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Rotator cuff repair

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https://www.readbyqxmd.com/read/29776469/correlation-of-patient-reported-outcomes-measurement-information-system-promis-scores-with-legacy-patient-reported-outcome-scores-in-patients-undergoing-rotator-cuff-repair
#1
Brendan M Patterson, Nathan D Orvets, Alexander W Aleem, Jay D Keener, Ryan P Calfee, Devon C Nixon, Aaron M Chamberlain
BACKGROUND: The Patient-Reported Outcomes Measurement Information System (PROMIS) is being used to assess outcomes in many patient populations despite limited validation. The purpose of this study was to investigate the relationship between American Shoulder and Elbow Surgeons (ASES) and Simple Shoulder Test (SST) scores and PROMIS Physical Function (PF) and Upper Extremity (UE) function scores collected preoperatively in patients undergoing rotator cuff repair. METHODS: This cross-sectional study analyzed 164 consecutive patients undergoing arthroscopic rotator cuff repair...
June 2018: Journal of Shoulder and Elbow Surgery
https://www.readbyqxmd.com/read/29770180/factors-impacting-arthroscopic-rotator-cuff-repair-operational-throughput-time-at-an-ambulatory-care-center
#2
Emily J Curry, Catherine Logan, Kaytelin Suslavich, Kaitlyn Whitlock, Eric Berkson, Elizabeth Matzkin
Identifying patient factors influencing operational throughput time is becoming more imperative due to an increasing focus on value and cost savings in healthcare. The primary objective of this study was to determine patient factors influencing throughput time for primary rotator cuff repairs. Demographic information, medical history and operative reports of 318 patients from one ambulatory care center were retrospectively reviewed. Operating room set up, incision to closure and recovery room time were collected from anesthesia records...
March 29, 2018: Orthopedic Reviews
https://www.readbyqxmd.com/read/29770163/ultrasound-guided-prolotherapy-with-polydeoxyribonucleotide-for-painful-rotator-cuff-tendinopathy
#3
Kyoungho Ryu, Dongchan Ko, Goeun Lim, Eugene Kim, Sung Hyun Lee
Background: Rotator cuff tendinopathy is a primary cause of shoulder pain and dysfunction. Several effective nonsurgical treatment methods have been described for chronic rotator cuff tendinopathy. Prolotherapy with polydeoxyribonucleotide (PDRN), which consists of active deoxyribonucleotide polymers that stimulate tissue repair, is a nonsurgical regenerative injection that may be a viable treatment option. The objective of this study was to assess the efficacy of PDRN in the treatment of chronic rotator cuff tendinopathy...
2018: Pain Research & Management: the Journal of the Canadian Pain Society
https://www.readbyqxmd.com/read/29767810/a-novel-remaining-tendon-preserving-repair-technique-leads-to-improved-outcomes-in-special-rotator-cuff-tear-patterns
#4
Yoon Sang Jeon, Rag Gyu Kim, Sang-Jin Shin
INTRODUCTION: The purpose of this study was to identify the tear pattern that could be anatomically repaired by preserving the remaining tendon on footprint and evaluate clinical outcomes of patients who underwent remaining tendon preserving cuff repair. MATERIALS AND METHODS: Of 523 patients with full-thickness rotator cuff tears who underwent arthroscopic repair, 41 (7.8%) patients had repairable rotator cuff tear while preserving the remaining tendon. Among them, 31 patients were followed-up for more than 2 years, including 26 patients with posterior L-shaped tear and 5 patients with transtendinous tear patterns...
May 16, 2018: Archives of Orthopaedic and Trauma Surgery
https://www.readbyqxmd.com/read/29765879/quantitative-measurement-of-muscle-atrophy-and-fat-infiltration-of-the-supraspinatus-muscle-using-ultrasonography-after-arthroscopic-rotator-cuff-repair
#5
Yong Ki Kim, Eun Seok Choi, Keon Tae Kim, Jung Ro Yoon, Sang Han Chae
Objective: To investigate the utility of ultrasonography to objectively examine morphological changes (i.e., muscle atrophy and fatty infiltration) of the supraspinatus muscle. Methods: Thirty-four patients were prospectively enrolled in this study. The degrees of muscle atrophy and fat infiltration were measured using ultrasonography 3-4 months after arthroscopic supraspinatus tendon repair. Shoulder function (i.e., shoulder active range of motion, visual analogue scale, and constant score) was examined...
April 2018: Annals of Rehabilitation Medicine
https://www.readbyqxmd.com/read/29763517/novel-engineered-tendon-fibrocartilage-bone-composite-with-cyclic-tension-for-rotator-cuff-repair
#6
Qian Liu, Taku Hatta, Jun Qi, Haoyu Liu, Andrew R Thoreson, Peter C Amadio, Steven L Moran, Scott P Steinmann, Anne Gingery, Chunfeng Zhao
Surgical repair of rotator cuff tears presents a significant clinical challenge with high failure rates and inferior functional outcomes. Graft augmentation improves repair outcomes, however currently available grafting materials have limitations. While cell-seeded decellularized tendon slices may facilitate cell infiltration, promote tendon incorporation and preserve original mechanical strength, the unique fibrocartilage zone is yet to be successfully reestablished. In this study, we investigated the biological and mechanical properties of an engineered tendon-fibrocartilage-bone composite (TFBC) with cyclic tension (3% strain, 0...
May 15, 2018: Journal of Tissue Engineering and Regenerative Medicine
https://www.readbyqxmd.com/read/29761555/computational-optimization-of-graft-tension-in-simulated-superior-capsule-reconstructions
#7
Michael W Hast, Elaine Schmidt, John D Kelly, Josh R Baxter
Superior capsular reconstruction has received increased attention as a surgical technique to address massive 'irreparable' rotator cuff tears; however, the functional limitations and surgical techniques associated with this repair have yet to be sufficiently explored. The goal of this study was to utilize a multidisciplinary approach to characterize the biomechanics of this repair by: 1) identifying activities of daily living that may overburden graft, and 2) optimizing surgical techniques used during implantation...
May 14, 2018: Journal of Orthopaedic Research: Official Publication of the Orthopaedic Research Society
https://www.readbyqxmd.com/read/29759907/mechanical-and-imaging-evaluation-of-the-effect-of-sutures-on-tendons-tape-sutures-are-protective-to-suture-pulling-through-tendon
#8
Yohei Ono, Denis A Joly, Gail M Thornton, Ian K Y Lo
BACKGROUND: High-strength sutures, including #2 and tape-type, are popular when performing arthroscopic rotator cuff repair. Although the most common mechanism of anatomic failure of rotator cuff repair is suture pulling through tendon, the effect of sutures on the suture-tendon interface has rarely been investigated. We evaluated the effect of commercially available modern high-strength standard #2 and tape-type sutures on tendon. METHODS: Isolated sutures (FiberTape, #2 FiberWire [Arthrex Inc...
May 11, 2018: Journal of Shoulder and Elbow Surgery
https://www.readbyqxmd.com/read/29758568/social-media-in-shoulder-elbow-surgery-an-analysis-of-twitter-and-instagram
#9
Prem N Ramkumar, Sergio M Navarro, Margaret M Cornaghie, Heather S Haeberle, Hafsah Hameed, Mark S Schickendantz, Eric T Ricchetti, Joseph P Iannotti
Social media provide a unique method of analyzing outcomes and quality in medicine. The purpose of this observational study was to investigate the nature of social media content related to shoulder and elbow (S&E) surgery posted by patients, surgeons, and hospitals. A public search of Instagram for a two-year period yielded 1,177 patient-related posts. A categorical system assessed the perspective, timing, tone, and content of each post. Twitter accounts of 77 S&E specialists from the top five ranked U...
May 14, 2018: International Journal of Sports Medicine
https://www.readbyqxmd.com/read/29757693/a-rotator-cuff-tear-concomitant-with-shoulder-stiffness-is-associated-with-a-lower-retear-rate-after-1-stage-arthroscopic-surgery
#10
In-Bo Kim, Dong-Wook Jung
BACKGROUND: Few studies have reported on the radiological characteristics and repair integrity of coexistent rotator cuff tears (RCTs) and shoulder stiffness after simultaneous arthroscopic rotator cuff repair and capsular release. PURPOSE: To evaluate the radiological characteristics and repair integrity of 1-stage arthroscopic surgery of RCTs concomitant with shoulder stiffness. STUDY DESIGN: Cohort study; Level of evidence, 3. METHODS: Among patients who underwent arthroscopic repair of full-thickness RCTs, the stiff group underwent simultaneous capsular release for shoulder stiffness, and the nonstiff group had no stiffness...
May 1, 2018: American Journal of Sports Medicine
https://www.readbyqxmd.com/read/29754845/do-magnetic-resonance-imaging-and-computed-tomography-provide-equivalent-measures-of-rotator-cuff-muscle-size-in-glenohumeral-osteoarthritis
#11
Peter N Chalmers, Lindsay Beck, Irene Stertz, Alexander Aleem, Jay D Keener, Heath B Henninger, Robert Z Tashjian
BACKGROUND: Rotator cuff muscle volume is associated with outcomes after cuff repair and total shoulder arthroplasty. Muscle area on select magnetic resonance imaging (MRI) slices has been shown to be a surrogate for muscle volume. The purpose of this study was to determine whether computed tomography (CT) provides an equivalent measurement of cuff muscle area to a previously validated MRI measurement. METHODS: We included 30 patients before they were undergoing total shoulder arthroplasty with both preoperative CT and MRI scans performed within 30 days of one another at 1 institution using a consistent protocol...
May 10, 2018: Journal of Shoulder and Elbow Surgery
https://www.readbyqxmd.com/read/29746144/effects-of-allogenic-dermal-fibroblasts-on-rotator-cuff-healing-in-a-rabbit-model-of-chronic-tear
#12
Jieun Kwon, Yun Hee Kim, Sung-Min Rhee, Tae In Kim, Jimin Lee, Saewha Jeon, Joo Han Oh
BACKGROUND: The failure of rotator cuffs to heal after repair is an unresolved surgical issue. There have been substantial efforts, including the use of biological supplements, to enhance tendon healing. Dermal fibroblasts are a good candidate for tendon tissue engineering because they are similar to the tenocytes used for collagen synthesis. In addition, they are easily accessible because autologous dermal fibroblasts can be obtained from individual skin without major skin defects and allogenic dermal fibroblasts (ADFs) have already been commercialized in the field of skin engineering...
May 1, 2018: American Journal of Sports Medicine
https://www.readbyqxmd.com/read/29738599/unanticipated-admission-following-outpatient-rotator-cuff-repair-an-analysis-of-18-061-cases
#13
Joseph A Gil, Wesley M Durand, Joey P Johnson, Avi D Goodman, Brett D Owens, Alan H Daniels
The objective of this investigation was to examine the characteristics that place patients at risk for unanticipated inpatient admission after outpatient arthroscopic rotator cuff repair. This retrospective cohort study used the American College of Surgeons National Surgical Quality Improvement Program data sets from years 2012 to 2015. Patients were included in the study based on the presence of a primary Current Procedural Terminology code for rotator cuff repair (23410, 23412, 23420, and 29827). Only outpatient, nonemergent, and elective procedures performed on patients with American Society of Anesthesiologists classification of 4 or less were considered...
May 8, 2018: Orthopedics
https://www.readbyqxmd.com/read/29731397/long-term-clinical-and-radiographic-outcome-of-rotator-cuff-repair-with-a-synthetic-interposition-graft-a-consecutive-case-series-with-17-to-20-years-of-follow-up
#14
Mats C Ranebo, Hanna C Björnsson Hallgren, Rolf Norlin, Lars E Adolfsson
BACKGROUND: Treatment options for irreparable cuff tears include synthetic interposition grafts, but whether such grafts can maintain acceptable shoulder function and prevent cuff tear arthropathy in the long-term is unknown. METHOD: This was a retrospective case series of 13 consecutive patients treated with a synthetic interposition graft made of Dacron (DuPont, Wilmington, DE, USA). Patients were examined with bilateral ultrasonography, bilateral x-ray imaging, Constant-Murley score, and Western Ontario Rotator Cuff score...
May 3, 2018: Journal of Shoulder and Elbow Surgery
https://www.readbyqxmd.com/read/29730212/arthroscopic-incomplete-repair-using-a-hybrid-technique-for-large-to-massive-rotator-cuff-tears-clinical-results-and-structural-integrity
#15
Jeung Yeol Jeong, Young Cheol Yoon, Sang Min Lee, Jae Chul Yoo
PURPOSE: The first aim of this study was to introduce the concept of hybrid repair (incomplete repair) for large to massive rotator cuff tears and to report clinical results and structural integrity of patients with a minimum 2-year follow-up. The second aim was to compare arthroscopic hybrid repair with partial repair for large to massive rotator cuff tears. METHODS: We retrospectively evaluated 65 patients who underwent arthroscopic incomplete (hybrid) repair (45 patients) or partial repair (20 patients) for large to massive cuff tears from March 2011 to January 2015...
May 2, 2018: Arthroscopy: the Journal of Arthroscopic & related Surgery
https://www.readbyqxmd.com/read/29729751/editorial-commentary-can-we-do-better-while-spending-less-how-many-shoulder-rotator-cuff-anchors-are-enough
#16
EDITORIAL
Evan L Flatow
We have published that shoulder rotator cuff tear is a highly cost-effective procedure, and to continue to improve value, a goal is to contain cost while maintaining or improving outcome. To bend the cost curve, reduction in direct costs (number of suture anchors used) could be a goal, and because rotator cuff repair failures are as much biologic as they are mechanical, the effect of adding anchors to improve outcomes has an obvious limit.
May 2018: Arthroscopy: the Journal of Arthroscopic & related Surgery
https://www.readbyqxmd.com/read/29728740/arthroscopic-rotator-cuff-surgery-following-shoulder-trauma-improves-outcome-despite-additional-pathologies-and-slow-recovery
#17
Barak Haviv, Tal Frenkel Rutenberg, Shlomo Bronak, Mustafa Yassin
PURPOSE: To compare the outcome, recovery and surgical findings after shoulder arthroscopy of clinically defined traumatic and non-traumatic rotator cuff pathology in middle-aged patients. METHODS: Of the patients who underwent rotator cuff surgery, 37 patients who reported a preceding shoulder injury related to their shoulder symptoms (traumatic group) were compared to a control group of 58 patients without a preceding injury (non-traumatic group), matched by age, body mass index and comorbidities...
May 4, 2018: Knee Surgery, Sports Traumatology, Arthroscopy: Official Journal of the ESSKA
https://www.readbyqxmd.com/read/29723034/large-critical-shoulder-angle-has-higher-risk-of-tendon-retear-after-arthroscopic-rotator-cuff-repair
#18
Hong Li, Yuzhou Chen, Jiwu Chen, Yinghui Hua, Shiyi Chen
BACKGROUND: The critical shoulder angle (CSA) is the angle created between the superior and inferior bone margins of the glenoid and the most lateral border of the acromion. A few studies recently investigated the relation between CSA and functional outcomes after rotator cuff repair. However, there is a lack of research investigating the effect of CSA on postoperative tendon integrity after rotator cuff repair. PURPOSE: To assess the effects of the CSA on postoperative tendon integrity after rotator cuff repair...
May 1, 2018: American Journal of Sports Medicine
https://www.readbyqxmd.com/read/29722762/prp-as-an-adjunct-to-rotator-cuff-tendon-repair
#19
F Alan Barber
Arthroscopic rotator cuff repair is a commonly performed repair. Technical developments provide surgeons the tools to create biomechanically robust repairs. How can the biological response mirror the strong and stable surgery? Platelet-rich plasma (PRP) is a supraphysiological platelet concentration which may positively augment rotator cuff healing. Not all PRPs are the same. High leukocyte levels and thrombin activation may be detrimental to tendon healing. Thrombin activation triggers an immediate release of growth factors and may actually inhibit some parts of the healing response...
June 2018: Sports Medicine and Arthroscopy Review
https://www.readbyqxmd.com/read/29721461/the-effect-of-deep-shoulder-infections-on-patient-outcomes-after-arthroscopic-rotator-cuff-repair-a-retrospective-comparative-study
#20
Kivanc Atesok, Peter MacDonald, Jeff Leiter, Sheila McRae, Mandip Singh, Greg Stranges, Jason Old
Introduction: The purpose of this study was to evaluate the effects of deep shoulder infections after RCR on patient outcomes. Methods: A retrospective chart review was conducted involving all patients with deep shoulder infections after arthroscopic RCR (study group). Another group of patients who were matched with the study group by age, gender and rotator cuff tear size, and did not develop deep shoulder infections after arthroscopic RCR were randomly identified (control group)...
October 2017: Muscles, Ligaments and Tendons Journal
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