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"Rotator cuff tears"

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https://www.readbyqxmd.com/read/29147668/do-magnetic-resonance-imaging-characteristics-of-full-thickness-rotator-cuff-tears-correlate-with-sleep-disturbance
#1
Bryan A Reyes, Brandon R Hull, Alexander B Kurth, Nathan R Kukowski, Edward P Mulligan, Michael S Khazzam
Background: Many patients with rotator cuff tears suffer from nocturnal shoulder pain, resulting in sleep disturbance. Purpose: To determine whether rotator cuff tear size correlated with sleep disturbance in patients with full-thickness rotator cuff tears. Study Design: Cross-sectional study; Level of evidence, 3. Methods: Patients with a diagnosis of unilateral full-thickness rotator cuff tears (diagnosed via magnetic resonance imaging [MRI]) completed the Pittsburgh Sleep Quality Index (PSQI), a visual analog scale (VAS) quantifying their shoulder pain, and the American Shoulder and Elbow Surgeons (ASES) questionnaire...
November 2017: Orthopaedic Journal of Sports Medicine
https://www.readbyqxmd.com/read/29146165/preliminary-results-of-arthroscopic-superior-capsule-reconstruction-with-dermal-allograft
#2
Patrick J Denard, Paul C Brady, Christopher R Adams, John M Tokish, Stephen S Burkhart
PURPOSE: The purpose of this study was to evaluate the short-term outcomes of arthroscopic superior capsule reconstruction (SCR) with dermal allograft for the treatment of irreparable massive rotator cuff tears (MRCTs). METHODS: A multicenter study was performed on patients undergoing arthroscopic SCR for irreparable MRCTs. The minimum follow-up was 1 year. Range of motion and functional outcome according to visual analog scale (VAS) pain, American Shoulder and Elbow Surgeons (ASES) score, and subjective shoulder value (SSV) score were assessed preoperatively and at final follow-up...
November 13, 2017: Arthroscopy: the Journal of Arthroscopic & related Surgery
https://www.readbyqxmd.com/read/29146012/a-biomechanical-cadaveric-study-comparing-superior-capsule-reconstruction-using-fascia-lata-allograft-with-human-dermal-allograft-for-irreparable-rotator-cuff-tear
#3
Teruhisa Mihata, Christopher N H Bui, Masaki Akeda, Matthew A Cavagnaro, Michael Kuenzler, Alexander B Peterson, Michelle H McGarry, Yasuo Itami, Orr Limpisvasti, Masashi Neo, Thay Q Lee
BACKGROUND: Biomechanical and clinical success of the superior capsule reconstruction (SCR) using fascia lata (FL) grafts has been reported. In the United States, human dermal (HD) allograft has been used successfully for SCRs; however, the biomechanical characteristics have not been reported. METHODS: Eight cadaveric shoulders were tested in 5 conditions: (1) intact; (2) irreparable supraspinatus tear; (3) SCR using FL allograft with anterior and posterior suturing; (4) SCR using HD allograft with anterior and posterior suturing; and (5) SCR using HD allograft with posterior suturing...
December 2017: Journal of Shoulder and Elbow Surgery
https://www.readbyqxmd.com/read/29145990/the-role-of-superior-capsule-reconstruction-in-rotator-cuff-tears
#4
REVIEW
Paul Sethi, Wm Grant Franco
Massive, irreparable rotator cuff disease is a challenging problem to treat, especially in the younger active patient. This condition allows the deltoid to generate anterosuperior translation and shoulder dysfunction. Ideally, this dysfunction may be improved with rotator cuff repair. However, in the setting of irreparable rotator cuff disease, normal function is challenging to restore. Superior capsule reconstruction theoretically improves function by recentering the humeral head and improving glenohumeral kinematics...
January 2018: Orthopedic Clinics of North America
https://www.readbyqxmd.com/read/29144771/bursal-sided-rotator-cuff-tears-simple-versus-everted-type
#5
Hwan Jin Kim, Jung Youn Kim, Young Moon Kee, Yong Girl Rhee
BACKGROUND: No studies have focused on the everted type of bursal-sided partial-thickness rotator cuff tears (PTRCTs). PURPOSE: To evaluate the radiological characteristics, arthroscopic findings, and clinical and structural outcomes after arthroscopic repair of the everted type of bursal-sided PTRCTs. STUDY DESIGN: Cohort study; Level of evidence, 3. METHODS: Two groups of patients with bursal-sided PTRCTs (simple type, 25 shoulders; everted type, 25 shoulders) were enrolled...
November 1, 2017: American Journal of Sports Medicine
https://www.readbyqxmd.com/read/29136253/fatty-degeneration-of-the-rotator-cuff-reflects-shoulder-strength-deficits-in-patients-with-rotator-cuff-tears
#6
Jong Pil Yoon, Jae Wook Jung, Chang Hwa Lee, Young Gun Kim, Seok Won Chung, Joon Yub Kim, Hyun Joo Lee, Jee Wook Yoon, Hoseok Lee
Fatty degeneration is an important clinical factor in patients with rotator cuff tears. Goutallier grade, occupation ratio, and tangent sign help identify fatty degeneration; however, little is known about how closely these measurement techniques correlate with actual muscle strength deficits. The authors evaluated each method's ability to determine the correlation between fatty degeneration and muscle strength deficits. The authors included 203 patients who underwent full-thickness rotator cuff repair (mean age, 61...
November 11, 2017: Orthopedics
https://www.readbyqxmd.com/read/29127887/pullout-strength-of-cement-augmented-and-wide-suture-transosseous-fixation-in-the-greater-tuberosity
#7
Brendan Y Shi, Miguel Diaz, Stephen M Belkoff, Uma Srikumaran
BACKGROUND: Obtaining strong fixation in low-density bone is increasingly critical in surgical repair of rotator cuff tears because of the aging population. To evaluate two new methods of improving pullout strength of transosseous rotator cuff repair in low-density bone, we analyzed the effects of 1) using 2-mm suture tape instead of no. 2 suture and 2) augmenting the lateral tunnel with cement. METHODS: Eleven pairs of osteopenic or osteoporotic cadaveric humeri were identified by dual-energy x-ray absorptiometry...
November 2, 2017: Clinical Biomechanics
https://www.readbyqxmd.com/read/29121906/impaired-contractile-function-of-the-supraspinatus-in-the-acute-period-following-a-rotator-cuff-tear
#8
Ana P Valencia, Shama R Iyer, Espen E Spangenburg, Mohit N Gilotra, Richard M Lovering
BACKGROUND: Rotator cuff (RTC) tears are a common clinical problem resulting in adverse changes to the muscle, but there is limited information comparing histopathology to contractile function. This study assessed supraspinatus force and susceptibility to injury in the rat model of RTC tear, and compared these functional changes to histopathology of the muscle. METHODS: Unilateral RTC tears were induced in male rats via tenotomy of the supraspinatus and infraspinatus...
November 9, 2017: BMC Musculoskeletal Disorders
https://www.readbyqxmd.com/read/29111467/reverse-shoulder-arthroplasty-in-weight-bearing-shoulders-of-wheelchair-dependent-patients
#9
Eduard Alentorn-Geli, Nathan R Wanderman, Andrew T Assenmacher, Joaquín Sánchez-Sotelo, Robert H Cofield, John W Sperling
BACKGROUND: Wheelchair-dependent patients rely on their upper extremities for mobility and transfers. This entails the heavy use of upper extremities as weight-bearing joints, leading to shoulder overuse with increased prevalence of rotator cuff-related disorders, and ultimately to challenging cases for shoulder surgeons when a joint replacement is needed. OBJECTIVE: To report the outcomes of reverse shoulder arthroplasty (RSA) in wheelchair-dependent patients with arthritis and rotator cuff tears...
October 27, 2017: PM & R: the Journal of Injury, Function, and Rehabilitation
https://www.readbyqxmd.com/read/29110652/open-subpectoral-biceps-tenodesis-in-patients-over-65-does-not-result-in-an-increased-rate-of-complications
#10
Andreas Voss, Simone Cerciello, Jessica DiVenere, Olga Solovyova, Felix Dyrna, John Apostolakos, David Lam, Mark P Cote, Knut Beitzel, Augustus D Mazzocca
BACKGROUND: Long head biceps tendon pathology is a common cause of anterior shoulder pain and is often associated with other shoulder conditions, such as rotator cuff tears and osteoarthritis. It is well accepted that older patients are at increased risk for major and minor peri- and postoperative complications. The purpose of this study is to investigate patients over 65 years old who underwent subpectoral biceps tenodesis and compare the complication rates of this group to those of patients younger than 65 years old...
November 6, 2017: BMC Musculoskeletal Disorders
https://www.readbyqxmd.com/read/29102010/editorial-commentary-partial-shoulder-rotator-cuff-repair-may-the-force-couple-be-with-you
#11
EDITORIAL
Wesley M Nottage
Partial repair of a shoulder rotator cuff tear, in the face of an otherwise massive or "irreparable" tear, is an effective treatment for reducing patient pain and improving function. Partial repair restores balance to the force couple composed of the infraspinatus and teres minor posteriorly and the subscapularis anteriorly. A balanced force couple maintains centralization of the humeral head on the glenoid during shoulder range of motion and, in nonarthritic patients with massive or irreparable tears, is better than no repair at all...
November 2017: Arthroscopy: the Journal of Arthroscopic & related Surgery
https://www.readbyqxmd.com/read/29102008/editorial-commentary-the-long-head-of-the-biceps-brachii-tendon-the-shoulder-surgeon-s-conundrum
#12
EDITORIAL
Michael G Ciccotti
The long head of the biceps tendon can be a significant pain generator in the setting of rotator cuff tearing. Surgeons who encounter long head of biceps tendon pathology at the time of rotator cuff repair can be confident in a high likelihood of statistically significant clinical improvement with concomitant long head of biceps surgery. Patients can be reliably counseled preoperatively that if they have both clinically apparent long head of biceps tendon pathology and rotator cuff tearing, and if they undergo long head of biceps tendon surgery with rotator cuff repair, they can expect comparable or better outcomes than isolated rotator cuff repair...
November 2017: Arthroscopy: the Journal of Arthroscopic & related Surgery
https://www.readbyqxmd.com/read/29100770/does-increased-body-mass-index-influence-outcomes-after-rotator-cuff-repair
#13
Katie E Kessler, Christopher B Robbins, Asheesh Bedi, James E Carpenter, Joel J Gagnier, Bruce S Miller
PURPOSE: To investigate the influence of pre-existing obesity (body mass index [BMI] ≥ 30) on outcomes after rotator cuff repair surgery. METHODS: We collected data on adult patients who underwent surgical repair for symptomatic full-thickness rotator cuff tears confirmed by imaging between 2012 and 2015. The required follow-up was 3 years. At baseline and 6, 12, 24, and 36 months, the American Shoulder and Elbow Surgeons score, Western Ontario Rotator Cuff index, and visual analog scale pain scores were collected...
October 31, 2017: Arthroscopy: the Journal of Arthroscopic & related Surgery
https://www.readbyqxmd.com/read/29100767/arthroscopic-correction-of-the-critical-shoulder-angle-through-lateral-acromioplasty-a-safe-adjunct-to-rotator-cuff-repair
#14
Christian Gerber, Sabrina Catanzaro, Michael Betz, Lukas Ernstbrunner
PURPOSE: To investigate whether arthroscopic lateral acromioplasty reliably decreases the critical shoulder angle (CSA) and whether it is associated with damage to the deltoid or other complications. METHODS: Patients undergoing arthroscopic rotator cuff repair (RCR) with lateral but without anterior acromioplasty for degenerative, full-thickness rotator cuff tears and a CSA of 34° or greater were retrospectively reviewed. Patients with traumatic or irreparable rotator cuff tears, osteoarthritis, or previous surgery were excluded...
October 31, 2017: Arthroscopy: the Journal of Arthroscopic & related Surgery
https://www.readbyqxmd.com/read/29100763/five-year-outcomes-after-arthroscopic-repair-of-partial-thickness-supraspinatus-tears
#15
Alexander R Vap, Sandeep Mannava, J Christoph Katthagen, Marilee P Horan, Erik M Fritz, Jonas Pogorzelski, Peter J Millett
PURPOSE: To investigate clinical outcomes in patients who underwent arthroscopic repair of isolated partial-thickness rotator cuff tears (PTRCTs) of the supraspinatus tendon with a minimum follow-up period of 5 years. METHODS: All patients who had undergone arthroscopic repair of isolated PTRCTs at least 5 years earlier were included. Preoperatively and postoperatively, the American Shoulder and Elbow Surgeons, QuickDASH (short version of Disabilities of the Arm, Shoulder and Hand questionnaire), and Short Form 12 Physical Component Summary scores were collected, along with postoperative satisfaction (10-point scale) and return to activity...
October 31, 2017: Arthroscopy: the Journal of Arthroscopic & related Surgery
https://www.readbyqxmd.com/read/29098355/superior-glenoid-inclination-and-glenoid-bone-loss-definition-assessment-biomechanical-consequences-and-surgical-options
#16
REVIEW
L Favard, J Berhouet, G Walch, J Chaoui, C Lévigne
Correct anatomical alignment of the glenoid component is of central importance for wear and loosening in shoulder endoprostheses. The aim of this article is to review and clarify the biomechanical and clinical effects of incorrect glenoid inclination in reverse and anatomical joint replacements. Based on the literature and on our own work, statements are made about the following: (1) the glenoid inclination of a normal glenoid, a degenerative glenoid and a glenoid implant, and the consequences if superior inclination is too large, and (2) the surgical technique as well as tips and tricks for correct adjustment of the inclination...
November 2, 2017: Der Orthopäde
https://www.readbyqxmd.com/read/29095396/mri-to-arthroscopy-correlations-in-slap-lesions-and-long-head-biceps-pathology
#17
K Linnea Welton, Justin H Bartley, Nancy M Major, Eric C McCarty
Superior labral anterior and posterior lesions and long head biceps injury are 2 common sources of shoulder pain. The presenting complaints and physical examination findings for these etiologies are often nonspecific, making diagnosis challenging. Further complicating their diagnoses, these 2 pathologies often cooccur together or with other shoulder pathologies such as subacromial bursitis, rotator cuff tear, and shoulder instability. However, with advancement in magnetic resonance imaging and shoulder arthroscopy techniques the ability to diagnose and treat these pathologies has vastly improved over the past 30 years...
December 2017: Sports Medicine and Arthroscopy Review
https://www.readbyqxmd.com/read/29094881/history-and-physical-examination-for-identifying-rotator-cuff-tears
#18
V Biagio Boytim, Carl V Tyler
No abstract text is available yet for this article.
November 1, 2017: American Family Physician
https://www.readbyqxmd.com/read/29083357/a-clinical-and-radiological-study-of-biodegradable-subacromial-spacer-in-the-treatment-of-massive-irreparable-rotator-cuff-tears
#19
Matteo Ricci, Eugenio Vecchini, Elia Bonfante, Gian Mario Micheloni, Mattia Berti, Giacomo Schenal, Gabriele Zanetti, Elena Sambugaro, Tommaso Maluta, Bruno Magnan
PURPOSE: The aim of this retrospective study was to report the clinical and radiographic results of the biodegradable subacromial spacer (InSpace Balloon®) implantation in patients with massive irreparable rotator cuff tears. MATERIALS AND METHODS: From February 2014 to October 2015, 30 patients affected by massive irreparable rotator cuff tears were treated with the implantation of InSpace Balloon®. Clinical evaluation (Constant Score and VAS), X-rays and MR imaging were performed preoperatively in all patients and 3, 6, 12 and 24 months after surgery, dividing patients in different groups according to the time elapsed from surgery...
October 18, 2017: Acta Bio-medica: Atenei Parmensis
https://www.readbyqxmd.com/read/29083356/partial-repair-in-irreparable-rotator-cuff-tear-our-experience-in-long-term-follow-up
#20
E D Di Benedetto, Paolo Di Benedetto, Andrea Fiocchi, Alessandro Beltrame, Araldo Causero
AIM OF THE WORK: Massive rotator cuff tears are a common source of shoulder pain and dysfunction, especially in middle age patient; these lesions represent about 20% of all rotator cuff tears and 80% of recurrent tears. Some lesions are not repairable or should not be repaired: in this case, a rotator cuff partial repair should be recommended. The aim of the study is to evaluate the outcome of rotator cuff partial repair in irreparable rotator cuff massive tear at medium and long-term follow-up...
October 18, 2017: Acta Bio-medica: Atenei Parmensis
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