Lower trapezius transfer presents a highly encouraging therapeutic approach for addressing posterosuperior irreparable massive rotator cuff tears. Based on studies on the balance of force couples of the rotator cuff, more scholars believe that attention should be paid to the reconstruction of the force couples of the rotator cuff. This study proposes a modified surgical approach that integrates an arthroscopic-assisted lower trapezius transfer with autologous hamstring tendon and partially augmented rotator cuff repair for irreparable massive rotator cuff tears, with a focus on restoring the anterior-posterior shoulder force couple.
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http://dx.doi.org/10.1016/j.eats.2024.103176 | DOI Listing |
Orthop J Sports Med
March 2025
Department of Orthopaedic Surgery, UPMC Freddie Fu Sports Medicine Center, Pittsburgh, Pennsylvania, USA.
Background: Full-thickness, transtendinous supraspinatus rotator cuff tears involve a significant portion of the remanent tendon attached to the footprint.
Purpose: To compare outcomes and failure rates for arthroscopic side-to-side (STS) suture repair for transtendinous tears versus traditional double-row repair for common tendon-to-bone type tears.
Study Design: Cohort study; Level of evidence, 3.
Clin Shoulder Elb
March 2025
Department of Orthopedic Surgery, Ulsan University Hospital, University of Ulsan College of Medicine, Ulsan, Korea.
Acute postoperative parotitis, also known as anesthesia mumps, involves transient inflammation and enlargement of the parotid gland after general anesthesia. No case reports of acute postoperative parotitis after arthroscopic shoulder surgery have been reported to date. Therefore, we share our experience with a recent case of acute postoperative parotitis as a rare complication of arthroscopic rotator cuff repair in lateral decubitus position.
View Article and Find Full Text PDFClin Shoulder Elb
March 2025
Division of Shoulder and Elbow Surgery, Rothman Orthopaedic Institute, Philadelphia, PA, USA.
As the incidence of reverse total shoulder arthroplasty (RSA) continues to increase with its expanding indications, a growing number of patients are being considered for bilateral RSA. This review aims to explore the functional outcomes of patients with bilateral RSA and examine the effect of risk factors and implant positioning on internal rotation. Multiple studies have reported favorable results in bilateral RSA patients, with significantly improved patient-reported and clinical outcomes bilaterally.
View Article and Find Full Text PDFClin Shoulder Elb
March 2025
Department of Orthopedic Surgery, Kyungpook National University Hospital, Daegu, Korea.
Rotator cuff repair has experience great development, transitioning from open surgical techniques to minimally invasive arthroscopic methods. This review explores its historical development, current repair techniques, biomechanical considerations, and advances in materials and biological augmentation. It also addresses strategies for managing partial-thickness and massive tears, compares single-row and double-row repairs, and highlights the importance of individualized postoperative rehabilitation.
View Article and Find Full Text PDFClin Shoulder Elb
March 2025
Department of Orthopedic Surgery, National Health Insurance Service Ilsan Hospital, Goyang, Korea.
Background: This study compared the clinical and radiological outcomes of chronic retracted rotator cuff tears where complete footprint coverage cannot be achieved, using two treatments: footprint medialization with bone marrow stimulation and conventional incomplete repair.
Methods: This retrospective study included 87 patients who underwent arthroscopic rotator cuff repair with incomplete footprint coverage. The included patients were divided into group 1 (54 patients with footprint medialization and bone marrow stimulation) and group 2 (33 patients with conventional repair).
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