scholarly journals The Evolution of Arthroscopic Rotator Cuff Repair

2021 ◽  
Vol 9 (12) ◽  
pp. 232596712110508
Author(s):  
Rony-Orijit Day Hazra ◽  
Justin J. Ernat ◽  
Dylan R. Rakowski ◽  
Robert E. Boykin ◽  
Peter J. Millett
Keyword(s):  
Rotator Cuff ◽  
Gold Standard ◽  
Rotator Cuff Repair ◽  
Standard Of Care ◽  
Arthroscopic Rotator Cuff Repair ◽  
Open Approach ◽  
Future Perspectives ◽  
The Past ◽  
Arthroscopic Rotator Cuff ◽  
Cuff Repair

Over the past 30 years, arthroscopic rotator cuff repair (ARCR) has evolved to become the gold standard in treating rotator cuff pathology. As procedural concepts of ARCR continue to improve, it is also continually compared with the open rotator cuff repair as the historical standard of care. This review highlights the evolution of ARCR, including a historical perspective; the anatomic, clinical, and surgical implications of the development of an arthroscopic approach; how arthroscopy improved some of the problems of the open approach; adaptations in techniques and technologies associated with ARCR; future perspectives in orthobiologics as they pertain to ARCR; and lastly, the clinical improvements, or lack of improvements, with all of these adaptations.

scholarly journals The global percutaneous shuttling technique tip for arthroscopic rotator cuff repair

2014 ◽  
Vol 6 (2) ◽  
Author(s):  
Bryan G. Vopat ◽  
Jothi Murali ◽  
Ashok L. Gowda ◽  
Lee Kaback ◽  
Theodore Blaine
Keyword(s):  
Rotator Cuff ◽  
Rotator Cuff Repair ◽  
Tendon Healing ◽  
Arthroscopic Rotator Cuff Repair ◽  
Tissue Quality ◽  
The Past ◽  
Footprint Area ◽  
Arthroscopic Rotator Cuff ◽  
Cuff Repair

Most arthroscopic rotator cuff repairs utilize suture passing devices placed through arthro- scopic cannulas. These devices are limited by the size of the passing device where the suture is passed through the tendon. An alternative technique has been used in the senior author’s practice for the past ten years, where sutures are placed through the rotator cuff tendon using percutaneous passing devices. This technique, dubbed the global percutaneous shuttling technique of rotator cuff repair, affords the placement of sutures from nearly any angle and location in the shoulder, and has the potential advantage of larger suture bites through the tendon edge. These advantages may increase the area of tendon available to compress to the rotator cuff footprint and improve tendon healing and outcomes. The aim of this study is to describe the global percutaneous shuttling (GPS) technique and report our results using this method. The GPS technique can be used for any full thickness rotator cuff tear and is particularly useful for massive cuff tears with poor tissue quality. We recently followed up 22 patients with an average follow up of 32 months to validate its usefulness. American Shoulder and Elbow Surgeons scores improved significantly from 37 preoperatively to 90 postoperatively (P<0.0001). This data supports the use of the GPS technique for arthroscopic rotator cuff repair. Further biomechanical studies are currently being performed to assess the improvements in tendon footprint area with this technique.

Incidence of Propionibacterium acnes in arthroscopic rotator cuff repair

2020 ◽  
Vol 25 (1) ◽  
pp. 110-114 ◽  
Author(s):  
Yukihiro Kajita ◽  
Yusuke Iwahori ◽  
Yohei Harada ◽  
Masataka Deie
Keyword(s):  
Rotator Cuff ◽  
Rotator Cuff Repair ◽  
Propionibacterium Acnes ◽  
Arthroscopic Rotator Cuff Repair ◽  
Arthroscopic Rotator Cuff ◽  
Cuff Repair

Do elderly patients gain as much benefit from arthroscopic rotator cuff repair as their younger peers?

2019 ◽  
Vol 28 (6) ◽  
pp. 1056-1065 ◽  
Author(s):  
Caroline Witney-Lagen ◽  
Georgios Mazis ◽  
Juan Bruguera ◽  
Ehud Atoun ◽  
Giuseppe Sforza ◽  
...  
Keyword(s):  
Rotator Cuff ◽  
Elderly Patients ◽  
Rotator Cuff Repair ◽  
Arthroscopic Rotator Cuff Repair ◽  
Arthroscopic Rotator Cuff ◽  
Cuff Repair

Effects of Anxiety and Depression Measured via the Hospital Anxiety and Depression Scale on Early Pain and Range of Motion After Rotator Cuff Repair

2021 ◽  
Vol 49 (2) ◽  
pp. 314-320
Author(s):  
Joo Hyun Park ◽  
Sung-Min Rhee ◽  
Hyong Suk Kim ◽  
Joo Han Oh
Keyword(s):  
Rotator Cuff ◽  
Clinical Outcomes ◽  
Rotator Cuff Repair ◽  
Preoperative Anxiety ◽  
Arthroscopic Rotator Cuff Repair ◽  
Psychological Status ◽  
Anxiety And Depression ◽  
Group B ◽  
Arthroscopic Rotator Cuff ◽  
Cuff Repair

Background: Preoperative anxiety and depression are independent predictors of clinical outcomes after arthroscopic rotator cuff repair. However, few studies have evaluated correlations between outcomes such as pain and range of motion (ROM) after arthroscopic rotator cuff repair and preoperative anxiety and depression. Purpose: To evaluate the effects of preoperative anxiety and depression, measured using the Hospital Anxiety and Depression Scale (HADS), on early pain and ROM after rotator cuff repair. Study Design: Cohort study; Level of evidence, 2. Methods: A total of 144 consecutive patients who underwent arthroscopic rotator cuff repair were enrolled and divided into 2 groups according to HADS scores: group A, those with a healthy psychological status (n = 103; anxiety ≤7 and depression ≤7), and group B, those with psychological distress (n = 41; anxiety ≥8 or depression ≥8). Clinical outcomes were assessed using the visual analog scale for pain (pVAS) and ROM at 3 and 6 months postoperatively and annually. Results: There were no significant preoperative differences in age, sex, tear size, pVAS scores, and ROM. However, at 3 months postoperatively, group A showed significantly lower mean pVAS scores (2.2 ± 1.3 vs 3.4 ± 1.8, respectively; P = .001) and significantly higher mean forward flexion (146.4°± 23.0° vs 124.1°± 28.2°, respectively; P < .001) than group B, as well as significantly higher mean levels of internal rotation at the back (T11.5 ± 2.8 vs L1.9 ± 2.5, respectively; P < .001) and significantly higher mean external rotation (42.4°± 15.9° vs 35.2°± 16.8°, respectively; P = .019). At 6 months postoperatively, the mean pVAS score was still significantly lower in group A than in group B (0.8 ± 1.6 vs 1.8 ± 2.1, respectively; P = .016), but other ROM measurements had no significant differences. There was also no significant difference in clinical and functional outcomes at the final follow-up. Conclusion: Anxiety and depression negatively affected clinical outcomes after rotator cuff repair. Recovery from pain and of ROM after arthroscopic rotator cuff repair occurred more quickly in patients with a healthy psychological status. Therefore, assessments of preoperative psychological status should be emphasized to improve early clinical outcomes after arthroscopic rotator cuff repair.

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