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Rotator cuff shoulder

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https://www.readbyqxmd.com/read/28920548/target-range-of-motion-at-3-months-after-arthroscopic-rotator-cuff-repair-and-its-effect-on-the-final-outcome
#1
Hisahiro Tonotsuka, Hiroyuki Sugaya, Norimasa Takahashi, Nobuaki Kawai, Hajime Sugiyama, Keishi Marumo
PURPOSE: The postoperative protocol after arthroscopic rotator cuff repair (ARCR) is still controversial. Some surgeons recommend slower rehabilitation in order to improve the integrity of the repair, while others prefer early range-of-motion (ROM) exercise to avoid postoperative stiffness. The purpose of this study was to determine target ROM (T-ROM) measurements at 3 months after ARCR that are predictive of eventual full recovery without structural failure. METHODS: The cases consisted of 374 shoulders in 360 patients who underwent primary ARCR and were followed up for at least 2 years...
September 2017: Journal of Orthopaedic Surgery
https://www.readbyqxmd.com/read/28919000/intraobserver-and-interobserver-reliability-of-the-copeland-levy-classification-for-arthroscopic-evaluation-of-subacromial-impingement
#2
Ehud Atoun, Ron Gilat, Alexander van Tongel, Riten Pradhan, Ornit Cohen, Ehud Rath, Ofer Levy
BACKGROUND: Defining a simple and reliable classification for acromial and bursal impingement lesions is necessary to standardize terminology, to improve communication, and to allow better evaluation of the proper treatment of impingement lesions and rotator cuff tears. The purpose of this study was to assess orthopedic surgeons' intraobserver and interobserver reliability of the Copeland-Levy classification. METHODS: Six fellowship-trained orthopedic surgeons reviewed shoulder arthroscopy videos of 69 consecutive patients who underwent shoulder arthroscopy for rotator cuff tear repair or subacromial decompression...
September 14, 2017: Journal of Shoulder and Elbow Surgery
https://www.readbyqxmd.com/read/28918438/no-difference-in-outcome-for-open-versus-arthroscopic-rotator-cuff-repair-a-prospective-comparative-trial
#3
Xavier Bayle, Thuy-Trang Pham, Marie Faruch, Aurelie Gobet, Pierre Mansat, Nicolas Bonnevialle
PURPOSE: Arthroscopic techniques tend to become the gold standard in rotator cuff repair. However, little data are reported in the literature regarding the improvement of postoperative outcomes and re-tear rate relative to conventional open surgery. The aim of this study was to compare clinical outcomes and cuff integrity after arthroscopic versus open cuff repair. METHODS: We prospectively assessed clinical outcomes and cuff integrity after an arthroscopic or open rotator cuff repair with a minimum follow-up of 12 months...
September 16, 2017: Archives of Orthopaedic and Trauma Surgery
https://www.readbyqxmd.com/read/28916911/evaluation-of-thirty-eight-cemented-pegged-glenoid-components-with-variable-backside-curvature-two-year-minimum-follow-up
#4
Florence Dauzère, Marine Arboucalot, Julie Lebon, Fanny Elia, Nicolas Bonnevialle, Pierre Mansat
BACKGROUND: The PERFORM™ pegged glenoid system has been used for shoulder arthroplasty since 2012. This system offers multiple backside curvatures per size to better match variable patient anatomy. As a result, less reaming is required and subchondral bone is preserved-a critical factor in preventing glenoid migration and loosening, thus enhancing implant longevity. PURPOSE: The purpose of this study was to analyze all radiographic modifications around this new glenoid implant...
September 15, 2017: International Orthopaedics
https://www.readbyqxmd.com/read/28916837/primary-and-secondary-consequences-of-rotator-cuff-injury-on-joint-stabilizing-tissues-in-the-shoulder
#5
Hafizur Rahman, Eric Currier, Marshall Johnson, Rick Goding, Amy J Wagoner Johnson, Mariana Kersh
Rotator cuff tears are one of the primary causes of shoulder pain and dysfunction in the upper extremity accounting over 4.5 million physician visits per year with 250,000 rotator cuff repairs being performed annually in the United States. While the tear is often considered an injury to a specific tendon/tendons and consequently treated as such, there are secondary effects of rotator cuff tears that may have significant consequences for shoulder function. Specifically, rotator cuff tears have been shown to affect the joint cartilage, bone, the ligaments, as well as the remaining intact tendons of the shoulder joint...
September 16, 2017: Journal of Biomechanical Engineering
https://www.readbyqxmd.com/read/28913728/shoulder-strengthening-exercises-adapted-to-specific-shoulder-pathologies-can-be-selected-using-new-simulation-techniques-a-pilot-study
#6
Caecilia Charbonnier, Alexandre Lädermann, Bart Kevelham, Sylvain Chagué, Pierre Hoffmeyer, Nicolas Holzer
PURPOSE: Shoulder strength training exercises represent a major component of rehabilitation protocols designed for conservative or postsurgical management of shoulder pathologies. Numerous methods are described for exercising each shoulder muscle or muscle group. Limited information is available to assess potential deleterious effects of individual methods with respect to specific shoulder pathologies. Thus, the goal of this pilot study was to use a patient-specific 3D measurement technique coupling medical imaging and optical motion capture for evaluation of a set of shoulder strength training exercises regarding glenohumeral, labral and subacromial compression, as well as elongation of the rotator cuff muscles...
September 14, 2017: International Journal of Computer Assisted Radiology and Surgery
https://www.readbyqxmd.com/read/28911814/the-effect-of-patient-gender-on-outcomes-after-reverse-total-shoulder-arthroplasty
#7
Stephanie E Wong, Austin A Pitcher, David Y Ding, Nicola Cashman, Alan L Zhang, C Benjamin Ma, Brian T Feeley
BACKGROUND: Gender differences may exist for patients undergoing shoulder arthroplasty. Limited data suggest that women may have worse preoperative disability and outcomes. Our objective was to determine whether gender influences preoperative disability and patient-reported outcomes after reverse total shoulder arthroplasty. METHODS: Data were prospectively collected for patients who underwent reverse total shoulder arthroplasty for rotator cuff arthropathy or osteoarthritis with a rotator cuff tear at a single institution between 2009 and 2015...
September 11, 2017: Journal of Shoulder and Elbow Surgery
https://www.readbyqxmd.com/read/28905690/the-acromiohumeral-centre-edge-angle-a-new-radiographic-measurement-and-its-association-with-rotator-cuff-pathology
#8
Neal Singleton, Lewis Agius, Stephen Andrews
BACKGROUND: Various radiographic measurements that describe humeral head coverage by the acromion and the effect on rotator cuff pathology have been reported. This study aimed to describe and validate a new radiographic measurement, the acromiohumeral centre edge angle (ACEA). METHODS: We compared the ACEA on computed tomography (CT) and plain X-ray to determine whether X-ray is accurate for measuring this angle. We then compared the results from this control population with 107 patients with acute rotator cuff tears...
September 2017: Journal of Orthopaedic Surgery
https://www.readbyqxmd.com/read/28904952/internal-impingement-of-the-shoulder-a-risk-of-false-positive-test-outcomes-in-external-impingement-tests
#9
Tim Leschinger, Christopher Wallraff, Dirk Müller, Matthias Hackenbroch, Henning Bovenschulte, Jan Siewe
BACKGROUND: External impingement tests are considered as being particularly reliable for identifying subacromial and coracoid shoulder impingement mechanisms. The purpose of the present study was to evaluate if these tests are likely to provoke an internal shoulder impingement mechanism which, in cases of a pathologic condition, can lead to a positive test result. METHOD: In 37 subjects, the mechanical contact between the glenoid rim and the rotator cuff (RC) was measured quantitatively and qualitatively in external impingement test positions using an open MRI system...
2017: BioMed Research International
https://www.readbyqxmd.com/read/28902761/care-of-water-polo-players
#10
Jennifer D Stromberg
Water polo is a team sport that combines swimming with overhead throwing and wrestling. This places water polo players at risk for a unique group of illnesses and injuries. In addition to the medical problems and injuries seen in competitive swimmers, water polo players are at risk for a variety of traumatic injuries, including concussions, eye injuries, tympanic membrane perforation, fractures, dislocations, and lacerations. Repetitive overhead throwing also places these athletes at risk for related injuries, such as shoulder problems, including rotator cuff strain and impingement, and elbow problems, such as ulnar collateral ligament injuries, posteromedial impingement, and osteochondritis dissecans of the radial capitellum...
September 2017: Current Sports Medicine Reports
https://www.readbyqxmd.com/read/28900553/treatment-of-partial-rotator-cuff-tear-with-ultrasound-guided-platelet-rich-plasma
#11
Vetrivel Chezian Sengodan, Sajith Kurian, Raghupathy Ramasamy
BACKGROUND: The treatment of symptomatic partial rotator cuff tear has presented substantial challenge to orthopaedic surgeons as it can vary from conservative to surgical repair. Researches have established the influence of platelet rich plasma in healing damaged tissue. Currently very few data are available regarding the evidence of clinical and radiological outcome of partial rotator cuff tear treated with ultrasound guided platelet rich plasma injection in English literature. MATERIALS AND METHODS: 20 patients with symptomatic partial rotator cuff tears were treated with ultrasound guided platelet rich plasma injection...
2017: Journal of Clinical Imaging Science
https://www.readbyqxmd.com/read/28899384/systematic-review-of-quantitative-imaging-biomarkers-for-neck-and-shoulder-musculoskeletal-disorders
#12
Judith E Gold, David M Hallman, Fredrik Hellström, Martin Björklund, Albert G Crenshaw, Svend Erik Mathiassen, Mary F Barbe, Sayed Ali
BACKGROUND: This study systematically summarizes quantitative imaging biomarker research in non-traumatic neck and shoulder musculoskeletal disorders (MSDs). There were two research questions: 1) Are there quantitative imaging biomarkers associated with the presence of neck and shoulder MSDs?, 2) Are there quantitative imaging biomarkers associated with the severity of neck and shoulder MSDs? METHODS: PubMed and SCOPUS were used for the literature search. One hundred and twenty-five studies met primary inclusion criteria...
September 12, 2017: BMC Musculoskeletal Disorders
https://www.readbyqxmd.com/read/28898793/displaced-acromion-fracture-a-rare-injury-case-report
#13
Özgür Çiçekli, Abdülhalim Akar, Hüseyin Nevzat Topçu
INTRODUCTION: Acromion fractures are extremely rare. There are no common accepted treatment schemes and fixation methods We aimed to present a case which may contribute to the diagnosis and treatment of acromion fracture in a patient with polytrauma. PRESENTATION OF CASE: Acromion fracture associated with scapula and clavicle fractures was diagnosed in 40 years old patient and treated with open reduction and cannulated screw fixation. The fracture healing was completed without causing subacromial impingement...
September 1, 2017: International Journal of Surgery Case Reports
https://www.readbyqxmd.com/read/28898104/rotator-cuff-calcific-tendinitis-ultrasound-guided-needling-and-lavage-versus-subacromial-corticosteroids-five-year-outcomes-of-a-randomized-controlled-trial
#14
Pieter Bas de Witte, Arjen Kolk, Ferdinand Overes, Rob G H H Nelissen, Monique Reijnierse
BACKGROUND: Barbotage (needling and lavage) is often applied in the treatment of calcific tendinitis of the rotator cuff (RCCT). In a previously published randomized controlled trial, we reported superior clinical and radiological 1-year outcomes for barbotage combined with a corticosteroid injection in the subacromial bursa (SAIC) compared with an isolated SAIC. There are no trials with a midterm or long-term follow-up of barbotage available. PURPOSE: To compare the 5-year results of 2 regularly applied treatments of RCCT: ultrasound (US)-guided barbotage combined with a SAIC (group 1) versus an isolated US-guided SAIC (group 2)...
September 1, 2017: American Journal of Sports Medicine
https://www.readbyqxmd.com/read/28893394/biceps-tenotomy-in-the-presence-of-a-supraspinatus-tear-alters-the-adjacent-intact-tendons-and-glenoid-cartilage
#15
Zakary M Beach, Jennica J Tucker, Stephen J Thomas, Katherine E Reuther, Chancellor F Gray, Chang-Soo Lee, David L Glaser, Louis J Soslowsky
A rotator cuff tear is a common injury in athletes and workers who repeatedly perform overhead movements, and it is not uncommon for this demographic to return to activity shortly after treatment. A biceps tenotomy is often performed in the presence of a rotator cuff tear to help reduce pain and improve joint function. However, the effect of this procedure on the surrounding tissues in the glenohumeral joint is unknown. Therefore, the purpose of this study was to investigate the effect of a biceps tenotomy in the presence of a supraspinatus rotator cuff tear followed by overuse activity on ambulatory function and mechanical and histologic properties of the remaining rotator cuff tendons and glenoid cartilage...
August 26, 2017: Journal of Biomechanics
https://www.readbyqxmd.com/read/28891538/treatment-alternative-for-irreparable-rotator-cuff-ruptures-arthroscopic-biodegradable-balloon
#16
H C Basat, C Kirçil, M Armangil, M Demirtş
BACKGROUND: The treatment of massive irreparable rotator cuff rupture has still no consensus among shoulder surgeons. It is assumed that symptomatic rotator cuff tendon rupture is accepted as irreparable if retraction amount of tendon is Patte stage 3 on MRI; degree of fatty atrophy is Goutallier stage 3 or 4; narrowing of acromiohumeral distance is lesser than 7 mm and excursion of tendon to repair has decreased and patient has severe pain. Biodegradable balloon is one of the newest methods for the treatment of irreparable massive rotator cuff ruptures...
August 2017: Nigerian Journal of Clinical Practice
https://www.readbyqxmd.com/read/28889228/intraosseous-migration-of-tendinous-calcifications-two-case-reports
#17
A Marinetti, M Sessa, A Falzone, S W Della Sala
Calcific tendinopathy of the rotator cuff is a common cause of shoulder pain. Inflammation of the rotator cuff tendons may be complicated by adjacent bone erosion and subsequent migration of calcific deposits within the bone resulting in marrow inflammation. Bone marrow involvement is not readily visible using X-ray and ultrasound (US) and further testing is necessary. Magnetic resonance imaging (MRI) is a highly sensitive technique that can detect a focal bone T1 and T2-weighted hypointensity with bone marrow edema-like signal and cortical erosion...
September 9, 2017: Skeletal Radiology
https://www.readbyqxmd.com/read/28885384/a-new-stem-guide-and-a-tuberosity-anchoring-lasso-system-for-shoulder-hemiarthroplasty-in-the-treatment-of-complex-proximal-humerus-fractures
#18
Philippe Valenti, Davide Aliani, Charbel Maroun, Jean-David Werthel
Hemiarthroplasty implantation for proximal humerus fracture is challenging. In case of young demanding patients with functional rotator cuff, humeral head replacement is an option if open reduction internal fixation is not a viable solution. The criteria for success in terms of clinical outcomes and longevity are anatomic healing of the tuberosities and stem positioning (restoring correct height, version, and axis). The purpose of this article is to describe a technique including a new stem guide and a tuberosity anchor "lasso" system for the implantation of hemiarthroplasty in complex proximal humerus fractures...
September 6, 2017: Techniques in Hand & Upper Extremity Surgery
https://www.readbyqxmd.com/read/28884100/relationship-between-the-critical-shoulder-angle-and-the-development-of-rotator-cuff-lesions-a-retrospective-epidemiological-study
#19
Leandro Cardoso Gomide, Thiago Correa do Carmo, Guilherme Henrique Moreira Bergo, Glauber Araújo Oliveira, Igor Severino Macedo
OBJECTIVE: To perform a retrospective epidemiological study of radiographs in order to evaluate the relationship between the anatomy of the scapula and the development of rotator cuff injuries (RCIs). METHODS: This study retrospectively evaluated the relation of the critical shoulder angle (CSA) and RCIs from January 2011 to November 2013; patients were examined in the Orthopedics and Traumatology Department of a university hospital. The CSA was measured by radiographic standardization of two groups: a control group of 34 asymptomatic shoulders and a study group of 44 shoulders with complete RCIs...
June 2017: Revista Brasileira de Ortopedia
https://www.readbyqxmd.com/read/28881332/reverse-shoulder-arthroplasty-for-deltoid-deficient-shoulder-following-latissimus-dorsi-flap-transfer-case-report
#20
Mohamed Al Ateeq Al Dosari, Shamsi Hameed, Khalid Mukhtar, Aissam Elmhiregh
INTRODUCTION: The usual indication for reverse shoulder arthroplasty is glenohumeral arthritis with inadequate rotator cuff and intact deltoid muscle. We report here a case of reverse shoulder arthroplasty using a lattisimus dorsi flap in a patient with deltoid-deficient shoulder following a gunshot injury. PRESENTATION OF THE CASE: The patient was an otherwise healthy 51-year-old male with a history of gunshot injury of the left shoulder 2006. Upon presentation in 2011, the patient had a loss of most of his shoulder bony and muscular structures...
August 31, 2017: International Journal of Surgery Case Reports
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