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Rotator cuff surgery

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https://www.readbyqxmd.com/read/29665765/sub-acromial-balloon-spacer-for-irreparable-rotator-cuff-tears-is-it-an-appropriate-salvage-procedure
#1
Dan Prat, Shay Tenenbaum, Moshe Pritsch, Ariel Oran, Guy Vogel
INTRODUCTION: Irreparable rotator cuff tear (RCT) presents a difficult treatment challenge for the orthopaedic surgeon. Many treatment strategies with varying degrees of success have been performed over the years. One of the suggested surgical treatment options is the use of a biodegradable sub-acromial balloon spacer. METHODS: A retrospective study of patients treated with sub-acromial balloon spacer between the years 2011 and 2016 was conducted. Mean follow-up time was 14...
May 2018: Journal of Orthopaedic Surgery
https://www.readbyqxmd.com/read/29664803/posterior-shoulder-dislocation-associated-with-the-head-splitting-and-humeral-neck-fracture-impact-of-understanding-radiologic-signs-and-experience-with-an-extended-deltopectoral-approach
#2
Kemal Gokkus, Ergin Sagtas, Hasan Kara, Ahmet T Aydin
In this paper, our main objective was to emphasize the competency of extended deltopectoral exposure, enforced with the supraspinatus and subscapularis detachment, to gain access to the entire head. The second important point in this paper was to underline the importance of the knowledge that is necessary for interpreting classic radiologic signs of posterior fracture-dislocation of the shoulder. A 47-year-old woman fell down directly onto her shoulder while she was skiing. She was diagnosed with posterior shoulder dislocation, associated with fracture of the head (head splitting) and humeral neck fracture, with the aid of plain radiographs and computed tomographic results...
April 11, 2018: Techniques in Hand & Upper Extremity Surgery
https://www.readbyqxmd.com/read/29629813/summative-report-on-time-out-of-play-for-major-and-minor-league-baseball-an-analysis-of-49-955-injuries-from-2011-through-2016
#3
Christopher L Camp, Joshua S Dines, Jelle P van der List, Stan Conte, Justin Conway, David W Altchek, Struan H Coleman, Andrew D Pearle
BACKGROUND: Recent epidemiologic reports have demonstrated rising injury rates in Major League Baseball (MLB) and Minor League Baseball (MiLB). Although several studies have recently been published on specific injuries, the majority of injuries have not yet been formally studied. PURPOSE: The purpose of this study is to (1) generate a summative analysis of all injuries that occur in MLB and MiLB, (2) identify the 50 most common injuries, and (3) generate focused reports and fact sheets on the characteristics of each of those diagnoses...
April 1, 2018: American Journal of Sports Medicine
https://www.readbyqxmd.com/read/29629579/anatomical-total-shoulder-arthroplasty-in-young-patients-with-osteoarthritis
#4
M O Gauci, N Bonnevialle, G Moineau, M Baba, G Walch, P Boileau
Aims Controversy about the use of an anatomical total shoulder arthroplasty (aTSA) in young arthritic patients relates to which is the ideal form of fixation for the glenoid component: cemented or cementless. This study aimed to evaluate implant survival of aTSA when used in patients aged < 60 years with primary glenohumeral osteoarthritis (OA), and to compare the survival of cemented all-polyethylene and cementless metal-backed glenoid components. Materials and Methods A total of 69 consecutive aTSAs were performed in 67 patients aged < 60 years with primary glenohumeral OA...
April 1, 2018: Bone & Joint Journal
https://www.readbyqxmd.com/read/29623283/does-the-rotator-cuff-tear-pattern-influence-clinical-outcomes-after-surgical-repair
#5
Scott Watson, Benjamin Allen, Chris Robbins, Asheesh Bedi, Joel J Gagnier, Bruce Miller
Background: Limited literature exists regarding the influence of rotator cuff tear morphology on patient outcomes. Purpose: To determine the effect of rotator cuff tear pattern (crescent, U-shape, L-shape) on patient-reported outcomes after rotator cuff repair. Study Design: Cohort study; Level of evidence, 3. Methods: Patients undergoing arthroscopic repair of known full-thickness rotator cuff tears were observed prospectively at regular intervals from baseline to 1 year...
March 2018: Orthopaedic Journal of Sports Medicine
https://www.readbyqxmd.com/read/29622251/editorial-commentary-an-alternative-to-opioids-adhesive-drapes-and-chlorhexidine-skin-preparation-may-reduce-propionibacterium-acnes-related-pain-after-shoulder-surgery
#6
EDITORIAL
Bradford Burr Kraetzer
Propionibacterium acnes has long been known to play a detrimental role in shoulder surgery. This thoughtful and revealing study found significant evidence of lower rates of P. acnes cultured during arthroscopic rotator cuff repair with the use of an adhesive drape and chlorhexidine skin preparation.
April 2018: Arthroscopy: the Journal of Arthroscopic & related Surgery
https://www.readbyqxmd.com/read/29606528/outcomes-of-rotator-cuff-augmentation-surgery-with-autologous-fascia-lata
#7
A P Rosales-Varo, M A García-Espona, O Roda-Murillo
OBJECTIVE: To evaluate whether augmentation grafts using autologous fascia lata improve functional results for rotator cuff repairs and reduce the retear rate compared to those without augmentation. MATERIAL AND METHODS: This is a prospective evaluation comprising 20 patients with a complete symptomatic rotator cuff tear. The operations were carried out from a superior approach performing a total cuff repair, for 10 patients we used a suture augmented with an autologous graft taken from their own fascia lata while unaugmented sutures were used for the other 10 patients...
March 29, 2018: Revista Española de Cirugía Ortopédica y Traumatología
https://www.readbyqxmd.com/read/29605659/interscalene-brachial-plexus-bolus-block-versus-patient-controlled-interscalene-indwelling-catheter-analgesia-for-the-first-48-hours-after-arthroscopic-rotator-cuff-repair
#8
Jong-Ho Kim, Hyun Jung Koh, Dong Kyu Kim, Hyo-Jin Lee, Ki-Hyun Kwon, Kwang-Yeol Lee, Yang-Soo Kim
BACKGROUND: We sought to compare the efficacy of interscalene brachial plexus bolus blockade (IBPBB) and patient-controlled interscalene indwelling catheter analgesia (PCIA) for postoperative pain management within 48 hours postoperatively in patients undergoing arthroscopic rotator cuff repairs (ARCR). METHODS: Patients undergoing ARCR were randomized into 3 groups by postoperative analgesia method. The IBPBB group received a mixed solution of 16 mL of 0.75% ropivacaine and 4 mL of 2% lidocaine as a bolus postoperatively...
March 29, 2018: Journal of Shoulder and Elbow Surgery
https://www.readbyqxmd.com/read/29601384/are-age-and-patient-gender-associated-with-different-rates-and-magnitudes-of-clinical-improvement-after-reverse-shoulder-arthroplasty
#9
Richard J Friedman, Emilie V Cheung, Pierre-Henri Flurin, Thomas Wright, Ryan W Simovitch, Charlotte Bolch, Christopher P Roche, Joseph D Zuckerman
BACKGROUND: An improved understanding of how gender differences and the natural aging process are associated with differences in clinical improvement in outcome metric scores and ROM measurements after reverse total shoulder arthroplasty (rTSA) may help physicians establish more accurate patient expectations for reducing postoperative pain and improving function. QUESTIONS/PURPOSES: (1) Is gender associated with differences in rTSA outcome scores like the Simple Shoulder Test (SST), the UCLA Shoulder score, the American Shoulder and Elbow Surgeons (ASES) Shoulder score, the Constant Shoulder score, and the Shoulder Pain and Disability Index (SPADI) and ROM? (2) Is age associated with differences in rTSA outcome scores and ROM? (3) What factors are associated with the combined interaction effect between age and gender? (4) At what time point during recovery does most clinical improvement occur, and when is full improvement reached? METHODS: We quantified and analyzed the outcomes of 660 patients (424 women and 236 men; average age, 72 ± 8 years; range, 43-95 years) with cuff tear arthropathy or osteoarthritis and rotator cuff tear who were treated with rTSA by 13 shoulder surgeons from a longitudinally maintained international database using a linear mixed effects statistical model to evaluate the relationship between clinical improvements and gender and patient age...
March 28, 2018: Clinical Orthopaedics and related Research
https://www.readbyqxmd.com/read/29594506/obesity-causes-poorer-clinical-results-and-higher-re-tear-rates-in-rotator-cuff-repair
#10
A Ateschrang, F Eggensperger, M D Ahrend, S Schröter, U Stöckle, Tobias M Kraus
BACKGROUND: The purpose of this retrospective study was to report on the functional outcome after both open and arthroscopic rotator cuff (RC) repair in normal weight, pre-obese and obese patients. It was hypothesized that obesity is a negative prognostic factor for clinical outcome and failure for the RC repair. METHODS: One hundred and forty-six patients who underwent either open or arthroscopic rotator cuff repair between 2006 and 2010 were included in this study...
March 28, 2018: Archives of Orthopaedic and Trauma Surgery
https://www.readbyqxmd.com/read/29593438/glenohumeral-internal-rotation-deficit-in-throwing-athletes-current-perspectives
#11
REVIEW
Michael B Rose, Thomas Noonan
Glenohumeral internal rotation deficit (GIRD) is an adaptive process in which the throwing shoulder experiences a loss of internal rotation (IR). GIRD has most commonly been defined by a loss of >20° of IR compared to the contralateral shoulder. Total rotational motion of the shoulder is the sum of internal and external rotation and may be more important than the absolute value of IR loss. Pathologic GIRD has been defined as a loss of IR combined with a loss of total rotational motion. The leading pathologic process in GIRD is posterior capsular and rotator-cuff tightness, due to the repetitive cocking that occurs with the overhead throwing motion...
2018: Open Access Journal of Sports Medicine
https://www.readbyqxmd.com/read/29589499/teres-major-tendon-transfer-in-the-treatment-of-irreparable-posterosuperior-rotator-cuff-tears
#12
A Kolk, J F Henseler, F J Overes, J Nagels, R G H H Nelissen
Aims Since long-term outcome of teres major tendon transfer surgery for irreparable posterosuperior rotator cuff (RC) tears is largely unknown, the primary aim of this study was to evaluate the long-term outcome of the teres major transfer. We also aimed to report on the results of a cohort of patients with a similar indication for surgery that underwent a latissimus dorsi tendon transfer. Patients and Methods In this prospective cohort study, we reported on the long-term results of 20 consecutive patients with a teres major tendon transfer for irreparable massive posterosuperior RC tears...
March 1, 2018: Bone & Joint Journal
https://www.readbyqxmd.com/read/29589495/reverse-shoulder-arthroplasty-for-type-1-sequelae-of-a-fracture-of-the-proximal-humerus
#13
MULTICENTER STUDY
P Raiss, G Alami, T Bruckner, P Magosch, P Habermeyer, P Boileau, G Walch
Aims The aim of this study was to analyze the results of reverse shoulder arthroplasty (RSA) in patients with type 1 sequelae of a fracture of the proximal humerus in association with rotator cuff deficiency or severe stiffness of the shoulder. Patients and Methods A total of 38 patients were included: 28 women and ten men. Their mean age at the time of arthroplasty was 73 years (54 to 91). Before the RSA, 18 patients had been treated with open reduction and internal fixation following a fracture. A total of 22 patients had a rotator cuff tear and 11 had severe stiffness of the shoulder with < 0° of external rotation...
March 1, 2018: Bone & Joint Journal
https://www.readbyqxmd.com/read/29587870/supraspinatus-tendon-repair-using-anchors-a-biomechanical-evaluation-in-the-rabbit
#14
Hakim Louati, Hans K Uhthoff, Kathryn Culliton, Odette Laneuville, Peter Lapner, Guy Trudel
BACKGROUND: Arthroscopic rotator cuff repairs are mostly secured with suture anchors and often supplemented by footprint decortication. The objectives of this study were to characterize the strength of bone-tendon healing following anchor repair and assess the effect of channeling the supraspinatus (SSP) humeral footprint 1 week ahead of reattachment surgery. METHODS: One hundred twelve rabbits underwent unilateral detachment of one SSP tendon and were randomly assigned to two groups: channeling the footprint at time of detachment and no channeling...
March 27, 2018: Journal of Orthopaedic Surgery and Research
https://www.readbyqxmd.com/read/29578869/orthopedic-injuries-in-professional-surfers-a-retrospective-study-at-a-single-orthopedic-center
#15
Eric Hohn, Sean Robinson, Jarrad Merriman, Robin Parrish, Warren Kramer
BACKGROUND: Literature regarding surfing injuries is scarce and most studies report a high number of minor injuries. Recent literature suggests that musculoskeletal injuries are more common than previously reported. In the mid 2000s, competitive surfing has seen an increase in aerial maneuvers, as they have become more highly rewarded by the judging panel, which may be contributing to a change in injury patterns. Our goal was to evaluate orthopedic injuries in professional surfers. HYPOTHESIS: Orthopedic injuries in professional surfers are diverse and have evolved with skill and technology...
March 23, 2018: Clinical Journal of Sport Medicine: Official Journal of the Canadian Academy of Sport Medicine
https://www.readbyqxmd.com/read/29574512/minimally-invasive-plate-osteosynthesis-in-humerus-nonunion-after-intramedullary-nailing
#16
Christian Allende, Fernando Vanoli, Luciano Gentile, Natalia Gutierrez
INTRODUCTION: The purpose of this study was to evaluate the results achieved after the use of lateral minimally invasive plate osteosynthesis (MIPO) in oligotrophic humerus nonunions resulting from failed intramedullary nailing (IM). METHOD: We evaluated nine patients with humerus nonunion after failed locked intramedullary nailing, all treated using 3.5-mm locked compression plates (LCP) placed through lateral minimally invasive approaches, between 2010 and 2016...
March 24, 2018: International Orthopaedics
https://www.readbyqxmd.com/read/29574161/comparison-of-functional-results-of-two-fixation-systems-using-single-row-suturing-of-rotator-cuff
#17
M P Muniesa-Herrero, A Torres-Campos, A Urgel-Granados, J A Blanco-Llorca, L J Floría-Arnal, J C Roncal-Boj, A Castro-Sauras
INTRODUCTION: Arthroscopic repair of rotator cuff disorders is a technically demanding but successful procedure. Many anchor and suture alternatives are now available. The choice of the implant by the surgeon is less important than the configuration of the suture used to fix the tendon, however it is necessary to know if there are differences in the results, using each one of them. The aim of the study is to evaluate if there are differences between the knotted and non-knotted implant in terms of functional and satisfaction results...
March 21, 2018: Revista Española de Cirugía Ortopédica y Traumatología
https://www.readbyqxmd.com/read/29567036/fibrocartilaginous-metaplasia-identified-in-the-long-head-of-the-biceps-brachii
#18
Carlo Bottegoni, Luca Farinelli, Alberto Aquili, Sandra Manzotti, Marco Baldini, Antonio Gigante
BACKGROUND: In the glenohumeral joint, the long head of biceps brachii (LHBB) is exposed to tension and compression loading. The short head of biceps brachii (SHBB) works only in tension. It is known that tendon under compression might develop fibrocartilaginous metaplasia that improves the resistance to compression but reduces the resistance to tension. This study evaluated the presence of cartilage in LHBB and SHBB samples, supporting its possible role in tendon tear. METHODS: Between 2014 and 2016, 13 samples of LHBB and SHBB were collected during surgery for shoulder instability, glenohumeral arthritis, and massive rotator cuff tears...
March 19, 2018: Journal of Shoulder and Elbow Surgery
https://www.readbyqxmd.com/read/29563972/quality-of-life-after-antegrade-intramedullary-nail-fixation-of-humeral-fractures-a-survey-in-a-selected-cohort-of-brazilian-patients
#19
Luiz Fernando Cocco, Benno Ejnisman, Paulo Santoro Belangero, Moises Cohen, Fernando Baldy Dos Reis
Background: The treatment of humeral fractures remains controversial. Systematic reviews demonstrate similar results between dynamic compression plating and locked intramedullary nailing in the surgical treatment of these fractures. However, it appears that antegrade intramedullary nailing causes higher residual pain in the shoulder. The proposal of this work is to evaluate through the WORC protocol (Western Ontario Rotator Cuff Index) the consequences in the quality of life of patients submitted to osteosynthesis of the humerus with antegrade locked intramedullary nailing...
2018: Patient Safety in Surgery
https://www.readbyqxmd.com/read/29560036/metal-artefacts-severely-hamper-magnetic-resonance-imaging-of-the-rotator-cuff-tendons-after-rotator-cuff-repair-with-titanium-suture-anchors
#20
Femke F Schröder, Rianne Huis In't Veld, Lydia A den Otter, Sjoerd M van Raak, Bennie Ten Haken, Anne J H Vochteloo
Background: The rate of retear after rotator cuff surgery is 17%. Magnetic resonance imaging (MRI) scans are used for confirmative diagnosis of retear. However, because of the presence of titanium suture anchors, metal artefacts on the MRI are common. The present study evaluated the diagnostic value of MRI after rotator cuff tendon surgery with respect to assessing the integrity as well as the degeneration and atrophy of the rotator cuff tendons when titanium anchors are in place. Methods: Twenty patients who underwent revision surgery of the rotator cuff as a result of a clinically suspected retear between 2013 and 2015 were included...
April 2018: Shoulder & Elbow
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