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massive rotator cuff

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https://www.readbyqxmd.com/read/29648474/postoperative-new-onset-pseudoparalysis-a-retrospective-analysis-of-430-consecutive-arthroscopic-repairs-for-large-to-massive-rotator-cuff-tears
#1
Hyeon Jang Jeong, Sung Min Rhee, Joo Han Oh
BACKGROUND: The authors have sometimes encountered postoperative new-onset pseudoparalysis (PONP) after arthroscopic repair for large to massive rotator cuff tear (ARCR). As there are insufficient data regarding PONP, the authors aimed to determine whether such a condition is characterized by obvious risk factors, as well as to assess the conditions under which it can be reversed. PURPOSE: To evaluate the predictors of PONP development after ARCR and its reversal and to integrate these predictors into a scoring system that can be applied in clinical practice...
April 1, 2018: American Journal of Sports Medicine
https://www.readbyqxmd.com/read/29622263/editorial-commentary-is-the-biceps-tendon-a-valid-option-for-augmentation-in-rotator-cuff-repair-future-perspectives-on-superior-capsule-reconstruction
#2
EDITORIAL
Giuseppe Milano
Biceps autograft can be a viable option for biological augmentation of massive rotator cuff repair, albeit results of this procedure might depend on the surgical technique. In the present qualitative systematic review, 8 case series were analyzed, in which biceps autograft was used as a scaffold or tissue bridge. Indeed, leaving the proximal portion intact and fixing it onto the greater tuberosity can simulate a superior capsule reconstruction, with potentially high biologic and mechanical advantages.
April 2018: Arthroscopy: the Journal of Arthroscopic & related Surgery
https://www.readbyqxmd.com/read/29589499/teres-major-tendon-transfer-in-the-treatment-of-irreparable-posterosuperior-rotator-cuff-tears
#3
A Kolk, J F Henseler, F J Overes, J Nagels, R G H H Nelissen
Aims Since long-term outcome of teres major tendon transfer surgery for irreparable posterosuperior rotator cuff (RC) tears is largely unknown, the primary aim of this study was to evaluate the long-term outcome of the teres major transfer. We also aimed to report on the results of a cohort of patients with a similar indication for surgery that underwent a latissimus dorsi tendon transfer. Patients and Methods In this prospective cohort study, we reported on the long-term results of 20 consecutive patients with a teres major tendon transfer for irreparable massive posterosuperior RC tears...
March 1, 2018: Bone & Joint Journal
https://www.readbyqxmd.com/read/29567036/fibrocartilaginous-metaplasia-identified-in-the-long-head-of-the-biceps-brachii
#4
Carlo Bottegoni, Luca Farinelli, Alberto Aquili, Sandra Manzotti, Marco Baldini, Antonio Gigante
BACKGROUND: In the glenohumeral joint, the long head of biceps brachii (LHBB) is exposed to tension and compression loading. The short head of biceps brachii (SHBB) works only in tension. It is known that tendon under compression might develop fibrocartilaginous metaplasia that improves the resistance to compression but reduces the resistance to tension. This study evaluated the presence of cartilage in LHBB and SHBB samples, supporting its possible role in tendon tear. METHODS: Between 2014 and 2016, 13 samples of LHBB and SHBB were collected during surgery for shoulder instability, glenohumeral arthritis, and massive rotator cuff tears...
March 19, 2018: Journal of Shoulder and Elbow Surgery
https://www.readbyqxmd.com/read/29564048/can-a-single-sagittal-magnetic-resonance-imaging-slice-represent-whole-fatty-infiltration-in-chronic-rotator-cuff-tears-at-the-supraspinatus
#5
Yong-Beom Lee, Cheol-Jung Yang, Cheng Zhen Li, Zhong Zhuan, Seung-Cheol Kwon, Kyu-Cheol Noh
Background: This study aimed to investigate whether fatty infiltration (FI) measured on a single sagittal magnetic resonance imaging (MRI) slice can represent FI of the whole supraspinatus muscle. Methods: This study retrospectively reviewed the MRIs of 106 patients (age 50-79 years) divided into three rotator cuff tear-size groups: medium, large, and massive. Fat mass and muscle mass on all T1-weighted sagittal MRI scans (FA and MA) were measured. Of the total MRI scans, the Y-view was defined as the most lateral image of the junction of the scapular spine with the scapular body on the oblique sagittal T1-weighted image...
March 2018: Clinics in Orthopedic Surgery
https://www.readbyqxmd.com/read/29555121/hidden-degloving-rotator-cuff-tears-secondary-to-glenohumeral-dislocation
#6
Lorenzo Merlini, Matthew Yalizis, Yannick Carrillon, Hugo Bothorel, Mo Saffarini, Arnaud Godenèche
BACKGROUND: A rare form of rotator cuff tear (RCT) is observed secondary to glenohumeral dislocation, followed by immediate repositioning, as well as formation of scar tissue between tendons and tuberosities. Radiographic diagnosis of such "degloving" tears is problematic because they are obscured by scar tissue. We aimed to describe characteristics of degloving tears and report outcomes following their arthroscopic repair. METHODS: Among 67 patients who underwent arthroscopic repair of RCTs secondary to shoulder dislocation, we identified 8 patients (12%) (7 anterior dislocations and 1 posterior dislocation), aged 54...
March 16, 2018: Journal of Shoulder and Elbow Surgery
https://www.readbyqxmd.com/read/29552476/latissimus-dorsi-tendon-transfer-with-acromial-osteotomy-for-massive-irreparable-rotator-cuff-tear
#7
Nicholas R Pagani, Antonio Cusano, Xinning Li
Latissimus dorsi tendon transfer is an effective option for young and active patients with massive irreparable posterosuperior rotator cuff tears and intact subscapularis tendon. This approach has been shown to relieve pain and improve shoulder function in both the short and long term. We describe a surgical technique using an acromial osteotomy to better expose the greater tuberosity for the tendon transfer without disrupting the deltoid muscle. The latissimus dorsi tendon is reinforced with a human dermal collagen matrix (GraftJacket; Wright Medical Group) for additional augmentation of the muscle to gain more excursion for the tendon transfer to the greater tuberosity...
February 2018: Arthroscopy Techniques
https://www.readbyqxmd.com/read/29552475/arthroscopic-in-situ-superior-capsular-reconstruction-using-the-long-head-of-the-biceps-tendon
#8
Yang-Soo Kim, Hyo-Jin Lee, In Park, Gwang Young Sung, Dong-Jin Kim, Jong-Ho Kim
Large to massive rotator cuff tears are challenging to repair, although there are several options for dealing with them. Among them, superior capsular reconstruction was recently introduced as an effective procedure for retaining the static stability of the shoulder joint and preventing the progression to cuff tear arthropathy. The purpose of this technique-based article is to describe a surgical option, called arthroscopic in situ superior capsular reconstruction, for large to massive rotator cuff tears using the long head of the biceps tendon...
February 2018: Arthroscopy Techniques
https://www.readbyqxmd.com/read/29538092/a-novel-treatment-for-a-rare-injury-pediatric-massive-intrasubstance-rotator-cuff-and-periscapular-muscle-tears-treated-with-a-custom-brace-a-case-report
#9
Molly K Lewis, Omar Ramos-Williams, Hasan M Syed, Theodore K Gregorius
CASE: A 9-year-old boy sustained intrasubstance tears of the rotator cuff and periscapular muscles due to a fall, resulting in scapular winging and severely decreased shoulder range of motion. Treatment consisted of a modified thoracolumbosacral orthosis (TLSO) with a shoulder immobilizer attachment (to reduce the scapula to the thoracic wall and hold the arm in 10° of abduction). The brace was worn for 8 weeks. The patient recovered full, pain-free shoulder function and range of motion, and returned to high-level athletics...
March 14, 2018: JBJS Case Connector
https://www.readbyqxmd.com/read/29518297/-rotator-cuff-tear-athropathy-prevalence
#10
F Guerra-Soriano, M I Encalada-Díaz, M Ruiz-Suárez, F S Valero-González
INTRODUCTION: Glenohumeral arthritis secondary to massive rotator cuff tear presents with a superior displacement and femoralization of the humeral head with coracoacromial arch acetabularization. The purpose of this study was to establish prevalence of rotator cuff tear artropathy (CTA) at our institution. MATERIAL AND METHODS: Four hundred electronic records were reviewed from which we identified 136 patients with rotator cuff tears. A second group was composed with patients with massive cuff tears that were analized and staged by the Seebauer cuff tear arthropathy classification...
September 2017: Acta Ortopédica Mexicana
https://www.readbyqxmd.com/read/29478942/the-prevalence-of-rotator-cuff-pathology-in-the-setting-of-acute-proximal-biceps-tendon-rupture
#11
George L Vestermark, Bryce A Van Doren, Patrick M Connor, James E Fleischli, Dana P Piasecki, Nady Hamid
BACKGROUND: The prevalence and severity of concomitant rotator cuff pathology in the setting of proximal biceps tendon ruptures are poorly understood. Concomitant rotator cuff disease may have important implications in the prognosis and natural history of this shoulder condition. Therefore, an observational cohort of patients with an acute rupture of the long head of the biceps tendon (LHBT) was evaluated to determine the prevalence and severity of concomitant rotator cuff disease. METHODS: Thirty consecutive patients diagnosed with acute proximal biceps tendon rupture were prospectively enrolled...
February 22, 2018: Journal of Shoulder and Elbow Surgery
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
#12
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
#13
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
#14
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
#15
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-years-depend-on-tear-type
#16
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
#17
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
#18
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
#19
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...
April 2018: Arthroscopy: the Journal of Arthroscopic & related Surgery
https://www.readbyqxmd.com/read/29356952/massive-rotator-cuff-tear-when-to-consider-reverse-shoulder-arthroplasty
#20
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...
March 2018: Current Reviews in Musculoskeletal Medicine
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