keyword
https://read.qxmd.com/read/38547029/pain-neuroscience-education-following-arthroscopic-rotator-cuff-repair-for-patients-with-rotator-cuff-tears-a-double-blind-randomized-controlled-clinical-trial
#1
JOURNAL ARTICLE
Caner Kararti, Fatih Özyurt, Muhammed İhsan Kodak, Hakkı Çağdaş, Gülşah Özsoy, İsmail Özsoy, Abdulhamit Tayfur
OBJECTIVE: This trial examines the efficacy of the Pain Neuroscience Education (PNE) on clinical outcomes in patients with arthroscopic rotator cuff repair (ARCR). DESIGN: A total of 36 participants undergoing ARCR were assigned to either the experimental group (n = 18) or control group (n = 18) in this randomized study. A 6-week-long conventional physiotherapy program was administered for both groups. In addition, a PNE protocol was administered for the experimental group for a whole period of 6 weeks (one session/week, 15-60 min per session)...
March 25, 2024: American Journal of Physical Medicine & Rehabilitation
https://read.qxmd.com/read/38545631/a-modified-patte-classification-system-for-rotator-cuff-tendon-retraction-to-predict-reparability-and-tendon-healing-in-arthroscopic-rotator-cuff-repair
#2
JOURNAL ARTICLE
Yoshitsugu Takeda, Koji Fujii, Naoto Suzue, Yoshiteru Kawasaki, Junichiro Sumitomo, Keisuke Nishidono, Yugen Fujii, Masashi Kano
PURPOSE: The purpose of this study was to propose a modified Patte classification system for tendon retraction, including the cut-off points for predicting reparability and rotator cuff healing after arthroscopic rotator cuff repair (ARCR) and assess its prediction accuracy and measurement reliability. METHODS: This retrospective study included 463 consecutive patients scheduled to undergo ARCR for full-thickness supraspinatus tears. Receiver operating characteristic (ROC) curve analysis was used to determine the cut-off points for predicting reparability and tendon healing...
March 28, 2024: Knee Surgery, Sports Traumatology, Arthroscopy
https://read.qxmd.com/read/38542113/cell-based-therapies-for-rotator-cuff-injuries-an-updated-review-of-the-literature
#3
REVIEW
Nicholas Hooper, Anuj Marathe, Nitin B Jain, Prathap Jayaram
This review focuses on non-surgical treatment options for rotator cuff injuries and highlights the potential of mesenchymal stem cells (MSCs) as a potential regenerative approach. MSCs, sourced from various tissues like bone marrow and adipose tissue, exhibit promising mechanisms in vitro, influencing tendon-related gene expression and microenvironment modulation. Animal studies support this, showcasing MSCs' ability to reduce inflammation, improve tissue remodeling, and enhance repaired tendon strength. Human trials, while varied and limited, suggest that MSCs might lower retear rates and enhance post-repair outcomes, but randomized controlled trials yield mixed results, emphasizing the necessity for standardized investigations...
March 8, 2024: International Journal of Molecular Sciences
https://read.qxmd.com/read/38541210/arthroscopic-medialization-partial-repair-with-biologic-interposition-tuberoplasty-for-large-to-massive-irreparable-rotator-cuff-tear
#4
JOURNAL ARTICLE
Jae-Wook Jung, Joong-Bae Seo, Jun-Yeul Lee, Jae-Sung Yoo
An irreparable rotator cuff tear is a challenging condition to treat, and various treatment modalities are being introduced. Medialization in the partial repair method has the limitation of exposing the tuberosity, while tension-free biologic interposition tuberoplasty using acellular dermal matrix has the limitation of exposing the humeral head. The authors believe that by combining these two techniques, it is possible to complement each other's limitations. Therefore, they propose a surgical method that combines medialization and biologic interposition tuberoplasty for addressing these constraints...
March 14, 2024: Medicina
https://read.qxmd.com/read/38539131/fixation-technique-of-biodegradable-magnesium-alloy-suture-anchor-in-the-rotator-cuff-repair-of-the-shoulder-in-a-goat-model-a-technical-note
#5
JOURNAL ARTICLE
Wei-Chien Hsu, Guan-Lin Wu, Ming-Long Yeh
BACKGROUND: Shoulder disorders, particularly rotator cuff tears, are prevalent musculoskeletal conditions related to aging. Although the widely used suture anchor technique provides strong mechanical support to the tendon, it is associated with a risk of postoperative tendon retearing. The conventionally used titanium alloys can affect the interpretation of magnetic resonance imaging. Degradable magnesium alloys possess excellent biocompatibility, similar mechanical property to the bone, and stimulating bone formation ability from Mg2+ ...
March 28, 2024: BMC Musculoskeletal Disorders
https://read.qxmd.com/read/38538703/acellular-porcine-achilles-tendon-patch-encapsulating-tendon-derived-stem-cells-for-rotator-cuff-repair-in-a-rabbit-model
#6
JOURNAL ARTICLE
Huawei Wen, Yushun Fang
Currently, the predominant method for repairing rotator cuff involves surgical suture techniques, but the failure rate remains notably high. Failure of the rotator cuff insertion to provide adequate biomechanics during early healing is considered a major cause of failure. Addressing this problem, biological augmentation emerges as a promising strategy for enhancing the biomechanical properties during early stages. Tendon-derived stem cells (TDSCs), which facilitate the differentiation of repair-supportive cells, hold the potential to improve the efficacy of patch application...
March 27, 2024: Scientific Reports
https://read.qxmd.com/read/38537726/suture-bacterial-contamination-may-contribute-to-impaired-healing-or-retear-after-rotator-cuff-repair-even-using-arthroscopic-techniques
#7
EDITORIAL
Daniel J Cognetti
Bacterial contamination, as a result of suture contamination, may be associated with rotator cuff retear, or impaired tendon healing, following rotator cuff repair. This represents a potential new area of focus and intervention. Despite an array of rotator cuff repair techniques, from varying suture configurations and double row repairs to biologic adjuncts and patches, a substantial proportion of repairs do not heal or go on to retear. Decades of research have been dedicated to identifying risk factors for these failures and mitigating their influence...
March 25, 2024: Arthroscopy
https://read.qxmd.com/read/38527622/no-clinical-difference-in-outcomes-between-inlay-and-onlay-arthroscopic-biceps-tenodesis-techniques-during-rotator-cuff-repair
#8
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/38527620/rapamycin-facilitates-the-tendon-bone-interface-healing-in-an-aging-rat-model-of-chronic-rotator-cuff-injury
#9
JOURNAL ARTICLE
Xinwang Zhi, Haolin Ke, Li Zhou, Jintao Li, Panjing Yin, Haiyan Zhang, Chun Zeng, Daozhang Cai, Huabin Chen
BACKGROUND: Tendon-bone interface (TBI) healing in chronic rotator cuff injury (CRCI) in older individuals is a common clinical challenge due to cellular senescence, as well as decreased tissue repair and regeneration. Many studies have demonstrated the anti-aging, improved tissue repair, and bone regeneration properties of rapamycin (RPM) in multiple age-related diseases. This study aimed to explore the effects of RPM on TBI healing after CRCI in an aging rat model. METHODS: A CRCI model was established in 60 Sprague-Dawley rats (24 months old)...
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
#10
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
#11
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/38521205/massive-rotator-cuff-tears-benefit-from-arthroscopic-repair-regardless-of-advanced-goutallier-or-hamada-changes
#12
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
#13
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
#14
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
#15
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/38510320/when-do-patients-achieve-promis-milestones-after-rotator-cuff-repair
#16
JOURNAL ARTICLE
Nikhil R Yedulla, Nabil Mehta, David N Bernstein, Austin G Cross, Kareem G Elhage, Vasilios Moutzouros, Eric C Makhni
BACKGROUND: Given the variability of the questions asked, the Patient-Reported Outcomes Measurement Information System (PROMIS) upper extremity (UE) computer adaptive test (CAT) Version 2.0 item bank aids in the evaluation of rotator cuff repair (RCR) rehabilitation by determining when recovery milestones are possible based on the quality of patient responses at certain time points. PURPOSE: To assess the time point at which patients with RCR were able to achieve specific functional milestones, determined as positive responses to the 5 most frequently asked items on the PROMIS UE CAT Version 2...
March 2024: Orthopaedic Journal of Sports Medicine
https://read.qxmd.com/read/38507516/shoulder-arthroplasty-after-previous-nonarthroplasty-surgery-a-systematic-review-and-meta-analysis-of-clinical-outcomes-and-complications
#17
JOURNAL ARTICLE
Peyman Mirghaderi, Alireza Azarboo, Amirhossein Ghaseminejad-Raeini, Nasim Eshraghi, Hamed Vahedi, Surena Namdari
BACKGROUND: Many patients who undergo shoulder arthroplasty (SA) have had at least 1 nonarthroplasty shoulder surgery before the surgery. There is conflicting evidence regarding the effects of previous shoulder surgery on the outcome of SA. A systematic review was conducted to compare functional outcomes and complications between SA patients with and without prior non-SA surgery on the ipsilateral shoulder. METHODS: We followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines and searched MEDLINE/PubMed, Embase, Scopus, and Web of Science comprehensively from inception to January 2023...
March 1, 2024: JBJS Reviews
https://read.qxmd.com/read/38507504/heated-tobacco-products-have-detrimental-effects-on-rotator-cuff-healing-similar-to-conventional-cigarettes
#18
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/38506707/the-effect-of-concomitant-biceps-tenodesis-on-revision-surgery-rates-after-primary-rotator-cuff-repair
#19
JOURNAL ARTICLE
Zachary C Pearson, Mark Haft, Amil R Agarwal, Marco-Christopher Rupp, Jacob D Mikula, Uzoma Ahiarakwe, Matthew J Best, Uma Srikumaran
INTRODUCTION: We aimed to use a national database to compare the 4-year revision surgery rates after rotator cuff repair (RCR) in patients with concomitant biceps tenodesis (BT) versus those without BT. METHODS: A retrospective cohort analysis was conducted using the PearlDiver database from 2015 to 2017. Patients undergoing primary open and arthroscopic RCR with and without BT were identified. Demographic variables, 90-day complications, and 2- and 4-year revision surgery rates were analyzed, and a multivariable logistic regression was conducted...
March 1, 2024: Journal of the American Academy of Orthopaedic Surgeons. Global Research & Reviews
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
#20
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
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