Cervical intervertebral disc denervation during rotator cuff tendon plasty

Objective. To analyze the effect of denervation of intervertebral discs in the cervical spine on the results of surgical treatment of patients with injuries to rotator cuff tendons of the shoulder joint.Material and Methods. Study design: descriptive hypothesis-generating study. The study included patients requiring surgical treatment of rotator cuff tear. Two groups were identified: Group A included 28 patients who underwent plastic repair of rotator cuff tear with additional denervation of intervertebral discs, and Group B – 30 patients who underwent only plastic surgery for rotator cuff tear. The intensity of pain according to the VAS, functional activity due to neck pain (NDI), functionality of the shoulder joint (UCLA), and the degree of intervertebral disc degeneration according to MRI were assessed, and the effectiveness of treatment was determined. Statistical calculations were performed using the RStudio program.Results. In the group of patients with denervation of intervertebral discs, a more pronounced decrease in the intensity of pain syndrome at 3, 6, and 12 months (p < 0.001; p < 0.001; and p = 0.002), a more proportion of effectively treated patients at 3 months (p = 0.003), and significant increase in functional activity according to NDI at 3, 6 and 12 months of follow-up period (p < 0.001; p = 0.010; and p = 0.045) were observed.Conclusions. There is an underestimation of the role of degenerative cervical spine pathology in the occurrence of shoulder joint pain. In the case of rotation cuff plasty the additional denervation reduces the intensity of pain syndrome in the shoulder joint in the postoperative period.

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

Journal of Orthopaedics ◽

10.1016/j.jor.2018.03.004 ◽

2018 ◽

Vol 15 (3) ◽

pp. 757-760 ◽

Cited By ~ 2

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

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The effect of platelet-rich plasma injections in the non-surgical treatment of a partial rotator cuff tear

International Journal of Case Reports and Images ◽

10.5348/ijcri-201493-cr-10404 ◽

2014 ◽

Vol 5 (7) ◽

pp. 524 ◽

Cited By ~ 2

Author(s):

Julien Freitag ◽

Ross Lenssen ◽

Drew Slimmon ◽

Simon Balster

Keyword(s):

Surgical Treatment ◽

Rotator Cuff ◽

Rotator Cuff Tear ◽

Platelet Rich Plasma ◽

Cuff Tear ◽

Partial Rotator Cuff Tear ◽

Non Surgical Treatment

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Clinical Results of Surgical Treatment for Rotator Cuff Tear in Tsushima.

Orthopedics & Traumatology ◽

10.5035/nishiseisai.48.145 ◽

1999 ◽

Vol 48 (1) ◽

pp. 145-147

Author(s):

Masahiko Nishiguchi ◽

Satoshi Nakamura ◽

Katsumi Yano ◽

Masayuki Egashira ◽

Junji Oda ◽

...

Keyword(s):

Surgical Treatment ◽

Rotator Cuff ◽

Rotator Cuff Tear ◽

Clinical Results ◽

Cuff Tear

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Diagnosis and treatment of reflex-pain syndromes in patients with herniated intervertebral disc before surgical decompression

Bulletin of Siberian Medicine ◽

10.20538/1682-0363-2009-1(2)-111-114 ◽

2009 ◽

Vol 8 (1(2)) ◽

pp. 111-114

Author(s):

Ye. B. Kolotov ◽

A. A. Lutsik ◽

A. V. Mironov ◽

S. V. Yelagin

Keyword(s):

Cervical Spine ◽

Surgical Treatment ◽

Clinical Outcome ◽

Intervertebral Disc ◽

Intervertebral Discs ◽

Intervertebral Disk ◽

Surgical Decompression ◽

Pain Syndromes ◽

Herniated Intervertebral Disc

To upgrade the results of surgical treatment in patients operated on for gerniated intervertebral disk the reflex-pain syndromes of spondylarthrosis and osteohondrous was studied. Before surgical treatment alcohol-novocain blockades have been used to perform denervation of intervertebral discs and joints. The reflex-pain syndromes was evoked by solution injection and then arrested by alcohol-novocain injection. Clinical outcome in long-term period after surgical treatment became good in 89% (p < 0.05) on cervical spine and in 84% (p < 0.05) lumbar.

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Surgical treatment for recurrent inferior shoulder dislocation with greater tuberosity fracture and rotator cuff tear: a case report

JSES Open Access ◽

10.1016/j.jses.2019.08.004 ◽

2019 ◽

Vol 3 (4) ◽

pp. 357-360

Author(s):

Ryogo Furuhata ◽

Yasuhiro Kiyota ◽

Noboru Matsumura ◽

Akira Yoshiyama ◽

Hideo Morioka ◽

...

Keyword(s):

Case Report ◽

Surgical Treatment ◽

Rotator Cuff ◽

Rotator Cuff Tear ◽

Shoulder Dislocation ◽

Greater Tuberosity ◽

Greater Tuberosity Fracture ◽

Cuff Tear

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OUTCOMES OF REVERSE ARTHROPLASTY IN PATIENTS WITH SHOULDER ARTHROPATHY AND MASSIVE ROTATOR CUFF TEAR

Traumatology and Orthopedics of Russia ◽

10.21823/2311-2905-2018-24-2-7-18 ◽

2018 ◽

Vol 24 (2) ◽

pp. 7-18 ◽

Cited By ~ 1

Author(s):

S. Yu. Dokolin ◽

A. P. Varfolomeev ◽

V. I. Kuz’mina ◽

V. A. Artyukh ◽

I. V. Marchenko

Keyword(s):

Rotator Cuff ◽

Rotator Cuff Tear ◽

Reverse Shoulder Arthroplasty ◽

Treatment Options ◽

Pain Syndrome ◽

X Rays ◽

Massive Rotator Cuff Tear ◽

Cuff Tear ◽

Functional Scores

Purpose— to evaluate mid-term outcomes of reverse joint replacement in patients with shoulder arthropathy and massive rotator cuff tear.Material and Methods. Reverse shoulder arthroplasty with delTa xTeNd (depuy) was performed in 38 patients in the period from december 2010 to december 2016 by the same surgical team. patients’ age ranged from 38 to 82 years. Indications for replacement were pain syndrome and pseudoparalysis of the upper limb in presence of a large or massive Rc tear as well as shoulder arthropathy of various severity degree. Outcomes were evaluated by standard aSeS, cS and ucla scales. Roentgenological examination included ap and axial x-rays during follow up from 1 to 6 years after the surgery with analysis of implants positioning. Mean follow up was 24,2±6,6 months.Results. good outcomes were reported in 6 (15,8%) patients. average functional scores were: aSeS 87,4±2,1, ucla 29,7±1,5 and cS 14,0±2,3. Satisfactory outcomes were observed in 27 (14,2%) patients: aSeS 76,2±2,3, ucla 26,8±1,3 and cS 22,0±1,4 scores. poor outcomes were reported in 5 (14,2%) patients with persisting pain syndrome.Conclusion.To avoid significant and multiple complications after reverse shoulder replacement a precise preoperative planning considering particular destructive changes of glenoid fossa is required. For young and physically active patients the authors recommend to use alternative treatment options aiming at restoration of normal shoulder biomechanics and prophylaxis of arthropathy.

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Initial treatment of complete rotator cuff tear and transition to surgical treatment: systematic review of the evidence

Muscles Ligaments and Tendons Journal ◽

10.32098/mltj.01.2016.05 ◽

2019 ◽

Vol 06 (01) ◽

pp. 35 ◽

Cited By ~ 18

Author(s):

T.A. Abdul-Wahab ◽

J.P. Betancourt ◽

F. Hassan ◽

S. Al. Thani ◽

H. Choueiri ◽

...

Keyword(s):

Systematic Review ◽

Surgical Treatment ◽

Rotator Cuff ◽

Rotator Cuff Tear ◽

Initial Treatment ◽

Cuff Tear

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Cervical Spine Pathology Increases the Risk of Rotator Cuff Tear: A Population-Based Cohort Study

Orthopaedic Journal of Sports Medicine ◽

10.1177/23259671211058726 ◽

2021 ◽

Vol 9 (12) ◽

pp. 232596712110587

Author(s):

Jr-Yi Wang ◽

Yu-Ru Lin ◽

Chen-Kun Liaw ◽

Chih-Hwa Chen ◽

Hui-Wen Lin ◽

...

Keyword(s):

Cohort Study ◽

Cervical Spine ◽

Rotator Cuff ◽

Rotator Cuff Tear ◽

Proportional Hazards ◽

Proportional Hazards Model ◽

Research Database ◽

Level Of Evidence ◽

Cuff Tear ◽

Spine Pathology

Background: Patients with cervical radiculopathy typically present with shoulder pain and weakness; these symptoms are similar to those of rotator cuff disease. Studies investigating cervical spine pathology (CSP) as an independent risk factor for rotator cuff tear (RCT) are lacking in the literature. Purpose: To investigate the risk of RCT among patients with CSP who have undergone cervical diskectomy (CD) and to determine whether CD reduces this risk. Study Design: Cohort study; Level of evidence, 3. Methods: The authors queried the Taiwan National Health Insurance Research Database for patients diagnosed with CSP between 2004 and 2008 and followed up until the end of 2010. A control cohort comprised patients without CSP who were age- and sex-matched in a 4-to-1 ratio with patients with CSP through propensity score matching. A Cox multivariate proportional hazards model was applied to analyze the risk factors for RCT. After adjustment for confounders, the authors calculated the hazard ratio (HR) and adjusted HR (aHR) between the study and control cohorts. The effects of CD on the risk of RCT were also analyzed. Results: The study included 3245 patients and 12,980 matched controls. A higher RCT incidence rate was found in the CSP cohort, with an aHR of 1.52 (95% CI, 1.22-1.89; P < .001). Patients with CSP who underwent CD had a risk of RCT similar to that of the controls, with an aHR of 1.65 (95% CI, 0.90-3.03; P > .05). Conclusion: Patients with CSP had a 1.52-fold higher risk of RCT than healthy controls. Patients with CSP with CD did not have a high risk of RCT, possibly indicating a protective effect of diskectomy against RCT.

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