Rotator Cuff

Published results showed no significant differences in clinical outcomes at 12 months among patients with acute traumatic rotator cuff tears who received either surgical treatment or nonoperative treatment.

Patients with full-thickness rotator cuff tears who underwent arthroscopic single-row repair augmented with microfracture experienced significantly lower retear rates and better functional outcomes compared with single-row and double-row repairs, according to published results.

Patients with full-thickness rotator cuff tears who underwent arthroscopic single-row repair augmented with microfracture experienced significantly lower retear rates and better functional outcomes compared with single-row and double-row repairs, according to published results.

Gilles Walch, MD, a great specialist in surgery and arthroscopy of the shoulder and pioneer of numerous concepts for treatment of the most common shoulder conditions, is among the most well-known orthopaedic surgeons in France.

NEW YORK — Throwing athletes who underwent ulnar nerve transposition were able to return to play with low reoperation rates, according to results presented at the American Shoulder and Elbow Surgeons Annual Meeting.

NEW YORK — Despite a high rate of graft failure, results presented here showed improved functional outcomes after superior capsular reconstruction for massive rotator cuff tears.

Inclination of the inferior portion of the native glenoid may be reliably measured with the reverse shoulder arthroplasty angle in patients with rotator cuff tear arthropathy, according to published results.

In the past decade, published research has identified an increase in shoulder arthroplasty procedures performed in the United States. Some orthopedic surgeons associate this increase with the approval of reverse total shoulder arthroplasty by the FDA in 2004.

Anatomic TSA has been used to improve function and decrease pain in patients with shoulder arthritis since about 1970. Modern reverse shoulder arthroplasty was developed and introduced in Europe in the late 1980s due to disappointing results of anatomic shoulder arthroplasty in patients with shoulder arthritis and massive rotator cuff tears. The success of reverse shoulder arthroplasty in this patient population has led to the expansion of the indications for reverse replacement to include shoulder arthritis with an intact cuff, especially with substantial glenoid bone deformity. Despite this expansion, anatomic arthroplasty remains the procedure of choice for patients with shoulder arthritis, an intact rotator cuff and mild to moderate glenoid deformity. The return of motion, especially internal rotation, is better with anatomic replacement. In addition, the infection rates of 1% vs.1.5% to 2% and dislocation rates of 1% vs. 1.5% to 2% are lower with anatomic replacement, multiple sources reported. Finally, stress fractures of the scapular spine and acromion are unique to reverse TSA (3% to 11%) and usually result in permanent decrease in function and an increase in pain. Reverse TSA, therefore, is currently reserved for patients with substantial rotator cuff dysfunction and/or severe glenoid deformity. Advances in surgical technique and technology will improve the results of both anatomic and reverse TSA, but anatomic arthroplasty will likely remain the procedure of choice for many patients with shoulder arthritis.

BOSTON — According to a presenter at the American Orthopaedic Society for Sports Medicine Annual Meeting, time had a significant impact on rotator cuff tear size progression from preoperative MRI-measured dimensions to dimensions taken at the time of repair.