1,730 results match your criteria Rotator Cuff Disease


Musculoskeletal disorders and work-related musculoskeletal diseases among nursery school teachers: analysis in a sample in the city of Venice.

G Ital Med Lav Ergon 2020 Jun;42(2):82-86

Medico legale, Patronato INCA CGIL Veneto.

Summary: Objectives. Musculoskeletal disorders (MSD) represent one of the most relevant occupational problems. School teachers and particularly nursery school teachers (NST) are reported to have a high prevalence of MSD. Read More

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Shoulder pain: are there predictive factors of response to treatment and of ultrasound findings?

Acta Reumatol Port 2020 Jan-Mar;45(1):39-45

Introduction: Shoulder pain is a common cause of consultation in Primary Health Care, and may correspond to up to 30% of the reasons for consultation. Pathology of the rotator cuff is the most common cause of pain. Ultrasound is a valuable diagnostic tool in assessing shoulder disorders; it can be as effective as magnetic resonance imaging. Read More

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Zoledronic Acid Substantially Improves Bone Microarchitecture and Biomechanical Properties After Rotator Cuff Repair in a Rodent Chronic Defect Model.

Am J Sports Med 2020 Jun 16:363546520926471. Epub 2020 Jun 16.

AUVA Trauma Center Vienna-Meidling, Department for Trauma Surgery, Vienna, Austria.

Background: Bone mineral density at the humeral head is reduced in patients with chronic rotator cuff tears. Bone loss in the humeral head is associated with repair failure after rotator cuff reconstruction. Bisphosphonates (eg, zoledronic acid) increase bone mineral density. Read More

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http://dx.doi.org/10.1177/0363546520926471DOI Listing
June 2020
4.362 Impact Factor

Hip abductor tendon tears: where are we now?

Hip Int 2020 Jun 8:1120700020922522. Epub 2020 Jun 8.

The University of Auckland, Auckland, New Zealand.

Hip abductor tendon tear is a difficult problem to manage. The hip abductor mechanism is made up of the gluteus medius and minimus muscles, both of which contribute to stabilising the pelvis through the gait cycle. Tears of these tendons are likely due to iatrogenic injury during arthroplasty and chronic degenerative tendinopathy. Read More

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http://dx.doi.org/10.1177/1120700020922522DOI Listing
June 2020
0.763 Impact Factor

A biomechanical confirmation of the relationship between critical shoulder angle (CSA) and articular joint loading.

J Shoulder Elbow Surg 2020 Jun 1. Epub 2020 Jun 1.

Department of Orthopaedic Surgery and Traumatology, Hôpital Gabriel Montpied, Clermont-Ferrand, France.

Background: The critical shoulder angle (CSA) has been shown to be correlated with shoulder disease states. The biomechanical hypothesis to explain this correlation is that the CSA changes the shear and compressive forces on the shoulder. The objective of this study is to test this hypothesis by use of a validated computational shoulder model. Read More

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http://dx.doi.org/10.1016/j.jse.2020.03.002DOI Listing

Acupuncture and manual therapy for rotator cuff tears: A protocol for systematic review and meta analysis.

Medicine (Baltimore) 2020 May;99(21):e20377

The Acupuncture and Tuina School, The 3rd Teaching Hospital, Chengdu University of Traditional Chinese Medicine, Chengdu city, Sichuan province, China.

Background: The tears of rotator cuff is caused by the tears or aseptic inflammation of tendon tissue such as subscapular muscle, supraspinatus muscle, infraspinatus muscle, teres minor muscle, and so on, which make up the rotator cuff. Managements of rotator cuff disease often include acupuncture and manual therapy, usually delivered together. The aim of this review is to assess the effectiveness and safety of such interventions in patients with pain and dysfunction caused by rotator cuff tears. Read More

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http://dx.doi.org/10.1097/MD.0000000000020377DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7249925PMC

Where and what damage occurs at the acromial undersurface in patients with rotator cuff tears?

J Shoulder Elbow Surg 2020 May 12. Epub 2020 May 12.

Department of Orthopedic Surgery, Fukuoka University Faculty of Medicine, Fukuoka, Japan.

Background: The gross pathology of the acromial undersurface in shoulders with rotator cuff tears with subacromial impingement is not completely understood. Many researchers have focused on damage to the anterior one-third area of the acromial undersurface, but few have studied the middle and posterior one-third areas. The purpose of this study was to clarify where and what damage occurs at the acromial undersurface in patients with rotator cuff tears. Read More

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http://dx.doi.org/10.1016/j.jse.2020.02.002DOI Listing

Ultrasound-guided platelet-rich plasma injection for the treatment of recalcitrant rotator cuff disease in wheelchair users with spinal cord injury: A pilot study.

J Spinal Cord Med 2020 May 7:1-7. Epub 2020 May 7.

Department of Physical Medicine and Rehabilitation, Rutgers New Jersey Medical School, Newark, New Jersey, USA.

Wheelchair users with spinal cord injury (SCI) have a high risk of developing shoulder pain, caused by rotator cuff disease. Platelet-rich plasma (PRP) is a potential treatment after conservative treatments fail and prior to surgical intervention; however, it has not been tested in wheelchair users who have recalcitrant shoulder pain associated with rotator cuff disease. The objective of this pilot project was to test the safety and potential treatment effect of an ultrasound-guided PRP injection for shoulder pain in the aforementioned population. Read More

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http://dx.doi.org/10.1080/10790268.2020.1754676DOI Listing

Massive cutback in orthopaedic healthcare services due to the COVID-19 pandemic.

Knee Surg Sports Traumatol Arthrosc 2020 Jun 30;28(6):1705-1711. Epub 2020 Apr 30.

Department of Orthopaedic Surgery, Medical University of Innsbruck, Innrain 52, 6020, Innsbruck, Austria.

Purpose: Due to the lack of evidence, it was the aim of the study to investigate current possible cutbacks in orthopaedic healthcare due to the coronavirus disease 2019 pandemic (COVID-19).

Methods: An online survey was performed of orthopaedic surgeons in the German-speaking Arthroscopy Society (Gesellschaft für Arthroskopie und Gelenkchirurgie, AGA). The survey consisted of 20 questions concerning four topics: four questions addressed the origin and surgical experience of the participant, 12 questions dealt with potential cutbacks in orthopaedic healthcare and 4 questions addressed the influence of the pandemic on the particular surgeon. Read More

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http://dx.doi.org/10.1007/s00167-020-06032-2DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7192059PMC

Diabetic patients are almost twice as likely to experience complications from arthroscopic rotator cuff repair.

Shoulder Elbow 2020 Apr 27;12(2):109-113. Epub 2019 Feb 27.

Royal Derby Hospital, Derby Hospitals NHS Foundation Trust, Derby, UK.

Aims: Large population-based studies have demonstrated increased prevalence of rotator cuff disease amongst diabetics. Recent studies have suggested comparable clinical outcomes from rotator cuff repair despite suggestions of increased complication rates amongst diabetics. However, there is a relative paucity of studies considering the effect of diabetes upon complication rate. Read More

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http://dx.doi.org/10.1177/1758573219831691DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7153207PMC

Down-Regulation of Mitochondrial Metabolism after Tendon Release Primes Lipid Accumulation in Rotator Cuff Muscle.

Am J Pathol 2020 Jul 16;190(7):1513-1529. Epub 2020 Apr 16.

Department of Orthopedics, Balgrist University Hospital, Zurich, Switzerland.

Atrophy and fat accumulation are debilitating aspects of muscle diseases and are rarely prevented. Using a vertical approach combining anatomic techniques with omics methodology in a tenotomy-induced sheep model of rotator cuff disease, we tested whether mitochondrial dysfunction is implicated in muscle wasting and perturbed lipid metabolism, speculating that both can be prevented by the stimulation of β-oxidation with l-carnitine. The infraspinatus muscle lost 22% of its volume over the first 6 weeks after tenotomy before the area-percentage of lipid increased from 8% to 18% at week 16. Read More

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http://dx.doi.org/10.1016/j.ajpath.2020.03.019DOI Listing

Genetic factors in rotator cuff pathology: potential influence of col 5A1 polymorphism in outcomes of rotator cuff repair.

BMC Med Genet 2020 Apr 17;21(1):82. Epub 2020 Apr 17.

Department of Orthopaedics and Trauma Surgery, Campus Bio-Medico University of Rome, Rome, Italy.

Background: Investigations in genetics have provided valuable information about the correlation between gene variants and tendinopathy. Single Nucleotide Polymorphisms of COL5A1 gene are reported to be involved in Achilles tendinopathy, chronic degenerative tendon changes at the elbow, and other tendinopathies. The influence of Single Nucleotide Polymorphisms of COL5A1 was previously analyzed in rotator cuff disease with confounding results. Read More

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http://dx.doi.org/10.1186/s12881-020-01022-0DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7165385PMC

Editorial Commentary: Stem Cells in Rotator Cuff Surgery: In Search of the Holy Grail.

Authors:
Stephen C Weber

Arthroscopy 2020 04;36(4):981-982

The Johns Hopkins School of Medicine.

The use of stem cells in orthopaedics remains a controversial topic, stem cells remain experimental, and significant concerns exist. Studies evaluating diagnoses that may spontaneously resolve could be of low value absent a control group. Only same-day harvest of minimally manipulated stem cells is approved for use in the United States, and these minimally manipulated products may contain insufficient cells to affect outcomes. Read More

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http://dx.doi.org/10.1016/j.arthro.2020.01.011DOI Listing

Gadolinium-enhanced magnetic resonance imaging in shoulders contributes accurate diagnosis and predicting recurrence to patients with polymyalgia rheumatica.

Clin Exp Rheumatol 2020 Mar 28. Epub 2020 Mar 28.

Department of Internal Medicine, Tomakomai City Hospital, Tomakomai, Japan.

Objectives: We aimed to evaluate whether gadolinium-enhanced magnetic resonance imaging (MRI) in shoulders can contribute to more accurate diagnosis and prediction of recurrence in patients with polymyalgia rheumatica (PMR).

Methods: Gadolinium-enhanced MRI and ultrasonography (US) in shoulders were performed in the patients who had bilateral shoulders pain and fulfilled the Bird's Classification Criteria between June 2012 and June 2018. PMR was clinically diagnosed by at least two rheumatologists. Read More

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MR Imaging of the Rotator Cuff.

Authors:
Erin McCrum

Magn Reson Imaging Clin N Am 2020 May 19;28(2):165-179. Epub 2020 Feb 19.

Division of Musculoskeletal Imaging, Department of Radiology, Duke University Medical Center, Duke University, Box 3808, Durham, NC 27707, USA. Electronic address:

The cause of rotator cuff tears is multifactorial with both intrinsic and extrinsic contributing factors. Understanding the normal MR anatomy of the rotator cuff and using an appropriate search pattern can help readers identify common pathologic conditions. Accurate designation using classification systems for tear thickness, size, and degree of retraction and muscle fatty infiltration and atrophy are important in guiding surgical management. Read More

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http://dx.doi.org/10.1016/j.mric.2019.12.002DOI Listing

Safety and efficacy of treating symptomatic, partial-thickness rotator cuff tears with fresh, uncultured, unmodified, autologous adipose-derived regenerative cells (UA-ADRCs) isolated at the point of care: a prospective, randomized, controlled first-in-human pilot study.

J Orthop Surg Res 2020 Mar 30;15(1):122. Epub 2020 Mar 30.

Sanford Orthopedics & Sports Medicine Fargo, Fargo, ND, USA.

Background: This study tested the hypothesis that treatment of symptomatic, partial-thickness rotator cuff tears (sPTRCT) with fresh, uncultured, unmodified, autologous adipose-derived regenerative cells (UA-ADRCs) isolated from lipoaspirate at the point of care is safe and more effective than corticosteroid injection.

Methods: Subjects aged between 30 and 75 years with sPTRCT who did not respond to physical therapy treatments for at least 6 weeks were randomly assigned to receive a single injection of an average 11.4 × 10 UA-ADRCs (in 5 mL liquid; mean cell viability: 88%) (n = 11; modified intention-to-treat (mITT) population) or a single injection of 80 mg of methylprednisolone (40 mg/mL; 2 mL) plus 3 mL of 0. Read More

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http://dx.doi.org/10.1186/s13018-020-01631-8DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7110715PMC

[Clinical study on the control of intra-articular hemorrhage by tranexamic acid after shoulder arthroscopy].

Zhongguo Gu Shang 2020 Mar;33(3):238-41

Department of Orthopaedics of Joint Diseases, Guanghua Hospital Affiliated to Shanghai University of Traditional Chinese Medicine, Shanghai 200052, China.

Objective: To explore clinical effects of tranexamic acid on postoperative intra-articular hemorrhage after shoulder arthroscopy.

Methods: From February to July 2018, 60 patients with rotator cuff tears treated by shoulder arthroscopy were randomly divided into observation group and control group, 30 cases in each group. In observation group, there were 6 males and 24 females; aged from 55 to 70 years old with an average age of (62. Read More

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http://dx.doi.org/10.12200/j.issn.1003-0034.2020.03.010DOI Listing

Partial Infraspinatus Tendon Transection as a Means for the Development of a Translational Ovine Chronic Rotator Cuff Disease Model.

Vet Comp Orthop Traumatol 2020 May 31;33(3):212-219. Epub 2020 Mar 31.

Orthopaedic Bioengineering Research Laboratory, Colorado State University, Fort Collins, Colorado, United States.

Objective:  Rotator cuff tendon tears are the most common soft tissue injuries in the shoulder joint. Various animal models have been described for this condition, but all current translational animal models have inherent weaknesses in their ability to generate chronically degenerated rotator cuff tendons. The objective of this study was to evaluate a partial infraspinatus tendon transection model as a means of creating a chronically degenerated rotator cuff tendon in an ovine model and compare the injury characteristics of this model to those observed in human patients with severe chronic rotator cuff tendon injuries. Read More

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http://dx.doi.org/10.1055/s-0040-1701650DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7250182PMC

A Systematic Review of the Histological and Molecular Changes in the Subacromial Bursa in Rotator Cuff Disease.

J Surg Orthop Adv 2020 ;29(1):1-4

Howard University Hospital, Department of Orthopaedic Surgery and Rehabilitation, Washington, DC.

To evaluate the involvement of the subacromial bursa in the pathologic development of rotator cuff disease (RCD), a systematic review of the literature was undertaken to assess the cellular, biochemical and metabolic changes in the bursa. A systematic review was performed to identify all studies that reported histological and molecular changes in the subacromial bursa pertaining to RCD. The molecular biomarkers found to be altered in RCD included extracellular matrix enzymes, cytokines, growth factors and neuronal signals. Read More

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January 2020

Treatment of Osteochondral Fracture of the Lateral Femoral Condyle with TWINFIX Ti Suture Anchor "X"-Shaped Internal Fixation under Arthroscopy: A Surgical Technique and Three Cases Report.

Orthop Surg 2020 Apr 11;12(2):679-685. Epub 2020 Mar 11.

Investigation performed at Center for Joint Surgery, Third Affiliated Hospital of Guangxi Medical University, Nanning Second People's Hospital, Nanning, China.

Osteochondral fracture of the lateral femoral condyle is a rare intra-articular injury with or without patellar dislocation. This kind of disease is commonly seen in the knee joint sprain during strenuous activity. At present, open reduction is often used to treat osteochondral fractures. Read More

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http://dx.doi.org/10.1111/os.12632DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7189045PMC

What do Cochrane Systematic Reviews say about conservative and surgical therapeutic interventions for treating rotator cuff disease? Synthesis of evidence.

Sao Paulo Med J 2019 Nov-Dec;137(6):543-549

PhD. Physiotherapist and Professor, Universidade Federal de São Paulo (UNIFESP), Santos (SP), Brazil.

Background: Shoulder pain is considered to be the third largest cause of musculoskeletal functional alterations in individuals presenting pain during movement.

Objective: The purpose of this synthesis of evidence was to identify the clinical effectiveness of conservative and surgical treatments reported in Cochrane systematic reviews among individuals diagnosed with rotator cuff disease.

Designand Setting: Review of systematic reviews, conducted in the Federal University of São Paulo (Universidade Federal de São Paulo, UNIFESP). Read More

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http://dx.doi.org/10.1590/1516-3180.2019.0275160919DOI Listing

Physical therapy and precision rehabilitation in shoulder rotator cuff disease.

Int Orthop 2020 May 10;44(5):893-903. Epub 2020 Mar 10.

Department of Orthopaedic and Trauma Surgery, Campus Bio-Medico University, Via Alvaro del Portillo, 200, Trigoria, 00128, Rome, Italy.

Purpose: To describe the main features of the rehabilitation protocols for RC disease based on the phases of tendon healing and to investigate about the use of wearable devices as monitoring systems.

Methods: We performed a comprehensive search of PubMed, Medline, Cochrane, CINAHL, and EMBASE databases using various combination of the keywords "rotator cuff," "rotator cuff tear," "rehabilitation protocol," "accelerated," "conservative," "stiffness," "exercises," and "wearable devices." All articles concerning precision orthopaedic rehabilitation therapy in rotator cuff disease were retrieved. Read More

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http://dx.doi.org/10.1007/s00264-020-04511-2DOI Listing

Reverse Total Shoulder Arthroplasty: Technique, Decision-Making and Exposure Tips.

Curr Rev Musculoskelet Med 2020 Apr;13(2):180-185

Sports Medicine Service, Department of Orthopaedic Surgery, Keck School of Medicine, University of Southern California, 1520 San Pablo Street, Suite 2000, Los Angeles, CA, 90033, USA.

Purpose Of Review: The goal of this review is to introduce surgical decision-making pearls for reverse shoulder arthroplasty and describe optimization of surgical exposure for reverse shoulder arthroplasty.

Recent Findings: While the technology of reverse shoulder replacement and the associated prosthetic options have expanded, the principles involved in successfully exposing the humerus and glenoid in arthroplasty remain the same. Reverse shoulder replacement should be considered in arthroplasty situations with rotator cuff disease, deformity, bone loss, and instability as part of the diagnosis. Read More

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http://dx.doi.org/10.1007/s12178-020-09613-3DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7174471PMC

Shock wave therapy for rotator cuff disease with or without calcification.

Cochrane Database Syst Rev 2020 03 4;3:CD008962. Epub 2020 Mar 4.

Monash University, Monash Department of Clinical Epidemiology, Cabrini Institute and Department of Epidemiology and Preventive Medicine, School of Public Health and Preventive Medicine, Melbourne, Australia.

Background: Shock wave therapy has seen widespread use since the 1990s to treat various musculoskeletal disorders including rotator cuff disease, but evidence of its efficacy remains equivocal.

Objectives: To determine the benefits and harms of shock wave therapy for rotator cuff disease, with or without calcification, and to establish its usefulness in the context of other available treatment options.

Search Methods: We searched Ovid MEDLINE, Ovid Embase, CENTRAL, ClinicalTrials. Read More

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http://dx.doi.org/10.1002/14651858.CD008962.pub2DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7059880PMC

Risk factors for surgery due to rotator cuff disease in a population-based cohort.

Bone Joint J 2020 Mar;102-B(3):352-359

Department of Orthopaedic Surgery, Washington University School of Medicine, St. Louis, Missouri, USA.

Aims: Few risk factors for rotator cuff disease (RCD) and corresponding treatment have been firmly established. The aim of this study was to evaluate the relationship between numerous risk factors and the incidence of surgery for RCD in a large cohort.

Methods: A population-based cohort of people aged between 40 and 69 years in the UK (the UK Biobank) was studied. Read More

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http://dx.doi.org/10.1302/0301-620X.102B3.BJJ-2019-0875.R1DOI Listing

Point-of-Care Ultrasonography.

Am Fam Physician 2020 03;101(5):275-285

Naval Hospital Jacksonville, Jacksonville, FL, USA.

Point-of-care ultrasonography (POCUS) is performed by a physician at the bedside and is standard practice in obstetric, emergency, and musculoskeletal medicine. When compared with formal sonography, POCUS is equivalent in screening for abdominal aortic aneurysm and as accurate in diagnosing deep venous thrombosis. POCUS has high accuracy for diagnosing pneumonia and detecting acute decompensated heart failure but is less accurate than computed tomography for identifying pulmonary embolism. Read More

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Subacromial Decompression Is Not Beneficial for the Management of Rotator Cuff Disease.

JBJS Rev 2020 Jan;8(1):e0045

Hospital Italiano de Buenos Aires, Buenos Aires, Argentina.

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http://dx.doi.org/10.2106/JBJS.RVW.19.00045DOI Listing
January 2020

Minimal clinically important differences in the American Shoulder and Elbow Surgeons, Simple Shoulder Test, and visual analog scale pain scores after arthroscopic rotator cuff repair.

J Shoulder Elbow Surg 2020 Jul 17;29(7):1406-1411. Epub 2020 Feb 17.

Division of Epidemiology, Study Design and Biostatistics Center, University of Utah School of Medicine, Salt Lake City, UT, USA.

Background: Minimal clinically important differences (MCIDs) for different patient outcome scores have been reported for various shoulder diseases, including shoulder arthroplasty and the nonoperative treatment of rotator cuff disease. The purpose of this study was to assess the MCID for the American Shoulder and Elbow Surgeons Standardized Shoulder Assessment Form (ASES) score, the Simple Shoulder Test (SST), and a visual analog scale (VAS) measuring pain, after arthroscopic rotator cuff repair.

Methods: A total of 202 patients who underwent arthroscopic rotator cuff repair were retrospectively reviewed. Read More

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http://dx.doi.org/10.1016/j.jse.2019.11.018DOI Listing

Dose-Response Relationship between Physical Workload and Specific Shoulder Diseases-A Systematic Review with Meta-Analysis.

Int J Environ Res Public Health 2020 02 14;17(4). Epub 2020 Feb 14.

Division of Occupational Health, Department of Occupational Safety and Environment, Regional Government of South Hesse, 65197 Wiesbaden, Germany.

Several epidemiological studies have found an association between shoulder-loaded work activities and specific shoulder diseases. No study has derived the dose-response relationship and resulting doubling dose, important for the recognition of occupational diseases. This systematic review is an update of the van der Molen et al. Read More

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http://dx.doi.org/10.3390/ijerph17041243DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7068556PMC
February 2020

Prevalence and risk factors for development of subscapularis and biceps pathology in shoulders with degenerative rotator cuff disease: a prospective cohort evaluation.

J Shoulder Elbow Surg 2020 Mar;29(3):451-458

Department of Orthopaedic Surgery, Washington University in St. Louis, St. Louis, MO, USA. Electronic address:

Background: The prevalence of subscapularis and long head of biceps (LHB) in relation to the presence and severity of posterosuperior (PS) rotator cuff disease is not known.

Methods: Subjects with asymptomatic rotator cuff tears were enrolled for this prospective longitudinal study (n = 354) and followed annually with shoulder ultrasonography and clinical evaluations to assess for the presence of subscapularis, LHB, and PS rotator cuff pathology and pain development.

Results: Subscapularis pathology developed in 14% of shoulders over a median follow-up of 5 years, with partial-thickness tearing occurring most commonly (83%). Read More

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http://dx.doi.org/10.1016/j.jse.2019.11.012DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7178076PMC

Reconstruction of the Shoulder and Humerus in Metastatic Bone Disease.

Instr Course Lect 2019 ;68:577-584

Metastatic disease involving the skeleton most often affects the spine, pelvis, and proximal long bones of the extremities. In the upper extremity, the proximal humerus is frequently affected. Although many of the principles of managing metastatic bone disease are similar, regardless of the metastatic site, the upper extremity has some unique anatomic and functional traits that warrant consideration when making management decisions. Read More

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February 2020

Navigating the Research in Rotator Cuff Disease: An Evidence-Based Approach to Improved Patient Outcomes.

Instr Course Lect 2019 ;68:53-64

Rotator cuff tears are prevalent injuries, yet their management and identifying patients who will benefit from surgical intervention are controversial topics. Population studies demonstrate high rates of asymptomatic tears that, with time, show a general progression of the pathologic state. However, not all tears are or will become symptomatic or require surgical intervention. Read More

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February 2020

Editorial Commentary: It's Déjà Vu All Over Again: Critical Shoulder Angle X-ray Measurements Do Correlate With Disease if the X-rays Are Carefully Taken.

Authors:
David W Shenton

Arthroscopy 2020 02;36(2):576-578

The critical shoulder angle and its correlation with rotator cuff tears and alternatively glenohumeral osteoarthritis has become a popular research topic in recent years. With carefully standardized x-rays, a correlation emerges. This development has generated interest in potential clinical usefulness for this measurement, as well as possible surgical interventions to modify the course of these shoulder problems. Read More

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http://dx.doi.org/10.1016/j.arthro.2019.11.106DOI Listing
February 2020

General practice management of rotator cuff related shoulder pain: A reliance on ultrasound and injection guided care.

PLoS One 2020 13;15(1):e0227688. Epub 2020 Jan 13.

Physiotherapy Department, School of Primary and Allied Health Care, Faculty of Medicine Nursing and Health Sciences, Monash University, Victoria, Australia.

Objective: To describe general practitioner's (GP's) current management of rotator cuff related shoulder pain (RCRP) in Australia and identify if this is consistent with recommended care and best available evidence. The secondary aim was to determine if GP management of RCRP changed over time.

Methods: Data about management of RCRP by Australian GPs was extracted from the Bettering the Evaluation of Care of Health program database over its final five years (April 2011-March 2016). Read More

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http://journals.plos.org/plosone/article?id=10.1371/journal.pone.0227688PLOS
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6957186PMC

Arthroscopic Treatment of an Unusual Intramuscular Calcium Hydroxyapatite Crystal Deposit on the Rotator Cuff.

Arthrosc Tech 2019 Oct 19;8(10):e1093-e1097. Epub 2019 Sep 19.

Department of Orthopedics and Traumatology, Universidade Federal de São Paulo, Escola Paulista de Medicina, São Paulo, SP, Brazil.

Hydroxyapatite crystal deposition disease and its pathophysiology are poorly understood; however, it is known that calcific tendinitis is the most common condition related to this deposition in the upper limb. Movement of the crystals toward the myotendinous junction is rare; to the best of our knowledge, only 19 cases have been described in the literature, one of which was a case of intramuscular deposition without migration. The purpose of this technical note is to describe the technical details of the arthroscopic treatment of intramuscular calcium hydroxyapatite deposits without intratendinous migration. Read More

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http://dx.doi.org/10.1016/j.eats.2019.05.027DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6948138PMC
October 2019

Acupuncture for symptomatic rotator cuff disease: Protocol for a systematic review and meta-analysis.

Medicine (Baltimore) 2020 Jan;99(2):e18716

Department of Acupuncture & Moxibustion Medicine, Pusan National University Korean Medicine Hospital.

Background: Rotator cuff disease (RCD) consists of subacromial impingement syndrome, rotator cuff tendinopathy or tendinitis, partial or full rotator cuff tear, calcific tendinitis, and subacromial bursitis. Acupuncture has been suggested as a meaningful nonsurgical intervention for managing shoulder pain and dysfunction. However, previous reviews have not completely addressed the role of acupuncture in the management of RCDs. Read More

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http://dx.doi.org/10.1097/MD.0000000000018716DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6959934PMC
January 2020

Content reporting of exercise interventions in rotator cuff disease trials: results from application of the Consensus on Exercise Reporting Template (CERT).

BMJ Open Sport Exerc Med 2019 22;5(1):e000656. Epub 2019 Dec 22.

Cabrini Institute, Monash Department of Clinical Epidemiology, Melbourne, Victoria, Australia.

Background: Exercise interventions are frequently recommended for patients with rotator cuff disease, but poor content reporting in clinical trials of exercise limits interpretation and replication of trials and clinicians' ability to deliver effective exercise protocols. The Consensus on Exercise Reporting Template (CERT) was developed to address this problem.

Objective: To assess completeness of content reporting of exercise interventions in randomised controlled trials for patients with rotator cuff disease and the inter-rater reliability of the CERT. Read More

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http://dx.doi.org/10.1136/bmjsem-2019-000656DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6936978PMC
December 2019

The 5-Factor Modified Frailty Index Predicts Complications, Hospital Admission, and Mortality Following Arthroscopic Rotator Cuff Repair.

Arthroscopy 2020 02 31;36(2):383-388. Epub 2019 Dec 31.

Department of Orthopaedics, Medical University of South Carolina, Charleston, South Carolina, U.S.A.

Introduction: The purpose of this study is to evaluate the utility of the modified frailty index-5 (mFI-5) as a predictor for postoperative complications in patients undergoing arthroscopic rotator cuff repair (RCR).

Methods: The National Surgical Quality Improvement Program database was queried for patients undergoing arthroscopic RCR between 2006 and 2016. The mFI-5, a 5-factor score comprising comorbid diabetes, hypertension, congestive heart failure, chronic obstructive pulmonary disease, and functional status limiting independence, was calculated for each patient. Read More

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http://dx.doi.org/10.1016/j.arthro.2019.08.036DOI Listing
February 2020

Translation, cross-cultural adaptation and validation of the polish version of the Oxford Shoulder Score in patients undergoing arthroscopic rotator cuff repair.

Health Qual Life Outcomes 2019 Dec 30;17(1):191. Epub 2019 Dec 30.

Medical College of Rzeszow University, Institute of Health Sciences, ul. Warzywna 1A, 35-310, Rzeszów, Poland.

Background: The Oxford Shoulder Score (OSS) is a simple and reliable, joint-specific, self-reported outcome measure. It can be applied in patients with shoulder disease other than instability. The purpose of this study was to perform a translation, cultural adaptation of the Polish version of the OSS and to evaluate its selected psychometric properties in patients after arthroscopic rotator cuff repair. Read More

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http://dx.doi.org/10.1186/s12955-019-1263-1DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6937923PMC
December 2019

Partial thickness rotator cuff tears: Patient demographics and surgical trends within a large insurance database.

J Orthop 2020 Jan-Feb;17:158-161. Epub 2019 Aug 14.

Holy Cross Hospital, Orthopedic Research Institute, 5597 North Dixie Highway, Ft. Lauderdale, FL, 33308, USA.

Introduction: Partial thickness rotator cuff tears (PTRCT) are a common injury reported in 13-32% of the population, yet most of the current literature focuses on full thickness rotator cuff tears. Therefore, the purpose of this study was to analyze trends among patients with PTRCT including: (1) demographics; (2) comorbidities; (3) cost of care; (4) setting of initial diagnosis; and (5) change in incidence of PTRCT or surgical approach over time.

Methods: A Medicare patient-population consisting of 44 million lives was retrospectively analyzed from 2007 to 2017 using International Classification of Disease, 9th Revision (ICD-9) codes. Read More

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http://dx.doi.org/10.1016/j.jor.2019.08.027DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6919381PMC

Intravenous Administration of Tranexamic Acid Significantly Improved Clarity of the Visual Field in Arthroscopic Shoulder Surgery. A Prospective, Double-Blind, and Randomized Controlled Trial.

Arthroscopy 2020 03 20;36(3):640-647. Epub 2019 Dec 20.

Department of Orthopaedic Surgery, National Cheng Kung University Hospital, College of Medicine, National Cheng Kung University, Tainan, Taiwan; Skeleton Materials and Bio-compatibility Core Lab, Research Center of Clinical Medicine, National Cheng Kung University Hospital, College of Medicine, National Cheng Kung University, Tainan, Taiwan. Electronic address:

Purpose: To determine whether intravenous administration of tranexamic acid (TXA) before shoulder arthroscopic rotator cuff repair surgery can improve arthroscopy visual clarity.

Methods: This was a prospective, double-blind, randomized, and placebo-controlled study. From May 2016 to April 2018, patients requiring arthroscopic rotator cuff repair were enrolled and randomly assigned to either the TXA group. Read More

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http://dx.doi.org/10.1016/j.arthro.2019.10.020DOI Listing

Biomechanical analysis of the humeral head coverage, glenoid inclination and acromio-glenoidal height as isolated components of the critical shoulder angle in a dynamic cadaveric shoulder model.

Clin Biomech (Bristol, Avon) 2020 Feb 6;72:115-121. Epub 2019 Dec 6.

Department of Orthopaedic Surgery and Traumatology, University of Berne, Insel Hospital, Switzerland.

Background: The Critical Shoulder Angle was introduced as a combined radiographic surrogate parameter reflecting the influence of the morphological characteristics of the scapula on the development of degenerative shoulder disease such as rotator cuff tears and osteoarthritis. Although, glenoid inclination and lateral extension of the acromion were studied in biomechanical models separately, no investigation included all three individual parameters that determine the Critical Shoulder Angle: glenoid inclination, acromial coverage and acromial height in one cadaveric study protocol.

Methods: Three proximal humerus cadavers were attached to a robotic shoulder simulator which allowed for independent change of either lateral acromial coverage, glenoid inclination or acromial height. Read More

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http://dx.doi.org/10.1016/j.clinbiomech.2019.12.003DOI Listing
February 2020

Adverse Impact of Corticosteroid Injection on Rotator Cuff Tendon Health and Repair: A Systematic Review.

Arthroscopy 2020 05 17;36(5):1468-1475. Epub 2019 Dec 17.

Tufts Medical Center, Boston, Massachusetts.

Purpose: To assess adverse effects of preoperative corticosteroid injections (CSIs) in patients with rotator cuff disease, especially before rotator cuff repair (RCR).

Methods: A systematic review of the MEDLINE database was performed according to guidelines from the Preferred Reporting Item for Systematic Reviews and Meta-Analyses for all studies reporting on adverse clinical effects of CSIs on rotator cuff tendon.

Results: A total of 8 articles were identified that report on adverse outcomes and risks associated with corticosteroid injections in the setting of rotator cuff tendinosis. Read More

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http://dx.doi.org/10.1016/j.arthro.2019.12.006DOI Listing

Associations of Preoperative Patient Mental Health and Sociodemographic and Clinical Characteristics With Baseline Pain, Function, and Satisfaction in Patients Undergoing Rotator Cuff Repairs.

Am J Sports Med 2020 02 18;48(2):432-443. Epub 2019 Dec 18.

Investigation performed at Cleveland Clinic, Cleveland, Ohio, USA.

Background: Shoulder pain and dysfunction are common indications for rotator cuff repair surgery, yet the factors that are associated with these symptoms are not fully understood.

Purpose/hypothesis: This study aimed to investigate the associations of patient and disease-specific factors with baseline patient-reported outcome measures (PROMs) in patients undergoing rotator cuff repair. We hypothesized that tear size and mental health status, as assessed by the Veterans RAND 12-Item Health Survey mental component score (VR-12 MCS), would be associated with baseline total Penn Shoulder Score (PSS) and its pain, function, and satisfaction subscale scores. Read More

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http://dx.doi.org/10.1177/0363546519892570DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7033571PMC
February 2020

Intratendinous Injection of Mesenchymal Stem Cells for the Treatment of Rotator Cuff Disease: A 2-Year Follow-Up Study.

Arthroscopy 2020 04 3;36(4):971-980. Epub 2019 Dec 3.

Department of Orthopedic Surgery, Seoul National University College of Medicine, SMG-SNU Boramae Medical Center, Seoul, Republic of Korea.

Purpose: To assess the mid-term safety and efficacy of an intratendinous injection of autologous adipose tissue-derived mesenchymal stem cells (AD MSCs) for rotator cuff disease at 2-year follow-up.

Methods: The first part of the study consisted of 3 dose-escalation groups, with 3 patients each, for the evaluation of safety: low-dose (1.0 × 10 cells), mid-dose (5. Read More

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http://dx.doi.org/10.1016/j.arthro.2019.11.120DOI Listing
April 2020
3.206 Impact Factor

Primary reverse shoulder arthroplasty in patients older than 80 years of age: survival and outcomes.

Bone Joint J 2019 12;101-B(12):1520-1525

Department of Orthopedic Surgery, Mayo Clinic, Rochester, Minnesota, USA.

Aims: Reverse shoulder arthroplasty (RSA) reliably improves shoulder pain and function for a variety of indications. However, the safety and efficacy of RSA in elderly patients is largely unknown. The purpose of this study was to report the mortality, morbidity, complications, reoperations, and outcomes of primary RSA in patients aged > 80 years. Read More

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http://dx.doi.org/10.1302/0301-620X.101B12.BJJ-2018-1571.R2DOI Listing
December 2019

Editorial Commentary: Bad For Your Cuff. Smoking Causes Alterations in Gene Expression Resulting in Inflammation, Fatty Degeneration, and Fibrosis. Or Maybe Not?

Authors:
Erik Hohmann

Arthroscopy 2019 12;35(12):3192-3193

Gene expression is the transcription from DNA to RNA and then translation into proteins or other mediators. Smoking causes alterations in gene expression and can result in inflammatory changes, fatty degeneration, and fibrosis in patients with rotator cuff disease. Whether the smoking-related upregulation of inflammatory mediators such as interleukin 6 and C-reactive protein is one of the responsible factors for rotator cuff tears and also influences healing after surgery is currently not known. Read More

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http://dx.doi.org/10.1016/j.arthro.2019.07.029DOI Listing
December 2019

Reports of atypical shoulder pain and dysfunction following inactivated influenza vaccine, Vaccine Adverse Event Reporting System (VAERS), 2010-2017.

Vaccine 2020 01 26;38(5):1137-1143. Epub 2019 Nov 26.

Immunization Safety Office, Division of Healthcare Quality Promotion, National Center for Emerging and Zoonotic Infectious Diseases, Centers for Disease Control and Prevention (CDC), United States.

Background: Vaccines administered into or too close to underlying joint structures have the potential to cause shoulder injuries. Limited data exist on the epidemiology of such events.

Objective: To describe case reports of atypical shoulder pain and dysfunction following injection of inactivated influenza vaccine (IIV). Read More

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http://dx.doi.org/10.1016/j.vaccine.2019.11.023DOI Listing
January 2020

Shoulder Injury Related to Vaccine Administration (SIRVA): Petitioner claims to the National Vaccine Injury Compensation Program, 2010-2016.

Vaccine 2020 01 23;38(5):1076-1083. Epub 2019 Nov 23.

National Vaccine Injury Compensation Program, Health Resources and Services Administration, U.S. Department of Health and Human Services, 5600 Fishers Lane, Rockville, MD 20857, United States.

Background: Since 2010, petitioner claims of shoulder injury related to vaccine administration (SIRVA) to the National Vaccine Injury Compensation Program (VICP) have been increasing.

Objective: To conduct a scientific review of clinical characteristics of SIRVA petitions to the VICP.

Methods: We queried the VICP's Injury Compensation System database for medical reports of alleged SIRVA and SIRVA-like injuries. Read More

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http://dx.doi.org/10.1016/j.vaccine.2019.11.032DOI Listing
January 2020