1,738 results match your criteria Infraspinatus Syndrome

Postoperative pain control after arthroscopic rotator cuff repair: Arthroscopy-guided continuous suprascapular nerve block versus ultrasound-guided continuous inter-scalene block.

Arthroscopy 2021 May 11. Epub 2021 May 11.

Department of Orthopaedic Surgery, Asan Medical Center, College of Medicine, University of Ulsan, Seoul, Korea. Electronic address:

Purpose: We aimed to compare the clinical efficacy and safety of arthroscopy-guided continuous suprascapular nerve block (AS-SSNB) and ultrasound-guided continuous interscalene block (US-ISB) in postoperative analgesia in patients undergoing arthroscopic rotator cuff repair (ARCR).

Methods: A prospective study was performed between March and November 2020. In total, 76 patients were enrolled and divided into two groups: in 38 patients of group 1 (AS-SSNB), an indwelling catheter was introduced via the Neviaser portal under arthroscopic view before closing the portal at the end of the surgery; and in 38 patients of group 2 (US-ISB), an indwelling catheter was inserted directing towards the interscalene brachial plexus prior to the surgery under ultrasound-guidance. Read More

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A Comparison of Anesthetic Quality Between Interscalene Block and Superior Trunk Block for Arthroscopic Shoulder Surgery: A Randomized Controlled Trial.

Pain Physician 2021 May;24(3):235-242

Department of Anesthesiology and Pain Medicine, Anam Hospital, Korea University College of Medicine, Seoul.

Background: Interscalene block is the most commonly used nerve block for shoulder surgery, and superior trunk block has been investigated as a phrenic-sparing alternative. This randomized controlled trial compared ultrasound-guided interscalene block and superior trunk block as anesthesia for arthroscopic shoulder surgery.

Objectives: Our aims were to determine the superiority of anesthesia quality and compare the risk of hemidiaphragmatic paralysis between these 2 blocks. Read More

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Morphological Characteristics of Acromion and Acromioclavicular Joint in Patients with Shoulder Impingement Syndrome and Related Recommendations: A Three-Dimensional Analysis Based on Multiplanar Reconstruction of Computed Tomography Scans.

Orthop Surg 2021 May 6. Epub 2021 May 6.

Department of Orthopaedics, Beijing Tsinghua Changgung Hospital, School of Clinical Medicine, Tsinghua University, Beijing, China.

To find out which structure is crucial for the formation of shoulder impingement syndrome with the purpose of directing surgical procedures of subacromial decompression and discussing whether it is necessary to manage acromioclavicular joint during operation and how to do it properly.

Methods: This was a retrospective study. Clinical data and preoperative computed tomography (CT) images were collected from patients who were diagnosed with rotator cuff tears between January 2017 and August 2019 (sample size: 46) and those who were diagnosed without rotator cuff tears between March 2018 and August 2019 (sample size: 44) in our institution, respectively. Read More

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Short- and Long-Term Effects of a Scapular-Focused Exercise Protocol for Patients with Shoulder Dysfunctions-A Prospective Cohort.

Sensors (Basel) 2021 Apr 20;21(8). Epub 2021 Apr 20.

Escola Superior Saúde-Instituto Politécnico de Setúbal, 2910-761 Setúbal, Portugal.

Current clinical practice lacks consistent evidence in the management of scapular dyskinesis. This study aims to determine the short- and long-term effects of a scapular-focused exercise protocol facilitated by real-time electromyographic biofeedback (EMGBF) on pain and function, in individuals with rotator cuff related pain syndrome (RCS) and anterior shoulder instability (ASI). One-hundred and eighty-three patients were divided into two groups ( = 117 RCS and = 66 ASI) and guided through a structured exercise protocol, focusing on scapular dynamic control. Read More

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[Evaluation of treatment with intra-articular injections in osteoarticular pathology of the shoulder in primary care].

Aten Primaria 2021 Apr 22;53(7):102051. Epub 2021 Apr 22.

Medicina Familiar y Comunitaria, Servicio de Urgencias, Hospital Universitario Torrecárdenas, Almería. Instituto de Investigación Biosanitaria ibs.Granada, Granada, CIBER de Epidemiología y Salud Pública (CIEBERESP), Madrid, España.

Main Objective: To evaluate the clinical response at 24weeks after injection, measured as pain relief and functional recovery, in painful shoulder syndrome (PSS) in primary care (PC).

Design: Longitudinal case series with injection treatment in the scapulohumeral joint, describing functionality and pain evolution before and at 24weeks post injection.

Location: Non-urban primary care centres. Read More

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Management Options for Shoulder Impingement Syndrome in Athletes: Insights and Future Directions.

Open Access J Sports Med 2021 13;12:43-53. Epub 2021 Apr 13.

USC Epstein Family Center for Sports Medicine at Keck Medicine of USC, Los Angeles, CA, USA.

Athletes participating in overhead sports are at particularly high risk of shoulder impingement syndrome. Subcoracoid impingement is defined as impingement of the anterior soft tissues of the shoulder between the coracoid process and the lesser tuberosity. Subacromial impingement syndrome (SIS) occurs due to extrinsic compression of the rotator cuff between the humeral head and coracoacromial structures or intrinsic degeneration of the supraspinatus tendon and subsequent superior migration of the humerus. Read More

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Diagnostic Labels for Rotator Cuff Disease Can Increase People's Perceived Need for Shoulder Surgery: An Online Randomized Controlled Experiment.

J Orthop Sports Phys Ther 2021 Mar 31:1-45. Epub 2021 Mar 31.

Institute for Musculoskeletal Health, The University of Sydney and Sydney Local Health District, Sydney, New South Wales, Australia.

Objective: To investigate whether different labels for rotator cuff disease influence people's perceived need for surgery.

Design: Randomized controlled experiment.

Methods: Participants with and without shoulder pain read a vignette describing a patient with rotator cuff disease, and were randomized to one of six labels: and . Read More

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Differences between Patient and Surgeon Interests in Musculoskeletal Research.

Arch Bone Jt Surg 2021 Jan;9(1):85-92

Department of Surgery and Perioperative Care, Dell Medical School, The University of Texas at Austin, Austin, TX, USA.

Background: There is a growing interest in engaging patients in research priorities and project design. This study compared topics patients and surgeons would like to address in upper extremity musculoskeletal research.

Methods: We invited patients on social media-based support groups for specific musculoskeletal illnesses and members of the Science Of Variation Group to indicate the three most important research topics by disease. Read More

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January 2021

Musculoskeletal ultrasound diagnosis of quadrilateral space syndrome: A case report.

Medicine (Baltimore) 2021 Mar;100(10):e24976

Department of Ultrasound, Baoji High-tech Hospital, Baoji, Shaanxi, China.

Introduction: Quadrilateral space syndrome (QSS) is a peripheral nerve entrapment disease, which can be misdiagnosed in clinic. In the past, QSS was mainly diagnosed by clinical symptoms combined with magnetic resonance imaging (MRI), electromyography (EMG), and arterial angiography. There are few reports on the diagnosis of QSS by musculoskeletal ultrasound (MSKUS) combined with clinical symptoms. Read More

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Comparison of the effect of two different types of dry-needling techniques on subacromial impingement syndrome.

J Bodyw Mov Ther 2021 Jan 1;25:35-40. Epub 2020 Nov 1.

Student Research Committee, Department of Physiotherapy, Shiraz University of Medical Sciences, Shiraz, Iran.

Introduction: Infraspinatus is one of the main muscles that is involved in the subacromial impingement syndrome. Dry needling and routine physical therapy can improve this syndrome. However, the dry needling technique is not well defined. Read More

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January 2021

Transcranial direct current stimulation (a-tCDS) after subacromial injections in patients with subacromial pain syndrome: a randomized controlled pilot study.

BMC Musculoskelet Disord 2021 Mar 11;22(1):265. Epub 2021 Mar 11.

Research Center on Aging CIUSSS Estrie CHUS, Sherbrooke, QC, Canada.

Background: Subacromial pain syndrome (SAPS) is a common complaint in orthopaedics. Subacromial corticosteroid injections (CSI) can relieve pain in the short term. Anodal transcranial direct current stimulation (a-tDCS) has been used for symptomatic pain relief in a variety of chronic pain conditions. Read More

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Arthroscopic bursectomy less effective in the degenerative shoulder with chronic subacromial pain.

JSES Int 2021 Mar 17;5(2):220-227. Epub 2020 Dec 17.

Department of Orthopedics, Alrijne Hospital, Leiden, the Netherlands.

Background: Varying results after surgery in patients with subacromial pain syndrome (SAPS) have raised the question on whether there is a subgroup of patients that can benefit from surgery. Therefore, we aimed to identify preoperative and peroperative factors associated with a favorable patient-reported outcome after arthroscopic bursectomy in patients with SAPS.

Methods: Patients with chronic SAPS who underwent arthroscopic bursectomy after failed conservative management were included (n = 94). Read More

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Effects of diaphragm muscle treatment in shoulder pain and mobility in subjects with rotator cuff injuries: A dataset derived from a pilot clinical trial.

Data Brief 2021 Apr 12;35:106867. Epub 2021 Feb 12.

Spanish Society of Pneumology and Thoracic Surgery (SEPAR) Youth Commitee, 08029 Barcelona, Spain.

The rotator cuff inflammatory or degenerative pathology is the main cause of shoulder pain. The shoulder and diaphragm muscle have a clear relation through innervation and the connection through myofascial tissue. A prospective, randomized, controlled, single-blind (assessor) pilot clinical trial was performed with a sample size of 27 subjects with rotator cuff injuries and with clinical diagnosis of myofascial pain syndrome at shoulder. Read More

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The effects of a single-dose subacromial injection of a nonsteroidal anti-inflammatory drug in geriatric patients with subacromial impingement syndrome: a randomized double-blind study.

Clin Shoulder Elb 2021 Mar 2;24(1):4-8. Epub 2021 Mar 2.

Department of Orthopedic Surgery, Veterans Health Service Medical Center, Seoul, Korea.

Background: As nonsteroidal anti-inflammatory drugs (NSAIDs) and steroids have similar effects, steroids can be avoided to reduce adverse effects. This study aimed to compare the differences in symptom improvement after subacromial injection of steroids or NSAIDs.

Methods: Sixty patients with rotator cuff syndrome for at least 3 months were enrolled and divided into steroid and NSAID groups. Read More

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Wild-type transthyretin amyloid cardiomyopathy complicated by spinal canal stenosis, carpal tunnel syndrome, and rotator cuff tears: a case report.

Eur Heart J Case Rep 2020 Dec 6;4(6):1-6. Epub 2020 Nov 6.

Department of Cardiovascular Medicine, Graduate School of Medical Sciences, Kumamoto University, 1-1-1 Honjo, chuo-ku, Kumamoto, Kumamoto 860-8556, Japan.

Background: Wild-type transthyretin amyloid cardiomyopathy (ATTRwt-CM) is receiving increasing attention due to the availability of novel treatment options. Carpal tunnel syndrome (CTS) and lumbar spinal canal stenosis are known early symptoms of transthyretin (TTR) amyloidosis preceding the cardiac involvement and are considered as 'Red Flags' for transthyretin amyloid cardiomyopathy (ATTR-CM).

Case Summary: A 67-year-old man with a history of lumbar spinal canal stenosis for the last 10 years, right rotator cuff tears for the last 4 years, and bilateral CTS for the last 1 year was scheduled for orthopaedic surgery for lumbar spinal canal stenosis. Read More

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December 2020

Motor Control Exercises Compared to Strengthening Exercises for Upper and Lower Extremity Musculoskeletal Disorders: A Systematic Review With Meta-Analyses of Randomized Controlled Trials.

Phys Ther 2021 Feb 19. Epub 2021 Feb 19.

School of Rehabilitation, Faculty of Medicine, University of Montreal, Montreal, Quebec, Canada.

Objective: The purpose of this review was to compare the efficacy of motor control exercises (MCE) to strengthening exercises for adults with upper or lower extremity musculoskeletal disorders (MSKDs).

Methods: Electronic searches were conducted up to April 2020 in Medline, Embase, Cochrane CENTRAL and CINAHL. Randomized controlled trials (RCTs) were identified on the efficacy of MCE compared to strengthening exercises for adults with upper or lower extremity MSKDs. Read More

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February 2021

Differences in supraspinatus occupation ratio between the symptomatic, the contralateral asymptomatic shoulder and control subjects: A cross-sectional study.

Medicine (Baltimore) 2021 Feb;100(6):e24734

Department of Physiotherapy, University of Malaga, Spain. Facultad Ciencias de la Salud, Universidad de Malaga, Arquitecto Francisco Penalosa, 3, Malaga.

Abstract: The relationship between supraspinatus tendon thickness and the acromiohumeral distance (AHD) at both rest position and shoulder elevation is still to be explored in those with chronic shoulder pain. The aim is to compare supraspinatus occupation ratio (OR) at 0° and 60° of shoulder elevation measured by ultrasound imaging in the symptomatic shoulder, the contralateral asymptomatic shoulder and in healthy subjects. This was across-sectional, observational study. Read More

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February 2021

Primary reverse shoulder arthroplasty in patients with metabolic syndrome is associated with increased rates of deep infection.

J Shoulder Elbow Surg 2021 Feb 8. Epub 2021 Feb 8.

Department of Orthopedic Surgery, Mayo Clinic, Jacksonville, FL, USA. Electronic address:

Background: Metabolic syndrome (MetS) is an abnormal physiological condition that has been increasingly identified as a risk factor for complications after orthopedic surgery. Given the lack of information on the effect of MetS in shoulder arthroplasty (SA), this investigation analyzed the rates of postoperative complications and implant survivorship free from reoperation and revision in patients with and without MetS.

Methods: Between 2007 and 2017, data from 4635 adults who underwent a primary SA were collected and classified based on the presence or absence of MetS. Read More

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February 2021

Comparison of Kinesiotaping, Exercise and Subacromial Injection Treatments on Functionality and Life Quality in Shoulder Impingement Syndrome: A Randomized Controlled Study.

Indian J Orthop 2021 Feb 11;55(1):195-202. Epub 2020 Jun 11.

Department of Orthopedics and Traumatology, School of Medicine, Kirikkale University, Yurtkur Cad. No:4 Yenisehir, Ankara Yolu 7.Km., Kırıkkale Universitesi Kampusu, 71450 Yahsihan, Kirikkale Turkey.

Purpose: Disturbance of scapulohumeral rhythm has been shown to play a major role in subacromial impingement syndrome. Exercise, taping and subacromial injection are first ray conservative treatment modalities. We aimed to correct scapulohumeral rhythm with kinesio taping and exercise program via focusing on especially periscapular muscles not on glenohumeral structures to achieve scapulothorasic stabilization. Read More

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February 2021

Musculoskeletal manifestations among diabetic patients in Saudi Arabia.

J Family Med Prim Care 2020 Nov 30;9(11):5597-5600. Epub 2020 Nov 30.

Department of Family Medicine, King Abdulaziz Medical City, Riyadh, Saudi Arabia.

Context: Diabetes mellitus (DM) is one of the most common diseases worldwide. Patients with DM are prone to develop multiple musculoskeletal (MSK) manifestations, which may lead to disability and an impact on patients' quality of life. These manifestations include but not limited to, adhesive capsulitis, shoulder hand syndrome, diabetic hand syndrome, diffuse idiopathic skeletal hyperostosis, Dupuytren's contracture. Read More

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November 2020

Public Interest in Elective Orthopedic Surgery Following Recommendations During COVID-19: A Google Trends Analysis.

Cureus 2020 Dec 17;12(12):e12123. Epub 2020 Dec 17.

Orthopaedic Surgery, University of Southern California, Los Angeles, USA.

Introduction Precautions issued by organizations such as the American Academy of Orthopaedic Surgeons (AAOS) recommending against any elective, or non-essential, surgical procedures have significantly affected healthcare resource utilization by the public during the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) pandemic. In this study, we demonstrate the value of the Google Trends (GT) interface to characterize and monitor in real-time the response in public interest toward various elective orthopedic procedures. Methods Search volume databases were generated from January 2015 to May 2020 for keywords related to anterior cruciate ligament (ACL) reconstruction, elbow arthroplasty, hip arthroplasty, knee arthroplasty, and rotator cuff repair. Read More

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December 2020

Less than half of patients in secondary care adheres to clinical guidelines for subacromial pain syndrome and have acceptable symptoms after treatment: A Danish nationwide cohort study of 3306 patients.

Musculoskelet Sci Pract 2021 04 12;52:102322. Epub 2021 Jan 12.

Sports Orthopedic Research Center - Copenhagen (SORC-C), Department of Orthopedic Surgery, Copenhagen University Hospital, Amager-Hvidovre, Denmark.

Background: Evidence-based guidelines recommend exercise-therapy as first line treatment for subacromial pain syndrome, but no previous study has mapped the content of care for subacromial pain syndrome and knowledge about adherence to clinical guidelines are lacking. We aim to describe the content and outcome of current care and investigate the relationship between content and outcome of care.

Methods: We invited all patients diagnosed with subacromial pain syndrome at any Danish hospital to participate in this nationwide retrospective population-based cohort-study. Read More

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Management of muscle trigger points causing subacromial pain using dry needling technique - a case report.

J Pak Med Assoc 2020 Dec;70(12(A)):2270-2272

Department of Physical Therapy, University of Lahore, Pakistan.

We present a case of a 22-year-old university sportsman who presented at a private hospital in Lahore in December 2018 with complaint of severe pain in the anterolateral aspect of the right shoulder after playing cricket. On palpation, greater tubercle of the right shoulder was found to be tender along with the muscle belly of supraspinatus. A muscle trigger point was identified during palpation, while painful arc was also present on abduction. Read More

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December 2020

The effectiveness of routine physiotherapy with and without neuromobilization in patients with shoulder impingement syndrome.

J Pak Med Assoc 2020 Dec;70(12(B)):2322-2327

Department of Physical Therapy, University of Lahore, Lahore, Pakistan.

Objective: The purpose of this study was to evaluate the effectiveness of neuromobilization (NM) on the pain and active forward flexion in participants with shoulder impingement syndrome (SIS).

Methods: A randomized control trial was conducted in Social Security Hospital, Gujranwala. The duration of study was September 2016 to March 2018. Read More

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December 2020

The Shoulder Joint and Common Abnormalities.

Vet Clin North Am Small Anim Pract 2021 Mar 11;51(2):323-341. Epub 2021 Jan 11.

Department of Orthopedic Surgery, Nexus Veterinary Bone & Joint Center, Baltimore, MD 21224, USA. Electronic address:

The shoulder is a complex joint composed mostly of static and dynamic capsuloligamentous structures and plays an important role in forelimb lameness. Its complex anatomy and biomechanics necessitate thorough examination and diagnostic work-up for accurate diagnosis. This article provides an updated review of common canine shoulder pathologies, including osteochondrosis, bicipital and supraspinatus tendinopathies, infraspinatus contracture, medial shoulder syndrome, and luxation. Read More

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Orthopaedic Manifestations of Amyloidosis.

J Am Acad Orthop Surg 2021 May;29(10):e488-e496

From the Department of Orthopaedic Surgery, Brigham and Women's Hospital, Boston, MA (Zhang, Makhni, Kang, and Blazar), and the Harvard Medical School, Boston, MA (Zhang, Makhni, Kang, and Blazar).

Amyloidosis is a disorder of misfolded proteins in human tissues, which can result in morbid cardiac and neurological disease. Historically, the utility of tissue biopsy during orthopaedic procedures to detect amyloidosis has been limited because no disease-modifying therapies were available; however, new drug therapies have recently emerged for the treatment of amyloidosis. Although these novel pharmaceuticals show promise for slowing disease progression, they are primarily effective in the early stages of amyloidosis, underscoring the importance of early diagnosis. Read More

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Tender point examination with palpation in different shoulder pathologies: A retrospective study.

J Orthop Sci 2021 Jan 8. Epub 2021 Jan 8.

Faculty of Physical Therapy and Rehabilitation, Hacettepe University, Ankara, Turkey.

Background: Shoulder pain is a common symptom for non-traumatic shoulder pathologies and affects 4.7-66.7% of entire population. Read More

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January 2021

Musculoskeletal pathology as an early warning sign of systemic amyloidosis: a systematic review of amyloid deposition and orthopedic surgery.

BMC Musculoskelet Disord 2021 Jan 8;22(1):51. Epub 2021 Jan 8.

Houston Methodist Orthopedics & Sports Medicine, 6445 Main Street, Outpatient Center, Suite 2500, Houston, TX, 77030, USA.

Background: Transthyretin and immunoglobulin light-chain amyloidoses cause amyloid deposition throughout various organ systems. Recent evidence suggests that soft tissue amyloid deposits may lead to orthopedic conditions before cardiac manifestations occur. Pharmacologic treatments reduce further amyloid deposits in these patients. Read More

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January 2021

Effects of Ultrasound-Guided Peritendinous and Intrabursal Corticosteroid Injections on Shoulder Tendon Elasticity: A Post Hoc Analysis of a Randomized Controlled Trial.

Arch Phys Med Rehabil 2021 May 15;102(5):905-913. Epub 2020 Dec 15.

Department of Physical and Rehabilitation Medicine, Hacettepe University Medical School, Ankara, Turkey.

Objectives: The study aimed to investigate whether the shoulder tendons changed their elasticity after ultrasound-guided peritendinous or intrabursal corticosteroid injections.

Design: Post hoc secondary analysis of a double-blinded, randomized controlled study with 3 months of follow-up.

Setting: Outpatient rehabilitation clinic. Read More

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Surgical Options for Failed Rotator Cuff Repair, except Arthroplasty: Review of Current Methods.

Clin Shoulder Elb 2020 Mar 21;23(1):48-58. Epub 2020 Feb 21.

Department of Orthopedic Surgery, Seoul National University Hospital, Seoul National University College of Medicine, Seoul, Korea.

Although the prevalence of rotator cuff tears is dependent on the size, 11% to 94% of patients experience retear or healing failure after rotator cuff repair. Treatment of patients with failed rotator cuff repair ranges widely, from conservative treatment to arthroplasty. This review article attempts to summarize the most recent and relevant surgical options for failed rotator cuff repair patients, and the outcomes of each treatment, except arthroplasty. Read More

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