Search Our Scientific Publications & Authors

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

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

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

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

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

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

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

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

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

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

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

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

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

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.

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

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

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

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

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

Front Physiol 2018 16;9:1577. Epub 2018 Nov 16.

PROFITH (PROmoting FITness and Health through Physical Activity) Research Group, Department of Physical Education and Sports, Faculty of Sport Sciences, University of Granada, Granada, Spain.

Cold induced thermogenesis (CIT) in humans results mainly from the combination of both brown adipose tissue (BAT) and skeletal muscle thermogenic activity. The relative contribution of both tissues to CIT and to cold induced nutrient oxidation rates (CI-NUTox) remains, however, to be elucidated. We investigated the association of BAT and skeletal muscle activity after a personalized cold exposure with CIT and CI-NUTox in 57 healthy adults (23. Read More

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

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

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

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.

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

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

Appl Ergon 2019 Feb 3;75:129-133. Epub 2018 Oct 3.

Edward P. Fitts Department of Industrial and Systems Engineering, North Carolina State University, Raleigh, NC, USA.

Cranking the landing gear is a common task performed by truck drivers to raise or lower trailers. This task poses a risk to the shoulder joint due to the required forceful exertion and the posture constrained to the hand-handle interface. As a potential occupational risk, there has been no definitive guideline for best practices among truck drivers. Read More

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

Arthroscopy 2018 Nov 22. Epub 2018 Nov 22.

Hospital Italiano de Buenos Aires, Buenos Aires City, Argentina.

Purpose: To evaluate return to sport, clinical outcomes, and complications in a series of athletes with painful partial-thickness rotator cuff tears treated with the arthroscopic in situ repair with a minimum 2-year follow-up.

Methods: Retrospective case series. Seventy-two patients who had undergone an arthroscopic in situ repair for partial-thickness rotator cuff tears were evaluated. Read More