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Rotator cuff surgery

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https://www.readbyqxmd.com/read/29455632/arthroscopic-undersurface-rotator-cuff-repair-versus-conventional-arthroscopic-double-row-rotator-cuff-repair-comparable-results-at-2-year-follow-up
#1
Benjamin Fu Hong Ang, Jerry Yongqiang Chen, William Yeo, Denny Tijauw Tjoen Lie, Paul Chee Cheng Chang
AIM: The aim of our study is to compare the improvement in clinical outcomes after conventional arthroscopic double-row rotator cuff repair and arthroscopic undersurface rotator cuff repair. METHOD: A consecutive series of 120 patients who underwent arthroscopic rotator cuff repair was analysed. Sixty-one patients underwent conventional double-row rotator cuff repair and 59 patients underwent undersurface rotator cuff repair. Several clinical outcomes, including numerical pain rating scale (NPRS), constant shoulder score (CSS), Oxford shoulder score (OSS) and University of California Los Angeles shoulder score (UCLASS), were prospectively recorded by a trained healthcare professional preoperatively and at 3, 6, 12 and 24 months after surgery...
January 2018: Journal of Orthopaedic Surgery
https://www.readbyqxmd.com/read/29455496/-comparison-of-therapeutic-effects-of-three-repair-methods-for-rotator-cuff-tears-under-arthroscopy
#2
Xiao-Bo Zhou, Jun-Bo Liang, Zhong-Yi Chen
OBJECTIVE: To retrospectively study curative effects of three repair methods for rotator cuff tears under arthroscopy, and to explore relationships between different repair methods and cuff lesions. METHODS: From January 2009 to Jaunary 2014, a total of 353 patients with rotator cuff tears treated with surgical repair under arthroscopy were included in this study. All the patients were divided into three groups according to time of visitiny hospital and it was divided into three periods...
August 25, 2017: Zhongguo Gu Shang, China Journal of Orthopaedics and Traumatology
https://www.readbyqxmd.com/read/29438628/rotator-cuff-repair-in-adolescent-athletes
#3
Michael G Azzam, Jeffrey R Dugas, James R Andrews, Samuel R Goldstein, Benton A Emblom, E Lyle Cain
BACKGROUND: Rotator cuff tears are rare injuries in adolescents but cause significant morbidity if unrecognized. Previous literature on rotator cuff repairs in adolescents is limited to small case series, with few data to guide treatment. HYPOTHESIS: Adolescent patients would have excellent functional outcome scores and return to the same level of sports participation after rotator cuff repair but would have some difficulty with returning to overhead sports. STUDY DESIGN: Case series; Level of evidence 4...
February 1, 2018: American Journal of Sports Medicine
https://www.readbyqxmd.com/read/29435813/expectations-following-rotator-cuff-surgery
#4
REVIEW
Alejandro Novoa-Boldo, Lawrence V Gulotta
PURPOSE OF REVIEW: To outline the radiographic and clinical outcomes after a rotator cuff surgery in order to set the expectations with the patient before the surgery to obtain a better outcome, taking into account the factors that can affect the outcome and the technique used for the repair. RECENT FINDINGS: The majority of surgeons use arthroscopic repair. The double-row repair has better biomechanical strength, footprint coverage, and radiographic healing rates...
February 13, 2018: Current Reviews in Musculoskeletal Medicine
https://www.readbyqxmd.com/read/29433644/what-happens-to-patients-when-we-do-not-repair-their-cuff-tears-five-year-rotator-cuff-quality-of-life-index-outcomes-following-nonoperative-treatment-of-patients-with-full-thickness-rotator-cuff-tears
#5
Richard S Boorman, Kristie D More, Robert M Hollinshead, James P Wiley, Nicholas G Mohtadi, Ian K Y Lo, Kelly R Brett
BACKGROUND: The purpose of this study was to examine 5-year outcomes in a prospective cohort of patients previously enrolled in a nonoperative rotator cuff tear treatment program. METHODS: Patients with chronic (>3 months), full-thickness rotator cuff tears (demonstrated on imaging) who were referred to 1 of 2 senior shoulder surgeons were enrolled in the study between October 2008 and September 2010. They participated in a comprehensive, nonoperative, home-based treatment program...
March 2018: Journal of Shoulder and Elbow Surgery
https://www.readbyqxmd.com/read/29430400/-double-row-rip-stop-technique-for-arthroscopic-rotator-cuff-repair
#6
Collin C Bills, Eric D Field, Larry D Field
Rotator cuff repair depends on both the fixation strength of the chosen repair construct and the local healing response of the repaired tissue. Among a growing discussion surrounding the superiority of one surgical technique over another, the surgeon's ability to complete a rotator cuff repair with technical acuity in a timely manner remains paramount. Double-row repairs as well as rip-stop configurations have been proposed to limit failures found after arthroscopic rotator cuff repairs. Implementation of both techniques during arthroscopic shoulder surgery may represent a technical challenge for the average orthopaedist...
October 2017: Arthroscopy Techniques
https://www.readbyqxmd.com/read/29427059/arthroplanner-a-surgical-planning-solution-for-acromioplasty
#7
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/29426742/sequential-3-dimensional-computed-tomography-analysis-of-implant-position-following-total-shoulder-arthroplasty
#8
Eric T Ricchetti, Bong-Jae Jun, Richard A Cain, Ari Youderian, Eric J Rodriguez, David Kusin, Naveen Subhas, Thomas E Patterson, Joseph P Iannotti
BACKGROUND: Detection of postoperative component position and implant shift following total shoulder arthroplasty (TSA) can be challenging using routine imaging. The purpose of this study was to evaluate glenoid component position over time using 3-dimensional computed tomography (CT) analysis with minimum 2-year follow-up. METHODS: Twenty patients underwent primary TSA with sequential CT scanning of the shoulder: a preoperative study, an immediate postoperative study within 2 weeks of surgery, and a postoperative study performed at minimum 2-year follow-up (CT3)...
February 7, 2018: Journal of Shoulder and Elbow Surgery
https://www.readbyqxmd.com/read/29423534/glenohumeral-osteoarthritis-frequency-of-underlying-diagnoses-and-the-role-of-arm-dominance-a-retrospective-analysis-in-a-community-based-musculoskeletal-practice
#9
Theodore L Schoenfeldt, Scott Trenhaile, Richard Olson
Patients with shoulder pain are commonly seen in adult primary care, and are typically referred to musculoskeletal specialists when their symptoms are persistent. Rotator cuff disorders (RCD) most commonly underlie non-traumatic shoulder pain in adults, and glenohumeral osteoarthritis (GHOA) has been considered to be relatively uncommon (Nakagawa et al., J Shoulder Elb Surg 8:580-584, 1999). Our impression has been that GHOA affects significant numbers of patients, is less well studied, and may be under recognized...
February 8, 2018: Rheumatology International
https://www.readbyqxmd.com/read/29411080/clinical-and-anatomic-results-of-rotator-cuff-repair-at-10%C3%A2-years-depend-on-tear-type
#10
Charles Agout, Julien Berhouet, Yves Bouju, Arnaud Godenèche, Philippe Collin, Jean-François Kempf, Luc Favard
PURPOSE: Although good short-term and mid-term outcomes are reported for rotator cuff repair, few studies have investigated long-term outcome with clinical and MRI evaluation. The hypothesis was that 10 years following repair of rotator cuff tear, the clinical and anatomic results depend on the extension of the tear. METHODS: The records of all 965 patients who underwent repair of rotator cuff tears in 2003 were retrieved. The patients were reviewed in 2014 for evaluation at a minimum follow-up of 10 years...
February 6, 2018: Knee Surgery, Sports Traumatology, Arthroscopy: Official Journal of the ESSKA
https://www.readbyqxmd.com/read/29410562/effects-of-microcurrent-and-cryotherapy-on-c-reactive-protein-levels-and-muscle-tone-of-patients-with-rotator-cuff-reconstruction
#11
Jeong-Il Kang, Dae-Keun Jeong, Hyun Choi
[Purpose] The purpose of the present study was to apply early intervention via microcurrent and cryotherapy in patients who underwent rotator cuff reconstruction surgery, and to investigate the effects of such interventions on pain and inflammation levels based on the analysis of C-reactive protein (CRP) levels, and on changes in muscle tone. [Subjects and Methods] The study population consisted of 30 patients who had undergone rotator cuff reconstruction surgery, with 10 patients each assigned to the control, experimental I (E-1), and experimental II (E-II) groups...
January 2018: Journal of Physical Therapy Science
https://www.readbyqxmd.com/read/29408833/many-shoulder-mri-findings-in-elite-professional-throwing-athletes-resolve-after-retirement-a-clinical-and-radiographic-study
#12
Michael O Schär, Simone Dellenbach, Christian W Pfirrmann, Sumit Raniga, Bernhard Jost, Matthias A Zumstein
BACKGROUND: Anatomic findings on MRI scans of the shoulder likely affect patients differently based on their physical demands and fitness levels. The natural history of these anatomic findings once professional overhead athletes retire remains unclear. A better understanding of what happens with these findings after retirement may influence how we manage shoulder problems in athletes. PURPOSE: (1) What is the natural history of MRI-observed findings in the throwing and nonthrowing shoulders of professional European handball players after retirement from the sport? What proportion of these individuals have diagnosable findings on MRI, and do these findings disappear after retirement? (2) Do clinical findings such as Constant and Murley score and shoulder ROM change after retirement in these professional overhead athletes? METHODS: The inception cohort of this series consisted of the entire Swiss National European handball team except the goalkeepers...
March 2018: Clinical Orthopaedics and related Research
https://www.readbyqxmd.com/read/29406338/excess-opioid-medication-and-variation-in-prescribing-patterns-following-common-orthopaedic-procedures
#13
Matthew J Sabatino, Samuel T Kunkel, Dipak B Ramkumar, Benjamin J Keeney, David S Jevsevar
BACKGROUND: Postoperative pain management in orthopaedic surgery accounts for a substantial portion of opioid medications prescribed in the United States. Understanding prescribing habits and patient utilization of these medications following a surgical procedure is critical to establishing appropriate prescribing protocols that effectively control pain while minimizing unused opioid distribution. We evaluated prescribing habits and patient utilization following elective orthopaedic surgical procedures to identify ways of improving postoperative opioid-prescribing practices...
February 7, 2018: Journal of Bone and Joint Surgery. American Volume
https://www.readbyqxmd.com/read/29399589/web-based-education-prior-to-outpatient-orthopaedic-surgery-enhances-early-patient-satisfaction-scores-a-prospective-randomized-controlled-study
#14
Carola F van Eck, Aneet Toor, Michael B Banffy, Ralph A Gambardella
Background: A good patient-surgeon relationship relies on adequate preoperative education and counseling. Several multimedia resources, such as web-based education tools, have become available to enhance aspects of perioperative care. Purpose/Hypothesis: The purpose of this study was to evaluate the effect of an interactive web-based education tool on perioperative patient satisfaction scores after outpatient orthopaedic surgery. It was hypothesized that web-based education prior to outpatient orthopaedic surgery enhances patient satisfaction scores...
January 2018: Orthopaedic Journal of Sports Medicine
https://www.readbyqxmd.com/read/29398989/the-primary-stability-of-a-bioabsorbable-poly-l-lactic-acid-suture-anchor-for-rotator-cuff-repair-is-not-improved-with-polymethylmethacrylate-or-bioabsorbable-bone-cement-augmentation
#15
Mehmet F Güleçyüz, Michael Kraus-Petersen, Christian Schröder, Andreas Ficklscherer, Markus U Wagenhäuser, Christian Braun, Peter E Müller, Matthias F Pietschmann
Background: The incidence of osteoporosis and rotator cuff tears increases with age. Cement augmentation of bones is an established method in orthopedic and trauma surgery. Questions/Purposes: This study analyses if polymethylmethacrylate or bioabsorbable cement can improve the primary stability of a bioabsorbable suture anchor in vitro in comparison to a non-augmented suture anchor in osteoporotic human humeri. Methods: The trabecular bone mineral density was measured to ensure osteopenic human specimens...
February 2018: HSS Journal: the Musculoskeletal Journal of Hospital for Special Surgery
https://www.readbyqxmd.com/read/29393349/enhancement-of-tendon%C3%A2-bone-healing-following-rotator-cuff-repair-using-hydroxyapatite-with-tgf%C3%AE-1
#16
Xiebo You, Yueqin Shen, Weihan Yu, Yaohua He
The formation of fibrocartilage at the healing site following a rotator cuff tear repair is a major problem in the field of tendon‑bone healing. The present study aimed to enhance the healing of the tendon‑bone interface following rotator‑cuff tear repair by the interposition of hydroxyapatite (HA) encapsulated with transforming growth factor β1 (TGFβ1). Using an acute rotator cuff repair model, rats were divided into three groups: i) Repair only (control); ii) HA group; and iii) HA‑TGFβ1 group...
January 26, 2018: Molecular Medicine Reports
https://www.readbyqxmd.com/read/29380705/the-use-of-novel-electrospun-scaffolds-in-musculoskeletal-tissue-engineering-a-focus-on-the-rotator-cuff
#17
Navraj S Nagra, Edward T Stace, Saket Tibrewal, Wasim Khan, Andrew J Carr
Rotator Cuff tears affect 15% of 60 years olds and carry a significant social and financial burden. Current operative techniques and repair adjuncts are associated with unacceptably high failure rates, stimulating investigation into novel tissue engineering for regenerative medicine (TERM) approaches in the field of rotator cuff surgery. In this review we explore the most recent advances in the field of electrospinning, focussing on proposed tissue-engineered solutions in the rotator cuff niche. Methods The MEDLINE/PubMed database was reviewed for English language papers and publication date within the last 5 years, using the search string "electrospinning AND tendon"...
January 28, 2018: Current Stem Cell Research & Therapy
https://www.readbyqxmd.com/read/29379708/an-arthroscopic-knotless-technique-for-anatomical-restoration-of-the-rotator-cuff-and-superior-capsule-the-double-layer-cinch-bridge
#18
Philipp R Heuberer, Leo Pauzenberger, Daniel Smolen, Roman C Ostermann, Werner Anderl
Rotator cuff repairs are the most common procedures in shoulder surgery, but still show long-term retear rates of up to 70%. Nonanatomic reconstruction is one possible cause of repair failure. The rotator cuff histologically consists of 5 separate layers of which 2 are macroscopically identifiable: the superior or tendinous layer and the inferior or capsule-ligamentous layer. In case of rotator cuff tears, these layers are often retracted to different degrees. The intraoperative detectable prevalence of rotator cuff delamination reaches up to 85%...
January 2018: Arthroscopy Techniques
https://www.readbyqxmd.com/read/29372169/a-comprehensive-evaluation-of-factors-affecting-healing-range-of-motion-strength-and-patient-reported-outcomes-after-arthroscopic-rotator-cuff-repair
#19
James D Wylie, Sean Baran, Erin K Granger, Robert Z Tashjian
Background: Rotator cuff repair (RCR) leads to improved patient outcomes, which may or may not coincide with biological healing of the tendon. Many patient factors may play a role in subjective and objective patient outcomes of surgery. Purpose: To evaluate the effect of various patient factors and tendon healing on range of motion, strength, and functional outcomes after arthroscopic RCR. Study Design: Case-control study; Level of evidence, 3...
January 2018: Orthopaedic Journal of Sports Medicine
https://www.readbyqxmd.com/read/29372167/a-biomechanical-assessment-of-biceps-femoris-repair-techniques
#20
Eric A Branch, Dustin Loveland, Sohale Sadeghpour, Adam W Anz
Background: Knee injuries encountered in clinical practice can involve avulsions of the biceps femoris from the fibula and proximal tibia. Advances in tendon repair methods now allow for repairs with increased surface areas using modern suture anchor techniques. Despite descriptions of repair techniques, there are no biomechanical studies on the biceps femoris for comparison. Purpose/Hypothesis: The objective of this controlled laboratory study was to determine the failure load of the native biceps femoris distal insertion and to evaluate modern repair techniques...
January 2018: Orthopaedic Journal of Sports Medicine
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