scholarly journals Coracoacromial arch decompression in rotator cuff surgery

2000 ◽  
Vol 24 (4) ◽  
pp. 212-216 ◽  
Author(s):  
N. Suenaga ◽  
A. Minami ◽  
N. Iwasaki ◽  
K. Kaneda

2012 ◽  
Vol 2012 ◽  
pp. 1-5 ◽  
Author(s):  
Lewis L. Shi ◽  
T. Bradley Edwards

The incidence of acromioplasty has increased dramatically in recent decades, but its role in rotator cuff surgery has been debated. Neer popularized the extrinsic theory of rotator cuff pathology, where mechanical compression of the coracoacromial arch leads to tearing of the rotator cuff. Under this theory, acromioplasty is advocated to modify acromial morphology as an essential part of rotator cuff surgery. Proponents of the intrinsic theory suggest rotator cuff tendons undergo degeneration through aging and overuse, and that bursectomy alone without acromioplasty is sufficient. There exist cadaveric studies, expert opinions, and numerous case series espousing both sides of the argument. Recently, however, numerous high-quality prospective randomized controlled trials have been published examining the role of acromioplasty. They have similar study design and randomization protocols, including groups of arthroscopic rotator cuff repair with bursectomy and acromioplasty versus isolated bursectomy. The results have been consistent across all studies, with no difference in the outcomes of the acromioplasty and isolated bursectomy groups. Current evidence does not support the routine use of acromioplasty in the treatment of rotator cuff disease.



Author(s):  
Vishal S. Desai ◽  
Christopher L. Camp ◽  
Venkat Boddapati ◽  
Joshua S. Dines ◽  
Stephen F. Brockmeier ◽  
...  


2006 ◽  
Vol 90 (2) ◽  
pp. 248-249 ◽  
Author(s):  
M E Gilbert ◽  
P J Savino ◽  
R C Sergott




Medicine ◽  
2021 ◽  
Vol 100 (32) ◽  
pp. e26791
Author(s):  
Ozgun Karakus ◽  
Ozgur Karaman ◽  
Ahmet Sinan Sari ◽  
Baransel Saygi


2003 ◽  
Vol 21 (3) ◽  
pp. 393-398 ◽  
Author(s):  
Naomi Oizumi ◽  
Naoki Suenaga ◽  
Akio Minami ◽  
Norimasa Iwasaki ◽  
Takeshi Miyazawa


2003 ◽  
Vol 85 (9) ◽  
pp. 1784-1789 ◽  
Author(s):  
LINDSAY B. GREEN ◽  
RICARDO PIETROBON ◽  
ELIZABETH PAXTON ◽  
LAURENCE D. HIGGINS ◽  
DONALD FITHIAN


2019 ◽  
Vol 28 (10) ◽  
pp. e339-e343
Author(s):  
Grant Jamgochian ◽  
Joseph Abboud ◽  
Ryan Churchill ◽  
Grant Garrigues ◽  
Stephen Brockmeier ◽  
...  


2018 ◽  
Vol 10 (2) ◽  
Author(s):  
David Deckey ◽  
Adam E.M. Eltorai ◽  
Joseph A. Gil ◽  
Alan H. Daniels

Rotator cuff surgery is a commonly performed and may lead to malpractice litigation. Despite this, there is a paucity of data evaluating outcomes of malpractice litigation following rotator cuff surgery. A retrospective investigation of the VerdictSearch legal claims database following rotator cuff surgery was performed. Plaintiff demographics, reason for litigation, and the effect of surgical complications were assessed as were the proportion of plaintiff rulings and size of payments. In total, 40 cases were analyzed. Mean age of plaintiffs was 52±11.2 years; 30 (75%) plaintiffs were male. Twenty-six cases (65% of suits) named pain and weakness as a complication of the procedure. In total, 60% (24) resulted in a defendant ruling, 25% (10) in a plaintiff ruling, and 15% (6) in a settlement. Total liabilities of the 40 cases were $15,365,321 with individual awards ranging from $75,000 to $5,000,000. Mean plaintiff award was $694,032±$586,835 (range: $75,000 to $1,900,000). Mean settlement amount was $1,404,167±$1,816,481 (range: $75,000 to $5,000,000). This study is the first examination of legal claims following rotator cuff surgery. Objective symptoms following surgery, such as decreased range of motion and rotator cuff weakness, as well as subjective complaints of pain and suffering were the most common reason for litigation, and when successful, led to indemnity payments averaging under $1 million each.



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