome and the presence of rotator cuff injuries and osteoarthritis (OA) after the surgical and nonsurgical treatment of SAIS. The hypothesis was that, at a minimum 10 years after the initial treatment, patients who had undergone acromioplasty would have a better clinical outcome and run a lower risk of developing rotator cuff ruptures and OA as compared with those treated with physical therapy...
May 2018: American Journal of Sports Medicine
https://www.readbyqxmd.com/read/29511891/diaphragmatic-paralysis-in-obese-patients-in-arthroscopic-shoulder-surgery-consequences-and-causes
#11
Philippe Marty, Fabrice Ferré, Bertrand Basset, Constance Marquis, Benoit Bataille, Martine Chaubard, Mehdi Merouani, Olivier Rontes, Alain Delbos
PURPOSE: Ambulatory process in arthroscopic shoulder surgery has boomed over past decades. Some anesthetic techniques such as interscalene block (ISB) and its surrogates are associated with diaphragmatic paralysis and might compromise outpatient procedure. HYPOTHESIS: This study aims to assess consequences of diaphragmatic paralysis in obese patients. METHODS: This prospective observational study screened patients with body mass index (BMI) ≥ 30 kg/m2 undergoing acromioplasty or supraspinatus tendon repair...
June 2018: Journal of Anesthesia
https://www.readbyqxmd.com/read/29502697/editorial-commentary-lateral-acromioplasty-is-clinically-safe-and-has-the-potential-to-reduce-the-risk-for-rotator-cuff-re-tears
#12
EDITORIAL
J Christoph Katthagen, Peter J Millett
The critical shoulder angle and lateral acromioplasty are areas of controversy that are being studied in association with rotator cuff tears both as potential pathogenic variables and as surgically modifiable variables that could improve clinical outcomes. Current clinical evidence regarding the effectiveness and potential benefit of lateral acromioplasty support the hypothesis that modification of the bony anatomy may influence the integrity of the rotator cuff.
March 2018: Arthroscopy: the Journal of Arthroscopic & related Surgery
https://www.readbyqxmd.com/read/29490599/the-end-of-an-era
#13
Jeremy Lewis
In 1972, American orthopaedic surgeon Charles Neer published his seminal paper, "Anterior Acromioplasty for the Chronic Impingement Syndrome in the Shoulder: A Preliminary Report." It wasn't a robust scientific paper; however, it changed the direction of orthopaedic practice for the next half century. Neer argued that a primary cause of shoulder pain was attrition of the supraspinatus tendon and related structures from the overlying acromion, especially when the arm was elevated. Neer recommended surgical removal to stop the impingement, and over the last half century, it could be argued that millions of people around the globe would have undergone acromioplasty surgery to stop this portion of the bone impinging onto the soft tissues located in the subacromial space...
March 2018: Journal of Orthopaedic and Sports Physical Therapy
https://www.readbyqxmd.com/read/29427059/arthroplanner-a-surgical-planning-solution-for-acromioplasty
#14
Caecilia Charbonnier, Sylvain Chagué, Bart Kevelham, Delphine Preissmann, Frank C Kolo, Olivier Rime, Alexandre Lädermann
PURPOSE: We present a computer-assisted planning solution "ArthroPlanner" for acromioplasty based on 3D anatomical models, computed tomography and joint kinematic simulations. METHODS: In addition to a standard static clinical evaluation (anamnesis, radiological examination), the software provides a dynamic assessment of the shoulder joint by computing in real time the joint kinematics from a database of activities of daily living. During motion, the precise bone resection (location and amount) is computed based on detected subacromial impingements, providing surgeons with precise information about the surgical procedure...
February 9, 2018: International Journal of Computer Assisted Radiology and Surgery
https://www.readbyqxmd.com/read/29304985/editorial-commentary-the-partial-thickness-rotator-cuff-tear-is-acromioplasty-without-repair-ever-indicated
#15
EDITORIAL
Frank A Cordasco
I believe that arthroscopic repair is the treatment of choice for patients with partial thickness rotator cuff tears when nonoperative methods have been exhausted. Excluding overhead athletes and patients in whom long head biceps tendon pathology is the primary concern, I do not believe that a significant role exists for debridement with or without acromioplasty in the majority of patients with partial thickness tears. Regarding the repair technique, I prefer in situ repair for bursal-sided tears because the superior capsule is intact and completion of the tear with repair for articular-sided tears...
January 2018: Arthroscopy: the Journal of Arthroscopic & related Surgery
https://www.readbyqxmd.com/read/29249548/patients-with-a-long-standing-cuff-tear-in-one-shoulder-have-high-rates-of-contralateral-cuff-tears-a-study-of-patients-with-arthroscopically-verified-cuff-tears-22-years-ago
#16
Mats C Ranebo, Hanna C Björnsson Hallgren, Lars E Adolfsson
BACKGROUND: The prevalence of contralateral full-thickness cuff tears (FTTs) and cuff tear arthropathy (CTA) is presumed to be higher in patients with long-standing cuff tears than in those with newly diagnosed tears, but data are currently lacking. METHODS: Sixty-one patients with 38 partial and 23 full-thickness tears of 1 shoulder at arthroscopy were examined with bilateral radiographs, ultrasound, and the Constant-Murley score at a mean of 22 years (range, 21-25 years) after arthroscopy...
March 2018: Journal of Shoulder and Elbow Surgery
https://www.readbyqxmd.com/read/29111197/the-critical-acromial-point-the-anatomic-location-of-the-lateral-acromion-in-the-critical-shoulder-angle
#17
Michael R Karns, Matthijs Jacxsens, William J Uffmann, Dane C Todd, Heath B Henninger, Robert T Burks
BACKGROUND: Acromioplasty has been proposed as a means of altering elevated critical shoulder angles (CSAs). We aimed to localize the critical acromion point (CAP) responsible for the acromial contribution of the CSA and determine whether resection of the CAP can alter the CSA to a normal range. METHODS: The CAP and 3-dimensional (3D) CSAs were determined on 3D computed tomography reconstructions of 88 cadaveric shoulders and compared with corresponding CSAs on digitally reconstructed radiographs...
January 2018: Journal of Shoulder and Elbow Surgery
https://www.readbyqxmd.com/read/29100767/arthroscopic-correction-of-the-critical-shoulder-angle-through-lateral-acromioplasty-a-safe-adjunct-to-rotator-cuff-repair
#18
Christian Gerber, Sabrina Catanzaro, Michael Betz, Lukas Ernstbrunner
PURPOSE: To investigate whether arthroscopic lateral acromioplasty reliably decreases the critical shoulder angle (CSA) and whether it is associated with damage to the deltoid or other complications. METHODS: Patients undergoing arthroscopic rotator cuff repair (RCR) with lateral but without anterior acromioplasty for degenerative, full-thickness rotator cuff tears and a CSA of 34° or greater were retrospectively reviewed. Patients with traumatic or irreparable rotator cuff tears, osteoarthritis, or previous surgery were excluded...
March 2018: Arthroscopy: the Journal of Arthroscopic & related Surgery
https://www.readbyqxmd.com/read/29045184/predictive-factors-of-retear-in-patients-with-repaired-rotator-cuff-tear-on-shoulder-mri
#19
Yun Kyung Shin, Kyung Nam Ryu, Ji Seon Park, Wook Jin, So Young Park, Young Cheol Yoon
OBJECTIVE: This study aimed to find independent prognostic factors related to retear of the rotator cuff tendon in patients with repaired full-thickness supraspinatus tendon tear by evaluation of pre- and postoperative MR images. MATERIALS AND METHODS: Shoulder MR images were retrospectively analyzed for 83 patients who had undergone arthroscopic or open rotator cuff repair with acromioplasty for full-thickness supraspinatus tendon tear from April 2014 to March 2015...
January 2018: AJR. American Journal of Roentgenology
https://www.readbyqxmd.com/read/28932971/the-correlation-of-supraspinatus-outlet-view-with-computed-tomography-for-visualization-of-the-anterior-acromial-undersurface
#20
Viktor Feldman, Niv Marom, Meir Nyska, Eugene Kotz, Jonathan E J Koh, Vidal Barchilon
INTRODUCTION: Understanding the real shape of the undersurface of the acromion prior to acromioplasty is indispensable. Today, Supraspinatus outlet view (SSOV) is a standard view used to determine the shape of the anterior acromion. Three types of acromial undersurface were described by Bigliani and Morrison. The purpose of this study was to find out whether the real acromial type can be visualized on X-ray SSOV and compare the shape of the anterior undersurface of the acromion visualized on SSOV, with the shape revealed on 2D CT reconstructions...
February 2018: European Journal of Orthopaedic Surgery & Traumatology: Orthopédie Traumatologie
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