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Comparison of Clinical Outcomes Between Arthroscopic Rotator Cuff Repair and Reverse Total Shoulder Arthroplasty in Patients With Massive Rotator Cuff Tears and High-Grade Fatty Atrophy Without Glenohumeral Osteoarthritis.
Orthop J Sports Med
December 2024
Oregon Shoulder Institute, Medford, Oregon, USA.
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.
Upper Extremity Pseudoparalysis: A Case Report of Bilateral Nursemaid's Elbows.
Cureus
October 2024
Emergency Medicine, Southeast Health Medical Center, Dothan, USA.
Radial head subluxation (RHS), commonly known as 'nursemaid's elbow,' typically presents in pediatric patients with acute-onset unilateral arm pain and pseudoparalysis. The classic mechanism of injury involves a longitudinal traction force pulling the radial head through the annular ligament. Bilateral RHS is exceedingly rare, with only a few cases documented in the literature; notably, all cases with a provided history and physical exam presented with the classic mechanism of injury, aiding in diagnosis and treatment.
View Article and Find Full Text PDFRegarding "All-Arthroscopic Supraspinatus and Infraspinatus Muscle Advancement Leads to High Healing Rate and Excellent Outcomes in Patients With Massive, Retracted Rotator Cuff Tears, Even in Patients With Pseudoparalysis".
Arthroscopy
January 2025
Department of Orthopedic Surgery, National Defense Medical Center, Tri-Service General Hospital, Taipei, Taiwan; Department of Orthopedic Surgery, Keelung Branch of Tri-Service General Hospital, Keelung, Taiwan.
Author Reply to "Regarding 'All-Arthroscopic Supraspinatus and Infraspinatus Muscle Advancement Leads to High Healing Rate and Excellent Outcomes in Patients With Massive, Retracted Rotator Cuff Tears, Even in Patients With Pseudoparalysis'".
Arthroscopy
January 2025
Queensland Unit for Advanced Shoulder Research (QUASR), Queensland University of Technology; Australian Shoulder Research Institute; St Andrews War Memorial Hospital; University of Queensland, Brisbane, Queensland, Australia.
Surgical Management of Irreparable Rotator Cuff Tears: A Survey of Current Practice and Literature Review.
Cureus
August 2024
Trauma and Orthopaedics, University Hospitals of Leicester NHS Trust, Leicester, GBR.
Article Synopsis
- - The study investigates the current practices of UK-based shoulder surgeons regarding the treatment of irreparable rotator cuff tears (RCTs), focusing on their preferences for graft choices and indications for capsular reconstruction.
- - An online survey collected responses from 110 upper limb surgeons, revealing that traditional methods like partial cuff repair and reverse shoulder arthroplasty are the most commonly performed, while newer techniques like SCR and tendon transfers are used less frequently.
- - The findings highlight a need for further research to better understand the effectiveness and guidelines surrounding the less common treatments for irreparable RCTs, as many surgeons reported limited experience with these options.
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