1,995 results match your criteria Rotator Cuff Disease


Does Suprascapular Nerve Release Provide Additional Benefits for Rotator Cuff Repair: a Systematic Review and Meta-Analysis.

J Shoulder Elbow Surg 2022 Jun 20. Epub 2022 Jun 20.

Department of Physical Medicine and Rehabilitation, National Taiwan University, College of Medicine, Taipei, Taiwan; Department of Physical Medicine and Rehabilitation, National Taiwan University, Hospital, Bei-Hu Branch, Taipei, Taiwan; Center for Regional Anesthesia and Pain Medicine, Wang-Fang Hospital, Taipei Medical University, Taipei, Taiwan. Electronic address:

Background: There is still a lack of consensus regarding whether suprascapular nerve decompression should be routinely performed with rotator cuff repair. Therefore, this meta-analysis aimed to evaluate whether additional suprascapular nerve release (SSNR) could improve shoulder functional outcomes and pain relief more than rotator cuff repair alone.

Material And Methods: We performed a literature review of electronic databases for non-comparative and comparative studies investigating the effect of SSNR in patients undergoing rotator cuff repair. Read More

View Article and Full-Text PDF

Utilization of MRI in surgical decision making in the shoulder.

BMC Musculoskelet Disord 2022 Jun 18;23(1):588. Epub 2022 Jun 18.

Department of Orthopaedics, University of British Columbia, Chan Gunn Pavilion, Allen McGavin Sports Medicine Clinic, 2553 Wesbrook Mall, Vancouver, BC, V6T1Z3, Canada.

Background: The aim of this study is to evaluate both the utility of MRI scans and reports used in the current practice routine of shoulder surgeons and their surgical decision-making process.

Methods: Ninety-three shoulder-specialised orthopaedic surgeons of the Canadian Shoulder and Elbow Society (CSES) Orthopaedic Association were surveyed in 2020 anonymously online to help identify the use of MR-imaging and reports in managing shoulder disorders and surgical decision process.

Results: Thirty out of 93 (32. Read More

View Article and Full-Text PDF

Cryoanalgesia for shoulder pain: a motor-sparing approach to rotator cuff disease.

Reg Anesth Pain Med 2022 Jun 14. Epub 2022 Jun 14.

Anesthesia, Toronto Western Hospital, University Health Network, Toronto, Ontario, Canada.

Introduction: Rotator cuff disease is a common cause of musculoskeletal pain and disability, and the management can be challenging. Joint denervation emerges as a new technique, but the literature on shoulder neural ablation procedure is largely limited to pulsed radiofrequency due to the concern of motor impairment. We described a novel motor-sparing approach of cryoablation for the management of shoulder pain based on the recent literature on the innervation of shoulder. Read More

View Article and Full-Text PDF

Patients with Dual Shoulder-Spine Disease: Does Operative Order Affect Clinical Outcomes?

World Neurosurg 2022 Jun 10. Epub 2022 Jun 10.

Department of Orthopaedic Surgery, Rothman Orthopaedic Institute at Thomas Jefferson University Hospital, Philadelphia, PA 19107.

Objectives: To 1) analyze the effect of operative sequence (anterior cervical discectomy and fusion (ACDF) first or rotator cuff repair (RCR) first) on surgical outcomes following both procedures for patients with dual shoulder-spine injuries and to 2) determine how operative sequence affects patient-reported outcome measures (PROMs) following surgery.

Methods: Patients > 18 years of age who underwent primary ACDF and primary RCR at our institution were retrospectively identified. Only patients with overlapping symptoms prior to the first procedure were included. Read More

View Article and Full-Text PDF

Advances in Stem Cell Therapies for Rotator Cuff Injuries.

Front Bioeng Biotechnol 2022 25;10:866195. Epub 2022 May 25.

School of Sport Medicine and Rehabilitation, Beijing Sport University, Beijing, China.

Rotator cuff injury is a common upper extremity musculoskeletal disease that may lead to persistent pain and functional impairment. Despite the clinical outcomes of the surgical procedures being satisfactory, the repair of the rotator cuff remains problematic, such as through failure of healing, adhesion formation, and fatty infiltration. Stem cells have high proliferation, strong paracrine action, and multiple differentiation potential, which promote tendon remodeling and fibrocartilage formation and increase biomechanical strength. Read More

View Article and Full-Text PDF

Posttreatment Imaging of the Shoulder.

Semin Musculoskelet Radiol 2022 Jun 2;26(3):258-270. Epub 2022 Jun 2.

Department of Radiology, Cantonal Hospital Grisons, Chur, Switzerland.

The shoulder joint is vulnerable for injuries following trauma and in the context of sporting activities. Degenerative rotator cuff disease is also a common entity. Conservative therapy is often not indicated or does not lead to the desired success, so surgical intervention is necessary. Read More

View Article and Full-Text PDF

Evaluation of Patient Preference and Perception Regarding the Clinical Use of Autologous Versus Allogeneic Cell Therapy in Orthopedic Surgery.

HSS J 2022 May 22;18(2):240-247. Epub 2021 May 22.

Hospital for Special Surgery, New York, NY, USA.

Cell therapy has become a hot topic in orthopedics, with significant research dedicated to improving physicians' understanding of its efficacy. However, little is known about patients' cell therapy knowledge. : The aims of this study were to (1) evaluate patients' perceptions of cell therapy in orthopedics, (2) determine whether patients have a preference for autologous or allogeneic cell therapy, and (3) assess patient concerns about cell therapy. Read More

View Article and Full-Text PDF

Injection of adipose stem cells in the treatment of rotator cuff disease - a narrative review of current evidence.

Regen Med 2022 07 19;17(7):477-489. Epub 2022 May 19.

Department of Orthopedic Surgery, Henry Ford Hospital, Detroit, MI 48202, USA.

The purpose of this study is to summarize evidence for the use of adipose stem cell (ASC) injections in the treatment of rotator cuff tears (RCT) and identify future areas of study. A thorough literature search was performed to identify studies investigating the use of ASC injections in the treatment of RCTs. Among animal trials, it is unclear whether ASCs are of benefit for rotator cuff repair. Read More

View Article and Full-Text PDF

Alteration of coracoacromial ligament thickness at the acromial undersurface in patients with rotator cuff tears.

JSES Int 2022 May 27;6(3):468-472. Epub 2022 Jan 27.

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

Background: Some researchers have stated that magnetic resonance imaging (MRI) is useful for assessing the coracoacromial ligament (CAL) at the acromial undersurface. However, few studies have investigated the reliability and clinical significance of MRI findings for the CAL at the acromial undersurface. The purpose of this study was to determine the association between CAL thickness at the acromial undersurface and rotator cuff tear size. Read More

View Article and Full-Text PDF

Kinesiology Taping for Rotator Cuff Disease.

Am Fam Physician 2022 May;105(5):467-468

Uniformed Services University of the Health Sciences, Bethesda, MD, USA.

View Article and Full-Text PDF

MRI findings in atraumatic shoulder pain-patterns of disease correlated with age and gender.

Ir J Med Sci 2022 May 10. Epub 2022 May 10.

Department of Radiology, National Orthopaedic Hospital, CappaghDublin 11, Finglas, Ireland.

Background: The rotator cuff is a group of muscles and tendons which support the shoulder joint. Rotator cuff disease is a frequent cause of morbidity in adulthood.

Aims: The aims of his study are to determine the prevalence and patterns of rotator cuff derangement in symptomatic patients using MRI and to attempt to correlate identified patterns of disease with age and gender METHODS: Five hundred ninety-seven patients attending for MRI of the shoulder with atraumatic shoulder pain were included for study. Read More

View Article and Full-Text PDF

H-loop Knotless Double-Row Repair Versus Knotted Suture Bridge for Rotator Cuff Tears: A Biomechanical and Histological Study in an Animal Model [Formula: see text].

Am J Sports Med 2022 Jun 10;50(7):1948-1959. Epub 2022 May 10.

Department of Orthopedics, Sun Yat-sen Memorial Hospital, Sun Yat-sen University, Guangdong, China.

Background: Knotted suture bridge repair (KSBR) has been widely proven to be an effective method for rotator cuff repairs. However, the occurrence of type 2 failure after suture bridge repair remains a frequent problem because of the stress concentration and disturbance of tendon perfusion in the medial row. The authors have developed the H-loop knotless double-row repair (HLDR) to counteract these problems. Read More

View Article and Full-Text PDF

Obesity and Reverse Total Shoulder Arthroplasty.

Curr Rev Musculoskelet Med 2022 Jun 5;15(3):180-186. Epub 2022 May 5.

Heartland Orthopedic Specialists, 111 17th Ave E, Ste 101, Alexandria, MN, 56308, USA.

Purpose Of Review: Rates of obesity and reverse total shoulder arthroplasty (rTSA) in the USA have both escalated with time. Obese patients experience arthritis at higher rates than normal weight patients; therefore, these numbers go hand in hand. Obesity has been correlated with health comorbidities such as anxiety, cardiovascular disease, diabetes, and metabolic syndrome as well as poorer outcomes and higher complication rates following lower extremity arthroplasty. Read More

View Article and Full-Text PDF

No Difference in Clinical Outcomes for Arthroscopic Suprapectoral Versus Open Subpectoral Biceps Tenodesis at Midterm Follow-up: A Randomized Prospective Analysis.

Am J Sports Med 2022 05;50(6):1486-1494

Department of Sports Medicine, Midwest Orthopaedics at Rush, Chicago, Illinois, USA.

Background: We have previously reported the 1-year outcomes of arthroscopic suprapectoral biceps tenodesis (ASPBT) versus open subpectoral biceps tenodesis (OSPBT) for the management of long head of the biceps tendon (LHBT) pathology. While patients had similar 1-year biceps muscle strength and pain, longer-term functional outcomes are unknown.

Purpose: To directly compare clinical outcomes of ASPBT versus OSPBT with interference screw fixation, distal to the bony bicipital groove, at a minimum of 2 years' follow-up. Read More

View Article and Full-Text PDF

The Effect of Sex Hormone Deficiency on the Incidence of Rotator Cuff Repair: Analysis of a Large Insurance Database.

J Bone Joint Surg Am 2022 05 12;104(9):774-779. Epub 2022 Apr 12.

Department of Orthopaedic Surgery, University of Utah, Salt Lake City, Utah.

Background: The purpose of the present study was to analyze the association between sex hormone deficiency and rotator cuff repair (RCR) with use of data from a large United States insurance database.

Methods: A retrospective analysis of insured subjects from the Truven Health MarketScan database was conducted, collecting data for RCR cases as well as controls matched for age, sex, and years in the database. Multivariable logistic regression models adjusted for matching variables were utilized to compare RCR status with estrogen deficiency status and testosterone deficiency status. Read More

View Article and Full-Text PDF

A Positive Correlation between Steroid Injections and Cuff Tendon Tears: A Cohort Study Using a Clinical Database.

Int J Environ Res Public Health 2022 04 8;19(8). Epub 2022 Apr 8.

Department of Physical Medicine and Rehabilitation, Tri-Service General Hospital, School of Medicine, National Defense Medical Center, Taipei 114202, Taiwan.

This cohort study aimed to investigate the association between steroid injections for shoulder diseases and the increased incidence of cuff tendon tears. The Kaohsiung Veterans General Hospital clinical database was used in this study. Patients were enrolled using the corresponding diagnostic codes for shoulder diseases. Read More

View Article and Full-Text PDF

Risk Factor Analysis for Predicting the Onset of Rotator Cuff Calcific Tendinitis Based on Artificial Intelligence.

Comput Intell Neurosci 2022 11;2022:8978878. Epub 2022 Apr 11.

Department of Spine Surgery, The Second Affiliated Hospital of Dalian Medical University, Dalian 116023, China.

Background: Symptomatic rotator cuff calcific tendinitis (RCCT) is a common shoulder disorder, and approaches combined with artificial intelligence greatly facilitate the development of clinical practice. Current scarce knowledge of the onset suggests that clinicians may need to explore this disease thoroughly.

Methods: Clinical data were retrospectively collected from subjects diagnosed with RCCT at our institution within the period 2008 to 2020. Read More

View Article and Full-Text PDF

Evidence of rotator cuff disease after breast cancer treatment: scapular kinematics of post-mastectomy and post-reconstruction breast cancer survivors.

Ann Med 2022 12;54(1):1058-1066

School of Rehabilitation Science, College of Medicine, University of Saskatchewan, Saskatoon, Canada.

Background: Breast cancer survivors may be at risk of experiencing rotator cuff disease after treatment. Biomechanical alterations following surgery potentially predispose survivors to develop this disorder.

Objective: To examine scapular kinematics in breast cancer survivors with and without impingement pain during an overhead reach task. Read More

View Article and Full-Text PDF
December 2022

Progression of rotator cuff tendon pathology in manual wheelchair users with spinal cord injury: A 1-year longitudinal study.

J Spinal Cord Med 2022 Apr 14:1-11. Epub 2022 Apr 14.

Division of Health Care Delivery Research, Robert D. and Patricia E. Kern Center for the Science of Health Care Delivery, Mayo Clinic, Rochester, Minnesota, USA.

Objective: To investigate the progression of rotator cuff tendon pathology across one year in manual wheelchair (MWC) users with spinal cord injury (SCI) and matched able-bodied individuals, and to explore the association between pain, age, and duration of wheelchair use with the progression of rotator cuff pathology.

Design: Longitudinal cohort study, 1-year follow-up.

Setting: Outpatient clinic at a tertiary medical center. Read More

View Article and Full-Text PDF

Value of a clinical test of sub-acromial impingement to predict response to physiotherapy with dynamic humeral centering: A preliminary study.

J Back Musculoskelet Rehabil 2022 Mar 18. Epub 2022 Mar 18.

Service de Médecine Physique et de Réadaptation, Hôpital Lariboisière-Fernand-Widal, Département Médico-Universitaire Locomotion, AP-HP, Université de Paris, Paris, France.

Background: Dynamic humeral centering (DHC) is a physiotherapy modality that aims to prevent sub-acromial impingement of rotator cuff tendons. We recently developed a new clinical manoeuver - the Viggo-Cochin test - to enhance the ability of the Neer test to detect sub-acromial impingement. Here we hypothesised whether the DHC effect may differ between individuals with positive and negative Viggo-Cochin test results. Read More

View Article and Full-Text PDF

Etiologic Factors of Rotator Cuff Disease in Elderly: Modifiable Factors in Addition to Known Demographic Factors.

Int J Environ Res Public Health 2022 03 21;19(6). Epub 2022 Mar 21.

Department of Rehabilitation Medicine, Pusan National University Yangsan Hospital, Yangsan-si 50612, Korea.

With the aging society, musculoskeletal degenerative diseases are becoming a burden on society, and rotator cuff disease is one of these degenerative diseases. The purpose of this study was to examine the incidence of shoulder osteoarthritis and the etiologic factors of rotator cuff disease in the Korean elderly population. A total of 102 patients performing ultrasonography were recruited, and their demographic factors were analyzed. Read More

View Article and Full-Text PDF

Stem cell sheet interpositioned between the tendon and bone would be better for healing than stem cell sheet overlaid above the tendon-to-bone junction in rotator cuff repair of rats.

PLoS One 2022 24;17(3):e0266030. Epub 2022 Mar 24.

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

Background: Although stem cells might enhance natural enthesis healing in surgical rotator cuff repair, not much attention has been given to the delivery and location of delivering stem cells. The purpose of this study to know where to locate those stem cells during repair.

Methods: Animal model of chronic rotator cuff tear was created in 24 rats. Read More

View Article and Full-Text PDF

[Study on correlation between serum vitamin D level and the curative effect after repair of rotator cuff tears].

Zhongguo Gu Shang 2022 Mar;35(3):225-32

Department of Joint and Sports Medicine, Dongyang People's Hospital, Dongyang 322100, Zhejiang, China.

Objective: To investigate the correlation between serum vitamin D level and clinical outcomes after repair of rotator cuff tears.

Methods: A total 122 patients who met the inclusion criteria and were followed up for 12 months from March 2018 to March 2020 were analyzed retrospectively, including 50 males and 72 females with an average age of(62.10±8. Read More

View Article and Full-Text PDF

High Volume PRP Therapy.

Authors:
Piotr Godek

Ortop Traumatol Rehabil 2022 Feb;24(1):43-60

Sutherland Medical Center, Warszawa, Polska / Sutherland Medical Center, Warsaw, Poland.

Background: The PRP method is widely used to support healing and regeneration in musculoskeletal and aesthetic medicine. The current literature, however, brings contradictory reports as to its effectiveness, which, at least in part, should be attributed to the diversity of methods for producing the concentrate, including the use of various volumes of whole blood, single vs double centrifugation vs filtration, use of thrombin vs calcium chloride to activate the process, and, finally, the use of an anticoagulant. The aim of the study was to retrospectively evaluate the effectiveness of high-volume PRP therapy with the Angel® system (Arthrex) in our patients. Read More

View Article and Full-Text PDF
February 2022

RNA-Seq analysis reveals sex-dependent transcriptomic profiles of human subacromial bursa stratified by tear etiology.

J Orthop Res 2022 Mar 10. Epub 2022 Mar 10.

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

Rotator cuff tendinopathy, a major cause of shoulder disability, occurs due to trauma or degeneration. Our molecular understanding of traumatic and degenerative tears remains elusive. Here, we probed transcript level differences between traumatic and degenerative tears. Read More

View Article and Full-Text PDF

Risk factors for rotator cuff disease: a systematic review and meta-analysis of diabetes, hypertension, and hyperlipidemia.

Ann Phys Rehabil Med 2022 Mar 4:101631. Epub 2022 Mar 4.

Division of Epidemiology, Department of Medicine, Vanderbilt University Medical Center, Nashville, TN, USA; Department of Physical Medicine and Rehabilitation, Vanderbilt University Medical Center, Nashville, TN, USA; Department of Physical Medicine and Rehabilitation, Orthopedics, and Population and Data Sciences, University of Texas Southwestern, Dallas, TX, USA.

Background: Rotator cuff disease is a common cause of shoulder pain. Comorbidities such as diabetes, hypertension, and hyperlipidemia may be associated with rotator cuff disease, likely because of mechanisms related to vascular insufficiency.

Objectives: We performed a systematic review of the association of diabetes, hypertension, and hyperlipidemia with the diagnosis of rotator cuff disease. Read More

View Article and Full-Text PDF

Posterior decentering of the humeral head in patients with arthroscopic rotator cuff repair.

Clin Shoulder Elb 2022 Mar 25;25(1):22-27. Epub 2022 Feb 25.

Department of Orthopedic Surgery, Kurume University Medical Center, Fukuoka, Japan.

Background: In some patients with rotator cuff tear (RCT), the axial view of magnetic resonance imaging (MRI) shows subtle posterior decentering (PD) of the humeral head from the glenoid fossa. This is considered to result from a loss of centralization that is typically produced by rotator cuff function. There are few reports on PD in RCT despite the common occurrence of posterior subluxation in degenerative joint disease. Read More

View Article and Full-Text PDF

A retrospective study evaluating the association between hypoalbuminemia and postoperative outcomes for patients receiving open rotator cuff repair.

J Orthop 2022 Mar-Apr;30:88-92. Epub 2022 Feb 23.

Department of Orthopaedic Surgery, George Washington University School of Medicine and Health Sciences, Washington, DC, USA.

Purpose: Malnutrition has historically been shown to influence surgical outcomes. Although the diagnosis of malnutrition can be multifactorial, serum albumin levels serve as a useful indicator of malnutrition in patients undergoing orthopaedic surgery. The purpose of this study is to examine the prevalence of post-operative complications in patients with malnutrition (hypoalbuminemia) who underwent open rotator cuff repair. Read More

View Article and Full-Text PDF
February 2022

Editorial Commentary: Sleep Disorders in Rotator Cuff Diseases.

Arthroscopy 2022 03;38(3):1001-1002

Rome, Italy.

One of the most common complaints expressed by patients with rotator cuff disease is poor-quality sleep. Sleeping significantly affects daily life, influencing biological functions, learning, memory, and cognitive processes. The etiology of nocturnal shoulder pain is controversial, yet there is a consensus that high levels of proinflammatory factors and pain-related cytokines are involved in the pathogenesis of this disturbance in patients with shoulder rotator cuff pathology. Read More

View Article and Full-Text PDF