Publications by authors named "Lisa Galasso"

Hypothesis And Background: Reverse shoulder arthroplasty (RSA) exhibits favorable outcomes in managing rotator cuff arthropathy, primary glenohumeral arthritis, and complex proximal humeral fractures. Despite its success and reliability, certain patients experience persistent pain and stiffness. The clinical utility of therapeutic arthroscopy in RSA patients remains an area for investigation.

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Background: Despite the effectiveness of reverse total shoulder arthroplasty (RSA) and arthroscopic rotator cuff repair (ARCR) for treating massive rotator cuff tears (MRCTs), controversies remain in patients without glenohumeral osteoarthritis (GHOA).

Purpose: To compare clinical outcomes of ARCR or RSA in patients with MRCT with high-grade fatty atrophy without GHOA.

Study Design: Cohort study; Level of evidence, 3.

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Article Synopsis
  • The long head of the biceps tendon is often affected in patients with massive rotator cuff tears (MRCTs), which make up about one third of all rotator cuff injuries.
  • Treatment approaches for this issue include options like tenotomy, tenodesis, and innovative techniques like augmentation and superior capsular reconstruction.
  • There is still no consensus or established guidelines on how to effectively manage biceps tendon problems alongside MRCTs.
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  • The study investigates what patients consider acceptable strength after undergoing arthroscopic rotator cuff repair (ARCR) for tears involving the subscapularis muscle, focusing on the Patient Acceptable Symptom State (PASS) values for strength metrics.
  • A total of 278 patients were analyzed over a mean follow-up period of 72.8 months, revealing specific PASS values for both Constant strength and internal rotation (IR) strength based on gender.
  • Findings indicate that older age, fatty infiltration of tendons, and unsuccessful healing of the subscapularis negatively impact the likelihood of achieving satisfactory strength post-surgery.
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Article Synopsis
  • The study aimed to compare the effectiveness of supervised physical therapy (PT) versus home-based exercise programs for patients after arthroscopic repair of massive rotator cuff tears over various follow-up periods (3, 6, 12 months, and longer).
  • It involved a retrospective analysis of 99 patients who had chosen their rehabilitation approach; patient-reported outcomes, range of motion, and recovery metrics were collected and analyzed.
  • Results showed no significant differences in recovery outcomes, complications, or overall satisfaction between the two groups, indicating both rehabilitation methods can be effective post-surgery.
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Background: Previous research has emphasized the effect of prognostic factors on arthroscopic rotator cuff repair (ARCR) success, but a specific focus on subscapularis (SSC) tendon repair healing is lacking.

Purpose: To identify prognostic factors for SSC healing after ARCR and develop the Subscapularis Healing Index (SSC-HI) by incorporating these factors.

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

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Objective: The objective of this descriptive study was to evaluate pelvic region avulsion fractures in adolescents, including age of injury, location of injury, activity and mechanism at time of injury, treatments used, duration of treatment, and outcomes.

Design: This was a retrospective chart review of patients who presented with pelvic region avulsion fracture over a 19-year period.

Setting: Private practice, primary care sports medicine clinic.

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Background: More emphasis is being placed on patient-reported outcome measures (PROMs), but the myriad of PROMs makes standardization and cross-study comparison difficult. As the era of big data and massive total joint registries matures, it will be critical to identify and implement the best PROMs.

Methods: All abstracts published in the years 2004, 2009, 2014, and 2016 in the Journal of Bone and Joint Surgery-American volume, the Bone and Joint Journal, Clinical Orthopedics and Related Research, and the Journal of Arthroplasty were reviewed.

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