keyword
https://read.qxmd.com/read/38527622/no-clinical-difference-in-outcomes-between-inlay-and-onlay-arthroscopic-biceps-tenodesis-techniques-during-rotator-cuff-repair
#1
JOURNAL ARTICLE
Stephan G Pill, Zachary Rogozinski, Hunter Bohon, Ernesto Barquet Arrambide, Grace E Welch, Jordyn M Carroll, Adam Lutz, Ellen Shanley, Charles A Thigpen, Stefan J Tolan, Douglas J Wyland, Michael J Kissenberth
BACKGROUND: Both inlay and onlay arthroscopic biceps tenodesis (ABT) are common procedures performed during rotator cuff repair. The inlay method involves creating a bone socket in the bicipital groove to secure the long head of the biceps tendon (LHBT) using an interference screw. The onlay method utilizes a suture anchor to secure the LHBT on the surface of the bicipital groove. Little is known on the long-term differences in patient reported outcomes (PROs) between these two techniques...
March 23, 2024: Journal of Shoulder and Elbow Surgery
https://read.qxmd.com/read/38527037/functional-recovery-prediction-during-rehabilitation-after-rotator-cuff-tears-by-decision-support-system
#2
JOURNAL ARTICLE
Aušra Adomavičienė, Kristina Daunoravičienė, Girūta Kazakevičiūtė-Januškevičienė, Romualdas Baušys
BACKGROUND: Today's rehabilitation decision-making still relies on conventional methods and different specific targeted rehabilitation protocols. Our study focuses on the decision support system for early rehabilitation after rotator cuff (RC) tears repair, where a multicriteria decision-making framework (MCDM) is applied for the prediction of successful functional recovery and selection of a rehabilitation protocol. OBJECTIVE: To identify factors that affect recovery outcomes and to develop a decision support system methodology for predicting functional recovery outcomes at early rehabilitation after RC repair...
2024: PloS One
https://read.qxmd.com/read/38523475/semi-bone-tunnel-technique-using-double-row-suture-bridge-combined-with-platelet-rich-plasma-hydrogel-for-rotator-cuff-repair-in-a-rabbit-model
#3
JOURNAL ARTICLE
Shengqiang Zeng, Jiacheng Sun, Bo Qin, Yang Liu, Gang Liu, Kai Deng, Yiran Yin, Dingsu Bao
BACKGROUND: The approach to managing the footprint area and reconstructing the tendon-bone interface (TBI) is critical for optimal healing. PURPOSE: To evaluate the outcomes of the semi-bone tunnel (SBT) technique using a double-row suture bridge combined with platelet-rich plasma (PRP) hydrogel for rotator cuff repair in a rabbit model. STUDY DESIGN: Controlled laboratory study. METHODS: A total of 48 New Zealand White rabbits were divided into 4 groups...
March 25, 2024: American Journal of Sports Medicine
https://read.qxmd.com/read/38522362/the-influence-of-rotator-cuff-tear-type-and-weight-bearing-on-shoulder-biomechanics-in-an-ex-vivo-simulator-experiment
#4
JOURNAL ARTICLE
Jeremy Genter, Eleonora Croci, Birgit Oberreiter, Franziska Eckers, Dominik Bühler, Dominic Gascho, Andreas M Müller, Annegret Mündermann, Daniel Baumgartner
Glenohumeral biomechanics after rotator cuff (RC) tears have not been fully elucidated. This study aimed to investigate the muscle compensatory mechanism in weight-bearing shoulders with RC tears and asses the induced pathomechanics (i.e., glenohumeral translation, joint instability, center of force (CoF), joint reaction force). An experimental, glenohumeral simulator with muscle-mimicking cable system was used to simulate 30° scaption motion. Eight fresh-frozen shoulders were prepared and mounted in the simulator...
March 20, 2024: Journal of Biomechanics
https://read.qxmd.com/read/38521910/the-effect-of-cuff-arthropathy-stage-on-sleep-disturbance-and-kinesiophobia-in-reverse-shoulder-arthroplasty-patients
#5
JOURNAL ARTICLE
Gokhan Ilyas, Ercument Egeli, Fikri Burak Ipci, Oguzhan Gokalp
BACKGROUND: The current study aimed to determine the changes in pre-and post-operative Pittsburg sleep quality index (PSQI) and Tampa scale of kinesiophobia (TSK) values ​​according to the Hamada classification in patients who underwent reverse shoulder arthroplasty (RSA) for rotator cuff tear arthropathy (RCTA). METHODS: One hundred and eight patients who underwent RSA for RCTA were reviewed retrospectively. The patients were divided into two groups with low grade (stages 1-2-3) (n = 49) and high grade (stages 4a-4b-5) (n = 59) according to the Hamada classification, which is the radiographic evaluation of RCTA...
March 23, 2024: BMC Musculoskeletal Disorders
https://read.qxmd.com/read/38521207/fascia-lata-autografts-achieve-interface-healing-with-the-supraspinatus-muscle-histologically-and-mechanically-in-a-rat-supraspinatus-tendon-reconstruction-model-for-massive-irreparable-rotator-cuff-tears
#6
JOURNAL ARTICLE
Yatao Liao, Zhou Zhou, Jun Wang, Huaisheng Li, Binghua Zhou
PURPOSE: To evaluate the histologic healing process and mechanical characteristics of the interface between a fascia lata autograft and supraspinatus muscle by establishing a supraspinatus tendon reconstruction model for chronic massive, irreparable rotator cuff tears (MIRCTs). METHODS: A total of 40 rats were studied. Eight rats were sacrificed to establish an intact control group, and the other rats were first established as the chronic MIRCTs model and then developed as the supraspinatus tendon reconstruction model...
March 21, 2024: Arthroscopy
https://read.qxmd.com/read/38521205/massive-rotator-cuff-tears-benefit-from-arthroscopic-repair-regardless-of-advanced-goutallier-or-hamada-changes
#7
EDITORIAL
Patrick J Denard
Massive rotator cuff tears (MRCTs) are a challenge to treat with options from arthroscopic rotator cuff repair to reverse shoulder arthroplasty. Arthroscopic repair may still be an option even in the setting of advanced Goutallier changes and Hamada grades and regardless of healing. As the lifetime risk of revision for a 55 year old patient having an RSA was approximately 1 in 3, arthroscopic surgical management of MRCTs should not be discounted. An individualized approach that should consider the patient's radiographs (severity of arthritis), function (i...
March 21, 2024: Arthroscopy
https://read.qxmd.com/read/38518884/neighborhood-socioeconomic-disadvantages-influence-outcomes-following-rotator-cuff-repair-in-the-non-medicaid-population-socioeconomic-impact-on-rc-outcomes
#8
JOURNAL ARTICLE
Gregory R Sprowls, Branum O Layton, Jordyn M Carroll, Grace E Welch, Michael J Kissenberth, Stephan G Pill
BACKGROUND: Prior investigations have utilized various surrogate markers of socioeconomic status to assess how healthcare disparities impact outcomes after rotator cuff repair (RCR). When taken as individual markers, these factors have inconsistent associations. Medicaid insurance status is an accessible marker that has recently been correlated with less optimal outcomes after RCR. Socioeconomic disparities exist within the non-Medicaid population as well and are arguably more difficult to characterize...
March 20, 2024: Journal of Shoulder and Elbow Surgery
https://read.qxmd.com/read/38513879/atelocollagen-injection-during-arthroscopic-rotator-cuff-repair-for-small-to-medium-sized-subacute-or-chronic-rotator-cuff-tears-enhances-radiographic-tendon-integrity-a-propensity-score-matched-comparative-study
#9
JOURNAL ARTICLE
Hyun Gon Kim, Su Cheol Kim, Jong Hun Park, Jae Soo Kim, Dae Yeung Kim, Sang Min Lee, Jae Chul Yoo
PURPOSE: To evaluate the clinical and structural outcomes of using injectable atelocollagen during arthroscopic rotator cuff repair (ARCR) for small to medium-sized rotator cuff tears. METHODS: This retrospective study reviewed patients with small to medium size full-thickness tears who underwent ARCR from 2016 to 2022 with minimum 1 year follow-up. Propensity score (PS) matching was used to reduce bias. Tendon integrity was evaluated using magnetic resonance imaging (MRI) at postoperative 6 months...
March 19, 2024: Arthroscopy
https://read.qxmd.com/read/38513205/can-imaging-determine-if-a-rotator-cuff-tear-is-traumatic
#10
REVIEW
Jessica Mowbray, Khalid Mohammed
AIM: We reviewed the last decade of literature to update a previous publication on this topic by the senior author. In New Zealand, traumatic causation has implications for entitlement for treatment though the Accident Compensation Corporation (ACC). Acuity and chronicity may also be relevant in determining repairability. METHODS: Literature was reviewed regarding acromial morphology, greater tuberosity (GT) cysts, acromiohumeral interval (AHI), fatty degeneration and atrophy, acromioclavicular (AC) arthrosis, tendinopathy, bursal changes and other features...
March 22, 2024: New Zealand Medical Journal
https://read.qxmd.com/read/38507504/heated-tobacco-products-have-detrimental-effects-on-rotator-cuff-healing-similar-to-conventional-cigarettes
#11
JOURNAL ARTICLE
Tae-Hwan Yoon, Jee-Hoon Choi, Joon-Ryul Lim, Hsien-Hao Chang, Yong-Min Chun
BACKGROUND: Cigarette smoking impairs rotator cuff healing, but no study, to our knowledge, has focused on the association between heated tobacco products and rotator cuff tears. METHODS: This study retrospectively investigated 1,133 patients who underwent arthroscopic repair of symptomatic rotator cuff tears between March 2011 and April 2021. Patients were grouped on the basis of their smoking patterns as nonsmokers, cigarette smokers, and heated tobacco smokers...
March 20, 2024: Journal of Bone and Joint Surgery. American Volume
https://read.qxmd.com/read/38499998/favorable-clinical-outcomes-after-humeral-head-depressor-muscle-coactivation-training-with-emg-for-patients-with-arthroscopic-rotator-cuff-repair-a-randomized-controlled-trial
#12
JOURNAL ARTICLE
Caner Kararti, Anıl Özüdoğru, Hakkı Çağdaş Basat, İsmail Özsoy
BACKGROUND: The coactivation (Co-A) of shoulder muscles that contribute to humeral head depression can lead to mechanical unloading of the subacromial structures during abduction and thus can be beneficial for patients with arthroscopic rotator cuff repair (ARCR). The present study aims to examine the effectiveness of humeral head depressor muscle Co-A (DM-Co-A) training on clinical outcomes in a sample of patients with ARCR. HYPOTHESIS: We hypothesized that DM-Co-A training with medioinferior vector during glenohumeral exercises can improve clinical results in the rehabilitation of ARCR...
March 18, 2024: Sports Health
https://read.qxmd.com/read/38495636/the-insertion-of-a-subacromial-balloon-spacer-can-provide-symptom-relief-and-functional-improvement-at-a-minimum-5-year-follow-up-in-patients-with-massive-irreparable-rotator-cuff-tears
#13
JOURNAL ARTICLE
Mohamad Y Fares, Jonathan Koa, Jaspal Singh, Joseph A Abboud
PURPOSE: To examine long-term patient-reported outcomes and range of motion in patients with massive irreparable rotator cuff tears (MIRCTs) who underwent subacromial balloon spacer implantation. METHODS: A retrospective review of all patients who underwent subacromial balloon placement procedure for MIRCTs at our institution was conducted. Patients with adequate preoperative and postoperative data, with at least 5 years of follow-up, were included in our study...
April 2024: Arthroscopy, sports medicine, and rehabilitation
https://read.qxmd.com/read/38492869/editorial-commentary-shoulder-superior-capsular-reconstruction-has-a-high-complication-rate-whereas-reverse-total-shoulder-arthroplasty-results-in-improved-motion-strength-and-return-to-play
#14
EDITORIAL
Phob Ganokroj, Ryan J Whalen, Matthew T Provencher
Superior capsular reconstruction (SCR) was developed to restore patient biomechanics for patients with massive irreparable rotator cuff repair (MIRCT) that precludes shoulder arthroplasty. Current studies have shown excellent short-term clinical outcomes and improved pain and functional scores, a high complication rate including re-tear, loss of fixation, or incomplete healing. An alternative, reverse total shoulder arthroplasty (rTSA) is a reliable and safe method to ensure good muscle strength and return to play in this patient group...
March 14, 2024: Arthroscopy
https://read.qxmd.com/read/38492202/correction-lower-trapezius-transfer-for-irreparable-posterosuperior-rotator-cuff-tears
#15
Joaquin Sanchez-Sotelo
No abstract text is available yet for this article.
March 16, 2024: Current Reviews in Musculoskeletal Medicine
https://read.qxmd.com/read/38490501/biceps-rerouting-augmentation-technique-restores-biomechanics-improves-healing-and-has-many-advantages-for-repair-of-large-and-massive-rotator-cuff-tears
#16
EDITORIAL
Yang-Soo Kim, Sung-Hyun Cho
The biceps rerouting (BR) augmentation technique has emerged as a useful option for the repair of rotator cuff tears (RCTs) when the torn tendon does not cover the footprint or can only be reduced under excessive tension. BR offers several advantages over traditional methods. It is an all-inside joint procedure, eliminating the need for skin incisions other than those for the arthroscopic portal, thus reducing operative time and infection risk. It does not lead to donor site morbidity, (unlike superior capsular reconstruction...
March 13, 2024: Arthroscopy
https://read.qxmd.com/read/38487743/re-tear-after-arthroscopic-rotator-cuff-repair-can-be-predicted-using-deep-learning-algorithm
#17
JOURNAL ARTICLE
Zhewei Zhang, Chunhai Ke, Zhibin Zhang, Yujiong Chen, Hangbin Weng, Jieyang Dong, Mingming Hao, Botao Liu, Minzhe Zheng, Jin Li, Shaohua Ding, Yihong Dong, Zhaoxiang Peng
The application of artificial intelligence technology in the medical field has become increasingly prevalent, yet there remains significant room for exploration in its deep implementation. Within the field of orthopedics, which integrates closely with AI due to its extensive data requirements, rotator cuff injuries are a commonly encountered condition in joint motion. One of the most severe complications following rotator cuff repair surgery is the recurrence of tears, which has a significant impact on both patients and healthcare professionals...
2024: Frontiers in artificial intelligence
https://read.qxmd.com/read/38487129/is-it-time-to-rethink-the-relationship-between-subscapularis-tears-and-the-long-head-of-biceps-tendon
#18
JOURNAL ARTICLE
Rohan Prakash, Andrew P Dekker, Chetan Modi, Thomas Lawrence, Stephen Drew, Gevdeep Bhabra
Introduction Pre-operative diagnosis of subscapularis tears remains a difficult challenge. Ultrasound has been shown to be ineffective at directly detecting subscapularis tears. It has been widely accepted that medial subluxation of the long head of biceps tendon (LHBT) is associated with full-thickness subscapularis tears. The aims of this study are to assess whether LHBT subluxation on ultrasound scanning has any predictive value for subscapularis tears and to determine the relationship between LHBT subluxation and subscapularis tears at arthroscopy...
February 2024: Curēus
https://read.qxmd.com/read/38486808/combination-of-superior-and-posterior-capsular-release-versus-superior-capsular-release-alone-in-arthroscopic-repair-of-large-to-massive-rotator-cuff-tears
#19
JOURNAL ARTICLE
Jung-Taek Hwang, Yong-Been Kim, Min-Soo Cho, Su-Jung Seo, Myung Sun Hong
BACKGROUND: Superior capsular release has been used to reduce tendon tension, especially in arthroscopic repair of large-to-massive rotator cuff tears. Some clinicians have used a more extensive release of capsules in arthroscopic cuff repair for adequate reduction of torn tendons to footprints. PURPOSE: To explore the effects of additional posterior capsular release for superior capsular release in arthroscopic repair of large-to-massive rotator cuff tears. STUDY DESIGN: Cohort study; Level of evidence, 3...
March 2024: Orthopaedic Journal of Sports Medicine
https://read.qxmd.com/read/38485458/a-modified-arthroscopic-triple-row-repair-technique-for-l-shaped-delaminated-rotator-cuff-tears
#20
JOURNAL ARTICLE
Yushun Fang, Shaohua Zhang, Jun Xiong, Qingsong Zhang
OBJECTIVE: To compare the clinical outcomes of a modified arthroscopic triple-row (TR) repair technique with the suture bridge (SB) repair technique in treating L-shaped delaminated rotator cuff tears. Various surgical techniques for L-shaped delaminated rotator cuff tears have been reported, many of which aid in increasing the contact area and pressure of the rotator cuff. However, there is still debate over which technique yields superior results. METHODS: From January 2017 to March 2020, 61 cases of L-shaped delaminated rotator cuff tears were included in this study...
March 14, 2024: Orthopaedic Surgery
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