keyword
https://read.qxmd.com/read/37454106/biceps-based-3-layer-reconstruction-of-the-irreparable-rotator-cuff-a-technical-note-on-biceps-tendon-as-a-common-local-graft-for-in-situ-superior-capsular-reconstruction-partial-cuff-repair-and-middle-trapezius-tendon-transfer
#21
JOURNAL ARTICLE
Amr Abdel-Mordy Kandeel
BACKGROUND: For irreparable rotator cuff tears, 3-layer tendon reconstruction (in which in-situ superior capsular reconstruction-reinforced partial rotator cuff repair was augmented with hamstring-sheet-lengthened middle trapezius tendon transfer) was recently reported to achieve satisfactory postoperative outcomes. To avoid hamstring graft-related drawbacks, the current note describes a technical modification of that reconstruct; wherein long head of biceps tendon is used as a cornerstone structure for simultaneously reconstructing the superior capsule; lengthening the transferred middle trapezius tendon; and augmenting the partially-repaired rotator cuff...
July 15, 2023: Journal of Orthopaedic Surgery and Research
https://read.qxmd.com/read/37424661/combined-arthroscopic-assisted-lower-trapezius-tendon-transfer-and-superior-capsule-reconstruction-for-massive-irreparable-posterior-superior-rotator-cuff-tears-surgical-technique
#22
JOURNAL ARTICLE
Maristella F Saccomanno, Alessandro Colosio, Francesco De Filippo, Marco Adriani, Marcello Motta, Stefano Cattaneo, Giuseppe Milano
Primary or revision irreparable rotator cuff tears remain a challenge. Clear algorithms do not exist. Several joint-preserving options are available, but no technique has been definitely proven to be better than another. Although superior capsule reconstruction has been shown to be effective in restoring motion, lower trapezius transfer can provide strong external rotation and abduction moment. The aim of the present article was to describe an easy and reliable technique to combine both options in 1 surgery, aiming to maximize the functional outcome by getting motion and strength back...
June 2023: Arthroscopy Techniques
https://read.qxmd.com/read/37394146/lower-trapezius-transfer-improves-clinical-outcomes-with-a-rate-of-complications-and-reoperations-comparable-to-other-surgical-alternatives-in-patients-with-functionally-irreparable-rotator-cuff-tears-a-systematic-review
#23
REVIEW
Rodrigo de Marinis, Erick Marigi, Yousif Atwan, Ausberto Velasquez Garcia, Mark E Morrey, Joaquin Sanchez-Sotelo
PURPOSE: To analyze the clinical outcomes of lower trapezius transfer (LTT) for patients with functionally irreparable rotator cuff tears (FIRCT) and summarize the available literature regarding complications and reoperations. METHODS: After registration in the International prospective register of systematic reviews(PROSPERO [CRD42022359277]), a systematic review following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines was performed...
June 30, 2023: Arthroscopy
https://read.qxmd.com/read/37366458/a-case-of-hemorrhagic-myositis-associated-with-prophylactic-heparin-use-in-dermatomyositis
#24
Mery Bartl, Jose G Gomez Casanovas, Christine E Loftis, Laura Rincon-Rueda, Andres R Suarez Parraga
Dermatomyositis (DM) is a rare systemic autoimmune disease that is associated with inflammation of the skin and muscles. It typically presents with weakness of the proximal muscles along with characteristic skin lesions such as Gottron's papules and heliotrope rash. One of the most feared complications of this disease is the appearance of spontaneous hemorrhagic myositis, as most reported cases are fatal. The mechanism or risk factors of this condition have not been elucidated; however, prophylactic anticoagulation has been correlated with it in previous case reports, although idiopathic hemorrhagic myositis may also be present...
May 2023: Curēus
https://read.qxmd.com/read/37330798/upper-limb-electromyographic-analysis-of-manual-wheelchair-transfer-techniques-in-individuals-with-spinal-cord-injury-a-systematic-review
#25
REVIEW
Suchita Sunder, Pratiksha Tilak Rao, Suruliraj Karthikbabu
BACKGROUND AND PURPOSE: The objective of this study is to determine the upper limb muscle electromyographic (EMG) activity required during various manual wheelchair transfers in the population of spinal cord injury (SCI). METHODS: This review included observational studies reporting the (EMG) activity of upper limb muscles during wheelchair transfers in people with SCI. We searched electronic databases and reference lists of relevant literature between 1995 and March 2022 with English language limits, yielding 3870 total articles...
July 2023: Journal of Bodywork and Movement Therapies
https://read.qxmd.com/read/37318086/physiological-tensioning-during-lower-trapezius-transfer-for-irreparable-posterosuperior-rotator-cuff-tears-may-be-important-for-improvement-in-shoulder-kinematics
#26
JOURNAL ARTICLE
Lukas N Muench, Marco-Christopher Rupp, Elifho Obopilwe, Julian Mehl, Bastian Scheiderer, Sebastian Siebenlist, Bassem T Elhassan, Augustus D Mazzocca, Daniel P Berthold
BACKGROUND: Lower trapezius transfer (LTT) has been proposed for restoring the anteroposterior muscular force couple in the setting of an irreparable posterosuperior rotator cuff tear (PSRCT). Adequate graft tensioning during surgery may be a factor critical for sufficient restoration of shoulder kinematics and functional improvement. PURPOSE/HYPOTHESIS: The purpose was to evaluate the effect of tensioning during LTT on glenohumeral kinematics using a dynamic shoulder model...
June 15, 2023: American Journal of Sports Medicine
https://read.qxmd.com/read/37147072/editorial-commentary-superior-capsular-reconstruction-employing-allograft-heals-and-functions-well-if-the-graft-is-sufficiently-thick-and-stiff
#27
EDITORIAL
Samer S Hasan
Superior capsular reconstruction (SCR) has fallen into disrepute, and the numbers performed appear to be on the decline because it is technically demanding and time-consuming, requires a long postoperative recovery, and does not always heal or function as expected. In addition, two "new kids on the block," the subacromial balloon spacer and the lower trapezius tendon transfer, have emerged as viable alternatives for low-demand patients who cannot tolerate a lengthy recovery and for high-demand patients who lack external rotation strength, respectively...
June 2023: Arthroscopy
https://read.qxmd.com/read/37142136/improved-yet-varied-clinical-outcomes-observed-with-comparison-of-arthroscopic-superior-capsular-reconstruction-versus-arthroscopy-assisted-lower-trapezius-transfer-for-patients-with-irreparable-rotator-cuff-tears
#28
JOURNAL ARTICLE
Erick M Marigi, Jacob R Jackowski, Muhammad A Elahi, Jonathan Barlow, Mark E Morrey, Christopher L Camp, Joaquin Sanchez-Sotelo
PURPOSE: To evaluate the outcomes of arthroscopic superior capsular reconstruction (SCR) and arthroscopy-assisted lower trapezius tendon transfer (LTT) for posterosuperior irreparable rotator cuff tears (IRCTs). METHODS: Over an almost 6-year period (October 2015 to March 2021), all patients who underwent IRCT surgery with a minimum 12-month follow-up period were identified. For patients with a substantial active external rotation (ER) deficit or lag sign, LTT was preferentially selected...
May 2, 2023: Arthroscopy
https://read.qxmd.com/read/37085294/position-statement-management-of-rotator-cuff-tears-in-adults
#29
REVIEW
Peter Lapner, Patrick Henry, George Athwal, Joel Moktar, Daniel McNeil, Peter MacDonald
We sought to compare success and re-tear rates of surgically treated full-thickness tears of the rotator cuff in men and women older than 18 years of age to develop a guideline intended for orthopedic surgeons and other health care providers who assess, counsel and care for these patients. We searched Medline, Embase and Cochrane databases through to Apr. 20, 2021, and included all English-language randomized trials comparing single-row versus double-row fixation via arthroscopic approaches; latissimus dorsi transfer (LDT) versus partial rotator cuff repair, lower trapezius transfer (LTT), and superior capsular reconstruction (SCR); and early versus late arthroscopic rotator cuff repair for traumatic tears...
2023: Canadian Journal of Surgery. Journal Canadien de Chirurgie
https://read.qxmd.com/read/36814770/middle-trapezius-tendon-transfer-for-augmentation-of-in-situ-superior-capsular-reconstruction-reinforced-partial-rotator-cuff-repair-short-term-outcomes-of-a-prospective-cohort-study
#30
JOURNAL ARTICLE
Amr Abdel-Mordy Kandeel
BACKGROUND: Middle trapezius tendon (MTT) transfer has been described for dynamic reproduction of supraspinatus function. For management of irreparable rotator cuff (RC) tears, this procedure can be coupled with in situ (long head of the biceps tendon-based) superior capsular reconstruction (SCR) and partial RC repair. PURPOSE: To investigate the functional outcomes of augmentation of in situ SCR-reinforced partial RC repair with MTT transfer for the management of irreparable posterosuperior RC tears...
February 2023: Orthopaedic Journal of Sports Medicine
https://read.qxmd.com/read/36776584/adipose-tissue-transfer-in-dynamic-definition-liposculpture-part-i-back-latissimus-dorsi-and-trapezius-muscles
#31
JOURNAL ARTICLE
Alfredo E Hoyos, Matt Stefanelli, Mauricio E Perez, Eduardo Brenes-Leñero, Mauricio Padilla
UNLABELLED: The aesthetics for the male posterior torso remain a topic not fully studied in body contouring surgery, neither the lipoinjection of its muscles have been considered before. As a result, we carried out a retrospective cohort study including patients who underwent fat grafting of either the trapezius or the latissimus dorsi muscles as part of dynamic definition liposculpture (HD2). METHODS: We performed cadaveric dissections to support the fat grafting technique for both the trapezius and the latissimus dorsi muscles...
January 2023: Plastic and Reconstructive Surgery. Global Open
https://read.qxmd.com/read/36773966/the-clinical-results-of-lower-trapezius-tendon-transfer-with-the-peroneus-longus-allograft-augmentation-combined-with-interpositional-repair-with-fascia-lata-in-massive-irreparable-rotator-cuff-tears
#32
JOURNAL ARTICLE
Muhammet Bozoğlan, Murat Danışman, Tuğcan Demir, Halil Karaca, Cem Zeki Esenyel
OBJECTIVES: To investigate the clinical results of lower trapezius (LT) tendon transfer and interpositional repair that were performed simultaneously in patients with massive irreparable rotator cuff tears. METHODS: Between 2018 and 2020 years, 16 patients with massive irreparable rotator cuff tears that were treated with LT tendon transfer and interpositional repair at the same time were included in this study. The mean follow-up period was 29±3 months (24-39 months) and the mean age of patients was 62±9 years (42-73 years)...
February 2023: Saudi Medical Journal
https://read.qxmd.com/read/36632399/triple-tendon-transfer-of-the-levator-scapulae-rhomboid-major-and-rhomboid-minor-to-reconstruct-the-paralyzed-trapezius
#33
JOURNAL ARTICLE
Victor Hoang, Joseph Meter, Taylor Anthony, Ajit Amesur, Bassem T Elhassan
Trapezius paralysis is a relatively uncommon condition that orthopaedic surgeons may encounter. Despite the paucity, it presents as a debilitating condition with sequelae of poor function and deconditioning. Conservative management often fails, and patients are left with limited surgical options. In the current Eden-Lange procedure, tendon transfer of the levator scapulae, rhomboid major, and rhomboid minor is performed to reconstruct the paralyzed trapezius. Although good outcomes have been found with this technique, the pull of the levator scapulae and the pull of the rhomboids are in opposition to each other, which presents a biomechanical problem for patients because this fails to re-create the natural function of the trapezius...
December 2022: Arthroscopy Techniques
https://read.qxmd.com/read/36534859/emerging-treatment-options-for-massive-rotator-cuff-tears-biologic-tuberoplasty-balloon-arthroplasty-anterior-cable-reconstruction-lower-trapezius-transfer
#34
JOURNAL ARTICLE
Raffy Mirzayan, Joseph A Abboud, Paul M Sethi, Adam Z Khan, Ryan Lohre, Michael Talamo, Julio Ojea Quintana, Bassem Elhassan
There are several emerging treatments for patients with massive rotator cuff tears. Biologic tuberoplasty is still in its infancy but holds promise for improving pain and function by biologically covering a bare tuberosity with a dermal allograft to prevent bone-to-bone contact between the tuberosity and the undersurface of the acromion. Balloon arthroplasty is a technique of widespread interest, with the device recently gaining FDA approval. Anterior cable reconstruction uses the autologous long head of the biceps tendon to reconstruct the anterior cable of the rotator cuff...
2023: Instructional Course Lectures
https://read.qxmd.com/read/36462777/editorial-commentary-dermal-grafts-for-irreparable-rotator-cuff-tears-bridge-over-troubled-waters
#35
EDITORIAL
James E Tibone
The treatment of an irreparable rotator cuff tear is an enigma. There are so many treatment options, with different experts recommending different treatments. These include physical therapy, partial repairs, tendon transfers such as the latissimus dorsi and the lower trapezius, biceps tenotomy, tissue augmentation with allografts or autografts, balloon spacers, and finally a reverse prosthesis. It is an easy decision when the patient is physiologically old with many medical comorbidities and arthritis. It is much more difficult when the patient is younger with no arthritis...
December 2022: Arthroscopy
https://read.qxmd.com/read/36375865/tendon-transfers-balloon-spacers-and-bursal-acromial-reconstruction-for-massive-rotator-cuff-tears
#36
REVIEW
Samuel J Mease, Kevin C Wang, Frank S Cautela, Bradford O Parsons
Several options exist for the management of irreparable rotator cuff tears without advanced arthritic changes. Tendon transfer poses technical challenges and has limited but promising outcomes data. Newer procedures such as balloon spacers and bursal acromial reconstruction are currently being investigated as a reproducible solution to this challenging problem. Ultimately the decision to continue with conservative measures, use one of the aforementioned techniques, or proceed with reverse shoulder arthroplasty remains a decision to be made in the context of patient's unique demands and provider comfort with the various modalities of treatment...
January 2023: Clinics in Sports Medicine
https://read.qxmd.com/read/36353427/shoulder-muscle-activity-after-latissimus-dorsi-transfer-in-an-active-elevation
#37
JOURNAL ARTICLE
Navin Gurnani, Derek F P van Deurzen, W Jaap Willems, Thomas W J Janssen, DirkJan H E J Veeger
BACKGROUND: After latissimus dorsi transfer (LDT), an increase in scapulothoracic (ST) contribution in thoracohumeral (TH) elevation is observed when compared to the asymptomatic shoulder. It is not known which shoulder muscles contribute to this change in shoulder kinematics, and whether the timing of muscle recruitment has altered after LDT. The aim of the study was to identify which shoulder muscles and what timing of muscle recruitment are responsible for the increased ST contribution and shoulder elevation after LDT for a massive irreparable posterosuperior rotator cuff tear (MIRT)...
November 2022: JSES international
https://read.qxmd.com/read/36279574/lower-trapezius-myocutaneous-propeller-flap-based-on-dorsal-scapular-artery
#38
JOURNAL ARTICLE
Miao Wang, Mengqing Zang, Shan Zhu, Shanshan Li, Tinglu Han, Zixiang Chen, Yuanbo Liu
BACKGROUND: The pedicled lower trapezius myocutaneous flap is generally transferred to the recipient site through a subcutaneous tunnel, and a portion of the flap buried in the tunnel needs to be de-epithelialized. Thus, considerable amount of normal skin is sacrificed, and the redundant tissue buried in the tunnel can cause bulging deformity. We believe that transferring the lower trapezius myocutaneous flap in a propeller fashion can avoid the aforementioned issues. METHODS: A retrospective review was performed on all lower trapezius myocutaneous propeller flap reconstructions by a single surgeon from July 2013 to March 2021...
November 1, 2022: Annals of Plastic Surgery
https://read.qxmd.com/read/36252782/treatment-of-neurogenic-scapular-winging-a-systematic-review-on-outcomes-after-non-surgical-management-and-tendon-transfer-surgery
#39
REVIEW
Timon H Geurkink, Hamez Gacaferi, Perla J Marang-van de Mheen, Jan W Schoones, Jurriaan H de Groot, Jochem Nagels, Prof Rob G H H Nelissen
BACKGROUND: Scapular winging is a rare condition of the shoulder girdle which presents challenging treatment decisions for clinicians. To inform clinical practice, clinicians need guidance on what the best treatment decision is for their patients and such recommendations should be based on the total evidence available. Therefore, the purpose of this review was to systematically review the evidence regarding non-surgical management and tendon transfer surgery of patients with neurologic scapular winging due to serratus anterior (SA) or trapezius (TP) palsy...
October 14, 2022: Journal of Shoulder and Elbow Surgery
https://read.qxmd.com/read/36186183/anatomy-and-clinical-application-of-suprascapular-nerve-to-accessory-nerve-transfer
#40
JOURNAL ARTICLE
Jian-Wei Wang, Wen-Bo Zhang, Fan Li, Xuan Fang, Zhi-Qiang Yi, Xiang-Liang Xu, Xin Peng, Wei-Guang Zhang
BACKGROUND: Loss of motor function in the trapezius muscle is one complication of radical neck dissection after cutting the accessory nerve (AN) during surgery. Nerve repair is an effective method to restore trapezius muscle function, and includes neurolysis, direct suture, and nerve grafting. The suprascapular nerve (SCN) and AN are next to each other in position. The function of the AN and SCN in shoulder elevation and abduction movement is synergistic. SCN might be considered by surgeons for AN reanimation...
September 26, 2022: World Journal of Clinical Cases
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