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Rotator cuff tear

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https://www.readbyqxmd.com/read/28427872/abduction-brace-versus-antirotation-sling-after-arthroscopic-cuff-repair-the-effects-on-pain-and-function
#1
Freek Hollman, Nienke Wolterbeek, Jacco A C Zijl, Sjoerd P M van Egeraat, Ronald N Wessel
PURPOSE: To study the effects on pain as the main outcome parameter and on function and cuff integrity as the secondary outcome parameters after arthroscopic rotator cuff repair in the short term comparing the abduction brace with an antirotation sling for postoperative shoulder immobilization. METHODS: Eligible patients were between the ages of 18 and 75 years who were diagnosed with a traumatic or degenerative tear of the supraspinatus and/or infraspinatus tendon, confirmed by magnetic resonance imaging, for which an arthroscopic footprint repair was indicated and performed...
April 17, 2017: Arthroscopy: the Journal of Arthroscopic & related Surgery
https://www.readbyqxmd.com/read/28427416/shoulder-ultrasonography-performed-by-orthopedic-surgeons-increases-efficiency-in-diagnosis-of-rotator-cuff-tears
#2
Chih-Hao Chiu, Poyu Chen, Alvin Chao-Yu Chen, Kuo-Yao Hsu, Shih-Sheng Chang, Yi-Sheng Chan, Yeung-Jen Chen
BACKGROUND: Rotator cuff tears are very common and their incidence increases with age. Shoulder ultrasonography has recently gained popularity in detecting rotator cuff tears because of its efficiency, cost-effectiveness, time-saving, and real-time nature of the procedure. Well-trained orthopedic surgeons may utilize shoulder ultrasonography to diagnose rotator cuff tears. The wait time of patients planned to have shoulder MRI (magnetic resonance imaging) to rule in rotator cuff tears may decrease after orthopedic surgeon start doing shoulder ultrasonography as a screening tool for that...
April 20, 2017: Journal of Orthopaedic Surgery and Research
https://www.readbyqxmd.com/read/28427120/-arthroscopic-treatment-of-eldly-with-massive-rotator-cuff-tear
#3
J Shen, Y H He, D C Geng, D H Jiang, Y Z Xu
Objective: To investigate the surgical technique and clinical efficacy of arthroscopic treatment of the elderly patients with massive rotator cuff tear. Methods: From June 2012 to June 2015, thirty-six patients with massive rotator cuff tear were treated with arthroscopic and followed up. The visual analog scale(VAS)pain score, University of California Los Angeles (UCLA) scores, Constant scores and American Shoulder and Elbow Surgeons scale(ASES)were used before and after the arthroscopic surgery. Results: All the patients were followed up for average of 18...
April 18, 2017: Zhonghua Yi Xue za Zhi [Chinese medical journal]
https://www.readbyqxmd.com/read/28412061/influence-of-the-labrum-on-version-and-diameter-of-the-glenoid-a-morphometric-study-using-magnetic-resonance-images
#4
Joyce Anthony, Ibin Varughese, Vaida Glatt, Kevin Tetsworth, Erik Hohmann
PURPOSE: To use magnetic resonance imaging to determine the influence of the labrum on both the osseous version and effective diameter of the glenoid. METHODS: This was a retrospective, cross-sectional study of patients with shoulder pain who underwent MRI between February 2014 and February 2015. The morphology of the glenoid labrum and glenoid was scanned with a 3-T magnetic resonance imaging scanner, and variables were measured by use of IntelliSpace PACS Enterprise...
April 12, 2017: Arthroscopy: the Journal of Arthroscopic & related Surgery
https://www.readbyqxmd.com/read/28410956/nine-year-outcome-after-anatomic-stemless-shoulder-prosthesis-clinical-and-radiologic-results
#5
Nael Hawi, Petra Magosch, Mark Tauber, Sven Lichtenberg, Peter Habermeyer
BACKGROUND: Several stemless shoulder implants are available on the market, but only a few studies have presented results with sufficient mid- to long-term follow-up. The present study evaluated clinical and radiologic outcomes 9 years after anatomic stemless shoulder replacement. METHODS: This is a prospective cohort study evaluating the stemless shoulder prosthesis since 2005. Anatomic stemless shoulder replacement using a single prosthesis was performed in 49 shoulders; 17 underwent total shoulder replacement, and 32 underwent hemiarthroplasty...
April 11, 2017: Journal of Shoulder and Elbow Surgery
https://www.readbyqxmd.com/read/28409175/ct-arthrography-of-adhesive-capsulitis-of-the-shoulder-are-mr-signs-applicable
#6
Cerny Milena, Omoumi Patrick, Larbi Ahmed, Manicourt Daniel, Perozziello Anne, Frederic E Lecouvet, Bruno C Vande Berg, Dallaudière Benjamin
OBJECTIVE: To determine if diagnostic signs of adhesive capsulitis (AC) of the shoulder at Magnetic Resonance Imaging (MRI) and arthrography (MRA) are applicable to CT arthrography (CTA). METHODS: 22 shoulder CTAs with AC were retrospectively reviewed for features described in MR literature. The control group was composed of 83 shoulder CTA divided into four subgroups 1) normal (N = 20), 2) omarthrosis (N = 19), 3) labral injury (N = 23), and 4) rotator cuff tear (N = 21)...
2017: European Journal of Radiology Open
https://www.readbyqxmd.com/read/28400883/rehabilitation-after-rotator-cuff-repair
#7
REVIEW
Ourania Nikolaidou, Stefania Migkou, Christos Karampalis
BACKGROUND: Rotator cuff tears are a very common condition that is often incapacitating. Whether non-surgical or surgical, successful management of rotator cuff disease is dependent on appropriate rehabilitation. If conservative management is insufficient, surgical repair is often indicated. Postsurgical outcomes for patients having had rotator cuff repair can be quite good. A successful outcome is much dependent on surgical technique as it is on rehabilitation. Numerous rehabilitation protocols for the management of rotator cuff disease are based primarily on clinical experience and expert opinion...
2017: Open Orthopaedics Journal
https://www.readbyqxmd.com/read/28400882/suprascapular-nerve-pathology-a-review-of-the-literature
#8
REVIEW
Lazaros Kostretzis, Ioannis Theodoroudis, Achilleas Boutsiadis, Nikolaos Papadakis, Pericles Papadopoulos
BACKGROUND: Suprascapular nerve pathology is a rare diagnosis that is increasingly gaining popularity among the conditions that cause shoulder pain and dysfunction. The suprascapular nerve passes through several osseoligamentous structures and can be compressed in several locations. METHODS: A thorough literature search was performed using online available databases in order to carefully define the pathophysiology and to guide diagnosis and treatment. RESULTS: Suprascapular neuropathy diagnosis is based on a careful history and a thorough clinical and radiological examination...
2017: Open Orthopaedics Journal
https://www.readbyqxmd.com/read/28400878/the-impact-of-re-tear-on-the-clinical-outcome-after-rotator-cuff-repair-using-open-or-arthroscopic-techniques-a-systematic-review
#9
REVIEW
Ilias Galanopoulos, Aslanidis Ilias, Konstantinos Karliaftis, Dimitrios Papadopoulos, Neil Ashwood
BACKGROUND: It is generally accepted that rotator cuff repair gives satisfactory results in the long term, although most studies have so far shown a fairly high rate of structural failure or re-tear. The purpose of this review study is to assess whether failure of the repaired cuff to heal could negatively affect the functional outcome. METHODS: This article includes an extensive Internet PubMed based research in the current English-language literature including level I to level V studies as well as systematic reviews...
2017: Open Orthopaedics Journal
https://www.readbyqxmd.com/read/28400877/latissimus-dorsi-transfer-in-posterior-irreparable-rotator-cuff-tears
#10
REVIEW
Panagiotis P Anastasopoulos, George Alexiadis, Sarantis Spyridonos, Emmanouil Fandridis
BACKGROUND: Massive rotator cuff tears pose a difficult and complex challenge even for the experienced surgeon; inability to repair these tears by conventional means designates them as irreparable, while management becomes quite taxing. Several operative options have been suggested for the management of such lesions with varying degrees of success, while it is imperative to match patient demands and expectations to the predicted outcome. METHODS: Research articles are examined and key concepts are discussed, in order to provide an evidence based review of the available literature...
2017: Open Orthopaedics Journal
https://www.readbyqxmd.com/read/28396726/reporting-rotator-cuff-tears-on-magnetic-resonance-arthrography-using-the-snyder-s-arthroscopic-classification
#11
Alberto Aliprandi, Carmelo Messina, Paolo Arrigoni, Michele Bandirali, Giovanni Di Leo, Stefano Longo, Sandro Magnani, Chiara Mattiuz, Filippo Randelli, Silvana Sdao, Francesco Sardanelli, Luca Maria Sconfienza, Pietro Randelli
AIM: To determine diagnostic performance of magnetic resonance arthrography (MRA) in evaluating rotator cuff tears (RCTs) using Snyder's classification for reporting. METHODS: One hundred and twenty-six patients (64 males, 62 females; median age 55 years) underwent shoulder MRA and arthroscopy, which represented our reference standard. Surgical arthroscopic reports were reviewed and the reported Snyder's classification was recorded. MRA examinations were evaluated by two independent radiologists (14 and 5 years' experience) using Snyder's classification system, blinded to arthroscopy...
March 28, 2017: World Journal of Radiology
https://www.readbyqxmd.com/read/28395947/efficacy-of-bone-marrow-stimulating-technique-in-rotator-cuff-repair
#12
Kerem Bilsel, Fatih Yildiz, Mehmet Kapicioglu, Gokcer Uzer, Mehmet Elmadag, Anil Pulatkan, Mukaddes Esrefoglu, Ergun Bozdag, Giuseppe Milano
BACKGROUND: This study used a chronic rotator cuff (RC) tear model to investigate the effect of microfracture as a bone marrow-stimulating (BMS) technique for RC healing. METHODS: A chronic retracted RC tendon tear model was created bilaterally in the subscapularis tendons of 20 New Zealand rabbits. The tendons were repaired after 8 weeks using a single-row configuration. Tendons in the right shoulder were repaired in standard fashion (control group). Microfractures were performed in the left shoulders before repair (microfracture group)...
April 7, 2017: Journal of Shoulder and Elbow Surgery
https://www.readbyqxmd.com/read/28382782/fatty-acid-binding-protein-4-regulates-fatty-infiltration-after-rotator-cuff-tear-by-hypoxia-inducible-factor-1-in-mice
#13
Yong-Soo Lee, Ja-Yeon Kim, Kyung-Soo Oh, Seok Won Chung
BACKGROUND: Fatty infiltration in skeletal muscle is directly linked to loss of muscle strength and is associated with various adverse physical outcomes such as muscle atrophy, inflammation, insulin resistance, mobility impairments, and even mortality in the elderly. Aging, mechanical unloading, muscle injury, and hormonal imbalance are main causes of muscle fat accumulation, and the fat cells are derived from muscle stem cells via adipogenic differentiation. However, the pathogenesis and molecular mechanisms of fatty infiltration in muscles are still not fully defined...
April 5, 2017: Journal of Cachexia, Sarcopenia and Muscle
https://www.readbyqxmd.com/read/28382384/clinical-and-anatomic-results-of-surgical-repair-of-chronic-rotator-cuff-tears-at-ten-year-minimum-follow-up
#14
Fanny Elia, Vadim Azoulay, Julie Lebon, Amélie Faraud, Nicolas Bonnevialle, Pierre Mansat
PURPOSE: The purpose of this study was to evaluate long-term clinical and anatomic results after open rotator cuff repair. MATERIALS AND METHOD: Fifty-three patients were included in this study. Rotator cuff tears were limited to one tendon in 34, and two tendons or more in 19. The supraspinatus tendon was involved alone in 30 cases, and the subscapularis in four. Clinical, radiographic and MRI evaluations were performed for all patients at ten-year minimum follow-up...
April 5, 2017: International Orthopaedics
https://www.readbyqxmd.com/read/28382186/sonographic-evaluation-of-structural-changes-in-post-stroke-hemiplegic-shoulders
#15
Bukunmi Michael Idowu, Oluwagbemiga Oluwole Ayoola, Victor Adebayo Adetiloye, Morenikeji Adeyoyin Komolafe
BACKGROUND: Stroke and hemiplegia are frequent complications of stroke. This study was performed to sonographically evaluate post-stroke hemiplegic shoulders and explore possible relationship(s) between the sonographic findings and clinical indices. MATERIAL/METHODS: Forty-five stroke patients and 45 age- and sex-matched controls were recruited. Standard sonographic examination of both shoulders was performed to assess for joint subluxation, rotator cuff tears, tendinosis, subacromial-subdeltoid bursitis or effusion and adhesive capsulitis...
2017: Polish Journal of Radiology
https://www.readbyqxmd.com/read/28378277/classifications-in-brief-hamada-classification-of-massive-rotator-cuff-tears
#16
Tyler J Brolin, Gary F Updegrove, John G Horneff
No abstract text is available yet for this article.
April 4, 2017: Clinical Orthopaedics and related Research
https://www.readbyqxmd.com/read/28373953/arthroscopic-partial-repair-of-irreparable-massive-rotator-cuff-tears
#17
Roberto Castricini, Olimpio Galasso, Daria Anna Riccelli, Filippo Familiari, Massimo De Benedetto, Nicola Orlando, Giorgio Gasparini
Several treatment options for chronic, massive rotator cuff tears exist, and they include debridement with possible biceps tenotomy or tenodesis, open or arthroscopic partial repair, muscle or tendon transfer, superior capsule reconstruction, synthetic patch augmentation, and reverse total shoulder arthroplasty. The aim of this technique article is to describe our preferred surgical option for irreparable, massive rotator cuff tears with an irreparable supraspinatus, a reparable infraspinatus, and an intact or reparable subscapularis tendon...
February 2017: Arthroscopy Techniques
https://www.readbyqxmd.com/read/28373942/surgical-technique-to-repair-musculotendinous-junction-tear-of-supraspinatus-using-lateral-row-anchors-to-avoid-cut-through
#18
Bancha Chernchujit, Prashant H Parate
A musculotendinous junction tear is a rare type of rotator cuff tear. There is very little literature available on musculotendinous junction tears. We propose a technique for repair of this type of tear using lateral-row anchors. In this technique, the torn tendon is freshened and sutures are passed through the medial part of the torn tendon. When it is fixed with lateral-row anchors, the tear is reduced and tendon-to-tendon healing is seen. The enthesis and the tendon length are preserved.
February 2017: Arthroscopy Techniques
https://www.readbyqxmd.com/read/28369181/apoptosis-and-rotator-cuff-tears-scientific-evidence-from-basic-science-to-clinical-findings
#19
Leonardo Osti, Matteo Buda, Angelo Del Buono, Raffaella Osti, Leo Massari, Nicola Maffulli
Introduction: Excessive apoptosis has been hypothesized as possible cause of tendinopathy and tear in the tendons of the rotator cuff (RC). Different mechanisms and molecules play a key role in cell regulation. Biological interventions can affect the process of apoptosis to control the tendinopathy process, and may be useful to design new treatments. Source of data: We identified basic science, in vitro and in vivo preclinical and clinical studies listed in the Pubmed Google Scholar, CINAHL, Cochrane Central and Embase Biomedical databases in English, Spanish, Italian and French concerning the effects of apoptosis on RC tendons...
March 24, 2017: British Medical Bulletin
https://www.readbyqxmd.com/read/28369135/engineered-stem-cell-niche-matrices-for-rotator-cuff-tendon-regenerative-engineering
#20
M Sean Peach, Daisy M Ramos, Roshan James, Nicole L Morozowich, Augustus D Mazzocca, Steven B Doty, Harry R Allcock, Sangamesh G Kumbar, Cato T Laurencin
Rotator cuff (RC) tears represent a large proportion of musculoskeletal injuries attended to at the clinic and thereby make RC repair surgeries one of the most widely performed musculoskeletal procedures. Despite the high incidence rate of RC tears, operative treatments have provided minimal functional gains and suffer from high re-tear rates. The hypocellular nature of tendon tissue poses a limited capacity for regeneration. In recent years, great strides have been made in the area of tendonogenesis and differentiation towards tendon cells due to a greater understanding of the tendon stem cell niche, development of advanced materials, improved scaffold fabrication techniques, and delineation of the phenotype development process...
2017: PloS One
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