Publications by authors named "W Ciccone"

Upper-edge subscapularis tendon tears associated with biceps instability are a cause of anterior shoulder pain and disability. At shoulder arthroscopy, the incidence of subscapularis pathology was noted to be 27%, with 47% of these being combined lesions involving the medial reflection pulley. The anatomic location of the upper subscapularis and biceps allows for combined fixation techniques.

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Rotator cuff tears are a common source of pain and impairment in the shoulder. Healing of the rotator cuff tendons following repair has been associated with improved patient outcomes. While there have been many technical improvements in surgical techniques for rotator cuff repair, failure rates are still surprisingly high.

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After rotator cuff repair, the regeneration of the anatomic enthesis may be beneficial. Although many cell and growth factor studies have been performed, none have shown a consistent regeneration of this structure. The use of bone marrow vents in the greater tuberosity has been associated with improved healing.

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Early repair of acute traumatic rotator cuff tears has been shown to restore functional range of motion, whether or not there is complete healing. The ability to predict those cuff tears that can achieve only a partial repair can help with preoperative patient counseling. The Hamada classification can be predictive in determining outcomes in the treatment of massive rotator cuff tears.

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Following arthroscopic rotator cuff repair there is a balance between allowing reliable tendon healing and regaining range of motion. Common rehabilitation philosophy requires time for shoulder immobilization combined with passive range of motion to avoid shoulder stiffness yet maximize tendon healing.

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