12,961 results match your criteria Rotator Cuff Injury


Mechanical Augmentation With Absorbable Alginate Sheet Enhances Healing of the Rotator Cuff.

Orthopedics 2018 Dec 11:1-7. Epub 2018 Dec 11.

For anatomical restoration of a repaired rotator cuff, mechanical augmentation of the repaired structure is essential. Using histological and biomechanical evaluation in a rat model, the authors sought to determine the efficacy of an absorbable alginate sheet at the supraspinatus tendon-to-bone repair site for healing of the rotator cuff tear. Forty adult (12 weeks old) male Sprague- Dawley wild-type rats were used in this study. Read More

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December 2018

Isolated Tear of the Teres Major Muscle.

Authors:
Katsumi Takase

Orthopedics 2018 Dec 11:1-3. Epub 2018 Dec 11.

Rotator cuff tears are frequently treated in daily clinical practice. However, there have been few reports of tears around the shoulder involving the latissimus dorsi and teres major muscles. The author reports the rare case of an isolated tear of the teres major muscle with symptom onset during ordinary sports activities without a clear traumatic mechanism. Read More

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December 2018

Arthroscopic Superior Capsular Reconstruction for Dislocation of the Shoulder with an Irreparable Rotator Cuff Tear: A Case Report.

JBJS Case Connect 2018 Dec 12. Epub 2018 Dec 12.

Department of Orthopaedic Surgery, Showa University Hospital, Tokyo, Japan.

Case: A 49-year-old man presented with apprehension of a repeat dislocation after a left shoulder dislocation, which was accompanied by pain and restricted active range of motion of the shoulder. We performed an arthroscopic Bankart repair as well as an arthroscopic superior capsular reconstruction (ASCR) with fascia lata for the irreparable massive rotator cuff tear. Two years postoperatively, there was no shoulder pain or repeat dislocation; the range of motion had improved. Read More

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December 2018

Accuracy of magnetic resonance imaging (MRI) for subscapularis tear: a systematic review and meta-analysis of diagnostic studies.

Arch Orthop Trauma Surg 2018 Dec 11. Epub 2018 Dec 11.

Department of Orthopedics and Traumatology, School of Medicine, University of São Paulo, Rua Dr. Ovídio Pires de Campos 333, 3rd Floor, São Paulo, SP, 05403-010, Brazil.

Introduction: The accuracy of MRI for subscapularis tear is lower than that of overall rotator cuff tears. Until now, no systematic reviews and meta-analysis have been conducted to compile these data. The purpose of this study was to determine, through a systematic review and meta-analysis, the diagnostic accuracy of MRI in the detection of subscapularis tendon tears. Read More

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December 2018

Effects of ultrasound-guided suprascapular nerve pulsed radiofrequency on chronic shoulder pain.

Med Ultrason 2018 Dec;20(4):461-466

Sakarya University Faculty of Medicine.

Aim: Pulsed radiofrequency (PRF) therapy has become increasingly popular in the treatment of chronic shoulder pain due to its long duration of action and non-destructive method. The aim of the study was to reveal the effects of PRF therapy of the suprascapular nerve (SSN) under ultrasound guidance (UG) in patients with chronic shoulder pain on both shoulder pain and function.

Material And Methods: This study included 74 patients diagnosed with at least one of the following: adhesive capsulitis, rotator cuff syndrome and impingement syndrome of shoulder. Read More

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December 2018
4 Reads

SUPRASPINATUS TENDON PATHOMECHANICS: A CURRENT CONCEPTS REVIEW.

Authors:
Guido Spargoli

Int J Sports Phys Ther 2018 Dec;13(6):1083-1094

Background And Purpose: Tendinopathy of the supraspinatus muscle is a frequent cause of shoulder pain. Although it is a common condition, the pathophysiology is not fully understood. The purpose of this clinical commentary is to provide an overview of the pathophysiology of supraspinatus tendinopathy and discuss the conservative treatment solutions. Read More

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December 2018

The Effect of Lipid Disorders on the Risk of Rotator Cuff Disease: A Systematic Review and Meta-Analysis.

JB JS Open Access 2018 Sep 13;3(3):e0018. Epub 2018 Sep 13.

Department of Orthopaedic Surgery, University of Michigan, Ann Arbor, Michigan.

Background: Rotator cuff disease has a high prevalence and is associated with shoulder pain and disability. Dyslipidemia might be an intrinsic factor related to the development of the disease as it might increase tendon stiffness and result in tendon problems. The purposes of the present study were (1) to systematically review the association between lipid disorders and the risk of rotator cuff disease and (2) to provide physicians with guidance to prevent rotator cuff disease. Read More

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September 2018

Treatment for Rotator Cuff Tear Is Influenced by Demographics and Characteristics of the Area Where Patients Live.

JB JS Open Access 2018 Sep 7;3(3):e0005. Epub 2018 Aug 7.

Departments of Health Services Policy and Management (C.G.C., S.B.F., B.C., and J.M.B.) and Exercise Science (C.A.T.), Center for Effectiveness Research in Orthopaedics, University of South Carolina, Columbia, South Carolina.

Background: Atraumatic rotator cuff tear is a common orthopaedic complaint for people >60 years of age. Lack of evidence or consensus on appropriate treatment for this type of injury creates the potential for substantial discretion in treatment decisions. To our knowledge, no study has assessed the implications of this discretion on treatment patterns across the United States. Read More

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September 2018

Ariadne's Thread: An Easy Way to Find Your Way Back to the Glenohumeral Joint Through the Posterior Portal Once You Have Left.

Arthrosc Tech 2018 Nov 29;7(11):e1231-e1234. Epub 2018 Oct 29.

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

Finding the way back into the glenohumeral space after a time-consuming rotator cuff reconstruction is not always easy because of swelling of the surrounding soft tissues. We present a safe and quick technical tip on how to reintroduce the arthroscope by means of a transarticular suture. After primary work in the glenohumeral space is performed and before the arthroscope is withdrawn from the joint, a monofilament suture is channeled from the anterior working portal through the glenohumeral joint to exit from the posterior portal. Read More

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November 2018

Superior Capsular Reconstruction With the Addition of an Acromial Acellular Dermal Allograft Spacer.

Arthrosc Tech 2018 Nov 22;7(11):e1181-e1190. Epub 2018 Oct 22.

Department of Orthopedics, Mayo Clinic, Phoenix, Arizona, U.S.A.

Superior capsular reconstruction has emerged as a promising technique in the treatment of massive irreparable rotator cuff tears. The technical aspects of the surgery continue to evolve, and scientific studies to evaluate these techniques are emerging. One such area of interest concerns the appropriate thickness of the graft and its role as a spacer. Read More

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November 2018

Simplified Technique for Superior Capsular Reconstruction Using an Acellular Dermal Allograft.

Arthrosc Tech 2018 Nov 1;7(11):e1089-e1095. Epub 2018 Oct 1.

Princeton Orthopaedic & Rehabilitation Associates, Princeton, New Jersey, U.S.A.

Superior capsular reconstruction is a powerful tool for the treatment of massive irreparable rotator cuff tears. Several authors have described this evolving technique. Issues of graft sizing, graft passage, graft tensioning, and suture management make this a challenging procedure even in the hands of experienced shoulder surgeons. Read More

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November 2018

Determining functional activity profiles in patients with upper extremity disorders: is there effect modification by hand-grip strength?

Clin Interv Aging 2018 15;13:2351-2358. Epub 2018 Nov 15.

Institute of Health Sciences, Gyeongsang National University College of Medicine, Jinju, Republic of Korea,

Purpose: The purposes of this study were to investigate the effect of hand-grip strength (HGS) on the Disabilities of the Arm, Shoulder, and Hand (DASH) score in women with upper extremity musculoskeletal disorders (UEMDs) living in rural communities and examine whether upper extremity diseases affected upper extremity functional activity in each group (normal/low HGS) and whether grip strength (GS) was an effect modifier in upper extremity functional activity.

Methods: A total of 239 women older than 60 years who had completed a medical workup for epicondylitis, rotator cuff tears, and/or hand osteoarthritis were included in the final study. Functional activity was assessed by DASH, and muscle strength was measured by GS. Read More

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November 2018
1 Read

The effect of adipose-derived stem cells on enthesis healing after repair of acute and chronic massive rotator cuff tears in rats.

J Shoulder Elbow Surg 2018 Dec 4. Epub 2018 Dec 4.

Department of Orthopaedic Surgery, University of Pittsburgh, Pittsburgh, PA, USA; Department of Bioengineering, University of Pittsburgh, Pittsburgh, PA, USA. Electronic address:

Background: Chronic massive rotator cuff tears heal poorly and often retear. This study investigated the effect of adipose-derived stem cells (ADSCs) and transforming growth factor-β3 (TGF-β3) delivered in 1 of 2 hydrogels (fibrin or gelatin methacrylate [GelMA]) on enthesis healing after repair of acute or chronic massive rotator cuff tears in rats.

Methods: Adult male Lewis rats underwent bilateral transection of the supraspinatus and infraspinatus tendons with intramuscular injection of botulinum toxin A (n = 48 rats). Read More

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December 2018

Clinimetrics: Short Western Ontario Rotator Cuff Index.

J Physiother 2018 Dec 5. Epub 2018 Dec 5.

Physiotherapy, Health and Rehabilitation Science, Western University, London, Canada; Collaborative Program in Musculoskeletal Health Research, Bone and Joint Institute, Western University, London, Canada; Roth McFarlane Hand and Upper Limb Centre, St. Joseph's Hospital, London, Canada.

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December 2018

Machine Metathesis: Thermal and Catalyzed Exchange of Piston Rods in Multicomponent Nanorotor/Nanoslider Ensemble.

Org Lett 2018 Dec 11. Epub 2018 Dec 11.

Center of Micro- and Nanochemistry and Engineering , University of Siegen, Organische Chemie I , Adolf-Reichwein-Str. 2 , D-57068 Siegen , Germany.

Three-component nanorotor R1 ( k = 80 kHz) and two-component slider-on-deck DS2 ( k = 440 kHz) were prepared from rotator S1 and stator [Cu(1)] and from S2 and deck D, respectively. Mixing of R1 with DS2 leads to clean metathesis, furnishing the slower nanodevices R2 ( k = 29.6 kHz) and DS1 ( k = 32. Read More

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December 2018

Obstructive Sleep Apnea and Arthroscopic Rotator Cuff Repair-Are Complication Rates Really Increased?

J Am Acad Orthop Surg 2018 Dec 4. Epub 2018 Dec 4.

From the Department of Orthopaedic Surgery, University of Virginia, Charlottesville, VA.

Background: A few investigations exist which evaluate the influence of obstructive sleep apnea (OSA) on complications after arthroscopic rotator cuff repair.

Methods: A database was queried for patients undergoing rotator cuff repair with and without OSA and further subdivided into those with and without a billing code for a continuous positive airway pressure (CPAP) device. Thirty-day and 6-month adverse events were assessed. Read More

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December 2018

Prognostic factors affecting clinical outcomes after arthroscopic rotator cuff repair: importance of functional recovery by 3 months after surgery.

J Orthop Surg Res 2018 Dec 5;13(1):310. Epub 2018 Dec 5.

Department of Orthopedic Surgery, Kurume University Medical Center, 155-1 Kokubu-machi, Kurume, Fukuoka, 839-0863, Japan.

Background: To examine important factors that affect clinical outcomes following arthroscopic rotator cuff repair (ARCR).

Methods: Among 163 patients who underwent ARCR, we included 71 shoulders in 71 patients whose progress was monitored for > 2 years, postoperatively. We divided the patients into groups A (scores ≥ 83 points, 59 patients) and B (scores < 83 points, 12 patients) using the Japanese Orthopedic Association (JOA) score at 24 months. Read More

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December 2018
2 Reads

Dexamethasone Facilitates NF-κB Signal Pathway in TNF-α stimulated Rotator Cuff Tenocytes.

J Microbiol Biotechnol 2018 Nov 28. Epub 2018 Nov 28.

Department of Pathology, Daejeon St. Mary's Hospital, College of Medicine, The Catholic University of Korea, 64, Daeheung-ro, Jung-gu, Daejeon, 34943, Republic of Korea.

Corticosteroids are commonly used for pain control in rotator cuff tear. Deregulated NF-κB activation is a hallmark of chronic inflammatory diseases and has been responsible for the pathogenesis of rotator cuff tear. The purpose of this study was to examine the exact effect of DEXA on NF-κB signaling in rotator cuff tear. Read More

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November 2018
1 Read

Atypical calcific tendinitis involving the long biceps tendon: A rare cause of hemiplegic shoulder pain.

J Back Musculoskelet Rehabil 2018 Nov 23. Epub 2018 Nov 23.

Department of Rehabilitation Medicine, Daegu Veterans Health Service Medical Center, Daegu, Korea.

Background And Objective: Calcific tendinitis is commonly found in the rotator cuff; however, it is very rare in the long biceps tendon (LBT). Furthermore, calcific tendinitis involving the LBT in the hemiplegic shoulder after a stroke has not been previously reported.

Materials And Method: We present a case of a 63-year-old man who suffers from a stroke and atypical calcific tendinitis involving the LBT as a rare cause of hemiplegic shoulder pain. Read More

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November 2018
2 Reads

Arthroscopic Superior Capsular Reconstruction With a Minimally Invasive Harvested Fascia Lata Autograft Produces Good Clinical Results.

Orthop J Sports Med 2018 Nov 27;6(11):2325967118808242. Epub 2018 Nov 27.

Instituto de Engenharia de Sistemas e Computadores-Investigação e Desenvolvimento, Lisbon, Portugal.

Background: Painful dysfunctional shoulders with irreparable rotator cuff tears (IRCTs) in active patients are a challenge. Arthroscopic superior capsular reconstruction (ASCR) is a new treatment option originally described using a fascia lata autograft harvested through an open approach. However, concerns about donor site morbidity have discouraged surgeons from using this type of graft. Read More

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November 2018

Influence of preoperative opioid use on postoperative outcomes and opioid use after arthroscopic rotator cuff repair.

J Shoulder Elbow Surg 2018 Nov 29. Epub 2018 Nov 29.

Department of Orthopaedic Surgery, Medical College of Wisconsin, Milwaukee, WI, USA. Electronic address:

Background: Recent orthopedic research has questioned the effect of opioid use on surgical outcomes. This study investigated this in the context of arthroscopic rotator cuff repair. We hypothesized that preoperative opioid use would be associated with inferior outcomes and greater postoperative opioid requirements. Read More

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November 2018

The critical shoulder angle: can it be sufficient to reflect the shoulder joint without the humeral head?

J Shoulder Elbow Surg 2018 Nov 30. Epub 2018 Nov 30.

Shoulder & Elbow Clinic, Department of Orthopaedic Surgery, College of Medicine, Kyung Hee University, Seoul, Republic of Korea. Electronic address:

Hypothesis: We hypothesized that a new method considering the humeral head would distinguish rotator cuff tears (RCTs) and osteoarthritis (OA) better than the critical shoulder angle (CSA).

Methods: A total of 1011 patients were tested in this study and divided into 4 groups: those with RCTs (n = 493), those with OA (n = 73), those with anterior instability (n = 361), and those with adhesive capsulitis (n = 84). The CSA and new radiologic parameters including the humeral head were measured in the true anterior-to-posterior view: the Y angle connecting the lower end of the glenoid (LG), the center of the humeral head (CH), and the upper end of the glenoid (UG); the G angle connecting UG, CH, and the lateral tip of the acromion; the YG angle connecting LG, CH, and the lateral tip of the acromion; and the R angle connecting UG, LG, and CH. Read More

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November 2018
2 Reads

The Addition of Glenohumeral Adductors Coactivation to a Rotator Cuff Exercises Program for Rotator Cuff Tendinopathy: A Single-Blind Randomized Controlled Trial.

J Orthop Sports Phys Ther 2018 Nov 30:1-43. Epub 2018 Nov 30.

Faculty of Medicine, University of Sherbrooke, Sherbrooke (QC), Canada.

Study Design: Single-blind, randomized controlled trial.

Background: Treatments for rotator cuff (RC) tendinopathy include RC muscle strengthening to promote better muscle recruitment in order to minimize subacromial narrowing during active movement. Glenohumeral adductors recruitment has also been shown to prevent such narrowing in asymptomatic individuals; therefore, adding glenohumeral adductor coactivation during RC strengthening could enhance the efficacy of RC strengthening. Read More

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November 2018
1 Read

CORR Insights®: When Do Patients Return to Previous Daily Activity After Arthroscopic Rotator Cuff Repair?

Authors:
Ehud Rath

Clin Orthop Relat Res 2018 Nov 27. Epub 2018 Nov 27.

E. Rath, Orthopedic Division, Tel Aviv Sourasky Medical Center, Sackler Faculty of Medicine, Tel-Aviv University, Tel-Aviv, Israel.

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November 2018

Shoulder biomechanics of RC repair and Instability: A systematic review of cadaveric methodology.

J Biomech 2018 Nov 14. Epub 2018 Nov 14.

Center for Advanced Orthopaedic Studies, Beth Israel Deaconess Medical Center and Harvard Medical School, Boston, MA, USA; Carl J. Shapiro Department of Orthopaedic Surgery, Beth Israel Deaconess Medical Center and Harvard Medical School, Boston, MA, USA; Department of Orthopaedic Surgery, Yerevan State Medical University, Yerevan, Armenia. Electronic address:

Background: Numerous biomechanical studies have addressed normal shoulder function and the factors that affect it. While these investigations include a mix of in-vivo clinical reports, ex-vivo cadaveric studies, and computer-based simulations, each has its own strengths and limitations. A robust methodology is essential in cadaveric work but does not always come easily. Read More

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November 2018

Shoulder and elbow injuries in NCAA football players, 2009-2010 through 2013-2014.

Phys Sportsmed 2018 Dec 4. Epub 2018 Dec 4.

a Department of Orthopaedics , Alpert Medical School of Brown University , Providence , RI.

Background: Although football is one of the most popular collegiate sports, the epidemiology of and risk factors for shoulder and elbow injuries in this population not been recently described. We aimed to characterize this incidence in National Collegiate Athletic Association (NCAA) football players, determine risk factors, and establish outcomes after injury.

Methods: All shoulder and elbow injuries in men's football occurring during the 2009-2010 through 2013-2014 academic years were retrospectively identified in the NCAA Injury Surveillance Program database. Read More

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December 2018
1 Read

Editorial Commentary: When Less Is More-The Benefits of Limiting Bursectomy in Arthroscopic Rotator Cuff Repair.

Arthroscopy 2018 Dec;34(12):3175-3176

Although the exact function of the subacromial bursa as it relates to rotator cuff repair is still debatable, most surgeons would agree that the more invasive the procedure, the more likely there will be scarring and/or adhesions, which can lead to decreased motion. So, when performing subacromial bursectomy during rotator cuff repair, "Observe due measure, moderation is best in all things [subacromial]." Read More

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December 2018

Editorial Commentary: Restoration of Rotator Cuff Footprint Anatomy Is All That Matters, No Matter How We Get There.

Authors:
Darius Moezzi

Arthroscopy 2018 Dec;34(12):3157-3158

Delamination of rotator cuff tears presents a challenge to shoulder arthroscopists. Tear pattern recognition and an understanding of anatomy as it relates to the superior capsule guide treatment strategies. The key to management of a delaminated rotator cuff tear is to recognize differential retraction of respective layers. Read More

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December 2018

Open-loop fiber-optic gyroscope with a double sensitivity employing a polarization splitter and Faraday rotator mirror.

Opt Lett 2018 Dec;43(23):5861-5864

In this Letter, a novel open-loop fiber-optic gyroscope configuration with a double sensitivity is proposed. By employing a polarization-maintaining Faraday rotator mirror and a polarization beamsplitter/combiner, light waves propagate twice along the same fiber coil in two orthonormal polarization directions. The reciprocity of the configuration has been verified in theory. Read More

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December 2018
1 Read

The lever arm ratio of the rotator cuff to deltoid muscle explains and predicts pseudoparalysis of the shoulder.

Bone Joint J 2018 Dec;100-B(12):1600-1608

Department of Orthopaedics, University of Zurich, Balgrist University Hospital, Zurich, Switzerland; Laboratory for Orthopaedic Biomechanics, ETH Zurich, Zurich, Switzerland.

Aims: In patients with a rotator cuff tear, tear pattern and tendon involvement are known risk factors for the development of pseudoparalysis of the shoulder. It remains unclear, however, why similar tears often have very different functional consequences. The present study hypothesizes that individual shoulder anatomy, specifically the moment arms (MAs) of the rotator cuff (RC) and the deltoid muscle, as well as their relative recruitment during shoulder abduction, plays a central role in pseudoparalysis. Read More

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December 2018
2 Reads

Shoulder Anatomy and Normal Variants.

J Belg Soc Radiol 2017 Dec 16;101(Suppl 2). Epub 2017 Dec 16.

University Hospital Brussels, BE.

The shoulder joint is functionally and structurally complex and is composed of bone, hyaline cartilage, labrum, ligaments, capsule, tendons and muscles. It links the trunk to the upper limb and plays an important biomechanical role in daily activities. Indications for imaging of the shoulder have considerably increased in the last few years. Read More

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December 2017
2 Reads

The effect of autologous platelet rich plasma on tenocytes of the human rotator cuff.

BMC Musculoskelet Disord 2018 Nov 30;19(1):422. Epub 2018 Nov 30.

Julius Wolff Institut, Center for Musculoskeletal Surgery, Charité-Universitaetsmedizin, Augustenburger Platz 1, 13353, Berlin, Germany.

Background: Platelet rich plasma (PRP) is widely used in rotator cuff repairs but its effect on the healing process is unclear. Several cell culture studies on the effect of allogenic PRP have reported promising results but are not transferable to clinical practice. The aim of the present study is to assess the possible effect of autologous PRP on rotator cuff tendon cells. Read More

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November 2018
1 Read

Arthroscopic Superior Capsular Reconstruction or Reverse Total Shoulder Arthroplasty for Irreparable Bilateral Rotator Cuff Tear: A Case Report.

JBJS Case Connect 2018 Nov 28. Epub 2018 Nov 28.

Centro Hospitalar de Lisboa Ocidental, EPE, Lisbon, Portugal.

Case: An active elderly patient with bilateral chronic rotator cuff tear underwent a reverse total shoulder arthroplasty (RTSA) on the right shoulder and an arthroscopic superior capsular reconstruction (ASCR) with a fascia lata autograft on the left shoulder. To our knowledge, this is the first reported case that compares these 2 techniques for irreparable rotator cuff tears in the same patient.

Conclusion: The patient had very good midterm (2 and 8 years of follow-up) functional outcomes with both treatment options. Read More

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November 2018
1 Read

The Rotator Cuff Healing Index: A New Scoring System to Predict Rotator Cuff Healing After Surgical Repair.

Am J Sports Med 2018 Nov 28:363546518810763. Epub 2018 Nov 28.

Department of Orthopaedic Surgery, Seoul National University College of Medicine, Seoul National University Bundang Hospital, Seongnam, Republic of Korea.

Background:: Scoring systems integrating possible prognostic factors and predicting rotator cuff healing after surgical repair could provide valuable information for clinical practice.

Purpose:: To determine the prognostic factors predictive of rotator cuff healing after surgical repair and to integrate these factors into a scoring system.

Study Design:: Case-control study; Level of evidence, 3. Read More

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November 2018
4 Reads

Woven collagen biotextiles enable mechanically functional rotator cuff tendon regeneration during repair of segmental tendon defects in vivo.

J Biomed Mater Res B Appl Biomater 2018 Nov 28. Epub 2018 Nov 28.

Department of Biomedical Engineering, Case Western Reserve University, Cleveland, Ohio.

Despite advancements in surgical techniques and materials for rotator cuff repair procedures, primary repair failures remain common. This study examines the use of electrochemically aligned collagen (ELAC) threads woven into biotextile scaffolds as grafts to repair critical infraspinatus tendon defects in New Zealand White rabbits. Three surgical treatment groups were evaluated: rabbits undergoing direct repair as operative controls, rabbits receiving ELAC scaffolds alone, and rabbits treated with mesenchymal stem cell (MSC)-seeded ELAC scaffolds. Read More

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November 2018
2 Reads

Midterm Results of the Bony Bankart Bridge Technique for the Treatment of Bony Bankart Lesions.

Am J Sports Med 2018 Nov 28:363546518808495. Epub 2018 Nov 28.

Steadman Philippon Research Institute, Vail, Colorado, USA.

Background:: The arthroscopic "bony Bankart bridge" (BBB) repair technique was recently shown to successfully restore shoulder stability at short-term follow-up, but longer-term outcomes have not yet been described.

Purpose:: To report the outcomes at minimum 5-year follow-up after BBB repair for anterior shoulder instability with a bony Bankart lesion.

Study Design:: Case series; Level of evidence, 4. Read More

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November 2018
3 Reads

Changes in Perianchor Cyst Formation Over Time After Rotator Cuff Repair: Influential Factors and Outcomes.

Am J Sports Med 2018 Nov 28:363546518810517. Epub 2018 Nov 28.

Department of Orthopaedic Surgery, Myongji Hospital, Hanyang University, College of Medicine, Goyang, Republic of Korea.

Background:: There is a lack of knowledge about the changes in perianchor cysts over time and the factors related to perianchor cysts.

Purpose:: To evaluate the changes in perianchor cyst formation and anchor absorption over time after arthroscopic rotator cuff repair with a biocomposite suture anchor and to evaluate the factors affecting perianchor cyst persistence and their relationship with patient outcomes.

Study Design:: Case-control study; Level of evidence, 3. Read More

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November 2018
1 Read

Neuromuscular adaptations in shoulder function and dysfunction.

Handb Clin Neurol 2018 ;158:385-400

Department of Exercise and Sport Science, Eastern Kentucky University, Richmond, KY, United States.

Neuromuscular activity, organized in coordinated patterns, forms the basis of task-specific function in sports and exercise. The content and extent of these patterns may be variable, but include elements of activation/inhibition, co-activation, concentric/eccentric activation, proximal-to-distal activation, plyometric activation, and preactivation stiffness. They may be based on inherent neuromuscular architecture, but are commonly affected by positive or negative adaptations to imposed functional demands. Read More

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January 2018
1 Read

Performance of PROMIS Global-10 Compared With Legacy Instruments for Rotator Cuff Disease.

Am J Sports Med 2018 Nov 27:363546518810508. Epub 2018 Nov 27.

Department of Orthopaedics and Rehabilitation, School of Medicine, Yale University, New Haven, Connecticut, USA.

Background:: The Patient-Reported Outcomes Measurement Information System (PROMIS) Global-10 was recently developed to assess physical and mental health and provide an estimated EuroQol-5 Dimension (EQ-5D) score. This instrument needs to be validated for specific patient cohorts such as those with rotator cuff pathology.

Hypothesis:: There is moderate to high correlation between the PROMIS Global-10 and legacy patient-reported outcome measures; PROMIS Global-10 will not show ceiling effects; and estimated EQ-5D scores will show good correlation and low variance with actual EQ-5D scores. Read More

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November 2018
3 Reads

The PASTA Bridge--A Repair Technique for Partial Articular-Sided Rotator Cuff Tears: A Biomechanical Evaluation of Construct Strength.

Am J Orthop (Belle Mead NJ) 2018 Oct;47(10)

2801 K St., #330, Sacramento, CA 95816, USA. Email:

Partial articular-sided supraspinatus tendon avulsion (PASTA) tears are a common clinical problem that can require surgical intervention to reduce patient symptoms. Currently, no consensus has been reached regarding the optimal repair technique. The PASTA Bridge technique was developed by the senior author to address these types of lesions. Read More

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October 2018

Optimal Angle of the Bone Tunnel for Avoiding Axillary Nerve Injuries During Arthroscopic Transosseous Rotator Cuff Repair: A Magnetic Resonance Imaging-Based Simulation Study.

Orthop J Sports Med 2018 Nov 9;6(11):2325967118806295. Epub 2018 Nov 9.

Department of Biostatistics, All India Institute of Medical Sciences, New Delhi, India.

Background: Axillary nerve injury and suture cutout through the roof of the tunnel are potential complications of arthroscopic transosseous rotator cuff repair (ATORCR).

Purpose: To determine a safe angle of drilling for the bone tunnel during ATORCR such that the axillary nerve is not at risk. The thickness of the bone bridge over the tunnel for different angles of drilling was also determined. Read More

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November 2018
5 Reads

An Evaluation of the Rotator Cuff Repair Research Pipeline.

Orthop J Sports Med 2018 Nov 16;6(11):2325967118805731. Epub 2018 Nov 16.

Oklahoma State University Center for Health Sciences, Tulsa, Oklahoma, USA.

Background: We conducted a study of recommendations from the American Academy of Orthopaedic Surgeons (AAOS) guideline, "Optimizing the Management of Rotator Cuff Problems." Using these recommendations, we conducted searches of clinical trial registries and bibliographic databases to note the extent to which new research has been undertaken to address areas of deficiency.

Hypothesis: Newly conducted research regarding rotator cuff repair and injury is available that will fill knowledge gaps identified by the AAOS guideline. Read More

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November 2018
4 Reads

Nonarthroplasty Surgical Treatment Options for Massive, Irreparable Rotator Cuff Tears.

Orthop J Sports Med 2018 Nov 7;6(11):2325967118805385. Epub 2018 Nov 7.

Department of Orthopedics, University of Colorado School of Medicine, Aurora, Colorado, USA.

Massive, irreparable rotator cuff tears (MIRCTs) provide a significant dilemma for orthopaedic surgeons. One treatment option for MIRCTs is reverse total shoulder arthroplasty. However, other methods of treating these massive tears have been developed. Read More

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November 2018
4 Reads

Biomechanics of posterior shoulder instability - current knowledge and literature review.

World J Orthop 2018 Nov 18;9(11):245-254. Epub 2018 Nov 18.

Department of Orthopedic Surgery, New York Presbyterian/Columbia University Medical Center, New York, NY 10032, United States.

Posterior instability of the shoulder is a rare condition and represents about 10% of shoulder instability. It has become more frequently recognized in the last year, even though it is more difficult to diagnose than anterior shoulder instability. As this form of shoulder pathology is somewhat rare, biomechanical knowledge is limited. Read More

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November 2018

Technologies to Augment Rotator Cuff Repair.

Orthop Clin North Am 2019 Jan;50(1):103-108

Department of Orthopaedics, MedStar Union Memorial Hospital, 3333 North Calvert Street, Suite 400, Baltimore, MD 21218, USA.

Healing rates after rotator cuff repair vary widely. New technologies seek to improve tendon to bone healing with the addition of platelet-rich plasma, stem cells, and biological and synthetic grafts. Platelet-rich plasma and mesenchymal stem cells are used to help create a favorable environment for tendon to bone healing, and grafts and scaffolds provide structural support for repair. Read More

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January 2019
1 Read

Ischial Tuberosity Avulsion Fracture in a Young Female Ballet Dancer.

J Dance Med Sci 2018 Dec;22(4):233-237

The Micheli Center for Sports Injury Prevention, Waltham, Massachusetts; Division of Sports Medicine, Department of Orthopaedics, Boston Children's Hospital, Boston, Massachusetts; and Department of Orthopaedic Surgery, Harvard Medical School, Boston, Massachusetts.

A 14-year-old female ballet dancer sustained an injury during a routine ballet movement that was diagnosed as an ischial tuberosity avulsion fracture. This diagnosis was complicated by extensive soft tissue injury to the hamstrings, adductors, and external rotator musculature. Although uncommon, the potential for this injury should be uniformly considered in adolescent dancers due to the unique stresses in ballet training and the added risk of growth spurts during this stage of development. Read More

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December 2018
1 Read

Is there a relation between rotator cuff injury and core stability?

J Back Musculoskelet Rehabil 2018 Nov 16. Epub 2018 Nov 16.

School of Physical Therapy and Rehabilitation, Pamukkale University, Denizli, Turkey.

Background: Strong core stabilization not only minimizes the load on the vertebral column, but also improves strength and endurance of peripheral joints, and enables the energy transfer to distal segments. Despite the current interest surrounding core stability, none of the studies investigated the effect of core stability on the formation of rotator cuff tear or healing after repair.

Objective: To determine the relationship between core stability and upper extremity functional performance in patients who underwent rotator cuff repair surgery and to compare those with healthy subjects of similar age. Read More

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November 2018
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Determination of Threshold Scores for Treatment Success After Arthroscopic Rotator Cuff Repair Using Oxford, Constant, and University of California, Los Angeles Shoulder Scores.

Arthroscopy 2018 Nov 22. Epub 2018 Nov 22.

Department of Orthopedic Surgery, Singapore General Hospital, Singapore.

Purpose: To determine the threshold scores for the Constant-Murley score (CMS); University of California, Los Angeles (UCLA) shoulder score; and Oxford Shoulder Score (OSS) that determine treatment success after arthroscopic rotator cuff (RC) repair.

Methods: Patients who underwent unilateral arthroscopic double-row RC repair by a single surgeon between 2010 and 2015 were prospectively followed up and assessed preoperatively and at 6, 12, and 24 months postoperatively. Perceived pain was measured with a visual analog scale, and functional outcome was assessed by the CMS, UCLA score, and OSS. Read More

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November 2018
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