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"Rotator cuff tears"

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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/29774949/the-critical-shoulder-angle-acromial-coverage-is-more-relevant-than-glenoid-inclination
#2
Silvan Beeler, Anita Hasler, Tobias Götschi, Dominik C Meyer, Christian Gerber
It is still unknown whether glenoid inclination or lateral acromial roof extension is a more important determinant for development of rotator cuff tears (RCT) or osteoarthritis (OA) of the shoulder. It was the purpose of this study, to evaluate whether there is a potential predominance of one of these factors in pathogenesis of RCT or concentric OA. We analyzed 70 shoulders with advanced degenerative RCT and 54 shoulders with concentric OA undergoing primary shoulder arthroplasty (anatomical or reverse) using antero-posterior radiography and multiplanar computed tomography...
May 18, 2018: Journal of Orthopaedic Research: Official Publication of the Orthopaedic Research Society
https://www.readbyqxmd.com/read/29771858/erratum-to-what-influence-does-progression-of-a-nonhealing-rotator-cuff-tear-have-on-shoulder-pain-and-function
#3
Yoon Sang Jeon, Rag Gyu Kim, Sang-Jin Shin
No abstract text is available yet for this article.
June 2018: Clinical Orthopaedics and related Research
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/29763517/novel-engineered-tendon-fibrocartilage-bone-composite-with-cyclic-tension-for-rotator-cuff-repair
#5
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
#6
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/29759905/analysis-of-4063-complications-of-shoulder-arthroplasty-reported-to-the-us-food-and-drug-administration-from-2012-to-2016
#7
Jeremy S Somerson, Jason E Hsu, Moni B Neradilek, Frederick A Matsen
BACKGROUND: Most of the literature on shoulder arthroplasty failure comes from high-volume centers. These reports tend to exclude the experience of community orthopedic surgeons, who perform most of the shoulder joint replacements. METHODS: We analyzed the failure reports mandated by the US Food and Drug Administration for all hospitals. Each reported event from 2012 to 2016 was characterized by implant, failure mode, and year of surgery. RESULTS: For the 1673 anatomic arthroplasties, the most common failure modes were glenoid component failure (20...
May 11, 2018: Journal of Shoulder and Elbow Surgery
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
#8
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/29752153/acromial-roof-in-patients-with-concentric-osteoarthritis-and-massive-rotator-cuff-tears-multiplanar-analysis-of-115-computed-tomography-scans
#9
Silvan Beeler, Anita Hasler, Jonas Getzmann, Lizzy Weigelt, Dominik C Meyer, Christian Gerber
BACKGROUND: There is evidence for differences of scapular shape between shoulders with rotator cuff tears (RCT) and osteoarthritic shoulders (OA). This study analyzed orientation and shape of the acromion in patients with massive RCT and concentric OA (COA) in a multiplanar computed tomography (CT) analysis. METHODS: CT scans of 70 shoulders with degenerative RCT and 45 shoulders with COA undergoing primary shoulder arthroplasty were analyzed. The 2 groups were compared in relation of (1) shape of the acromion, (2) its orientation in space, and (3) the anteroposterior glenoid coverage in relation to the scapular plane...
May 8, 2018: Journal of Shoulder and Elbow Surgery
https://www.readbyqxmd.com/read/29752152/vascularized-dermal-autograft-for-the-treatment-of-irreparable-rotator-cuff-tears
#10
Michael A Stone, Antoine Carre, Nicholas Trasolini, Michael Minneti, Reza Omid
BACKGROUND: Irreparable rotator cuff tears (IRCTs) are a challenging problem with diverse treatment modalities. We propose a technique for the treatment of IRCTs in which a vascularized dermal autograft is transferred to the posterosuperior region of the rotator cuff using the supraclavicular artery (SCA) island flap. MATERIALS AND METHODS: Dissection of 11 fresh cadavers (19 shoulders) was performed, and the SCA island flap was harvested in all specimens. A full-thickness posterosuperior rotator cuff defect was created, and the flap was tunneled under the acromion and secured into position over the defect using multiple suture anchors...
May 8, 2018: Journal of Shoulder and Elbow Surgery
https://www.readbyqxmd.com/read/29750541/fatty-infiltration-is-a-prognostic-marker-of-muscle-function-after-rotator-cuff-tear
#11
Ana P Valencia, Jim K Lai, Shama R Iyer, Katherine L Mistretta, Espen E Spangenburg, Derik L Davis, Richard M Lovering, Mohit N Gilotra
BACKGROUND: Massive rotator cuff tears (RCTs) begin as primary tendon injuries and cause a myriad of changes in the muscle, including atrophy, fatty infiltration (FI), and fibrosis. However, it is unclear which changes are most closely associated with muscle function. PURPOSE: To determine if FI of the supraspinatus muscle after acute RCT relates to short-term changes in muscle function. STUDY DESIGN: Controlled laboratory study. METHODS: Unilateral RCTs were induced in female rabbits via tenotomy of the supraspinatus and infraspinatus...
May 1, 2018: American Journal of Sports Medicine
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/29741391/relationship-between-deltoid-and-rotator-cuff-muscles-during-dynamic-shoulder-abduction-a-biomechanical-study-of-rotator-cuff-tear-progression
#13
Felix Dyrna, Neil S Kumar, Elifho Obopilwe, Bastian Scheiderer, Brendan Comer, Michael Nowak, Anthony A Romeo, Augustus D Mazzocca, Knut Beitzel
BACKGROUND: Previous biomechanical studies regarding deltoid function during glenohumeral abduction have primarily used static testing protocols. HYPOTHESES: (1) Deltoid forces required for scapular plane abduction increase as simulated rotator cuff tears become larger, and (2) maximal abduction decreases despite increased deltoid forces. STUDY DESIGN: Controlled laboratory study. METHODS: Twelve fresh-frozen cadaveric shoulders with a mean age of 67 years (range, 64-74 years) were used...
May 1, 2018: American Journal of Sports Medicine
https://www.readbyqxmd.com/read/29734906/a-large-size-lipoma-at-spinoglenoid-notch-mimicked-traumatic-rotator-cuff-tear
#14
Joon Yub Kim, Jung Soo Choe, Jae Ho Cho
Herein, we report a large lipoma at the spinoglenoid notch that mimicked a rotator cuff tear, which occurred in a 61-year-old male farmer. Weakness and pain in the shoulder started abruptly after hard labor, and our first impression was a traumatic rotator cuff tear; however, there was no tear on MRI, and complete marginal excision of a large lipoma at the spinoglenoid notch relieved the symptoms completely at a postoperative three-month follow-up visit. We believe that certain activities such as forceful shoulder abduction may have caused the sudden onset of suprascapular neuropathy in the loosely compressed suprascapular nerve by the lipoma...
June 2018: Journal of Hand Surgery Asian-Pacific Volume
https://www.readbyqxmd.com/read/29731396/critical-shoulder-angle-in-an-east-asian-population-correlation-to-the-incidence-of-rotator-cuff-tear-and-glenohumeral-osteoarthritis
#15
Kiyotsugu Shinagawa, Taku Hatta, Nobuyuki Yamamoto, Jun Kawakami, Yuki Shiota, Mitsuyoshi Mineta, Eiji Itoi
BACKGROUND: Focus has recently been on the critical shoulder angle (CSA) as a factor related to rotator cuff tear and osteoarthritis (OA) in the European population. However, whether this relationship is observed in the Asian population is unclear. METHODS: The correlation between the CSAs measured on anteroposterior radiographs and the presence or absence of rotator cuff tears or OA changes was assessed in 295 patients. Rotator cuff tears were diagnosed with magnetic resonance imaging or ultrasonography...
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
#16
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
#17
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/29721461/the-effect-of-deep-shoulder-infections-on-patient-outcomes-after-arthroscopic-rotator-cuff-repair-a-retrospective-comparative-study
#18
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
https://www.readbyqxmd.com/read/29715640/visualization-of-rotator-cuff-tear-morphology-by-radial-magnetic-resonance-imaging
#19
Kentaro Sasaki, Toru Morihara, Yoshikazu Kida, Ryuhei Furukawa, Yuji Arai, Hiroyoshi Fujiwara, Toshikazu Kubo
The objective of this study was to investigate whether rotator cuff tear morphology could be visualized using radial MRI. We retrospectively investigated 52 shoulders that underwent preoperative MRI and arthroscopy for a complete rotator cuff tear. The tear length and width were measured using oblique coronal, axial, and radial MRI. Arthroscopic findings were compared with the tear morphology. Tear morphology was visualized using oblique coronal and axial MRI for 24 of the 52 shoulders (46%), and radial MRI for all 52 shoulders...
April 10, 2018: Clinical Imaging
https://www.readbyqxmd.com/read/29713219/the-diagnostic-reproducibility-of-tomosynthesis-for-the-correlation-between-acromiohumeral-distance-and-rotator-cuff-size-or-type
#20
Yoonah Song, Seunghun Lee, Bong Gun Lee, Young Bin Joo, Soon-Young Song
Objective: To correlate the acromiohumeral distance (AHD) using tomosynthesis and rotator cuff (RC) pathology and various anatomical indices and to assess the diagnostic reproducibility of tomosynthesis for the evaluation of subacromial impingement. Materials and Methods: A retrospective review of 63 patients with clinically suspected subacromial impingement was conducted. Two musculoskeletal radiologists independently measured the following quantitative data: the AHD on plain radiographs and the AHD at three compartments (anterior, middle, and posterior) using tomosynthesis, computed tomography (CT) arthrography, or magnetic resonance (MR) arthrography...
May 2018: Korean Journal of Radiology: Official Journal of the Korean Radiological Society
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