Functional and Sports-Specific Outcome After Surgical Repair of Rotator Cuff Tears in Rock Climbers

Conclusion Arthroscopic repair of acute and chronic rotator cuff tears shows a good functional outcome, enabling most patients to regain a high level of rock climbing ability.
Source: Wilderness and Environmental Medicine - Category: Environmental Health Source Type: research

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The objective of this study was to review current data on the contribution of wrist arthroscopy to the management of intra-articular distal radius fractures (IADRFs). The literature published over the last 10 years was reviewed by searching databases with the key indexing terms ‘distal radius fracture’, ‘articular’, and ‘wrist arthroscopy’. The information in the 21 articles thus retrieved was used to answer the following questions: (i) Can arthroscopy improve the reduction of IADRFs? (ii) How does arthroscopy contribute to the diagnosis and treatment of concomitant ligament injuries? an...
Source: Orthopaedics and Traumatology: Surgery and Research - Category: Orthopaedics Source Type: research
Publication date: Available online 12 September 2019Source: Arthroscopy TechniquesAuthor(s): Travis J. Dekker, Liam A. Peebles, W. Jeffrey Grantham, Ramesses A. Akamefula, Thomas R. HackettAbstractThe Bristow-Latarjet procedure is considered the current gold standard for the management of anterior glenohumeral joint instability in which significant glenoid bone loss is present, and numerous techniques have been proposed for capsular management after the bony augmentation component of the procedure. These techniques for capsular management include excision of the capsule and labrum, 2-flap elevation, T-capsulotomy, or an L-...
Source: Arthroscopy Techniques - Category: Surgery Source Type: research
Publication date: Available online 12 September 2019Source: Arthroscopy TechniquesAuthor(s): Dong Ryul Kim, Young-Min Noh, Seung Yup LeeAbstractArthroscopic fixation of a greater tuberosity (GT) avulsion fracture by suture bridge repair has been described in several articles. However, all of them have used arthroscopic fixation of a small sized GT fracture fragment or have not used purely arthroscopic techniques. In this Technical Note, the authors describe another technique for large displaced GT fracture fixation by arthroscopy only, without any metal fixation. Standard anterior, posterior, lateral, and posterolateral vi...
Source: Arthroscopy Techniques - Category: Surgery Source Type: research
Publication date: Available online 11 September 2019Source: Arthroscopy TechniquesAuthor(s): Kyle N. Kunze, Robert A. Burnett, Kevin K. Shinsako, Charles A. Bush-Joseph, Brian J. Cole, Jorge ChahlaAbstractRevision quadriceps tendon repair presents a challenging problem for the treating surgeon because of associated anatomic defects such as large tendon-gap deficits and preexistent poor tissue quality. Current methods for revision quadriceps tendon repair use tendon autograft, which may predispose to additional morbidity because the repair relies only on soft tissue fixation. In this Technical Note, we describe a technique ...
Source: Arthroscopy Techniques - Category: Surgery Source Type: research
Publication date: Available online 11 September 2019Source: Arthroscopy TechniquesAuthor(s): Travis J. Dekker, Lucca Lacheta, Brandon Goldenberg, W. Jeffrey Grantham, Peter J. MillettAbstractArthroscopic repair of SLAP tears is a common shoulder procedure, especially in overhead athletes. Repair techniques have evolved over the last 20 years, and the optimal technique remains elusive. In many cases, a transrotator cuff portal placed lateral to the acromion is used to access the superior glenoid. However, violating the rotator cuff is not desirable in an overhead athlete, and this approach can be associated with an inc...
Source: Arthroscopy Techniques - Category: Surgery Source Type: research
The persistent incidence of retear despite improvements in techniques led orthopedic surgeons to the application of principles of tissue bioengineering to achieve enhanced repair and functional outcomes. The purpose of this study was to compare clinical and radiologic  outcomes of arthroscopic single-row repair augmented with microfracture (SRM) at the greater tuberosity with single-row (SR) and double-row (DR) repair in the treatment of full-thickness rotator cuff tears.
Source: Journal of Shoulder and Elbow Surgery - Category: Orthopaedics Authors: Source Type: research
Background: Recently, a resurgence of interest has been noted in anterior cruciate ligament (ACL) preservation in pediatric and adolescent patients. Different tear types, defined by their tear location, require different preservation techniques: proximal and distal avulsion tears can be treated with arthroscopic primary repair, whereas primary repair with biological scaffold has been proposed for midsubstance tears. The goal of this study was to assess the distribution of different tear types in pediatric and adolescent patients, as these are currently unknown. Methods: A retrospective search in an institutional radio...
Source: Journal of Pediatric Orthopaedics - Category: Orthopaedics Tags: Sports Medicine Source Type: research
To determine if an increased critical shoulder angle (CSA) predisposes patients to higher re-tear rates and worse clinical outcomes after rotator cuff (RC) repair.
Source: Arthroscopy - Journal of Arthroscopic and Related Surgery - Category: Surgery Authors: Tags: Systematic Review Source Type: research
This article delineates a technique for arthroscopic true transosseous hybrid cuff repair that combines the use of anchors and transosseous techniques to maximize the benefits and minimize the detriments of both techniques. Level 1 (shoulder); level 2 (rotator cuff).
Source: Arthroscopy Techniques - Category: Surgery Source Type: research
Publication date: October 2019Source: Asia-Pacific Journal of Sports Medicine, Arthroscopy, Rehabilitation and Technology, Volume 18Author(s): Mun Chun Lai, Fu Hong Benjamin Ang, Kong Hwee Lee, Chee Cheng Paul Chang, Tjiauw Tjoen Denny LieAbstractBackgroundWe previously reported a hybrid suture technique, wherein mattress and simple suturing are used to create Mason-Allen configuration, with low recurrence rates. This comparative study looking at the two years’ clinical outcomes of arthroscopic anterior labral repair using the hybrid suture technique versus simple suture technique.MethodsWe identified 103 patients wh...
Source: Asia-Pacific Journal of Sports Medicine, Arthroscopy, Rehabilitation and Technology - Category: Sports Medicine Source Type: research
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