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massive rotator cuff

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https://www.readbyqxmd.com/read/29459083/therapeutic-outcomes-of-muscular-advancement-by-an-arthroscopic-assisted-modified-debeyre-patte-procedure-for-irreparable-large-and-massive-rotator-cuff-tears
#1
Toru Morihara, Yoshikazu Kida, Ryuhei Furukawa, Tsuyoshi Sukenari, Yukichi Kabuto, Masao Kurokawa, Hiroyoshi Fujiwara, Toshikazu Kubo
BACKGROUND: In cases of the large or massive rotator cuff tears, retear rates after rotator cuff repairs remain high. We introduced an arthroscopic-assisted modified Debeyre-Patte procedure which enables to decrease the tension of torn rotator cuff by sliding supraspinatus and infraspinatus laterally keeping fascia connection to the rhomboids. PURPOSE: The objective of this study was to examine the clinical outcomes and retear rates after an arthroscopic-assisted modified Debeyre-Patte procedure for irreparable large and massive rotator cuff tears...
February 16, 2018: Journal of Orthopaedic Science: Official Journal of the Japanese Orthopaedic Association
https://www.readbyqxmd.com/read/29456069/arthroscopic-superior-capsular-reconstruction-with-acellular-dermal-allograft-for-the-treatment-of-massive-irreparable-rotator-cuff-tears-short-term-clinical-outcomes-and-the-radiographic-parameter-of-superior-capsular-distance
#2
William T Pennington, Brian A Bartz, Joann M Pauli, Carol E Walker, William Schmidt
PURPOSE: This outcome analysis presents 88 consecutive shoulders presenting with irreparable rotator cuff tears that we treated with arthroscopic superior capsular reconstruction (SCR) using an acellular dermal allograft. We also present the concept of superior capsular distance to quantitatively measure the decreased distance present upon restoration of superior capsular integrity. METHODS: A retrospective review was conducted of patients treated with arthroscopic SCR with a minimum 12-month follow-up...
February 15, 2018: Arthroscopy: the Journal of Arthroscopic & related Surgery
https://www.readbyqxmd.com/read/29416966/superior-capsular-reconstruction-with-superimposition-of-rotator-cuff-repair-for-massive-rotator-cuff-tear
#3
George Sanchez, Jorge Chahla, Gilbert Moatshe, Márcio B Ferrari, Nicholas I Kennedy, Matthew T Provencher
Massive rotator cuff tears are particularly challenging to treat and severely limit the function of the shoulder. Compared with a small rotator cuff tear, massive tears are more unpredictable and usually present with low tendon quality. When performing an anatomical repair of the rotator cuff, the surgical treatment is often associated with failure of the construct. An alternative procedure that can be performed in the setting of a massive tear is superior capsular reconstruction (SCR), using an autograft or allograft...
October 2017: Arthroscopy Techniques
https://www.readbyqxmd.com/read/29411322/the-role-of-biologic-therapy-in-rotator-cuff-tears-and-repairs
#4
REVIEW
Michael D Charles, David R Christian, Brian J Cole
PURPOSE OF REVIEW: The purpose of this review was to establish the foundation of the major biologic adjuvants to rotator cuff repairs and review recent scientific findings. RECENT FINDINGS: Platelet-rich plasma (PRP) overall has no significant impact on functional outcomes and repair integrity, but may be more advantageous in small to medium tears. Further studies should focus on leukocyte-rich versus poor preparations and the use of PRP in patients that are high risk for repair failure...
February 7, 2018: Current Reviews in Musculoskeletal Medicine
https://www.readbyqxmd.com/read/29411080/clinical-and-anatomic-results-of-rotator-cuff-repair-at-10%C3%A2-years-depend-on-tear-type
#5
Charles Agout, Julien Berhouet, Yves Bouju, Arnaud Godenèche, Philippe Collin, Jean-François Kempf, Luc Favard
PURPOSE: Although good short-term and mid-term outcomes are reported for rotator cuff repair, few studies have investigated long-term outcome with clinical and MRI evaluation. The hypothesis was that 10 years following repair of rotator cuff tear, the clinical and anatomic results depend on the extension of the tear. METHODS: The records of all 965 patients who underwent repair of rotator cuff tears in 2003 were retrieved. The patients were reviewed in 2014 for evaluation at a minimum follow-up of 10 years...
February 6, 2018: Knee Surgery, Sports Traumatology, Arthroscopy: Official Journal of the ESSKA
https://www.readbyqxmd.com/read/29373293/biceps-autograft-augmentation-for-rotator-cuff-repair-a-systematic-review
#6
REVIEW
Egbert J D Veen, Martin Stevens, Ronald L Diercks
PURPOSE: To improve surgical outcomes in patients with massive cuff defects, different techniques and augmentations are proposed. The biceps tendon is easily available as an autograft. Our aim was to conduct a qualitative systematic review of various methods and surgical techniques that use a biceps autograft (BAG) for rotator cuff repair. Functional outcomes are also reported. We hypothesized that by using a BAG to treat massive rotator cuff tears, a more anatomic and biomechanical reconstruction could be achieved compared with other techniques...
January 17, 2018: Arthroscopy: the Journal of Arthroscopic & related Surgery
https://www.readbyqxmd.com/read/29371013/factors-affecting-cost-outcomes-and-tendon-healing-after-arthroscopic-rotator-cuff-repair
#7
Peter N Chalmers, Erin Granger, Richard Nelson, Minkyoung Yoo, Robert Z Tashjian
BACKGROUND: The purpose of this study was to simultaneously examine costs, functional outcomes, and tendon healing after arthroscopic rotator cuff repair. METHODS: This was a retrospective, single-surgeon, single-hospital study. Pre- and postoperative Simple Shoulder Test (SST), visual analog scale (VAS) pain, and American Shoulder and Elbow Surgeons (ASES) scores, and postoperative magnetic resonance images (MRIs) were obtained. Direct costs were derived using a unique, validated tool...
January 20, 2018: Arthroscopy: the Journal of Arthroscopic & related Surgery
https://www.readbyqxmd.com/read/29361422/arthroscopically-assisted-latissimus-dorsi-transfer-for-irreparable-rotator-cuff-insufficiency-modes-of-failure-and-clinical-correlation
#8
Jean Kany, Jean Grimberg, Rajkumar S Amaravathi, Padmanaban Sekaran, Dan Scorpie, Jean David Werthel
PURPOSE: The main objective of this retrospective study was to analyze the rate and modes of failure of latissimus dorsi transfer (LDT). The secondary objective was to evaluate whether a rupture of the transfer was associated with a worse outcome. METHODS: During a 2-year period, we performed consecutive LDTs either for irreparable posterior-superior rotator cuff tears (RCTs) or for failed prior repair. All the LDTs were performed by a single surgeon. All transfers were arthroscopically assisted and fixed as a tubularized LD tendon in a bone tunnel inside the humeral head...
January 17, 2018: Arthroscopy: the Journal of Arthroscopic & related Surgery
https://www.readbyqxmd.com/read/29356952/massive-rotator-cuff-tear-when-to-consider-reverse-shoulder-arthroplasty
#9
REVIEW
Thomas R Sellers, Adham Abdelfattah, Mark A Frankle
PURPOSE OF REVIEW: The purpose of this review is to discuss the indications for reverse shoulder arthroplasty (RSA) in the treatment of massive rotator cuff tear (MCT), review the reported outcomes in the literature, and outline our approach and surgical technique for treating these patients. RECENT FINDINGS: While RSA remains a successful and well-accepted treatment for cuff tear arthropathy (CTA), management of MCT in the absence of arthritis is controversial...
January 22, 2018: Current Reviews in Musculoskeletal Medicine
https://www.readbyqxmd.com/read/29354474/long-head-of-the-biceps-as-a-suitable-available-local-tissue-autograft-for-superior-capsular-reconstruction-the-chinese-way
#10
Achilleas Boutsiadis, Shiyi Chen, Chunyan Jiang, Hubert Lenoir, Philippe Delsol, Johannes Barth
Massive irreparable rotator cuff tears remain a challenging condition during daily clinical practice. Irreversible fatty infiltration of muscles and excessive chronic retraction of tendons predispose to high failure rates of their surgical treatment. Superior capsular reconstruction with either fascia lata autograft or a dermal allograft patch is a newly described solution that could prevent superior humeral head migration and restore the anteroposterior shoulder muscle force couples. The purpose of this article is to propose a technical modification of superior capsular reconstruction using long head of the biceps tendon autograft...
October 2017: Arthroscopy Techniques
https://www.readbyqxmd.com/read/29354447/arthroscopic-superior-capsule-reconstruction-technique-in-the-setting-of-a-massive-irreparable-rotator-cuff-tear
#11
George Sanchez, William H Rossy, Kyle P Lavery, Kevin J McHale, Marcio B Ferrari, Anthony Sanchez, Matthew T Provencher
Massive, irreparable rotator cuff tears are challenging to treat and associated with pain and severe limitation in shoulder elevation due to the proximal migration of the humeral head and, consequently, subacromial impingement. Furthermore, retraction of the tendons in combination with fat infiltration and muscular weakness results in unpredictable treatment outcomes. While conservative treatment may be warranted for low-demand patients, surgical treatment is often indicated for a successful return to activities of daily living as well as an improved quality of life...
August 2017: Arthroscopy Techniques
https://www.readbyqxmd.com/read/29349027/arthroscopic-repair-of-massive-subscapularis-and-supraspinatus-tear-by-double-row-knotless-technique
#12
Bancha Chernchujit, Pankaj N Sharma
Subscapularis is the most powerful muscle in the rotator cuff. A steep learning curve and constrained space anteriorly make the repair difficult. In massive tears of the rotator cuff, repair of the subscapularis initially makes the massive supraspinatus tear repairable. We present our technique to repair subscapularis and supraspinatus tear by double-row anchors in a knotless and tension-free manner. This technique can be done in partial or full-thickness tears of the upper subscapularis.
December 2017: Arthroscopy Techniques
https://www.readbyqxmd.com/read/29325577/dynamic-kinematics-of-the-glenohumeral-joint-in-shoulders-with-rotator-cuff-tears
#13
Naoya Kozono, Takamitsu Okada, Naohide Takeuchi, Satoshi Hamai, Hidehiko Higaki, Takeshi Shimoto, Satoru Ikebe, Hirotaka Gondo, Yoshitaka Nakanishi, Takahiro Senju, Yasuharu Nakashima
BACKGROUND: No clear trend has emerged from the literature regarding three-dimensional (3D) translations of the humerus relative to the scapula in shoulders with rotator cuff tears (RCTs). The purpose of this study was to evaluate the kinematics of RCT shoulders using 3D-to-two-dimensional (2D) model-to-image registration techniques. METHODS: Dynamic glenohumeral kinematics during scapular plane abduction and axial rotation were analyzed in 11 RCT patients and 10 healthy control subjects...
January 11, 2018: Journal of Orthopaedic Surgery and Research
https://www.readbyqxmd.com/read/29319655/superior-capsular-reconstruction-with-a-partial-rotator-cuff-repair-a-case-report
#14
John M Tokish, Amit Momaya, Troy Roberson
CASE: Chronic massive irreparable rotator cuff tears remain challenging to treat. We present the case of a 70-year-old active and healthy woman who presented with 6 months of worsening shoulder pain and function; she had experienced considerable deterioration over the past 2 months. Nonoperative management of the massive rotator cuff tear was not successful. Superior capsule reconstruction (SCR) was performed with a partial rotator cuff repair. CONCLUSION: SCR is an exciting advancement for the chronic massive irreparable rotator cuff tear, one of the more challenging problems encountered by shoulder surgeons...
January 10, 2018: JBJS Case Connector
https://www.readbyqxmd.com/read/29304956/editorial-commentary-superior-capsule-reconstruction-with-dermal-allograft-effective-marketing-or-the-real-deal
#15
EDITORIAL
Timothy S Leroux
The young patient with a massive, irreparable rotator cuff tear is a challenging problem. Not only is this patient population demanding, but of the few surgical options that exist to manage this problem, each have their own unique limitations; as such, the orthopaedic community continues to search for a treatment that maximizes outcome and durability, while minimizing risk and preserving the native shoulder. Over the past few years, there has been considerable interest in a new surgical technique: the superior capsule reconstruction (SCR)...
January 2018: Arthroscopy: the Journal of Arthroscopic & related Surgery
https://www.readbyqxmd.com/read/29299503/massive-emphysema-and-pneumothorax-following-shoulder-arthroscopy-under-general-anaesthesia-a-case-report
#16
Mohammad J Shariyate, Amir R Kachooei, Mohammad H Ebrahimzadeh
The patient was a 61-year-old female with massive rotator cuff tear who had no history of smoking, COPD, asthma, or other pulmonary diseases. Four hours following shoulder arthroscopy, the patient developed progressive dyspnea, which was diagnosed as pneumothorax with subcutaneous emphysema extending to the neck and face. Chest tube was inserted promptly. The patient was discharged with a good condition after 7 days. Follow up of the patient for the next 3 months was uneventful.
November 2017: Archives of Bone and Joint Surgery
https://www.readbyqxmd.com/read/29290606/isolated-loss-of-active-external-rotation-a-distinct-entity-and-results-of-l-episcopo-tendon-transfer
#17
Pascal Boileau, Mohammed Baba, Walter B McClelland, Charles-Édouard Thélu, Christophe Trojani, Nicolas Bronsard
BACKGROUND: The purpose of this study was to characterize a subgroup of cuff-deficient patients with isolated loss of active external rotation (ILER) but preserved active elevation and to evaluate the outcomes of the L'Episcopo procedure to restore horizontal muscle balance. METHODS: During a 10-year period, 26 patients (14 men, 12 women) were identified with ILER in the setting of massive irreparable posterosuperior cuff tears. A modified L'Episcopo tendon transfer was performed to restore active external rotation and to improve shoulder function...
December 28, 2017: Journal of Shoulder and Elbow Surgery
https://www.readbyqxmd.com/read/29274903/early-versus-late-repair-of-rotator-cuff-tears-in-rats
#18
Leonardo Cavinatto, Eduardo Angeli Malavolta, Cesar Augusto Martins Pereira, Manuela Miranda-Rodrigues, Luiza Campos Moreira Silva, Cecilia Helena Gouveia, Cesar de Cesar Netto, Rames Mattar Junior, Arnaldo Amado Fereira Neto
BACKGROUND: In the event of a traumatic rotator cuff tear, patients are routinely advised that early surgical intervention produces an optimal repair, despite a lack of direct evidence to support this recommendation. To address this knowledge gap, massive rotator cuff tears in rats were assessed by biomechanical and bone morphometric analyses after early or late repair. METHODS: Combined supraspinatus and infraspinatus tendon tears of the left shoulder were created in 21 adult Wistar rats, which were divided into 2 groups...
December 21, 2017: Journal of Shoulder and Elbow Surgery
https://www.readbyqxmd.com/read/29273256/preoperative-radiographic-risk-factors-for-incomplete-arthroscopic-supraspinatus-tendon-repair-in-massive-rotator-cuff-tears
#19
Andrew J Sheean, Robert U Hartzler, Patrick J Denard, Alexandre Lädermann, Timothy G Sanders, Michael B Zlatkin, Stephen S Burkhart
PURPOSE: To determine if preoperative imaging findings of massive rotator cuff (RC) tears were associated with (1) incomplete arthroscopic repair and (2) the use of advanced mobilization techniques (interval slides) and/or the use of a load-sharing rip stop repair construct. METHODS: Eighty-six consecutive patients who underwent arthroscopic repair for massive RC tears performed by a single surgeon between July 2013 and July 2015 were retrospectively evaluated. Previously proposed radiographic risk factors for irreparability (acromiohumeral distances, tangent sign, and the Goutallier stage of fatty infiltration for the supraspinatus) were analyzed...
December 19, 2017: Arthroscopy: the Journal of Arthroscopic & related Surgery
https://www.readbyqxmd.com/read/29202746/translation-of-the-humeral-head-scale-is-associated-with-success-of-rotator-cuff-repair-for-large-massive-tears
#20
Noboru Taniguchi, Darryl D D'Lima, Naoki Suenaga, Yasuyuki Ishida, Deokcheol Lee, Isoya Goya, Etsuo Chosa
BACKGROUND: Although a loss of rotator cuff integrity leads to the superior migration of the humeral head, the parameters that characterize the anterolateral migration of the humeral head have not been established. The purpose of this study was to investigate the correlation between the translation of the humeral head scale (T-scale) and clinical outcomes of rotator cuff repair, as well as the correlation between the T-scale and radiologic parameters. METHODS: One hundred thirty-five consecutive patients with full-thickness rotator cuff tears underwent primary rotator cuff repair...
December 4, 2017: BMC Musculoskeletal Disorders
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