scholarly journals Results 25 Years After Hemiarthroplasty for Chondrolysis of the Shoulder. A Report of Two Cases

2021 ◽  
Author(s):  
Kazuya Tamai ◽  
Hisato Watanabe ◽  
Rie Kodama ◽  
Takashi Tarui ◽  
Sakae Tanaka
Keyword(s):  
Rotator Cuff ◽  
Humeral Head ◽  
Open Repair ◽  
Gentian Violet ◽  
Shoulder Function ◽  
Long Term Results ◽  
Cuff Tear ◽  
Glenoid Erosion

Abstract Two patients (age, 34 and 52 years) underwent an open repair of concealed rotator cuff tear with the aid of color arthrography using gentian violet. Postoperatively, they developed chondrolysis of the shoulder, which was treated with hemiarthroplasty. Twenty-five years after hemiarthroplasty, both patients showed good shoulder function without significant glenoid erosion on radiographs. Satisfactory long-term results are most probably due to maintenance of humeral head centering and glenohumeral conformity. These are the longest follow-up cases of arthroplasty for chondrolysis of the shoulder in the literature. We conclude that hemiarthroplasty can be a reasonable option for patients with this unfortunate disorder.

scholarly journals Long-term results of partial repair for irreparable rotator cuff tear

2021 ◽  
Author(s):  
Norio Ishigaki ◽  
Yukihiko Hata ◽  
Tomoyuki Matsuba ◽  
Masahito Hino ◽  
Narumichi Murakami ◽  
...  
Keyword(s):  
Rotator Cuff ◽  
Rotator Cuff Tear ◽  
Long Term Results ◽  
Cuff Tear ◽  
Partial Repair ◽  
Irreparable Rotator Cuff Tear

scholarly journals Long-term results after surgical treatment of subacromial pain syndrome with or without rotator cuff tear

2018 ◽  
Vol 15 (3) ◽  
pp. 757-760 ◽  
Author(s):  
Eivind Inderhaug ◽  
Maiken Kalsvik ◽  
Kristin H. Kollevold ◽  
Janne Hegna ◽  
Eirik Solheim
Keyword(s):  
Surgical Treatment ◽  
Rotator Cuff ◽  
Rotator Cuff Tear ◽  
Pain Syndrome ◽  
Long Term Results ◽  
Cuff Tear ◽  
Subacromial Pain Syndrome

scholarly journals Ligaments Reconstruction for Posttraumatic Ulnar Translocation of the Carpus: A Case Report

2017 ◽  
Vol 06 (04) ◽  
pp. 325-328
Author(s):  
Marco Innocenti ◽  
Federico Piacentini ◽  
Margaret Fok
Keyword(s):  
Open Repair ◽  
Treatment Options ◽  
Rare Condition ◽  
Long Term Results ◽  
Loss Of Function ◽  
Ligament Tear ◽  
Wrist Fusion ◽  
Partial Wrist Fusion

Background Posttraumatic ulnar translocation of the carpus, a result of radiocarpal ligament tear is a relatively rare condition that may lead to persistent wrist pain and loss of function. Case Description We report a case of radiocarpal ligament tear of which we reconstruct it with a vascularized interosseous membrane with 13 years of follow-up. Literature Review Many treatment options have been proposed for the posttraumatic ulnar translocation, ranging from open repair to partial wrist fusion. However, the long term results have been disappointing. Clinical Relevance Though this technique of reconstruction is technically demanding, it shows promising long term clinical outcome.

Long-Term Outcomes of Massive Rotator Cuff Tear Repair: A Systematic Review

2021 ◽  
pp. 155633162110081
Author(s):  
Nihar S. Shah ◽  
Emil Suriel Peguero ◽  
Yuta Umeda ◽  
Zachary T. Crawford ◽  
Brian M Grawe
Keyword(s):  
Rotator Cuff ◽  
Rotator Cuff Tears ◽  
Long Term Outcomes ◽  
Massive Rotator Cuff Tear ◽  
Cuff Tear ◽  
Massive Rotator Cuff Tears ◽  
Outcome Scores ◽  
Long Term Follow Up

Background: With an increase in the treatment options available for massive rotator cuff tears, understanding the long-term outcomes of the chosen modality is important. Questions/Purpose: The purpose of this study was to systematically review the available literature on repair of massive rotator cuff repairs and learn the longevity of outcomes, the failure rate, outcomes after failure, and any contributing factors to poor outcomes or failure. Methods: We conducted a systematic review of the MEDLINE, Cochrane, and Embase databases to find studies that investigated the long-term results of repair of massive rotator cuff repairs. Studies were excluded if they did not stratify results of massive tears, provide a definition for a massive rotator cuff tear, or report isolate patients with long-term follow-up. Results: Six studies met the inclusion criteria, for a total of 472 shoulders; average patient age was 57.6 years. Follow-up ranged from 119 to 240 months. Outcome scores improved significantly following repair and were maintained throughout follow-up. The repair failure rate across studies was 39.2%. Patients who suffered retear had significantly worse outcome scores than patients with intact tendons at long-term follow-up. Conclusions: The existing literature on long-term follow-up after massive rotator cuff repair is scarce and not of high level of evidence. This review found repair of massive rotator cuff tears leads to long-term maintained improvements in outcome measures. Failure of repair is quite common, but results following failure are superior to preoperative outcomes.

scholarly journals Humeral Head Replacement With Wrapping Reconstruction of the Rotator Cuff After Resection of Chondrosarcoma With Long-Term Shoulder Function: A Case Report

2019 ◽  
Vol 10 (2) ◽  
pp. 53-57
Author(s):  
Masatoshi Kamikawa ◽  
Noboru Matsumura ◽  
Kikuzo Okada ◽  
Taku Suzuki ◽  
Robert Nakayama ◽  
...  
Keyword(s):  
Case Report ◽  
Rotator Cuff ◽  
Humeral Head ◽  
Shoulder Function ◽  
Humeral Head Replacement

Long-term Results of Arthroscopic Rotator Cuff Repair: A Follow-up Study Comparing Single-Row Versus Double-Row Fixation Techniques

2020 ◽  
Vol 48 (7) ◽  
pp. 1568-1574 ◽  
Author(s):  
Fabian Plachel ◽  
Paul Siegert ◽  
Katja Rüttershoff ◽  
Kathi Thiele ◽  
Doruk Akgün ◽  
...  
Keyword(s):  
Rotator Cuff ◽  
Clinical Results ◽  
Long Term Results ◽  
Double Row ◽  
Fixation Techniques ◽  
Glenohumeral Osteoarthritis ◽  
Arthroscopic Rotator Cuff ◽  
Cuff Repair

Background: Arthroscopic rotator cuff repair (RCR) with suture anchor–based fixation techniques has replaced former open and mini-open approaches. Nevertheless, long-term studies are scarce, and lack of knowledge exists about whether single-row (SR) or double-row (DR) methods are superior in clinical and anatomic results. Purpose: To analyze long-term results after arthroscopic RCR in patients with symptomatic rotator cuff tears and to compare functional and radiographic outcomes between SR and DR repair techniques at least 10 years after surgery. Study Design: Cohort study; Level of evidence, 3. Methods: Between 2005 and 2006, 40 patients with a symptomatic full-thickness rotator cuff tear (supraspinatus tendon tear with or without a tear of the infraspinatus tendon) underwent arthroscopic RCR with either an SR repair with a modified Mason-Allen suture–grasping technique (n = 20) or a DR repair with a suture bridge fixation technique (n = 20). All patients were enrolled in a long-term clinical evaluation, with the Constant score (CS) as the primary outcome measure. Furthermore, an ultrasound examination was performed to assess tendon integrity and conventional radiographs to evaluate secondary glenohumeral osteoarthritis. Results: A total of 27 patients, of whom 16 were treated with an SR repair and 11 with a DR repair, were followed up after a mean ± SD period of 12 ± 1 years (range, 11-14 years). Five patients underwent revision surgery on the affected shoulder during follow-up period, which led to 22 patients being included. The overall CS remained stable at final follow-up when compared with short-term follow-up (81 ± 8 vs 83 ± 19 points; P = .600). An increasing number of full-thickness retears were found: 6 of 22 (27%) at 2 years and 9 of 20 (45%) at 12 years after surgery. While repair failure negatively affected clinical results as shown by the CS ( P < .05), no significant difference was found between the fixation techniques ( P = .456). In general, progressive osteoarthritic changes were observed, with tendon integrity as a key determinant. Conclusion: Arthroscopic RCR with either an SR or a DR fixation technique provided good clinical long-term results. Repair failure was high, with negative effects on clinical results and the progression of secondary glenohumeral osteoarthritis. While DR repair slightly enhanced tendon integrity at long-term follow-up, no clinical superiority to SR repair was found.

scholarly journals Preoperative Comorbidities and Postoperative Complications Do Not Influence Patient-Reported Satisfaction Following Humeral Head Resurfacing: Mid- to Long-term Follow-up of 106 Patients

2019 ◽  
Vol 3 ◽  
pp. 247154921983028
Author(s):  
Andrea Beck ◽  
Hannah Lee ◽  
Mitchell Fourman ◽  
Juan Giugale ◽  
Jason Zlotnicki ◽  
...  
Keyword(s):  
Postoperative Complications ◽  
Humeral Head ◽  
Short Form ◽  
Total Shoulder Arthroplasty ◽  
Shoulder Function ◽  
Long Term Outcomes ◽  
Cross Sectional ◽  
Patient Reported

Background Humeral head resurfacing (HHR) has emerged as an alternative treatment for glenohumeral osteoarthritis. We investigated the outcomes of HHR using validated patient-reported outcome (PRO) measures. Methods A retrospective review was performed on 213 patients who underwent HHR. A PRO follow-up was performed by administering a questionnaire including the American Shoulder and Elbow Society (ASES) score, Brophy activity survey, short form of the Disabilities of the Arm, Shoulder and Hand (quickDASH) survey, and general shoulder function. PRO scores were stratified by comorbidities and complications. Results Survey responses were received from 106 patients (51%), with a mean follow-up of 5.6 ± 1.8 years (range: 9 months to 6.1 years). Preoperative comorbidities were associated with significantly higher quickDASH scores. Postoperative complications were associated with significantly higher rates of current pain, higher visual analog scale scores, night pain, lower subjective shoulder values, and lower ASES pain and total scores. No differences in patient satisfaction were identified between the cohorts with and without preoperative comorbidities and between the cohorts with and without postoperative complications. Conclusion In our cross-sectional analysis of mid- to long-term outcomes following HHR, preoperative comorbidities, or postoperative complications had no impact on patient-perceived postoperative satisfaction or most PROs. HHR is clinically viable in a wide variety of patients. Future work is necessary to compare the efficacy of HHR compared with more traditional total shoulder arthroplasty and stemmed hemiarthroplasty regarding long-term outcomes and appropriate indications.

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