We describe an arthroscopic technique for irreparable rotator cuff tears using patch bridging reconstruction with fascia lata autograft. Compared with conventional rotator cuff repair, this technique reconstitutes the rotator cuff as a dynamic structure, preserves the rotator cuff remnant, reduces excessive tension of the rotator cuff, and preserves the shoulder joint. The fascia lata patch itself is low cost and avoids risks of transmission of blood-borne infectious diseases and rejection. Although the bridging reconstruction is a complex operation with a long learning curve, we believe patch bridging using fascia lata is a highly effective and reproducible surgical protocol for appropriate irreparable rotator cuff tear patients.
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http://dx.doi.org/10.1016/j.eats.2024.103000 | DOI Listing |
Objectives: To assess if implementing interventions to effectively manage preoperative chronic moderate to severe shoulder pain in patients undergoing rotator cuff repair (RCR) can improve shoulder surgery outcomes.
Methods: A systematic review was conducted following the PRISMA and SIGN guidelines. Randomized clinical trials (RCT), metanalysis, systematic revisions and cohort studies in Spanish/English, published within the last 10 years, evaluating interventions to control preoperative chronic moderate to severe shoulder pain in patients undergoing RCR and their impact in postoperative shoulder outcomes were included.
Oper Orthop Traumatol
March 2025
Klinik für Unfallchirurgie und Orthopädie, spezielle Unfallchirurgie, Johannes Wesling Klinikum Minden, Hans Nolte Str. 1, 32429, Minden, Deutschland.
Objective: Safe and bone-sparing implantation of a stem- and cement-free reversed shoulder prosthesis.
Indications: Shoulder arthritis with rotator cuff degeneration, symptomatic rotator cuff arthropathy with no further therapy, posttraumatic arthritis, rheumatoid arthritis, humeral head necrosis, revision surgery after implantation of a surface prosthesis.
Contraindications: Infection, axillary nerve lesion, deltoid muscle insufficiency, insufficient central glenoid bone substance for glenoid screw fixation.
Curr Protein Pept Sci
March 2025
Rotator cuff injury is a disease in which the muscle and tendon that constitute the rotator cuff are torn causing shoulder pain and limited function. Osteoporosis (OP) is a systemic metabolic bone disease characterized by decreased bone mass, destruction of bone microstructure, decreased bone strength, and increased bone fragility. Both are common musculoskeletal diseases that occur in middle-aged and elderly people, and their prevalence gradually increases with age.
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February 2025
Department of Orthopaedics, Shanghai Tenth People's Hospital, Tongji University School of Medicine, Shanghai, China.
Objective: Modified double-row biceps tenodesis (MDBT) has been proved to be effective in treating slap injuries, but the impact of closing the rotator cuff gap remained postoperatively (the Pulley ring repair) on the long-term shoulder function and stability has not been conclusively investigated.
Methods: A retrospective study was conducted on 157 patients with isolated unilateral type II SLAP lesions treated with MDBT from January 2019 to January 2023. 77 patients were without the Pulley ring repair (group A) and the remaining 80 patients were with the Pulley ring repair (group B).
J ISAKOS
March 2025
Clinical Research Lab, Department of Physical Therapy, Catholic University of Maule, Talca, Chile; Faculty of Rehab Medicine, University of Alberta, Edmonton, Canada.
Introduction: There are no published studies that have investigated the occurrence of pain sensitization in patients with postoperative shoulder stiffness. The aim of this study was to describe the presence of pain sensitization and its association with risk factors in patients with shoulder stiffness following arthroscopic rotator cuff (RC) repair.
Methods: From 2016 to 2020, a total of 115 patients with shoulder stiffness after RC repair were consecutive and prospectively recruited.
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