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Rotate cuff

Rui Prado-Costa, João Rebelo, João Monteiro-Barroso, Ana Sofia Preto
Ultrasound elastography (USE) is a recent technology that has experienced major developments in the past two decades. The assessment of the main mechanical properties of tissues can be made with this technology by characterisation of their response to stress. This article reviews the two major techniques used in musculoskeletal elastography, compression elastography (CE) and shear-wave elastography (SWE), and evaluates the studies published on major electronic databases that use both techniques in the context of tendon pathology...
August 17, 2018: Insights Into Imaging
Yang Yang, Jin Qu
BACKGROUND: Rotator cuff disease is a common condition that causes shoulder pain and functional disability. Recent studies suggested that hyperlipidemia might be associated with the development of rotator cuff disease. The objective of this study was to explore the relationship of hyperlipidemia and rotator cuff diseases. METHODS: A computerized search using relevant search terms was performed in the PubMed, EMBASE, and Cochrane Library databases, as well as a manual search of reference and citation lists of the included studies...
August 17, 2018: Journal of Orthopaedic Surgery and Research
Yaiza Lopiz, Pablo Checa, Carlos García-Fernández, Jose Valle, Maria Luisa Vega, Fernando Marco
BACKGROUND AND PURPOSE: There is no consensus on the optimal surgical procedure for treating Neer type-2 distal clavicle fractures. Hook plates provide better stability than other fixation methods for small fragments but have been related to multiple complications. METHODS: Retrospective study on patients operated for Neer type-2 fractures using a hook plate. At the time of the study, we performed functional (UCLA and Constant scales) and radiographic (coracoclavicular distance CCD) evaluation and ultrasound assessments of the condition of the rotator cuff...
August 16, 2018: International Orthopaedics
Akira M Murakami, Andrew J Kompel, Lars Engebretsen, Xinning Li, Bruce B Forster, Michel D Crema, Daichi Hayashi, Mohamed Jarraya, Frank W Roemer, Ali Guermazi
BACKGROUND: To use Magnetic Resonance Imaging (MRI) to characterize the severity, location, prevalence, and demographics of shoulder injuries in athletes at the Rio de Janeiro 2016 Summer Olympic Games. METHODS: This was a retrospective analysis of all routine shoulder MRIs obtained from the Olympic Village Polyclinic during the Rio 2016 Summer Olympics. Imaging was performed on 1.5 T and 3 T MRI, and interpretation was centrally performed by a board-certified musculoskeletal radiologist...
August 17, 2018: BMC Musculoskeletal Disorders
Michael Nganga, Lucylynn Lizarondo, Jegan Krishnan, Matthew Stephenson
The objective of this review is to synthesize the best available evidence on the effectiveness of non-surgical and surgical treatment on the clinical and functional outcomes of elderly patients with full thickness rotator cuff tear.
August 2018: JBI Database of Systematic Reviews and Implementation Reports
Masayoshi Saito, Sachiyuki Tsukada, Nobuko Fujita, Mahbubur Rahman, Wataru Morita, Nobuto Kitamura, Atsushi Tasaki
PURPOSE: To compare post-operative pain relief with peri-articular injection (PI) versus interscalene brachial plexus block (IBPB) after arthroscopic rotator cuff repair (ARCR) surgery. METHODS: We retrospectively reviewed 121 consecutive patients undergoing ARCR surgery divided into two groups: the PI group and the IBPB group. We compared complications and self-reported pain score measured using a Numerical Rating Scale (NRS) during the initial 24 hours after surgery...
August 15, 2018: International Orthopaedics
Hideyuki Sasanuma, Hideharu Sugimoto, Yuki Iijima, Yuji Kanaya, Tomohiro Saito, Katsushi Takeshita
BACKGROUND: This study compared imaging findings of blood flow changes between symptomatic rotator cuff tear (RCT) and frozen shoulder (FS) by using 3-dimensional dynamic magnetic resonance imaging (MRI) to determine the clinical characteristics of symptomatic RCT. METHODS: The 2 study groups comprised 31 symptomatic RCT patients who underwent arthroscopic rotator cuff repair and 30 patients with FS. We denoted abnormal blood flow detected around the glenohumeral joint as the burning sign (BS)...
August 13, 2018: Journal of Shoulder and Elbow Surgery
Jong Moon Kim, Yong Wook Kim, Hyoung Seop Kim, Sang Chul Lee, Yong Min Chun, Seung Ho Joo, Hyun Sun Lim
Background Rotator cuff tear (RCT) has been believed to be related to specific types of the acromion. However, most of the studies were performed on a small number of patients with surgical findings not considering the severity of RCT. Purpose To analyze the relationship between age, gender, the side of the shoulder, the acromion type, and the severity of RCT using shoulder magnetic resonance arthrography (MRA). Material and Methods A total of 277 shoulder MRA findings were analyzed by a radiologist specializing in the musculoskeletal system...
August 15, 2018: Acta Radiologica
Chantal Plomb-Holmes, Philippe Clavert, Frank Kolo, Eileen Tay, Alexandre Lädermann, French Society Of Arthroscopy
Ultrasound (US) imaging is an efficient, easy to use and inexpensive tool allowing for facilitated diagnosis and management of the painful shoulder. It remains primarily used by radiologists and rheumatologists, despite having shown excellent diagnostic accuracy when used by different medical specialities in their office-based consultation. It also has advantages over other imaging modalities in the evaluation of the post-operative shoulder for rotator cuff integrity and correct anchor and suture placement, as well as rotator cuff analysis following arthroplasty...
August 11, 2018: Orthopaedics & Traumatology, Surgery & Research: OTSR
Hyung Bin Park, Ji-Yong Gwark, Jin-Hyung Im, Jaehoon Jung, Jae-Boem Na, Chul Ho Yoon
BACKGROUND: Certain metabolic factors have been proposed as risk factors for a posterosuperior rotator cuff tear. Although metabolic syndrome is of increasing concern in industrialized societies, little information exists regarding its association with posterosuperior rotator cuff tears. The purpose of this study was to determine the risk factors for an atraumatic posterosuperior rotator cuff tear, including metabolic factors and metabolic syndrome. METHODS: This study involved 634 subjects (634 shoulders) drawn from a cohort of rural residents...
August 15, 2018: Journal of Bone and Joint Surgery. American Volume
Lin-Liang Wang, Xue-Feng Yin, Xiu-Cheng Chu, Yong-Bing Zhang, Xiao-Nan Gong
As a common cause of shoulder pain and disability, rotator cuff injury (RCI) represents a debilitating condition affecting an individual's quality of life. Although surgical repair has been shown to be somewhat effective, many patients may still suffer from reduced shoulder function. The aim of the current study was to identify a more effective mode of RCI treatment by investigating the effect of platelet-derived growth factor subunit B (PDGF-B) on tendon-bone healing after RCI repair by modifying bone marrow-derived mesenchymal stem cells (BMSCs)...
August 13, 2018: Journal of Cellular Biochemistry
Florian Sevelda, Bernd Fink
BACKGROUND: Studies on 1-stage exchange in septic shoulder arthroplasty are limited and show a wide variation of treatment strategies. This retrospective study investigated infection-free survival and function of 1-stage exchange of septic shoulder arthroplasty following a standardized treatment algorithm. METHODS: The requirement for 1-stage exchange was an isolated microorganism from synovial fluid aspiration or synovial biopsy with an antibiotic susceptibility profile prior to revision surgery...
August 10, 2018: Journal of Shoulder and Elbow Surgery
Takeshi Kataoka, Takeshi Kokubu, Tomoyuki Muto, Yutaka Mifune, Atsuyuki Inui, Ryosuke Sakata, Hanako Nishimoto, Yoshifumi Harada, Fumiaki Takase, Yasuhiro Ueda, Takashi Kurosawa, Kohei Yamaura, Ryosuke Kuroda
BACKGROUND: Fascia lata augmentation of massive rotator cuff tears has shown good clinical results. However, its biological effect during the early healing process is not clearly understood. The purpose of the study was to evaluate the biological efficacy of fascia lata augmentation during the early healing process of rotator cuff tears using a rabbit rotator cuff defect model. METHODS: The infraspinatus tendon was resected from the greater tuberosity of a rabbit to create a rotator cuff tear...
August 13, 2018: Journal of Orthopaedic Surgery and Research
Xiu-Hua Mao, Ye-Jun Zhan
BACKGROUND: The aim of this meta-analysis was to evaluate the efficacy and safety of platelet-rich fibrin (PRF) in improving clinical outcomes in rotator cuff tears. METHODS: We searched the following databases: Pubmed, Embase, and Cochrane library databases from inception to April 2018. Studies that compared platelet-rich fibrin versus placebo for rotator cuff tears were included in this meta-analysis. Risk ratio (RR) with 95% confidence interval (CI) was pooled for discontinuous outcome, and weighted mean difference (WMD) with 95% CI was pooled for continuous outcome...
August 13, 2018: Journal of Orthopaedic Surgery and Research
Guang-Jie Xu, Xue-Song Dai
OBJECTIVE: To explore operative technique and clinical efficacy of tenotomy fixed on distal trochlea under arthroscopy for long head of biceps tendon and rotator cuff tear. METHODS: From June 2015 to November 2016, 23 patients with long head of biceps tendon and rotator cuff tear were treated with tenotomy fixed on distal trochlea under arthroscopy and rotator cuff repair. Among them, including 9 males and 14 females aged from 44 to 71 years old with an average of(56...
July 25, 2018: Zhongguo Gu Shang, China Journal of Orthopaedics and Traumatology
Stijn J Casier, Robin Van den Broecke, Jan Van Houcke, Emmanuel Audenaert, Lieven F De Wilde, Alexander Van Tongel
BACKGROUND: Morphologic variations of the scapula and acromion have been found to be associated with shoulder pathology. This study used statistical shape modelling to quantify these variations in healthy shoulders. MATERIALS AND METHODS: A statistical shape model of the scapula was created using 3-dimensional computed tomography reconstructions of 108 survey-confirmed nonpathologic shoulders of 54 patients. The mean shape and the 95% confidence interval were calculated and analyzed in the first 5 shape modes...
August 9, 2018: Journal of Shoulder and Elbow Surgery
Francesco Ascione, Christopher M Kilian, Mitzi S Laughlin, Giulia Bugelli, Peter Domos, Lionel Neyton, Arnaud Godeneche, T Bradley Edwards, Gilles Walch
BACKGROUND: Scapular stress fractures after reverse shoulder arthroplasty (RSA) are a potentially serious complication with modern lateralized and onlay implants. The aim of this study was to report the scapular spine stress fracture rate after RSA with an onlay, 145° humeral stem, analyzing potential fracture risk factors and clinical outcomes in a large cohort of patients. METHODS: A consecutive series of 485 RSAs were implanted with the Aequalis Ascend Flex stem...
August 8, 2018: Journal of Shoulder and Elbow Surgery
Miguel Angel Ruiz Ibán, Juan Sarasquete, Mario Gil de Rozas, Pedro Costa, Juan Daniel Tovío, Eduardo Carpinteiro, Abdul Ilah Hachem, Manuel Perez España, Cristina Asenjo Gismero, Jorge Diaz Heredia, Miguel García Navlet
PURPOSE: To define the prevalence of associated articular injuries in patients with severe (Rockwood's III-VI) acute acromioclavicular joint injuries and to find out how many of these were associated with the traumatic event and required surgical treatment. METHODS: Retrospective observational multicentric study performed in ten centres included patients who required surgery for acute acromioclavicular joint injuries between 2010 and 2017. The inclusion criteria were: presence of an acute acromioclavicular joint injury (grades III-IV-V-VI) and surgical treatment within 3 weeks of injury that included a full arthroscopic evaluation of the shoulder...
August 10, 2018: Knee Surgery, Sports Traumatology, Arthroscopy: Official Journal of the ESSKA
Miguel Angel Ruiz Ibán, Rafael Lorente Moreno, Raquel Ruiz Díaz, Roselyn Álvarez Sciamanna, Andrea Paniagua Gonzalez, Alejandro Lorente Gómez, Jorge Díaz Heredia
PURPOSE: To evaluate the 2-year results of an absorbable subacromial spacer in patients with irreparable posterosuperior rotator cuff tears. METHODS: Prospective longitudinal study of a consecutive case series of 16 subjects with irreparable tears of the posterosuperior rotator cuff in which the InSpace® subacromial spacer was arthroscopically implanted. A full clinical evaluation that included the Constant test, Simple Shoulder Test (SST) and the QuickDash questionnaire was performed preoperatively and at 12 and 24 months follow-up...
August 10, 2018: Knee Surgery, Sports Traumatology, Arthroscopy: Official Journal of the ESSKA
Nitin B Jain, Gregory D Ayers, Run Fan, John E Kuhn, Keith Baumgarten, Elizabeth Matzkin, Laurence D Higgins
Background: Optimal patient selection is key to the success of nonoperative treatment for rotator cuff tears. Purpose: To assess the predictors of pain and functional outcomes in a longitudinal cohort of patients undergoing nonoperative treatment. Study Design: Cohort study; Level of evidence, 2. Methods: A multicenter cohort of patients with rotator cuff tears undergoing nonoperative treatment was recruited from March 2011 to February 2015...
August 2018: Orthopaedic Journal of Sports Medicine
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