Review
Orthopedics
Rony-Orijit Day Hazra, Justin J. Ernat, Dylan R. Rakowski, Robert E. Boykin, Peter J. Millett
Summary: ARCR has evolved into the gold standard for treating rotator cuff pathology over the past 30 years, with continuous improvements in procedural concepts compared to the traditional open rotator cuff repair. This review highlights the historical perspective, anatomical, clinical, and surgical implications, as well as future perspectives in orthobiologics related to ARCR. Additionally, it discusses the clinical improvements or lack thereof with adaptations in techniques and technologies associated with ARCR.
ORTHOPAEDIC JOURNAL OF SPORTS MEDICINE
(2021)
Article
Orthopedics
Evan T. Zheng, Natalie A. Lowenstein, Jamie E. Collins, Elizabeth G. Matzkin
Summary: Most patients experience sleep disturbances before rotator cuff repair, but these symptoms largely improve postoperatively. The relationship between the resolution or persistence of sleep disturbance and patient-reported outcomes after rotator cuff repair is unclear. This study aimed to compare outcomes between patients with and without preoperative sleep disturbance and assess outcomes in relation to the persistence or resolution of sleep disturbance.
AMERICAN JOURNAL OF SPORTS MEDICINE
(2023)
Review
Orthopedics
David Kovacevic, Robert J. Suriani, William N. Levine, Stavros Thomopoulos
Summary: The limited regenerative capacity of the tendon-bone enthesis after surgical repair presents a challenge to achieving desired clinical outcomes. Biologic augmentation methods show potential for improving the integrity of the enthesis, but there is currently no reliable method that consistently leads to clinical improvement.
JOURNAL OF THE AMERICAN ACADEMY OF ORTHOPAEDIC SURGEONS
(2022)
Article
Orthopedics
Scott M. Bolam, Young-Eun Park, Subhajit Konar, Karen E. Callon, Josh Workman, A. Paul Monk, Brendan Coleman, Jillian Cornish, Mark H. Vickers, Jacob T. Munro, David S. Musson
Summary: In a rat model of RC repair, diet-induced obesity (DIO) resulted in inferior enthesis healing, with poor biomechanical and histological outcomes. Restoring a normal weight with dietary changes after surgery did not improve the healing outcomes.
AMERICAN JOURNAL OF SPORTS MEDICINE
(2021)
Article
Orthopedics
Njalalle Baraza, Maciej J. K. Simon, Jordan M. Leith
Summary: The study found that withholding antibiotics during arthroscopic rotator cuff repair surgery did not have a detrimental effect on infection rates, as infections were uncommon post-operatively. Therefore, judicious use of prophylactic antibiotics in low-risk patients undergoing routine rotator cuff repair surgery is advocated to prevent potential harm.
KNEE SURGERY SPORTS TRAUMATOLOGY ARTHROSCOPY
(2021)
Article
Orthopedics
Devon E. E. Anderson, Hashim J. F. Shaikh, Alexander R. R. Chait, Gabriel Ramirez, Robert D. D. Bronstein, John P. P. Goldblatt, Brian D. D. Giordano, Michael D. D. Maloney, Gregg T. T. Nicandri, Ilya Voloshin, Sandeep Mannava
Summary: This study aimed to determine the influence of alternative insurance reimbursement on outcomes after arthroscopic rotator cuff repair. The results showed that patients with workers' compensation or government-issued reimbursement had lower pre- and postoperative Patient-Reported Outcomes Measurement Information System (PROMIS) scores, higher levels of depression and pain interference, and smaller improvements in PROMIS domains compared to patients with commercial insurance. The findings highlight the importance of considering insurance status in assessing outcomes after surgical intervention for rotator cuff repair.
AMERICAN JOURNAL OF SPORTS MEDICINE
(2023)
Review
Orthopedics
Matthew G. Alben, Neil Gambhir, Aidan G. Papalia, Nicholas Bostrom, Gabriel Larose, Mandeep S. Virk, Andrew S. Rokito
Summary: This systematic literature review examined return to sport (RTS) outcomes after arthroscopic rotator cuff repair (aRCR) for full-thickness rotator cuff tears (FTRCTs). The review included articles from PubMed, Medline, and Excerpta Medica Database (EMBASE) and found high variability in RTS rates and time to RTS among athletes after aRCR for FTRCTs. More research is needed to provide a more definitive consensus on RTS after aRCR for FTRCTs.
CLINICAL JOURNAL OF SPORT MEDICINE
(2023)
Article
Orthopedics
Surena Namdari, Thema Nicholson, Tyler J. Brolin, Jeffrey Lu, Joseph A. Abboud, Mark D. Lazarus
Summary: The study on complex and revision rotator cuff repairs with dermal allograft augmentation in 35 patients showed that double-row arthroscopic repair led to improved functional outcomes. Approximately half of patients experienced a failure of healing, which was associated with poorer functional results.
AMERICAN JOURNAL OF SPORTS MEDICINE
(2021)
Article
Orthopedics
Michael Hackl, Eduard Buess, Sandra Kammerlohr, Julia Nacov, Manfred Staat, Tim Leschinger, Lars P. Muller, Kilian Wegmann
Summary: The comma sign repair technique provided enhanced primary stability for subscapularis tendon repair in anterosuperior rotator cuff tears compared to single-row repair. While there were no significant differences in ultimate failure load between the two techniques, the comma sign repair effectively reduced micromotion at the tendon-bone interface during cyclic loading.
AMERICAN JOURNAL OF SPORTS MEDICINE
(2021)
Article
Orthopedics
Ryan Krupp, Mark Frankle, John Nyland, Christopher E. Baker, Brian C. Werner, Patrick St Pierre, Robert Tashjian
Summary: The study aimed to evaluate the failure rate of rotator cuff tendon repair and the survival of a new suture anchor device. The results showed that the anchor had a high survival rate and achieved excellent clinical outcomes, regardless of the duration of shoulder function limitation.
KNEE SURGERY SPORTS TRAUMATOLOGY ARTHROSCOPY
(2023)
Article
Orthopedics
Umile Giuseppe Longo, Nicolo Panattoni, Sergio De Salvatore, Anna Marchetti, Maria Grazia De Marinis, Vincenzo Denaro
Summary: This study aims to explore the experiences and perceptions of patients awaiting Rotator Cuff Repair surgery. Through interviews and analysis of twenty patients, four main themes and sub-themes related to their feelings were identified. The findings contribute to improving care and post-intervention outcomes by developing specific educational and therapeutic strategies.
BMC MUSCULOSKELETAL DISORDERS
(2023)
Article
Orthopedics
Priyadarshi Amit, Jan Herman Kuiper, Steven James, Martyn Snow
Summary: This study aimed to evaluate the effect of statins on rotator cuff healing and fatty infiltration following repair. The results showed that in patients with hyperlipidemia, the use of statins did not significantly impact patient-reported outcomes, rotator cuff retear rate, and fatty infiltration on MRI at 12 months after rotator cuff repair compared to a control group.
JOURNAL OF SHOULDER AND ELBOW SURGERY
(2021)
Article
Orthopedics
Justin J. Ernat, Dylan R. Rakowski, Aaron J. Casp, Marilee P. Horan, Peter J. Millett
Summary: This study compared patient-reported outcomes (PROs) between arthroscopic excision of calcific tendonitis and arthroscopic rotator cuff repair (CT-ARCR) and standard arthroscopic rotator cuff repair (ARCR). The findings showed that CT-ARCR resulted in excellent PROs that were comparable to patients who received ARCR.
JOURNAL OF SHOULDER AND ELBOW SURGERY
(2022)
Article
Medicine, General & Internal
Riccardo Ranieri, Marko Nabergoj, Li Xu, Pierre Le Coz, Ahmad Farihan Mohd Don, Alexandre Laedermann, Philippe Collin
Summary: This study aims to report the rate of biceps-related complications after LHB tenotomy, investigate related risk factors, and their influence on the outcome. The results showed that younger age, male sex, higher BMI, manual work, and single tendon tears are risk factors associated with the development of biceps-related symptoms during the first year after tenotomy in association with rotator cuff repair. However, the clinical influence of these symptoms on shoulder outcomes is limited.
JOURNAL OF CLINICAL MEDICINE
(2022)
Article
Orthopedics
Tae-Hwan Yoon, Sung-Jae Kim, Yun-Rak Choi, Jin-Tae Cho, Yong-Min Chun
Summary: The study revealed that 43.1% of revision rotator cuff repairs had neglected subscapularis tears, with further deterioration of fatty infiltration and higher retear rates after repair. Detection and treatment of subscapularis tears through meticulous preoperative evaluation and thorough inspection during primary arthroscopy are essential.
AMERICAN JOURNAL OF SPORTS MEDICINE
(2021)