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Rotator Cuff Rupture

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1. Risk of latissimus dorsi tendon rupture after arthroscopic transfer for posterior superior rotator cuff tear: a comparative analysis of 3 humeral head fixation techniques. (PubMed)

Risk of latissimus dorsi tendon rupture after arthroscopic transfer for posterior superior rotator cuff tear: a comparative analysis of 3 humeral head fixation techniques. To compare latissimus dorsi tendon rupture rates after arthroscopic transfer for posterior superior rotator cuff tear using 3 different humeral head fixation techniques.One-hundred fifty consecutive latissimus dorsi transfers were included. Inclusion criteria were massive irreparable posterosuperior rotator cuff tear (...) at a fixed distance of 2, 4, and 6 cm from the tip. Immediate postoperative standard anteroposterior radiographs were performed to confirm the position of the clips and to determine whether the clips displaced on subsequent radiographs during follow-up, indicating tendon rupture.Repeat radiographs at 3-month follow-up showed higher risk of latissimus dorsi transfer rupture rate in 27/59 patients in group 1 (46%), 11/47 in group 2 (24%), and 7/44 in group 3 (15%).Posterior anchor fixation

2019 Journal of Shoulder and Elbow Surgery

2. Management of Rotator Cuff Injuries

Management of Rotator Cuff Injuries View background material via the RC CPG eAppendix 1 View data summaries via the RC CPG eAppendix 2 1 MANAGEMENT OF ROTATOR CUFF INJURIES CLINICAL PRACTICE GUIDELINE Adopted by the American Academy of Orthopaedic Surgeons Board of Directors March 11, 2019 Endorsed by: Please cite this guideline as: American Academy of Orthopaedic Surgeons. Management of Rotator Cuff Injuries Clinical Practice Guideline. https://www.aaos.org/rotatorcuffinjuriescpg Published (...) March 11, 2019 View background material via the RC CPG eAppendix 1 View data summaries via the RC CPG eAppendix 2 2 Disclaimer This Clinical Practice Guideline was developed by an AAOS physician volunteer Clinical Practice Guideline development group based on a systematic review of the current scientific and clinical information and accepted approaches to management of rotator cuff injuries. This clinical practice guideline is not intended to be a fixed protocol, as some patients may require more

2019 American Academy of Orthopaedic Surgeons

3. The prevalence of rotator cuff pathology in the setting of acute proximal biceps tendon rupture. (PubMed)

The prevalence of rotator cuff pathology in the setting of acute proximal biceps tendon rupture. The prevalence and severity of concomitant rotator cuff pathology in the setting of proximal biceps tendon ruptures are poorly understood. Concomitant rotator cuff disease may have important implications in the prognosis and natural history of this shoulder condition. Therefore, an observational cohort of patients with an acute rupture of the long head of the biceps tendon (LHBT) was evaluated (...) to determine the prevalence and severity of concomitant rotator cuff disease.Thirty consecutive patients diagnosed with acute proximal biceps tendon rupture were prospectively enrolled. Magnetic resonance imaging of the affected shoulder was obtained in 27 patients and reviewed by a fellowship-trained orthopedic surgeon.The cohort consisted of 20 men (74%) and 7 women (26%) (mean age, 61.0 years [range, 42-78 years]). The dominant side was involved in 20 injuries (74%), and a low-energy trauma mechanism

2018 Journal of Shoulder and Elbow Surgery

4. Proximal Long Head Biceps Rupture: A Predictor of Rotator Cuff Pathology. (PubMed)

Proximal Long Head Biceps Rupture: A Predictor of Rotator Cuff Pathology. To investigate whether acute rupture of the proximal long head biceps is a harbinger of disease of the nearby supraspinatus and subscapularis tendons.A retrospective chart review from February 1, 2008, to August 31, 2016, was performed at our institution identifying patients who presented with an acute (<12-week) history of "Popeye" deformity of the distal biceps and a magnetic resonance imaging (MRI) of the affected (...) shoulder. MRI images were then reviewed in duplicate to determine supraspinatus and subscapularis tendon tear incidence, size, chronicity, and depth. The association between rotator cuff status and acute long head biceps rupture as well as patient age, sex, smoking status, hand dominance, and history of diabetes mellitus or trauma was then evaluated.A total of 116 patients were included in this study (mean age: 61.9 ± 10.9 years). A significant proportion (n = 99; incidence: 85%) were found to have

2018 Arthroscopy

5. No difference in long-term development of rotator cuff rupture and muscle volumes in impingement patients with or without decompression. (PubMed)

No difference in long-term development of rotator cuff rupture and muscle volumes in impingement patients with or without decompression. Background and purpose - Arthroscopic acromioplasty is still commonly used in the treatment of shoulder impingement syndrome, even though its benefits are questioned; randomized controlled studies have not shown any benefits when compared to non-operative treatment. In this randomized study, we investigated whether operative treatment protects from later (...) rotator cuff rupture and whether it has any effect on the development of rotator cuff muscle volume. Patients and methods - 140 stage-II impingement patients were randomized to a structured exercise group (n = 70) or to an operative group (n = 70). In the operative group, arthroscopic acromioplasty was performed, after which a similar structured exercise program was begun. MRI of the shoulder was done at baseline and at 5 years. Results - There were no statistically significant differences in either

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2017 Acta Orthopaedica

6. Quantifying Extensibility of Rotator Cuff Muscle with Tendon Rupture Using Shear Wave Elastography: A Cadaveric Study (PubMed)

Quantifying Extensibility of Rotator Cuff Muscle with Tendon Rupture Using Shear Wave Elastography: A Cadaveric Study Surgical repair for large rotator cuff tear remains challenging due to tear size, altered muscle mechanical properties, and poor musculotendinous extensibility. Insufficient extensibility might lead to an incomplete reconstruction; moreover, excessive stresses after repair may result in repair failure without healing. Therefore, estimates of extensibility of cuff muscles can (...) help in pre-surgical planning to prevent unexpected scenarios during surgery. The purpose of this study was to determine if quantified mechanical properties of the supraspinatus muscle using shear wave elastography (SWE) could be used to predict the extensibility of the musculotendinous unit on cadaveric specimens. Forty-five fresh-frozen cadaveric shoulders (25 intact and 20 with rotator cuff tear) were used for the study. Passive stiffness of 4 anatomical regions in the supraspinatus muscle

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2017 Journal of biomechanics

8. Early Arthroscopic Repair of Acute Traumatic Massive Rotator Cuff Tears Leads to Reliable Reversal of Pseudoparesis: Clinical and Radiographic Outcome. (PubMed)

Early Arthroscopic Repair of Acute Traumatic Massive Rotator Cuff Tears Leads to Reliable Reversal of Pseudoparesis: Clinical and Radiographic Outcome. It was the aim of this study to analyze the clinical and radiographic outcome after early arthroscopic repair regardless of the age of patients.Patients with massive traumatic cuff tear and clinical pseudoparesis for forward elevation treated by subsequent early arthroscopic repair from 2011 until 2014 were included in this retrospective study (...) . Exclusion criteria were Goutallier grade ≥3 fatty infiltration and prior shoulder problems or surgery. Magnetic resonance imaging (MRI), radiographs, and functional assessments were performed preoperatively and at follow-up.A total of 21 patients (male/female 15/6; age range: 30-83) were included. Preoperative MRI showed complete 2 tendon tears in 7 patients, 3 tendon tears in 13 patients and all tendons ruptured in one patient. All patients had full passive range of motion and the mean active elevation

2019 Arthroscopy

9. Inferior outcome of rotator cuff repair in chronic hemodialytic patients. (PubMed)

Inferior outcome of rotator cuff repair in chronic hemodialytic patients. Repair of rotator cuff tears has yielded excellent functional outcomes in recent decades; however, poor outcomes and dissatisfaction have been noted in specific groups. Spontaneous tendon rupture has been reported in patients receiving long-term hemodialysis owing to alteration of tendon structure, which might impede functional recovery after rotator cuff repair. The purpose of the present study was to compare (...) the clinical outcomes between hemodialysis and non-hemodialysis patients after rotator cuff repair.We retrospectively reviewed patients who underwent mini-open rotator cuff repair from Jan 2013 to Jan 2017. A total of 14 patients under chronic hemodialysis (HD) were matched to non-hemodialysis (NHD) patients at a 1:2 ratio according to age, gender, tear size, severity of fatty infiltration and history of diabetes. Pre- and post-operative functional outcome was assessed using the simple shoulder test (SST

2019 BMC Musculoskeletal Disorders

10. Association of Superoxide-Induced Oxidative Stress With Rotator Cuff Tears in Human Patients. (PubMed)

of superoxide-induced oxidative stress to rotator cuff tears. Seventy patients were recruited and divided into two groups: patients with (Ruptured group) and those without (Unruptured group) a rotator cuff tear. Specimens from both groups were collected during surgery. Degeneration morphology was classified according to the degeneration score. Superoxide-induced oxidative stress was assessed according to dihydroethidium (DHE) relative fluorescence intensity, capacity for antioxidation according (...) Association of Superoxide-Induced Oxidative Stress With Rotator Cuff Tears in Human Patients. Rotator cuff degeneration is one of the factors contributing to rotator cuff tears. Oxidative stress is involved in tendon degeneration, and superoxide-induced oxidative stress plays a pathological role in regulating the balance between oxidation and reduction. The role of oxidative stress in rotator cuff tears, however, is unclear. This study, therefore, aimed to investigate the contribution

2019 Journal of Orthopaedic Research

11. Arthroscopically-Assisted Latissimus Dorsi Transfer for Irreparable Rotator Cuff Insufficiency: Modes of Failure and Clinical Correlation. (PubMed)

Arthroscopically-Assisted Latissimus Dorsi Transfer for Irreparable Rotator Cuff Insufficiency: Modes of Failure and Clinical Correlation. The main objective of this retrospective study was to analyze the rate and modes of failure of latissimus dorsi transfer (LDT). The secondary objective was to evaluate whether a rupture of the transfer was associated with a worse outcome.During a 2-year period, we performed consecutive LDTs either for irreparable posterior-superior rotator cuff tears (RCTs (...) on radiographs performed at 6 weeks and 3 and 24 months postoperatively. Constant, Subjective Shoulder Value (SSV), Simple Shoulder Test (SST), Activities of daily living requiring active external rotation (ADLER), visual analog scale (VAS), American Shoulder and Elbow Surgeons (ASES) scores and patient's subjective satisfaction (assessed by self-questionnaire) at last follow-up were compared between patients who had a rupture of the transfer and those who did not.Sixty-six patients were included. Six of 66

2018 Arthroscopy

12. Massive Rotator Cuff Tear Reconstruction

for additional information Studies a U.S. FDA-regulated Drug Product: No Studies a U.S. FDA-regulated Device Product: No Additional relevant MeSH terms: Layout table for MeSH terms Rotator Cuff Injuries Joint Diseases Rotator Cuff Tear Arthropathy Rupture Wounds and Injuries Shoulder Injuries Tendon Injuries Musculoskeletal Diseases Chondrocalcinosis Arthritis Crystal Arthropathies (...) Massive Rotator Cuff Tear Reconstruction Massive Rotator Cuff Tear Reconstruction - Full Text View - ClinicalTrials.gov Hide glossary Glossary Study record managers: refer to the if submitting registration or results information. Search for terms x × Study Record Detail Saved Studies Save this study Warning You have reached the maximum number of saved studies (100). Please remove one or more studies before adding more. Massive Rotator Cuff Tear Reconstruction (SCR) The safety and scientific

2018 Clinical Trials

13. Liposomal Bupivacaine for Pain Control After Rotator Cuff Repair

Liposomal Bupivacaine for Pain Control After Rotator Cuff Repair Liposomal Bupivacaine for Pain Control After Rotator Cuff Repair - Full Text View - ClinicalTrials.gov Hide glossary Glossary Study record managers: refer to the if submitting registration or results information. Search for terms x × Study Record Detail Saved Studies Save this study Warning You have reached the maximum number of saved studies (100). Please remove one or more studies before adding more. Liposomal Bupivacaine (...) for Pain Control After Rotator Cuff Repair The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our for details. ClinicalTrials.gov Identifier: NCT03692546 Recruitment Status : Completed First Posted : October 2, 2018 Last Update Posted : October 2, 2018 Sponsor: Orthopaedic & Neurosurgery Specialists Information provided by (Responsible Party): Paul Sethi

2018 Clinical Trials

14. Treatment of Partial-Thickness Rotator Cuff Tears

by U.S. FDA: No Keywords provided by Smith & Nephew, Inc.: REGENETEN REGENETEN Bioinductive Implant highgrade partial thickness tear rotator cuff tear rotator cuff repair Additional relevant MeSH terms: Layout table for MeSH terms Rotator Cuff Injuries Rupture Wounds and Injuries Shoulder Injuries Tendon Injuries (...) Treatment of Partial-Thickness Rotator Cuff Tears Treatment of Partial-Thickness Rotator Cuff Tears - Full Text View - ClinicalTrials.gov Hide glossary Glossary Study record managers: refer to the if submitting registration or results information. Search for terms x × Study Record Detail Saved Studies Save this study Warning You have reached the maximum number of saved studies (100). Please remove one or more studies before adding more. Treatment of Partial-Thickness Rotator Cuff Tears (REGEN

2018 Clinical Trials

15. Randomized, Controlled Trial of Hyperosmotlar Saline for Rotator Cuff Repair Irrigation Solution

MeSH terms: Layout table for MeSH terms Rotator Cuff Injuries Rupture Wounds and Injuries Shoulder Injuries Tendon Injuries (...) Randomized, Controlled Trial of Hyperosmotlar Saline for Rotator Cuff Repair Irrigation Solution Randomized, Controlled Trial of Hyperosmotlar Saline for Rotator Cuff Repair Irrigation Solution - Full Text View - ClinicalTrials.gov Hide glossary Glossary Study record managers: refer to the if submitting registration or results information. Search for terms x × Study Record Detail Saved Studies Save this study Warning You have reached the maximum number of saved studies (100). Please remove one

2018 Clinical Trials

16. Liposomal Bupivacaine in Rotator Cuff Repair

: November 12, 2018 Last Update Posted: November 12, 2018 Last Verified: November 2018 Individual Participant Data (IPD) Sharing Statement: Plan to Share IPD: Undecided Layout table for additional information Studies a U.S. FDA-regulated Drug Product: Yes Studies a U.S. FDA-regulated Device Product: No Product Manufactured in and Exported from the U.S.: Yes Additional relevant MeSH terms: Layout table for MeSH terms Rotator Cuff Injuries Rupture Wounds and Injuries Shoulder Injuries Tendon Injuries (...) Liposomal Bupivacaine in Rotator Cuff Repair Liposomal Bupivacaine in Rotator Cuff Repair - Full Text View - ClinicalTrials.gov Hide glossary Glossary Study record managers: refer to the if submitting registration or results information. Search for terms x × Study Record Detail Saved Studies Save this study Warning You have reached the maximum number of saved studies (100). Please remove one or more studies before adding more. Liposomal Bupivacaine in Rotator Cuff Repair The safety

2018 Clinical Trials

17. Changes in the expression of matrix extracellular genes and TGFB family members in rotator cuff tears. (PubMed)

Changes in the expression of matrix extracellular genes and TGFB family members in rotator cuff tears. Lack of synthesis of extracellular matrix compounds may contribute to degeneration of the tendons. Thus, we aimed to evaluate the expression of extracellular matrix and TGFB family members in ruptured and non-ruptured tendons of the rotator cuff, as well as the effect of clinical factors on gene expression in tendon samples, and the relationship between histological findings and altered gene (...) expression. Injured and non-injured supraspinatus tendon samples and subscapular non-injured tendon samples were collected from 38 patients with rotator cuff tears. Non-injured supraspinatus tendons were obtained from eight controls. Specimens were used for histological evaluation, quantification of collagen fibers, and mRNA and protein expression analyses. Increased COL1A1, COL1A2, COL3A1, COL5A1, FN1, TNC, and TGFBR1 mRNA expression was observed in the tear samples (p < 0.05). Duration of symptoms

2018 Journal of Orthopaedic Research

18. Hidden degloving rotator cuff tears secondary to glenohumeral dislocation. (PubMed)

Hidden degloving rotator cuff tears secondary to glenohumeral dislocation. A rare form of rotator cuff tear (RCT) is observed secondary to glenohumeral dislocation, followed by immediate repositioning, as well as formation of scar tissue between tendons and tuberosities. Radiographic diagnosis of such "degloving" tears is problematic because they are obscured by scar tissue. We aimed to describe characteristics of degloving tears and report outcomes following their arthroscopic repair.Among 67 (...) a particular form of RCT secondary to glenohumeral dislocation, resulting in degloving of the rotator cuff, followed by repositioning of tendons. The formation of scar tissue can obscure tendon tears on ultrasound, in which case further imaging is recommended to ascertain the diagnosis and avoid therapeutic delays.Copyright © 2018 Journal of Shoulder and Elbow Surgery Board of Trustees. Published by Elsevier Inc. All rights reserved.

2018 Journal of Shoulder and Elbow Surgery

19. Autologous Adult Adipose-Derived Regenerative Cell Injection Into Chronic Partial-Thickness Rotator Cuff Tears

a U.S. FDA-regulated Device Product: Yes Device Product Not Approved or Cleared by U.S. FDA: No Pediatric Postmarket Surveillance of a Device Product: No Keywords provided by InGeneron, Inc.: rotator cuff tear adipose-derived regenerative cells adipose-derived stem cells partial rotator cuff tears corticosteroid Additional relevant MeSH terms: Layout table for MeSH terms Rotator Cuff Injuries Tendinopathy Rupture Wounds and Injuries Shoulder Injuries Tendon Injuries Muscular Diseases Musculoskeletal (...) Autologous Adult Adipose-Derived Regenerative Cell Injection Into Chronic Partial-Thickness Rotator Cuff Tears Autologous Adult Adipose-Derived Regenerative Cell Injection Into Chronic Partial-Thickness Rotator Cuff Tears - Full Text View - ClinicalTrials.gov Hide glossary Glossary Study record managers: refer to the if submitting registration or results information. Search for terms x × Study Record Detail Saved Studies Save this study Warning You have reached the maximum number of saved

2018 Clinical Trials

20. Superior Capsule Reconstruction vs Partial Repair of Massive Rotator Cuff Tears

-regulated Drug Product: No Studies a U.S. FDA-regulated Device Product: No Product Manufactured in and Exported from the U.S.: Yes Additional relevant MeSH terms: Layout table for MeSH terms Rotator Cuff Injuries Rupture Wounds and Injuries Shoulder Injuries Tendon Injuries (...) Superior Capsule Reconstruction vs Partial Repair of Massive Rotator Cuff Tears Superior Capsule Reconstruction vs Partial Repair of Massive Rotator Cuff Tears - Full Text View - ClinicalTrials.gov Hide glossary Glossary Study record managers: refer to the if submitting registration or results information. Search for terms x × Study Record Detail Saved Studies Save this study Warning You have reached the maximum number of saved studies (100). Please remove one or more studies before adding more

2018 Clinical Trials

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