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Repeat Shoulder Dislocation After Arthroscopic Surgery
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Perfect condition. Customer satisfaction our priority. About this Item: Condition: Brand New. Customer Satisfaction guaranteed!!. Language: English. Brand new Book. Integrating MRI findings associated with the spectrum of problems seen in the most commonly treated joints in sports medicine with the diagnostic findings seen during arthroscopy of the same joint in the same patient, this unique text correlates this pathology and applies these findings to the clinic, the radiology reading room and the operating suite. Representing a microcosm of daily patient care, this type of interactive correlation is an exceedingly effective tool for education and continued learning, an impetus for interdisciplinary research collaboration and a critical part of an approach to optimum patient care.
Tendon healing to bone biologically takes 3 months. Strengthening typically will not start until after this time, and therefore maximal recovery of strength can take up to 1 year. We must proceed with caution when rehabbing massive repairs as these repairs are at the highest risk for either re-rupture or not healing. Although many factors are important in predicting which rotator cuff tears will not heal, the size of the tear is paramount. Several studies have shown that despite many repairs not healing, clinical outcomes are still good.
Shoulder Arthroscopy How to Succeed! 2015 ed.
However, it has been shown shoulder strength is better if the repair heals and, therefore, every attempt should be made to ensure healing. Several well-done studies have shown rotator cuff repairs are most vulnerable to re-tear or non-healing in the first 6 months after repair. Therefore, when considering all these factors, it would be wise to delay return to demanding activity until at least the 6-month mark. However, it is even wiser to begin to ease into full activity at the 6-month mark with a goal of full return between 6 months and 1 year postoperatively.
Disclosure: Bishop reports no relevant financial disclosures. The timeline for return to full physical activity after rotator cuff repair is a particularly relevant topic given the active nature of some patients and the desire to return to full recreational and occupational demands. These desires, coupled with the unpredictable healing of massive rotator cuff tears, make counseling patients following rotator repair challenging on many levels.
Comparing surgical repair with conservative treatment for degenerative rotator cuff tears: a randomized controlled trial. Treatment of nontraumatic rotator cuff tears: A randomised controlled trial with one-year clinical results. Tendon repair compared with physiotherapy in the treatment of rotator cuff tears: a randomized controlled study in cases with a five-year follow-up. Repair of massive rotator cuff tears in patients older than 70 years.
Lam F, Mok D. Open repair of massive rotator cuff tears in patients aged sixty-five years or over: is it worthwhile? Arthroscopic debridement of massive irreparable rotator cuff tears. Massive rotator cuff tears: functional outcome after debridement or arthroscopic partial repair. J Orthop Traumatol. Rotator cuff tears after 70 years of age: a prospective, randomized, comparative study between decompression and arthroscopic repair in patients. Pseudoparalysis from a massive rotator cuff tear is reliably reversed with an arthroscopic rotator cuff repair in patients without preoperative glenohumeral arthritis.
Arthroscopic repair of full-thickness rotator cuff tears: is there tendon healing in patients aged 65 years or older?
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Arthroscopic repair of the rotator cuff: prospective study of tendon healing after 70 years of age in patients. Outcome of singletendon rotator cuff repair in patients aged older than 65 years. Rotator cuff repair in patients over 70 years of age: early outcomes and risk factors associated with re-tear. Two year outcomes following arthroscopic rotator cuff repair in recreational athletes over 70 years of age. Clinical outcome and repair integrity after rotator cuff repair in patients older than 70 versus patients younger than 70 years. No significant difference was found between the two groups.
Retear rates were assocated with the size of the tears but not with age. Comparison of functional gains after arthroscopic rotator cuff repair in patients over 70 years of age versus patients under 50 years of age: a prospective multicenter study. Rehabilitation of the rotator cuff: an evaluation-based approach. Rehabilitation after arthroscopic rotator cuff repair: current concepts review and evidence-based guidelines. Int J Sports Phys Ther. Rehabilitation following arthroscopic rotator cuff repair: a prospective randomized trial of immobilization compared with early motion.
Arthroscopic double-row rotator cuff repair using a knotless, interconnected technique. Oper Tech Orthop. Part II: Biomechanical assessment for a footprint-restoring transosseous-equivalent rotator cuff repair technique compared with a double-row repair technique. Part I: Footprint contact characteristics for a transosseous-equivalent rotator cuff repair technique compared with a double-row repair technique.
A biomechanical comparison of tendonbone interface motion and cyclic loading between single-row, triple-loaded cuff repairs and double-row, suture-tape cuff repairs using biocomposite anchors. Three-dimensional distribution of bone density in the proximal humerus. Calcif Tissue Int. A load-sharing rip-stop fixation construct for arthroscopic rotator cuff repair. Arthrosc Tech. Biomechanical validation of load-sharing rip-stop fixation for the repair of tissue-deficient rotator cuff tears.
Techniques for managing poor quality tissue and bone during arthroscopic rotator cuff repair.
Shoulder Osteoarthritis Treatment
Efficacy of marrow-stimulating technique in arthroscopic rotator cuff repair: a prospective randomized study. Relation between narrowed coracohumeral distance and subscapularis tears. Surgical versus nonsurgical management of rotator cuff tears: predictors of treatment allocation.
Roentgenographic findings in massive rotator cuff tears. A long-term observation. Indications for reverse total shoulder arthroplasty in rotator cuff disease. Massive rotator cuff tears: pathomechanics, current treatment options, and clinical outcomes. A new instrument to measure the activity profile of elderly shoulder pathology: The senior shoulder activity score SSA score. Biologic augmentation of rotator cuff repair with mesenchymal stem cells during arthroscopy improves healing and prevents further tears: a case-controlled study.
Int Orthop. The benefit of synthetic versus biological patch augmentation in the repair of posterosuperior massive rotator cuff tears: a 3-year follow-up study. The role of subacromial decompression in patients undergoing arthroscopic repair of full-thickness tears of the rotator cuff: a systematic review and meta-analysis. Clinical and structural outcomes after arthroscopic repair of full-thickness rotator cuff tears with and without platelet-rich product supplementation: a meta-analysis and meta-regression.
The authors reported no statistically significant difference between the treatment groups in outcomes; however, retear rates were significantly decreased when PRP and double-row technique were used in tears larger than 3 cm. Two-year outcomes following biologic patch augmentation for the treatment of massive rotator cuff tears.
Orthop J Sports Med.