Publications by authors named "Bart Kevelham"

Background: To date, there is no consensus on when and how to perform acromioplasty during rotator cuff repair (RCR). We aimed to determine the volume of impinging bone removed during acromioplasty and whether it influences postoperative range of motion (ROM) and clinical scores after RCR.

Methods: Preoperative and postoperative computed tomography scans of 57 shoulders that underwent RCR were used to reconstruct scapula models to simulate volumes of impinging acromial bone preoperatively and then compare them to the volumes of bone resected postoperatively to calculate the proportions of desired (ideal) vs.

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Introduction: There is no consensus on how to perform acromioplasty, particularly regarding the level and extent of bone resection, which depend on scapular and humeral morphologies.

Hypothesis: We aimed to determine whether computer-assisted acromioplasty planning helps surgeons remove impinging bone, reduce unnecessary resections, and improve short-term outcomes of rotator cuff tears (RCR).

Patients And Methods: We randomized 64 patients undergoing RCR of full-thickness supraspinatus tears into two groups: 'guided acromioplasty' (GA) and 'freehand acromioplasty' (FA).

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Article Synopsis
  • "ArthroPlanner" is a computer-assisted planning tool for acromioplasty that uses 3D models and kinematic simulations to enhance surgical precision.
  • The software allows for real-time assessments of shoulder joint movement, helping surgeons choose the right bone resection amount based on identified issues like subacromial impingement.
  • A clinical study involving 27 patients using ArthroPlanner and 31 without found no significant differences in surgical outcomes, although both groups experienced pain relief and improved shoulder function post-surgery.
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Article Synopsis
  • Shoulder strength training is crucial for rehabilitation of shoulder issues, but there's limited data on the impact of different exercises on specific shoulder pathologies.
  • A pilot study used 3D medical imaging and motion capture to evaluate the effects of various shoulder exercises on joint compression and muscle elongation in a single volunteer.
  • Results indicated significant variances in compression associated with different exercises, with the study marking a novel approach in assessing potential negative effects of shoulder strengthening routines.
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