Rotator Cuff Repair

The answer is yes. Although the term competence does not have a universally accepted definition, many consider it to represent the acquisition of the bare minimum skill set that is acceptable. Proficiency, on the other hand, typically indicates a level of mastery of a particular skill that is well above competency. Competency assessments are generally “described” whereas proficiency is rigidly defined by the attainment of an unambiguously defined benchmark. The groundbreaking level 1, randomized, blinded, prospective study by Richard L. Angelo, MD, PhD, clearly demonstrates that beyond competency, proficiency can be accurately and reliably assessed for the individual learner.

At 10-year follow-up, primary tendon repair results were superior to physiotherapy in the treatment of small- and medium-sized rotator cuff tears, according to study results.

NEW YORK — At the American Shoulder and Elbow Surgeons Annual Meeting, Surena Namdari, MD, from Rothman Orthopaedic Institute, discussed the short-term outcomes of lower trapezius transfer with Achilles allograft for posterosuperior irreparable rotator cuff tears. He said his institute changed indications for lower trapezius transfer with Achilles allograft. They no longer use it routinely for patients with less than 90° preoperative elevation. For the surgery to be successful, it requires highly motivated patients who can deal with the rehabilitation and long recovery.

NEW YORK — Results presented at the American Shoulder and Elbow Surgeons Annual Meeting showed improved tendon quality at 1 year among patients who received bone marrow aspirate concentrate injection at the time of rotator cuff repair.