3,523 results match your criteria: "Rotator Cuff Disease"

Background: Sarcopenia and rotator cuff tears are common among elderly patients. However, the role of sarcopenia in the management of rotator cuff tears has been often overlooked. This study aimed to elucidate the effects of sarcopenia-related traits on rotator cuff tears.

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Objectives: This cross-sectional study aimed to explore the knowledge, attitude and practice (KAP) of patients with rotator cuff tears towards arthroscopic shoulder surgery (ASS), based on the hypothesis that the knowledge of the procedure among patients would be sufficient, which in turn might influence their practice and attitude.

Design: Cross-sectional study.

Setting: Patients were recruited from Tong Ren Hospital between September and October 2022.

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Background: Gabapentin is an anticonvulsant used for managing neuropathic pain. Its effectiveness and dosing strategies for postoperative pain, particularly in open shoulder rotator cuff repair, are still debated. This study assesses gabapentin's impact on postoperative pain intensity in open rotator cuff repair.

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Article Synopsis
  • Rotator cuff tears (RCT) are a leading cause of shoulder pain in adults, involving damage to four key muscles that stabilize the shoulder joint.
  • RCTs typically arise from chronic inflammation and degeneration of the tendons, resulting in pain due to exhausted tendon stem cells (TSPCs) that fail to regenerate effectively.
  • The review highlights new markers for TSPCs and explores potential strategies for reprogramming these cells, which could pave the way for innovative treatments for age-related injuries in regenerative medicine.
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  • * A total of 1987 patients were assessed using various pain and function scales, alongside evaluating demographic and surgical characteristics.
  • * Key predictors for CPSP included preoperative negative emotions, existing pain, and shoulder function, emphasizing the need for better pre-surgery evaluations of psychological and social influences on pain outcomes.
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Background: As sports have increased in popularity, the incidence of tendinopathy has also grown dramatically. Nonoperative techniques and treatments used to address these pathologies continue to evolve and improve. One such treatment, prolotherapy (PrT), has become increasingly popular and may provide patients with an alternative nonoperative treatment option.

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Background: Tendinopathy is a chronic tendon disease. Mesenchymal stem cells (MSCs), known for their anti-inflammatory properties, may lose effectiveness with extensive culturing. Previous research introduced "small umbilical cord-derived fast proliferating cells" (smumf cells), isolated using a novel minimal cube explant method.

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  • Adhesive capsulitis, characterized by shoulder stiffness and pain, is linked to conditions like diabetes, trauma, and autoimmune diseases, with a higher incidence found in patients with type 2 diabetes.
  • The objective of a study conducted at Bahawal Victoria Hospital in Pakistan is to determine how common adhesive capsulitis is among patients with type 2 diabetes.
  • The study involves diagnosing adhesive capsulitis based on clinical assessments and examining 430 patients from February to August 2024, focusing on their diabetes management and demographics.
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Classification of distinct tendinopathy subtypes for precision therapeutics.

Nat Commun

November 2024

Department of Sports Medicine & Orthopedic Surgery, the Second Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou City, Zhejiang Province, China.

Rotator cuff tendinopathy is the most common tendinopathy type with the worst prognosis. Conventional treatments often elicit heterogeneous drug responses due to the diversity of tendinopathy. Hence, this study attempted a classification of 126 diseased tendons into three distinct subtypes with opposite pathogenic mechanisms based on transcriptomic and clinical features.

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Rotator cuff tear repair poses significant challenges due to the complex gradient interface structure. In the face of disease-related disruptions in the tendon-bone interface (TBI), the strategy of constructing a biomimetic scaffold is a promising avenue. A novel 3D-printed rotator cuff scaffold loaded adipose stem cells (ADSCs), bone morphogenetic protein-2 (BMP-2), and collagen type I (COL I).

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Background: The shoulder microbiome is an emerging field in orthopedic research. Large synovial joints which were typically considered to be sterile now have strong evidence demonstrating the presence of native organisms colonizing the joint. Many of the conditions that surgeons see and treat in the shoulder, including osteoarthritis, rotator cuff tears, and adhesive capsulitis, have unclear etiology.

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Tissue-engineered Bicipital Autologous Tendon Patch Enhances Massive Rotator Cuff Defect Repair in a Rabbit Infraspinatus Tendon Defect Model.

Clin Orthop Relat Res

December 2024

Dr. Li Dak Sum-Yip Yio Chin Center for Stem Cells and Regenerative Medicine and Department of Orthopedic Surgery of The Second Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, PR China.

Background: Massive rotator cuff defects represent an important source of shoulder pain and functional debilitation, substantially diminishing patients' quality of life. The primary treatment of massive rotator cuff defects includes complete or partial repair and patch augmentation. However, because of the tendon's limited regenerative ability, the tendon retear risk after rotator cuff defect repair is still high.

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[Research progress on factors of shoulder stiffness after rotator cuff tear repair].

Zhongguo Gu Shang

October 2024

Department of Orthopaedics, the Second Hospital of Lanzhou University, Lanzhou 730030, Gansu, China; Key Laboratory of Bone and Joint Disease of Gansu Province, Lanzhou 730030, Gansu, China.

Rotator cuff tear is a common shoulder injury in daily work and sports activities. Arthroscopic repair is the most widely used method for rotator cuff tears, and the postoperative prognosis is good. However, there are still a series of postoperative complications that affect the therapeutic effect and patient satisfaction, such as postoperative pain, infection, retear, shoulder stiffness, etc.

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Disparities in Rotator Cuff Tear Progression Definitions and Rates: A Systematic Review.

JB JS Open Access

October 2024

Musculoskeletal Translational Innovation Initiative, Carl J. Shapiro Department of Orthopaedic Surgery, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, Massachusetts.

Background: While rotator cuff tears are prevalent in the general population, the natural history of this disease is unclear. Understanding rotator cuff tear progression is crucial for refining surgical indications and evaluating the necessity of early interventions. This study presents an in-depth analysis of the existing literature on the definitions and progression rates of rotator cuff tears, aiming to enhance clinical decision making and patient outcomes.

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Article Synopsis
  • Increased commercial spaceflight and space tourism highlight the need to understand the impact of spaceflight on musculoskeletal health, particularly regarding upper extremity injuries, which are the most common in this environment.
  • A literature review revealed that spaceflight leads to decreased bone mineral density, various muscle atrophy patterns, and peripheral nerve issues, such as hand numbness, but the exact causes remain unclear.
  • Although current research offers some insights into maintaining upper extremity health during spaceflight, significant knowledge gaps persist, indicating a need for further investigation into injury risks and preventative measures.
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Aims: This study aimed to define the histopathology of degenerated humeral head cartilage and synovial inflammation of the glenohumeral joint in patients with omarthrosis (OmA) and cuff tear arthropathy (CTA). Additionally, the potential of immunohistochemical tissue biomarkers in reflecting the degeneration status of humeral head cartilage was evaluated.

Methods: Specimens of the humeral head and synovial tissue from 12 patients with OmA, seven patients with CTA, and four body donors were processed histologically for examination using different histopathological scores.

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  • The study analyzes existing literature on the relationship between obesity, body mass index (BMI), and rotator cuff disease (RCD) through a systematic review and meta-analysis of relevant research articles.
  • After reviewing 248 articles, 27 provided data on obesity and RCD, leading to the inclusion of 17 studies in the meta-analysis, which revealed that higher BMI is significantly associated with increased odds of RCD.
  • The results showed that individuals with RCD are more likely to be overweight or obese, and each 5-unit increase in BMI correlates with a 35% increase in the likelihood of rotator cuff tears, while also noting potential biases and variability in study quality.
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Background: The supraspinatus is most frequently involved in rotator cuff tears, a common orthopaedic condition. However, the architecture of this muscle has been described only for the superficial, anterior, and posterior regions.

Purpose: To determine the muscle architecture of the deep supraspinatus.

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Background: The objective of this study is to examine the association between special tests for subscapularis tears and both pain and tear severity.

Methods: Nine hundred and two patients (145 with isolated lesions and 757 with combined lesions) diagnosed with arthroscopically confirmed subscapularis tears between 2010 and 2022. Subscapularis tear severity was classified according to Lafosse classification type I, II, III and IV.

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Article Synopsis
  • The study analyzed 527 patients with full-thickness rotator cuff tears (RCT) to determine the impact of various systemic pathologies on the severity of their injuries.
  • Key risk factors examined included diabetes, cardiovascular diseases, hypercholesterolemia, and smoking habits, with patients categorized based on the number of these risks they possessed.
  • Results showed that 63% of patients had at least one risk factor, and those with any risk factors exhibited larger tear sizes, indicating that the presence of these pathologies can worsen RCT severity.
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  • The study investigates the effectiveness of various arthroscopic procedures for treating rotator cuff diseases, focusing on the outcomes of arthroscopic rotator cuff repair compared to other interventions.
  • A total of 1,232 patients from 16 studies were analyzed, revealing that arthroscopic repair significantly improved shoulder function and outperformed other methods, while physiotherapy was more effective for pain relief.
  • The research highlights the need for caution due to moderate bias risks in the included studies and suggests that further evidence is necessary to solidify these conclusions.
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The effect of ethanol on rotator cuff repairs in a rodent model.

J Shoulder Elbow Surg

October 2024

Department of Orthopaedic Surgery & Rehabilitation, Loyola Medicine, Maywood, IL, USA.

Background: Alcohol consumption is a significant risk factor for both the occurrence and severity of rotator cuff tears. However, there is limited supporting evidence to suggest that alcohol use is associated with suboptimal outcomes after operative repair of rotator cuff tears. Rat shoulders have been demonstrated as consistent and reliable models for studying rotator cuff disease.

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  • Spondyloarthritis is an inflammatory condition that can cause tendon adhesions and sacroiliitis, and this case focuses on reactive arthritis (ReA) triggered by a Chlamydia infection.
  • The patient experienced pain in the hip, lower back, and right shoulder, with MRI results showing inflammation at various tendon sites, but without sacroiliitis.
  • Notably, this case is the first to report shoulder lesions in ReA linked to infection and highlights that these lesions can show both adhesive inflammation and bone marrow edema along with rotator cuff issues.
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Article Synopsis
  • - This study examined how the cause of rotator cuff injuries (RCIs)—either traumatic or non-traumatic—affects the recovery outcomes after surgical repair.
  • - A total of 73 patients were divided into a traumatic group (31 patients) and a non-traumatic group (42 patients), with evaluations conducted both before and after surgery to assess factors like shoulder mobility and muscle strength.
  • - Findings showed that while the non-traumatic group had better initial scores and longer disease duration, post-surgery outcomes were similar across both groups; factors like full-layer tears and fat infiltration were identified as significant predictors of recovery success.
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