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Rotator cuff tears

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https://www.readbyqxmd.com/read/28920548/target-range-of-motion-at-3-months-after-arthroscopic-rotator-cuff-repair-and-its-effect-on-the-final-outcome
#1
Hisahiro Tonotsuka, Hiroyuki Sugaya, Norimasa Takahashi, Nobuaki Kawai, Hajime Sugiyama, Keishi Marumo
PURPOSE: The postoperative protocol after arthroscopic rotator cuff repair (ARCR) is still controversial. Some surgeons recommend slower rehabilitation in order to improve the integrity of the repair, while others prefer early range-of-motion (ROM) exercise to avoid postoperative stiffness. The purpose of this study was to determine target ROM (T-ROM) measurements at 3 months after ARCR that are predictive of eventual full recovery without structural failure. METHODS: The cases consisted of 374 shoulders in 360 patients who underwent primary ARCR and were followed up for at least 2 years...
September 2017: Journal of Orthopaedic Surgery
https://www.readbyqxmd.com/read/28919000/intraobserver-and-interobserver-reliability-of-the-copeland-levy-classification-for-arthroscopic-evaluation-of-subacromial-impingement
#2
Ehud Atoun, Ron Gilat, Alexander van Tongel, Riten Pradhan, Ornit Cohen, Ehud Rath, Ofer Levy
BACKGROUND: Defining a simple and reliable classification for acromial and bursal impingement lesions is necessary to standardize terminology, to improve communication, and to allow better evaluation of the proper treatment of impingement lesions and rotator cuff tears. The purpose of this study was to assess orthopedic surgeons' intraobserver and interobserver reliability of the Copeland-Levy classification. METHODS: Six fellowship-trained orthopedic surgeons reviewed shoulder arthroscopy videos of 69 consecutive patients who underwent shoulder arthroscopy for rotator cuff tear repair or subacromial decompression...
September 14, 2017: Journal of Shoulder and Elbow Surgery
https://www.readbyqxmd.com/read/28918438/no-difference-in-outcome-for-open-versus-arthroscopic-rotator-cuff-repair-a-prospective-comparative-trial
#3
Xavier Bayle, Thuy-Trang Pham, Marie Faruch, Aurelie Gobet, Pierre Mansat, Nicolas Bonnevialle
PURPOSE: Arthroscopic techniques tend to become the gold standard in rotator cuff repair. However, little data are reported in the literature regarding the improvement of postoperative outcomes and re-tear rate relative to conventional open surgery. The aim of this study was to compare clinical outcomes and cuff integrity after arthroscopic versus open cuff repair. METHODS: We prospectively assessed clinical outcomes and cuff integrity after an arthroscopic or open rotator cuff repair with a minimum follow-up of 12 months...
September 16, 2017: Archives of Orthopaedic and Trauma Surgery
https://www.readbyqxmd.com/read/28918111/the-timing-of-retears-after-arthroscopic-rotator-cuff-repair
#4
Deepak V Chona, Nikita Lakomkin, Ariana Lott, Alan D Workman, Aneel C Henry, Andrew F Kuntz, G Russell Huffman, David L Glaser
BACKGROUND: Little is known about the time dependence of the failure rate of surgically repaired rotator cuffs. Retears are significant, as they are common and may lead to less satisfactory outcomes and additional operations. Their timing is critical foundational information for understanding failure mechanisms. However, this remains unclear. Currently, there exist a number of studies that have reported retear rates at specific time points. Combining data from these publications can reveal when cuffs retear, which will help inform expectations and guidelines for progression of activity after surgery...
September 13, 2017: Journal of Shoulder and Elbow Surgery
https://www.readbyqxmd.com/read/28916911/evaluation-of-thirty-eight-cemented-pegged-glenoid-components-with-variable-backside-curvature-two-year-minimum-follow-up
#5
Florence Dauzère, Marine Arboucalot, Julie Lebon, Fanny Elia, Nicolas Bonnevialle, Pierre Mansat
BACKGROUND: The PERFORM™ pegged glenoid system has been used for shoulder arthroplasty since 2012. This system offers multiple backside curvatures per size to better match variable patient anatomy. As a result, less reaming is required and subchondral bone is preserved-a critical factor in preventing glenoid migration and loosening, thus enhancing implant longevity. PURPOSE: The purpose of this study was to analyze all radiographic modifications around this new glenoid implant...
September 15, 2017: International Orthopaedics
https://www.readbyqxmd.com/read/28916837/primary-and-secondary-consequences-of-rotator-cuff-injury-on-joint-stabilizing-tissues-in-the-shoulder
#6
Hafizur Rahman, Eric Currier, Marshall Johnson, Rick Goding, Amy J Wagoner Johnson, Mariana Kersh
Rotator cuff tears are one of the primary causes of shoulder pain and dysfunction in the upper extremity accounting over 4.5 million physician visits per year with 250,000 rotator cuff repairs being performed annually in the United States. While the tear is often considered an injury to a specific tendon/tendons and consequently treated as such, there are secondary effects of rotator cuff tears that may have significant consequences for shoulder function. Specifically, rotator cuff tears have been shown to affect the joint cartilage, bone, the ligaments, as well as the remaining intact tendons of the shoulder joint...
September 16, 2017: Journal of Biomechanical Engineering
https://www.readbyqxmd.com/read/28913380/questionable-word-choice-in-scientific-writing-in-orthopedic-surgery
#7
Casey M O'Connor, Mariano E Menendez, Kevin Hughes, David Ring
BACKGROUND: Given the strong influence of thoughts, emotions, and behaviors on musculoskeletal symptoms and limitations it's important that both scientific and lay writing use the most positive, hopeful, and adaptive words and concepts consistent with medical evidence. The use of words that might reinforce misconceptions about preference-sensitive conditions (particularly those associated with age) could increase symptoms and limitations and might also distract patients from the treatment preferences they would select when informed and at ease...
July 2017: Archives of Bone and Joint Surgery
https://www.readbyqxmd.com/read/28911814/the-effect-of-patient-gender-on-outcomes-after-reverse-total-shoulder-arthroplasty
#8
Stephanie E Wong, Austin A Pitcher, David Y Ding, Nicola Cashman, Alan L Zhang, C Benjamin Ma, Brian T Feeley
BACKGROUND: Gender differences may exist for patients undergoing shoulder arthroplasty. Limited data suggest that women may have worse preoperative disability and outcomes. Our objective was to determine whether gender influences preoperative disability and patient-reported outcomes after reverse total shoulder arthroplasty. METHODS: Data were prospectively collected for patients who underwent reverse total shoulder arthroplasty for rotator cuff arthropathy or osteoarthritis with a rotator cuff tear at a single institution between 2009 and 2015...
September 11, 2017: Journal of Shoulder and Elbow Surgery
https://www.readbyqxmd.com/read/28910993/transtendon-repair-in-partial-articular-supraspinatus-tendon-tear
#9
Leonardo Osti, Matteo Buda, Mattia Andreotti, Raffaella Osti, Leo Massari, Nicola Maffulli
Introduction: Partial thickness rotator cuff tears (PTRCTs) are common, with an incidence between 17% and 37%, and a high prevalence in throwing athletes. Different surgical procedures are suggested when partial tears involve the articular portion of the rotator cuff, including arthroscopic debridement of the tear, debridement with acromioplasty, tear completion and repair, and lately transtendon repair. This systematic review describes the transtendon repair and examines indications, contraindications, complications and clinical outcome...
September 1, 2017: British Medical Bulletin
https://www.readbyqxmd.com/read/28906128/effect-of-preoperative-fatty-degeneration-of-the-rotator-cuff-muscles-on-the-clinical-outcome-of-patients-with-intact-tendons-after-arthroscopic-rotator-cuff-repair-of-large-massive-cuff-tears
#10
Hiroki Ohzono, Masafumi Gotoh, Hidehiro Nakamura, Hirokazu Honda, Yasuhiro Mitsui, Tatsuyuki Kakuma, Takahiro Okawa, Naoto Shiba
BACKGROUND: Fatty degeneration of the rotator cuff muscles is associated not only with postoperative retear but also with postoperative muscle weakness; therefore, fatty changes in the muscles may affect the clinical outcome even in patients with these tears who have intact tendons after arthroscopic rotator cuff repair (ARCR). PURPOSE: To evaluate the effect of fatty infiltration on the clinical outcome in patients with intact tendons after arthroscopic repair of large/massive cuff tears...
September 1, 2017: American Journal of Sports Medicine
https://www.readbyqxmd.com/read/28905690/the-acromiohumeral-centre-edge-angle-a-new-radiographic-measurement-and-its-association-with-rotator-cuff-pathology
#11
Neal Singleton, Lewis Agius, Stephen Andrews
BACKGROUND: Various radiographic measurements that describe humeral head coverage by the acromion and the effect on rotator cuff pathology have been reported. This study aimed to describe and validate a new radiographic measurement, the acromiohumeral centre edge angle (ACEA). METHODS: We compared the ACEA on computed tomography (CT) and plain X-ray to determine whether X-ray is accurate for measuring this angle. We then compared the results from this control population with 107 patients with acute rotator cuff tears...
September 2017: Journal of Orthopaedic Surgery
https://www.readbyqxmd.com/read/28902861/epigenetic-regulation-of-metalloproteinases-and-their-inhibitors-in-rotator-cuff-tears
#12
Mariana Ferreira Leal, Leonardo Caires Dos Santos, Adrielle Martins de Oliveira, Paulo Santoro Belangero, Eduardo Antônio Figueiredo, Carina Cohen, Felipe de Seixas Alves, Wânia Hiromi Yanaguizawa, Carlos Vicente Andreoli, Alberto de Castro Pochini, Benno Ejnisman, Marília Cardoso Smith, Maria Teresa de Seixas Alves, Moises Cohen
Rotator cuff tear is a common orthopedic condition. Metalloproteinases (MMP) and their inhibitors (TIMP) seem to play a role in the development of joint injuries and in the failure of tissue healing. However, the mechanisms of regulation of gene expression in tendons are still unknown. Epigenetic mechanisms, such as DNA methylation and microRNAs regulation, are involved in the dynamic control of gene expression. Here, the mRNA expression and DNA methylation status of MMPs (MMP1, MMP2, MMP3, MMP9, MMP13, and MMP14) and TIMPs (TIMP1-3) and the expression of miR-29 family members in ruptured supraspinatus tendons were compared with non-injured tendons of individuals without this lesion...
2017: PloS One
https://www.readbyqxmd.com/read/28900553/treatment-of-partial-rotator-cuff-tear-with-ultrasound-guided-platelet-rich-plasma
#13
Vetrivel Chezian Sengodan, Sajith Kurian, Raghupathy Ramasamy
BACKGROUND: The treatment of symptomatic partial rotator cuff tear has presented substantial challenge to orthopaedic surgeons as it can vary from conservative to surgical repair. Researches have established the influence of platelet rich plasma in healing damaged tissue. Currently very few data are available regarding the evidence of clinical and radiological outcome of partial rotator cuff tear treated with ultrasound guided platelet rich plasma injection in English literature. MATERIALS AND METHODS: 20 patients with symptomatic partial rotator cuff tears were treated with ultrasound guided platelet rich plasma injection...
2017: Journal of Clinical Imaging Science
https://www.readbyqxmd.com/read/28899384/systematic-review-of-quantitative-imaging-biomarkers-for-neck-and-shoulder-musculoskeletal-disorders
#14
Judith E Gold, David M Hallman, Fredrik Hellström, Martin Björklund, Albert G Crenshaw, Svend Erik Mathiassen, Mary F Barbe, Sayed Ali
BACKGROUND: This study systematically summarizes quantitative imaging biomarker research in non-traumatic neck and shoulder musculoskeletal disorders (MSDs). There were two research questions: 1) Are there quantitative imaging biomarkers associated with the presence of neck and shoulder MSDs?, 2) Are there quantitative imaging biomarkers associated with the severity of neck and shoulder MSDs? METHODS: PubMed and SCOPUS were used for the literature search. One hundred and twenty-five studies met primary inclusion criteria...
September 12, 2017: BMC Musculoskeletal Disorders
https://www.readbyqxmd.com/read/28895683/clinical-outcomes-of-two-techniques-in-repairing-rotator-cuff-tear-traditional-double-row-vs-suture-bridge
#15
Qingbai Liu, Jingyu Zhang, Changming Xu, Lei Jiang, Wenchao Jiang
No abstract text is available yet for this article.
September 12, 2017: Minerva Chirurgica
https://www.readbyqxmd.com/read/28893394/biceps-tenotomy-in-the-presence-of-a-supraspinatus-tear-alters-the-adjacent-intact-tendons-and-glenoid-cartilage
#16
Zakary M Beach, Jennica J Tucker, Stephen J Thomas, Katherine E Reuther, Chancellor F Gray, Chang-Soo Lee, David L Glaser, Louis J Soslowsky
A rotator cuff tear is a common injury in athletes and workers who repeatedly perform overhead movements, and it is not uncommon for this demographic to return to activity shortly after treatment. A biceps tenotomy is often performed in the presence of a rotator cuff tear to help reduce pain and improve joint function. However, the effect of this procedure on the surrounding tissues in the glenohumeral joint is unknown. Therefore, the purpose of this study was to investigate the effect of a biceps tenotomy in the presence of a supraspinatus rotator cuff tear followed by overuse activity on ambulatory function and mechanical and histologic properties of the remaining rotator cuff tendons and glenoid cartilage...
August 26, 2017: Journal of Biomechanics
https://www.readbyqxmd.com/read/28891538/treatment-alternative-for-irreparable-rotator-cuff-ruptures-arthroscopic-biodegradable-balloon
#17
H C Basat, C Kirçil, M Armangil, M Demirtş
BACKGROUND: The treatment of massive irreparable rotator cuff rupture has still no consensus among shoulder surgeons. It is assumed that symptomatic rotator cuff tendon rupture is accepted as irreparable if retraction amount of tendon is Patte stage 3 on MRI; degree of fatty atrophy is Goutallier stage 3 or 4; narrowing of acromiohumeral distance is lesser than 7 mm and excursion of tendon to repair has decreased and patient has severe pain. Biodegradable balloon is one of the newest methods for the treatment of irreparable massive rotator cuff ruptures...
August 2017: Nigerian Journal of Clinical Practice
https://www.readbyqxmd.com/read/28884111/rotator-cuff-repair-in-the-brazilian-unified-health-system-brazilian-trends-from-2003-to-2015
#18
Eduardo Angeli Malavolta, Jorge Henrique Assunção, Rodrigo Alves Beraldo, Gustavo de Mello Ribeiro Pinto, Mauro Emilio Conforto Gracitelli, Arnaldo Amado Ferreira Neto
OBJECTIVE: To assess the historical trend of rotator cuff repairs in Brazil between 2003 and 2015, using the database of the Brazilian Unified Health System's (Sistema Único de Saúde [SUS]) Department of Informatics (DataSUS). METHODS: Historical series using DataSUS. Surgeries performed between 2003 and 2015 were included and data relating to cuff tear repair were assessed, including decompression procedures were included. The numerator was the total number of rotator cuff repair and the denominator, the total population of the assessed locality...
June 2017: Revista Brasileira de Ortopedia
https://www.readbyqxmd.com/read/28880113/increasing-age-and-tear-size-reduce-rotator-cuff-repair-healing-rate-at-1-year
#19
Mustafa S Rashid, Cushla Cooper, Jonathan Cook, David Cooper, Stephanie G Dakin, Sarah Snelling, Andrew J Carr
Background and purpose - There is a need to understand the reasons why a high proportion of rotator cuff repairs fail to heal. Using data from a large randomized clinical trial, we evaluated age and tear size as risk factors for failure of rotator cuff repair. Patients and methods - Between 2007 and 2014, 65 surgeons from 47 hospitals in the National Health Service (NHS) recruited 447 patients with atraumatic rotator cuff tendon tears to the United Kingdom Rotator Cuff Trial (UKUFF) and 256 underwent rotator cuff repair...
September 7, 2017: Acta Orthopaedica
https://www.readbyqxmd.com/read/28875129/functional-outcomes-of-traumatic-and-non-traumatic-rotator-cuff-tears-after-arthroscopic-repair
#20
José Jorge Kitagaki Abechain, Glaydson Gomes Godinho, Fabio Teruo Matsunaga, Nicola Archetti Netto, Julia Pozzetti Daou, Marcel Jun Sugawara Tamaoki
AIM: To compare the functional outcomes of traumatic and non-traumatic rotator cuff tears after arthroscopic repair. METHODS: Eighty-seven patients with rotator cuff tears following arthroscopic treatment were divided into traumatic and non-traumatic tear groups. Postoperative muscle strength and outcomes using the modified University of California, Los Angeles score were evaluated. Sex, age, affected limb and dominant limb were correlated between groups. Muscle strength of the repaired and unaffected shoulders was compared...
August 18, 2017: World Journal of Orthopedics
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