Complete Repair of Massive, Retracted, and “Non-Repairable” Tears of the Rotator Cuff: The Anatomic Vector Repair

Publication date: Available online 14 February 2020Source: Arthroscopy TechniquesAuthor(s): Graeme P. WhyteAbstractMassive and retracted tears of the supraspinatus and infraspinatus tendons of the rotator cuff are associated with great pain and disability and may be considered “non-repairable,” depending on the extent of injury and the experience of the treating clinician. The technique of anatomic vector repair of the rotator cuff is a surgical treatment method that enables the surgeon to accurately characterize the injury pattern and successfully repair many of these debilitating injuries anatomically in a stepwise manner, often in cases that would have otherwise been treated with a less preferable surgical procedure that does not restore native anatomy.
Source: Arthroscopy Techniques - Category: Surgery Source Type: research

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Conclusions We present a simple arthroscopic technique using a single suture anchor placed in the ulnar fovea. Repairs performed with this technique are simple and the results achieved seem to be similar to those obtained with conventional open or arthroscopic techniques, although further investigation with an increased number of patients and follow-up are required. It however became our first choice of treatment in European Wrist Arthroscopy Society (EWAS) 2 lesions of the TFCC. [...] Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.Article in Thieme eJournals: Table of contents  | ...
Source: Journal of Wrist Surgery - Category: Orthopaedics Authors: Tags: Procedure Source Type: research
Authors: Otte RS, Bansal A, Srikumaran U, Weick JW, Freehill MT, Lin A, Garrigues GE Abstract Rotator cuff pathology is one of the most common reasons for patients to seek orthopaedic consultation. Although in many cases these issues can be resolved with proper conservative management, many of these patients benefit from surgical treatment. The goal of this instructional course lecture is to identify factors that can potentially lead to worse outcomes following repair, describe the history and techniques behind transosseous anchorless repairs, discuss subscapularis tears and their management, and to analyze the mos...
Source: Instructional Course Lectures - Category: Orthopaedics Tags: Instr Course Lect Source Type: research
Discussion: We hypothesize that patients who receive a supervised early exercise program in combination with standard treatment will benefit more in respect to shoulder function, pain reduction, and range of motion than those who receive a standard exercise program. If this is confirmed, our study can be used clinically to enhance the recovery of patients with arthroscopic RC repair. Trial registration: Brazilian registry of clinical trials UTN number U1111-1224-4143. Registered December 18, 2018.
Source: Medicine - Category: Internal Medicine Tags: Research Article: Study Protocol Clinical Trial Source Type: research
We describe the reconstruction of high-grade extensor tendon tears using a knotless suture anchor and hypothesize that this will result in improved elbow pain and function with a high healing rate. Twenty chronic lateral epicondylitis patients with magnetic resonance imaging–confirmed high-grade extensor tendon tears underwent surgery using a knotless suture anchor technique. All underwent clinical and ultrasound assessments and completed the quick Disabilities of the Arm, Shoulder, and Hand and patient-rated tennis elbow evaluation questionnaires at final follow-up. Preoperative and postoperative Mayo Elbow Performa...
Source: Techniques in Shoulder and Elbow Surgery - Category: Orthopaedics Tags: Techniques Source Type: research
ConclusionsBoth techniques were satisfactory regarding functional outcomes and complications, except for type-III SLAP lesions. Using only one anterior portal, the surgical time was shorter, and the costs were lower when dispensing with a second cannula and a suture passing instrument.RESUMENObjetivoevaluar la efectividad y seguridad de la técnica artroscópica de Bankart utilizando un solo portal anterior en pacientes con inestabilidad anterior de hombro.Pacientes y métodosestudio prospectivo de 82 pacientes operados con técnica de Bankart artroscópica de hombro utilizando un solo portal ...
Source: Revista Espanola de Cirugia Ortopedica y Traumatologia - Category: Orthopaedics Source Type: research
Conclusions: Arthroscopic one-tunnel transosseous TFCC foveal repair and simulatneous transosseous capsular repair of distal component can be a safe and effective strategy for repair of complete TFCC tear combined with DRUJ instability.
Source: Indian Journal of Orthopaedics - Category: Orthopaedics Authors: Source Type: research
CONCLUSION: 1. Mini-open rotator cuff tear repair eliminated sym-pto-matic full thickness rotator cuff tears with significant improvement in functional scores. 2. There were no major complications of the surgical procedure adop-ted or the fixation method used. 3. Mini-open rotator cuff repair remains a useful technique despite advan-ces in arthroscopy. PMID: 30648663 [PubMed - in process]
Source: Ortopedia, Traumatologia, Rehabilitacja - Category: Orthopaedics Authors: Tags: Ortop Traumatol Rehabil Source Type: research
Publication date: Available online 10 September 2018Source: Arthroscopy TechniquesAuthor(s): Brian J. Rebolledo, Kevin M. Smith, Jason L. DragooAbstractIncreased contact pressures of the osteoarthritic joint can lead to underlying osseous injury, with resultant marrow edema changes of the subchondral bone. These osteoarthritis-related bone marrow lesions can subsequently lead to persistent pain and further disability. Limited joint preservation treatment options exist to alleviate symptoms or potentially alter the natural history of the affected joint; however, recent success with injectable calcium phosphate has provided ...
Source: Arthroscopy Techniques - Category: Surgery Source Type: research
Conclusion Satisfactory outcomes were achieved for both open and arthroscopic repair techniques in the midterm. If a surgeon becomes familiar with the arthroscopic repair, the arthroscopic technique would be more feasible than the open repair in terms of technical facility and shortening of the operating time. Level of Evidence Level III, therapeutic study. [...] Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.Article in Thieme eJournals: Table of contents  |  Abstract  |  Full text
Source: Journal of Wrist Surgery - Category: Orthopaedics Authors: Tags: Scientific Article Source Type: research
Shoulder instability is a common phenomenon, especially for young athletic populations, and can lead to pain, disability, and inability to participate in sports.1 For patients with traumatic shoulder instability involving glenoid bone loss and engaging Hill-Sachs lesions, arthroscopic remplissage, in conjunction with an arthroscopic Bankart repair, is a reliable solution for restoring shoulder stability with low complication rates.1 –4 Remplissage is a capsulotenodesis of the infraspinatus tendon and posterior joint capsule to the surface of the Hill-Sachs lesion. Although remplissage is
Source: Journal of Pediatric Ophthalmology and Strabismus - Category: Opthalmology Authors: Source Type: research
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