Journal ArticleDOI
Clinical Results of Arthroscopic Superior Capsule Reconstruction for Irreparable Rotator Cuff Tears
Teruhisa Mihata,Thay Q. Lee,Chisato Watanabe,Kunimoto Fukunishi,Mutsumi Ohue,Tomoyuki Tsujimura,Mitsuo Kinoshita +6 more
TLDR
ASCR restored superior glenohumeral stability and function of the shoulder joint with irreparable rotator cuff tears and suggests that this reconstruction technique is a reliable and useful alternative treatment for irreparableRotator cuff Tears.Abstract:
Purpose The objective of this study was to investigate the clinical outcome and radiographic findings after arthroscopic superior capsule reconstruction (ASCR) for symptomatic irreparable rotator cuff tears. Methods From 2007 to 2009, 24 shoulders in 23 consecutive patients (mean, 65.1 years) with irreparable rotator cuff tears (11 large, 13 massive) underwent ASCR using fascia lata. We used suture anchors to attach the graft medially to the glenoid superior tubercle and laterally to the greater tuberosity. We added side-to-side sutures between the graft and infraspinatus tendon and between the graft and residual anterior supraspinatus/subscapularis tendon to improve force coupling. Physical examination, radiography, and magnetic resonance imaging (MRI) were performed before surgery; at 3, 6, and 12 months after surgery; and yearly thereafter. Average follow-up was 34.1 months (24 to 51 months) after surgery. Results Mean active elevation increased significantly from 84° to 148° ( P P P P Conclusions ASCR restored superior glenohumeral stability and function of the shoulder joint with irreparable rotator cuff tears. Our results suggest that this reconstruction technique is a reliable and useful alternative treatment for irreparable rotator cuff tears. Level of Evidence Level IV, therapeutic case series.read more
Citations
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Journal ArticleDOI
Preliminary Results of Arthroscopic Superior Capsule Reconstruction with Dermal Allograft.
TL;DR: Arthroscopic SCR using dermal allograft provides a successful outcome in approximately 70% of cases in an initial experience, and graft healing is low in the authors' initial experience.
Journal ArticleDOI
Biomechanical Effect of Thickness and Tension of Fascia Lata Graft on Glenohumeral Stability for Superior Capsule Reconstruction in Irreparable Supraspinatus Tears.
TL;DR: Grafts 8-mm thick and attached at 15° to 45° of shoulder abduction biomechanically restore shoulder stability during superior capsule reconstruction using fascia lata to normalized the superior stability of the shoulder joint.
Journal ArticleDOI
Arthroscopic Superior Capsular Reconstruction With Acellular Dermal Allograft for the Treatment of Massive Irreparable Rotator Cuff Tears: Short-Term Clinical Outcomes and the Radiographic Parameter of Superior Capsular Distance.
TL;DR: This analysis reveals that arthroscopic superior capsular reconstruction (SCR) with acellular dermal allograft has been successful in decreasing pain and improving function in this patient subset.
Journal ArticleDOI
Arthroscopic Superior Capsular Reconstruction for Treatment of Massive Irreparable Rotator Cuff Tears
TL;DR: The superior capsular reconstruction is an anatomic reconstruction of the superior capsule to restore the normal restraint to superior translation that occurs with a deficient rotator cuff.
Journal ArticleDOI
Return to Sports and Physical Work After Arthroscopic Superior Capsule Reconstruction Among Patients With Irreparable Rotator Cuff Tears.
Teruhisa Mihata,Thay Q. Lee,Thay Q. Lee,Kunimoto Fukunishi,Yasuo Itami,Yukitaka Fujisawa,Takeshi Kawakami,Mutsumi Ohue,Masashi Neo +8 more
TL;DR: Arthroscopic SCR restored shoulder function and resulted in high rates of return to recreational sports and physical work and between the physical work group and nonphysical work groups.
References
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Journal ArticleDOI
Fatty muscle degeneration in cuff ruptures. Pre- and postoperative evaluation by CT scan
TL;DR: A preoperative computed tomography scan grading muscular fatty degeneration in five stages was done in 63 patients scheduled for repair of a torn rotator cuff, finding that infraspinatus degeneration had a highly negative influence on the outcome of suprasp inatus repairs.
Journal ArticleDOI
Arthroscopic repair of full-thickness tears of the supraspinatus : does the tendon really heal?
Pascal Boileau,Nicolas Brassart,Duncan J. Watkinson,Michel Carles,Armodios M. Hatzidakis,Sumant G. Krishnan +5 more
TL;DR: The hypothesis was that arthroscopic repair of full-thickness supraspinatus tears achieves a rate of complete tendon healing equivalent to those reported in the literature with open or mini-open techniques.
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Repair of the rotator cuff. End-result study of factors influencing reconstruction.
TL;DR: In fifty patients who had fifty tears of the rotator cuff that had been repaired, correlations of the preoperative findings by history, physical examination, and radiography with the operative findings showed that pain and functional impairment, the primary indications for repair, were significantly relieved.
Journal ArticleDOI
Cuff-tear arthropathy.
TL;DR: It is important to recognize cuff-tear arthropathy as a distinct pathological entity, as such recognition enhances the understanding of the more common impingement lesions, and it is a factor to consider when deciding whether or not a documented tear of the rotator cuff should be repaired.
Journal ArticleDOI
Repair integrity and functional outcome after arthroscopic double-row rotator cuff repair. A prospective outcome study.
TL;DR: Arthroscopic double-row repair can result in improved repair integrity compared with open or miniopen repair methods, however, the retear rate for shoulders with large and massive tears remains higher than that for smaller tears, and shoulders withLarge repair defects (type V) demonstrate significantly inferior functional outcomes.