keyword
https://read.qxmd.com/read/38464444/preoperative-planning-with-three-dimensional-ct-vs-three-dimensional-magnetic-resonance-imaging-does-not-change-surgical-management-for-shoulder-instability
#21
JOURNAL ARTICLE
Alexandra V Paul, Imoh Udoh, Ananyaa Bharadwaj, Steven Bokshan, Brett D Owens, William N Levine, Grant E Garrigues, Jeffrey S Abrams, Patrick J McMahon, Anthony Miniaci, Sameer Nagda, Jonathan P Braman, Peter MacDonald, Jonathan C Riboh, Scott Kaar, Brian Lau
BACKGROUND: This study aims to determine the effect of time and imaging modality (three-dimensional (3D) CT vs. 3D magnetic resonance imaging (MRI)) on the surgical procedure indicated for shoulder instability. The hypothesis is there will be no clinical difference in procedure selection between time and imaging modality. METHODS: Eleven shoulder surgeons were surveyed with the same ten shoulder instability clinical scenarios at three time points. All time points included history of present illness, musculoskeletal exam, radiographs, and standard two-dimensional MRI...
March 2024: JSES international
https://read.qxmd.com/read/38464436/arthroscopic-assisted-brachial-plexus-catheter-placement-an-alternative-to-the-percutaneous-interscalene-approach
#22
JOURNAL ARTICLE
Amy He, Kathryn S Handlogten, Benjamin T Kor, Michael J Brown, Bassem T Elhassan, Timothy B Curry, Todd M Kor, Thomas M Stewart
BACKGROUND: Brachial plexus catheter placement at the interscalene level is beneficial for shoulder analgesia but presents logistical challenges due to the superficial nature of the plexus at this level, increased patient movement in the neck, and therefore higher likelihood for catheter dislodgement. METHODS: Patients requiring shoulder arthroscopy and suprascapular nerve decompression were identified. Under arthroscopic guidance, a catheter was placed percutaneously into the scalene medius muscle next to the suprascapular nerve and the upper trunk of the brachial plexus...
March 2024: JSES international
https://read.qxmd.com/read/38464433/arthroscopic-rotator-cuff-repair-in-patients-over-65-years-of-age-successful-functional-outcomes-and-a-high-tendon-integrity-rate-can-be-obtained-after-surgery
#23
JOURNAL ARTICLE
Olimpio Galasso, Michele Mercurio, Giorgio Gasparini, Orlando Cosentino, Alessandro Massarini, Nicola Orlando, Roberto Castricini
BACKGROUND: Although interest in studies evaluating the outcomes of rotator cuff repair is steadily increasing, the results and tendon integrity after arthroscopic rotator cuff repair in elderly patients have only been minimally investigated. The aim of this study was to evaluate clinical outcomes and repair integrity in patients over 65 years of age who underwent arthroscopic repair of full-thickness rotator cuff tears. METHODS: A retrospective study was conducted with the following inclusion criteria: (1) elective shoulder arthroscopy for rotator cuff repair for full-thickness posterosuperior tears; (2) age over 65 years at surgery; and (3) participation in 24 months of follow-up...
March 2024: JSES international
https://read.qxmd.com/read/38460767/shoulder-stiffness-enhances-repair-integrity-after-rotator-cuff-repair
#24
EDITORIAL
George Ac Murrell
Shoulder stiffness after rotator cuff repair is relatively common. In the past, this was thought to be a difficult complication, and many suggested manipulation under aesthesia or arthroscopic capsular release early in the postoperative course if a patient developed stiffness after rotator cuff repair. But, recent research shows such stiffness is actually a good thing. If a patient develops stiffness after rotator cuff repair, they have a better chance of healing their repair. Eventually, most of the stiffness resolves, and it may be that shoulder stiffness after rotator cuff repair is part of the natural healing response and is not detrimental to repair, but rather, is beneficial and results in an intact repair...
March 7, 2024: Arthroscopy
https://read.qxmd.com/read/38458550/tuberoplasty-is-a-reliable-option-to-address-pain-in-massive-irreparable-rotator-cuff-tears
#25
EDITORIAL
Joseph C Brinkman
The massive irreparable rotator cuff tear remains a challenging condition for which there are many reported treatment options including biceps tenotomy/tenodesis, subacromial decompression, cuff debridement, partial or augmented rotator cuff repair, bursal acromial reconstruction, balloon spacer placement, superior capsular reconstruction (SCR), reverse total shoulder arthroplasty (RSA), tendon transfer, and others. Optimally treating the condition relies on paying attention to several patient factors, including correctly identifying if function loss is driven by pain or compromised shoulder kinematics...
March 6, 2024: Arthroscopy
https://read.qxmd.com/read/38453096/the-arthroscopic-subscapular-sling-procedure-results-in-low-recurrent-anterior-shoulder-instability-at-24-months-follow-up
#26
JOURNAL ARTICLE
Jan Arild Klungsøyr, Terje Vagstad, Peter Johannes Klungsøyr, Tor Åge Myklebust, Håkon Lund Hanssen, Solveig Roth Hoff, Jon Olav Drogset
PURPOSE: The purpose of this study was to analyze the results of the subscapular sling procedure developed for anterior shoulder instability in patients with less than 10 % anterior glenoid bone loss. The aim was to explore if this procedure would be successful in preventing recurrent shoulder dislocation. METHODS: Patients were treated surgically with the arthroscopic subscapular sling procedure. A semitendinosus graft was used to reconstruct the anterior labrum and to establish a sling suspension around the upper part of the subscapularis tendon...
March 5, 2024: Arthroscopy
https://read.qxmd.com/read/38448326/evaluation-of-conventional-mr-imaging-of-the-shoulder-in-the-diagnosis-of-lesions-of-the-biceps-pulley
#27
JOURNAL ARTICLE
Saba Ebrahimi Ardjomand, Felix Meurer, Yannick Ehmann, Jonas Pogorzelski, Birgit Waschulzik, Marcus R Makowski, Sebastian Siebenlist, Andreas Heuck, Klaus Woertler, Jan Neumann
RATIONALE AND OBJECTIVES: To determine the diagnostic accuracy and reproducibility of conventional MR imaging (MRI) of the shoulder in evaluating biceps pulley lesions using arthroscopy as the standard of reference. METHODS: In a retrospective study, MR examinations of 68 patients with arthroscopically proven torn or intact biceps pulley were assessed for the presence of pulley lesions by three radiologists. The following criteria were evaluated: displacement of the long head of the biceps tendon (LHBT) relative to the subscapularis tendon (displacement sign), subluxation/dislocation of the LHBT, the integrity of the superior glenohumeral ligament (SGHL) and the coracohumeral ligament (CHL), lesions of the supraspinatus (SSP) and subscapularis (SSC) tendons adjacent to the rotator interval, presence of biceps tendinopathy and subacromial bursitis...
March 5, 2024: Academic Radiology
https://read.qxmd.com/read/38447627/for-patients-with-shoulder-instability-on-track-hill-sach-s-lesion-plus-subcritical-glenoid-bone-loss-may-be-the-best-indication-for-dynamic-anterior-stabilization-using-the-long-head-of-the-biceps-tendon
#28
EDITORIAL
Kyoung Hwan Koh
As the definition of shoulder glenoid critical bone loss has evolved and decreased from 25% to 17% to 13.5%, indications for bone block procedures for shoulder instability with glenoid bone loss have expanded. While the bone block procedure is an effective treatment for almost all cases of anterior shoulder instability, regardless of the amount of bone loss, many surgeons prefer to perform a bone block procedure only in cases of critical bone loss due to risk of complications. Thus, for cases of minimal (subcritical) bone loss, Remplissage has been recommended to enhance Bankart repair...
March 4, 2024: Arthroscopy
https://read.qxmd.com/read/38447626/addition-of-preoperative-ultrasound-guided-suprascapular-nerve-block-and-axillary-nerve-block-to-parecoxib-is-more-effective-in-early-postoperative-pain-control-following-arthroscopic-rotator-cuff-repair-a-prospective-randomized-controlled-study
#29
JOURNAL ARTICLE
Yu-Yi Huang, Yuet-Tong Ng, Chih-Hao Chiu, Chieh-An Chuang, Huan Sheu, Cheng-Pang Yang, Hao-Che Tang
PURPOSE: The purpose of the study was to prospectively compare the pain intensity and patient-reported outcomes (PROs) following arthroscopic rotator cuff repair (ARCR) between patients who received ultrasound-guided suprascapular nerve block (SSNB) and axillary nerve block (ANB) as well as preincisional parecoxib and patients who received preincisional parecoxib only. METHODS: Sixty-one patients receiving ARCR between March 2020 and March 2021 were prospectively enrolled...
March 4, 2024: Arthroscopy
https://read.qxmd.com/read/38447566/the-association-between-slap-lesions-and-critical-shoulder-angle-and-glenoid-depth
#30
JOURNAL ARTICLE
F I Can, E Gültaç, S Yilmaz, R M Kilinç, C Y Kilinç
PURPOSE OF THE STUDY: The critical shoulder angle (CSA) is formed by the combination of glenoid inclination and acromial index and has been shown related to rotator cuff tears and glenohumeral osteoarthritis. SLAP lesions today have an important place among bicipitolabral pathologies that cause intensive shoulder pain. We aimed to investigate the relationship between CSA and glenoid depth and SLAP lesions. MATERIAL AND METHODS: Between March 2017 and January 2022, 279 consecutive shoulder arthroscopy patients' MRI images were retrospectively examined...
2024: Acta Chirurgiae Orthopaedicae et Traumatologiae Cechoslovaca
https://read.qxmd.com/read/38436507/up-to-date-diagnosis-and-treatment-of-massive-irreparable-cuff-tears-results-of-the-survey-of-the-u45-esska-committee
#31
JOURNAL ARTICLE
Simone Cerciello, Matthieu Ollivier, Matthew Charles Giordano, Baris Kocaoglu
PURPOSE: Irreparable rotator cuff tears are disabling and can severely affect daily life activities, especially when young and active patients are involved. The definition is still debated, and they can have several clinical presentations. The treatment depends on the clinical presentation and the patient's age. METHODS: The survey was developed by the ESSKA U45 Committee and was uploaded on the ESSKA website. Fifty-seven questionnaires were returned. Several aspects of the diagnosis and treatment of massive irreparable cuff tears were investigated...
March 4, 2024: Knee Surgery, Sports Traumatology, Arthroscopy
https://read.qxmd.com/read/38435273/arthroscopic-repair-of-rotator-cuff-tears-using-a-suture-hook-with-lasso-loop-for-forward-suture-passing
#32
JOURNAL ARTICLE
Wenbo Yang, Hong Wang, Zengu Shao, Wei Huang
Rotator cuff injury is a common shoulder injury. Arthroscopic repair of rotator cuff tears has become a common way. Suture anchor is a commonly used fixation device. Threading the suture through the rotator cuff tendon is a key step in arthroscopic repair of rotator cuff tears. Common methods of passing suture through the rotator cuff tendon include using a suture hook or rotator cuff suture passer device. However, the suture using suture hook is a kind of reverse suture, and the operation is more troublesome...
February 2024: Arthroscopy Techniques
https://read.qxmd.com/read/38435261/one-step-release-technique-for-tendon-extraction-during-biceps-tenodesis
#33
JOURNAL ARTICLE
Emanuele Maggini, Markus Scheibel
All biceps tenodesis techniques involving extra-articular tendon preparation consist of 2 distinct steps for tenotomy and tendon grasping. These 2 maneuvers are performed by different instruments. A single-step tendon release technique is described for both arthroscopic and open shoulder surgery. This technique finds application in arthroscopic proximal suprapectoral tenodesis, open treatment of proximal humerus fractures, and suprapectoral mini-open tenodesis. Herein, we describe an arthroscopic biceps tenodesis technique that combines the actions of cutting and gripping the tendon in a single step...
February 2024: Arthroscopy Techniques
https://read.qxmd.com/read/38435260/batter-s-shoulder-all-knotless-posterior-labral-repair-with-retensionable-anchors-for-treatment-of-batter-s-shoulder
#34
JOURNAL ARTICLE
Thomas W Mason, Mark A Glover, Edward C Beck, Jeffery D St Jeor, Nicholas A Trasolini, Brian R Waterman
Batter's Shoulder is a unique injury that may be associated with recurrent microtrauma followed by acute subluxation of the humeral head on the posterior glenoid edge, leading to posterior labral tears. Early identification of this injury is critical, as it may be treated with conservative nonsurgical treatments prior to labral tear onset. If conservative treatment fails and pain persists, surgical options include arthroscopic fixation to reapproximate the posterior labrum to the glenoid and restore capsular tension...
February 2024: Arthroscopy Techniques
https://read.qxmd.com/read/38435258/nonsurgical-management-of-shoulder-pain-in-rotator-cuff-tears-ultrasound-guided-biceps-tenotomy-combined-with-corticosteroid-injection
#35
JOURNAL ARTICLE
Nicolás García, Guillermo Droppelmann, Nicolás Oliver, Carlos Jorquera, Julio Rosales
Traditionally, the management of rotator cuff tears in elderly individuals has involved surgical intervention, specifically biceps tenotomy. However, surgical procedures come with inherent medical risks and significant financial costs. As an alternative, ultrasound-guided biceps tenotomy combined with corticosteroid has emerged as a highly effective, well-tolerated, and cost-efficient option. This article aims to describe the procedural technique of nonsurgical management using ultrasound-guided biceps tenotomy combined with corticosteroid injection...
February 2024: Arthroscopy Techniques
https://read.qxmd.com/read/38435255/shoulder-stabilization-technique-using-the-medial-glenohumeral-ligament-in-patients-with-the-buford-complex
#36
JOURNAL ARTICLE
Gregory Cunningham, Blaise Cochard, Pierre Martz, Rodrigo Brandariz
The Buford complex is an anatomic variation defined as the association of a cordlike middle glenohumeral ligament (MGHL) and an absent anterosuperior labrum. It can be challenging to properly identify on preoperative imaging and remains mostly an arthroscopic finding. It may, however, lead to problematic situations when encountered during an arthroscopic soft-tissue stabilization procedure, as the treatment of choice in such cases is a bone block. Moreover, reattaching the MGHL to the anterior border of the glenoid rim has traditionally not been recommended because it theoretically leads to severe restriction in external rotation...
February 2024: Arthroscopy Techniques
https://read.qxmd.com/read/38435254/arthroscopic-double-row-rotator-cuff-repair-with-biceps-augmentation
#37
JOURNAL ARTICLE
Arun Mundakkal, Jiss Joseph Panakkal, Ayyappan V Nair, Siyad Ahammad, Jimmy Joseph Meleppuram, Prince Shanavas Khan
Arthroscopic repair of chronic retracted rotator cuff tears remains challenging to shoulder arthroscopy surgeons. With the recent technical advances, most of the massive rotator cuff tears are managed successfully. The biceps tendon is highly vascular and a rich source of tenocytes and fibroblasts, which can promote biological healing. In massive degenerate rotator cuff tears in which the rotator cuff tissue can be released and fixed onto the footprint without much tissue tension, long head of the biceps tendon can act as an augment providing structural support to the poor-quality rotator cuff tissue and also enhancing the healing process...
February 2024: Arthroscopy Techniques
https://read.qxmd.com/read/38435244/anchorless-onlay-dynamic-anterior-stabilization-of-the-shoulder-using-a-guided-posterior-double-endobutton-fixation
#38
JOURNAL ARTICLE
Carlos Maia Dias, Rita Alçada, Manuel Ribeiro da Silva
The treatment of shoulder instability in the presence of a subcritical glenoid defect poses challenges, as simple Bankart seems insufficient, and the Latarjet procedure may be excessive. Recently, a dynamic anterior stabilization technique involving anterior transposition of the long head of the biceps (LHB) through a subscapularis split was described for that purpose. Previously published results demonstrated good short-term results, but several technical pitfalls have also been mentioned. We describe an onlay, anchorless, and intra-articular knotless method of fixing the LHB into the anterior glenoid that provides the important stabilizing "sling effect" of the dynamic anterior stabilization while avoiding some of the pitfalls described by other techniques...
February 2024: Arthroscopy Techniques
https://read.qxmd.com/read/38432799/shoulder-pain-management-strategies-and-early-functional-outcome-after-arthroscopic-rotator-cuff-tear-repair-a-randomized-controlled-study
#39
RANDOMIZED CONTROLLED TRIAL
Claudio Chillemi, Marco Damo, Riccardo Proietti, Giuseppe Polizzotti, Stefano Ferrari, Francesco Idone, Annamaria Palliccia, Sara Di Rosa, Stefano Carli, Benedetta Zimbalatti
BACKGROUND: The management of acute postoperative pain after rotator cuff surgery can be challenging. To our knowledge, there are no data available in the literature correlating satisfactory pain control with improvement in terms of function. The purposes of the present study were to evaluate: 1) pain pattern after arthroscopic rotator cuff repair in patients operated with two different techniques (transosseous vs transosseous equivalent); 2) safety/efficacy of three different pharmacological pain control strategies; 3) possible relationship between a correct shoulder pain management protocol in the early post-operative period and patients' functional improvement...
January 2024: Journal of Bodywork and Movement Therapies
https://read.qxmd.com/read/38431029/waiting-one-month-after-an-intra-articular-corticosteroid-injection-for-performing-a-knee-shoulder-and-hip-arthroscopy-could-minimize-the-risk-for-post-operative-infection-platelet-rich-plasma-is-an-alternative
#40
EDITORIAL
Nikolaos K Paschos
An intra-articular corticosteroid is associated with higher risk of joint infection. Identifying the necessary time interval from the injection to the arthroscopic procedure that does not impose an additional risk of infection is critical for the safety of our patients. Increasing evidence suggests that there is a high risk of infection at the first 4 weeks after the injection, but it seems that this risk declines to normal levels after that period. Interestingly, this time interval of 4 weeks is comparable between knee, shoulder, and hip injection and subsequent arthroscopy...
February 29, 2024: Arthroscopy
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