journal
Journals Sports Medicine and Arthroscop...

Sports Medicine and Arthroscopy Review

https://read.qxmd.com/read/38695504/the-fate-of-the-shoulder-post-rotator-cuff-repair-biomechanical-properties-of-the-supraspinatus-tendon-and-surrounding-structures
#1
JOURNAL ARTICLE
Hannah E Solari, Lisa M Hackett, Patrick Lam, George A C Murrell
The study aimed to describe the changes in biomechanical properties of the supraspinatus tendon, deltoid muscle, and humeral head post arthroscopic rotator cuff repair using shear wave elastography. Shear wave velocity of the tendon, deltoid, and humeral head of 48 patients was measured at predetermined sites at 1 week, 6 weeks, 12 weeks, 6 months, and 12 months post repair. One-way ANOVA with Tukey's correction and Spearman's correlation were performed. Mean±SEM healing tendon stiffness, adjacent to tendon footprint, increased from 1 week (6...
March 1, 2024: Sports Medicine and Arthroscopy Review
https://read.qxmd.com/read/38695503/regenerative-medicine-solutions-for-rotator-cuff-injuries-in-athletes-indications-and-outcomes
#2
REVIEW
Calogero Foti, Claudia Vellucci, Antonio Santoro
Rotator cuff (RC) injuries include a wide range of pathologic states. Athletes are perhaps the most susceptible to RC injuries ranging from tendinopathy to partial or full-thickness tears, due to functional overload and repetitive movements, causing abstention from sports for long periods. Regenerative medicine keeps giving us multiple choices to fight the disability caused by these pathologies. A literature search was performed, and findings related to the structure-function of rotator cuff units, pathophysiology of injuries, regenerative medicine treatments, and future strategies were outlined...
March 1, 2024: Sports Medicine and Arthroscopy Review
https://read.qxmd.com/read/38695502/critical-shoulder-angle-in-patients-with-cuff-tears
#3
JOURNAL ARTICLE
Simone Cerciello, Fabrizio Mocini, Lorenzo Proietti, Dario Candura, Korona Corona
OBJECTIVE: The pathogenesis of rotator cuff tears (RCTs) is multifactorial. Critical shoulder angle (CSA), which represents the lateral extension of the acromion over the cuff, has been proposed as an extrinsic risk factor. The aim of the present systematic review and meta-analysis was to analyze the available literature regarding the correlation between RCT and CSA. METHODS: A review was carried out in accordance with the "Preferred Reporting Items for Systematic reviews and Meta-Analyses" guidelines on July 17, 2023, using the following databases: PubMed, Ovid, and Cochrane Reviews...
March 1, 2024: Sports Medicine and Arthroscopy Review
https://read.qxmd.com/read/38695501/translational-research-on-orthobiologics-in-the-treatment-of-rotator-cuff-disease-from-the-laboratory-to-the-operating-room
#4
REVIEW
Claire D Eliasberg, Paula M P Trinh, Scott A Rodeo
Rotator cuff disease is one of the most common human tendinopathies and can lead to significant shoulder dysfunction. Despite efforts to improve symptoms in patients with rotator cuff tears and healing rates after rotator cuff repair, high rates of failed healing and persistent shoulder morbidity exist. Increasing interest has been placed on the utilization of orthobiologics-scaffolds, cell-based augmentation, platelet right plasma (platelet-rich plasma), and small molecule-based strategies-in the management of rotator cuff disease and the augmentation of rotator cuff repairs...
March 1, 2024: Sports Medicine and Arthroscopy Review
https://read.qxmd.com/read/38695500/criteria-timing-and-factors-associated-with-return-to-competitive-sport-after-rotator-cuff-surgery
#5
REVIEW
Emanuele Maggini, Mac Donald Tedah Djemetio, Isabella Husband, Luca Paganelli, Maristella F Saccomanno, Giuseppe Milano
Rotator cuff pathology in competitive athletes is common and may produce chronic symptoms and joint disability, impairing sports participation and leading to premature retirement. Athletes are a high-functioning patient population with unique characteristics. Decision-making for return to sport is a complex and multifactorial process. Literature is sparse and does not provide precise guidelines to assist physicians to make the right decision. This review aimed to highlight factors affecting outcome, timing, and criteria for return to competitive sport after rotator cuff surgery to help physicians to clearly counsel athletes and make high-quality decisions for return to sport...
March 1, 2024: Sports Medicine and Arthroscopy Review
https://read.qxmd.com/read/38695499/when-is-a-reverse-shoulder-arthroplasty-indicated-for-a-rotator-cuff-tear
#6
REVIEW
Patrick St Pierre
Rotator cuff tears are the most frequent shoulder injury in patients over 50 years old. Treatment of rotator cuff tears is individualized based on the age, demands, and symptoms of the patient. Nonoperative treatment may often be effective, especially in lower-demand or elderly patients. Surgical repair is indicated after failure of nonoperative treatment or in patients whose high-demand lifestyle requires full strength and function of the shoulder. In older patients, larger tears are less likely to heal and rotator cuff repair may not reliable...
March 1, 2024: Sports Medicine and Arthroscopy Review
https://read.qxmd.com/read/38695498/rotator-cuff-tendinopathy-pathways-of-apoptosis
#7
JOURNAL ARTICLE
Sophie I Worsfold, Kristyn Carter, Moeed Akbar, Lisa Hackett, Neal L Millar, George A C Murrell
Rotator cuff repair is usually successful, but retear is not uncommon. It has been previously identified that there is a higher incidence of apoptosis in the edges of the torn supraspinatus tendon. A prospective cohort study was conducted with 28 patients-14 rotator cuff tear patients, 5 instability patients, and 9 Anterior cruciate ligament reconstruction patients to determine whether there was any increase in several genes implicated in apoptosis, including Fas receptor (FasR), Fas ligand, Aifm-1, Bcl-2, Fadd, Bax, and caspase-3...
March 1, 2024: Sports Medicine and Arthroscopy Review
https://read.qxmd.com/read/38695497/return-to-sport-at-preinjury-level-is-common-after-surgical-treatment-of-slap-lesions-a-systematic-review-and-a-meta-analysis
#8
JOURNAL ARTICLE
Pietro Gregori, Nicola Maffulli, Joseph Abboud, Pierangelo Za, Giancarlo Giurazza, Giuseppe Francesco Papalia, Augusto Ferrini, Edoardo Franceschetti
BACKGROUND: Patients undergoing surgery for Superior-Labrum-anterior-to-posterior (SLAP) lesions are often worried about their return to sport performance. This systematic review determined the rate of return to sport and return to sport at the previous level (RTSP) after surgery for SLAP lesion. MATERIALS AND METHODS: The PRISMA guidelines were followed. Meta-analysis of data through forest plot projections was conducted. Studies were divided and analyzed according to the type of interventions (isolated slap repair or SLAP repair with rotator cuff debridement and biceps tenodesis)...
March 1, 2024: Sports Medicine and Arthroscopy Review
https://read.qxmd.com/read/38695496/rotator-cuff-injuries-in-the-athlete-part-3
#9
EDITORIAL
Nicola Maffulli, F Alan Barber
No abstract text is available yet for this article.
March 1, 2024: Sports Medicine and Arthroscopy Review
https://read.qxmd.com/read/38109165/index
#10
JOURNAL ARTICLE
(no author information available yet)
No abstract text is available yet for this article.
December 1, 2023: Sports Medicine and Arthroscopy Review
https://read.qxmd.com/read/38109164/my-approach-to-failed-rotator-cuff-repair
#11
JOURNAL ARTICLE
Emily Chan, Sarah Remedios, Ivan Wong
Failed rotator cuff repairs pose several challenges due to the high incidence rate, complexity, and range of symptoms. We propose an overview for assessing and treating failed rotator cuff repairs. For active young patients, attempt revision repair with patch augmentation if possible. When anatomic revision is not viable, but muscle is retained, consider partial repair with interposition bridging. Isolated, irreparable supraspinatus tears may benefit from superior capsule reconstruction. Tendon transfer is suitable for patients with significant atrophy and multiple irreparable cuff tears...
December 1, 2023: Sports Medicine and Arthroscopy Review
https://read.qxmd.com/read/38109163/rotator-cuff-augmentation-its-role-and-best-practices
#12
JOURNAL ARTICLE
William J Ciccone, Brent Geers, Bodrie Jensen, Shariff K Bishai
Rotator cuff tears are a common source of pain and impairment in the shoulder. Healing of the rotator cuff tendons following repair has been associated with improved patient outcomes. While there have been many technical improvements in surgical techniques for rotator cuff repair, failure rates are still surprisingly high. Augmentation of these repairs has been shown to help with fixation biomechanics as well as healing rates. The described types of augments include autograft, allograft, xenograft, and synthetic options...
December 1, 2023: Sports Medicine and Arthroscopy Review
https://read.qxmd.com/read/38109162/subscapularis-tendon-tears-how-best-to-approach-this-issue
#13
JOURNAL ARTICLE
Justin A Magnuson, Christian J Coulson, Luke S Oh, Kevin F Bonner
Subscapularis tears, either in combination with more extensive rotator cuff pathology or in isolation, are a relatively common cause of shoulder pain and dysfunction which often requires surgical intervention. Similar to the general treatment of most rotator cuff tears, patients may respond to conservative treatment and not require surgical intervention, especially in the elderly or those with partial tears. However, many subscapularis tears require intervention to address complaints of pain, dysfunction, or both...
December 1, 2023: Sports Medicine and Arthroscopy Review
https://read.qxmd.com/read/38109161/subacromial-balloon-spacer-when-to-use-this
#14
JOURNAL ARTICLE
Mohamad Y Fares, Peter Boufadel, Joseph A Abboud
The subacromial balloon spacer is a novel treatment option for the management of massive irreparable rotator cuff tears. This device is introduced into the glenohumeral joint and acts to alleviate the acromiohumeral impingement, caused by the massive irreparable rotator cuff tear. The device also redistributes the tension around the adjacent muscles in the joint, allowing them to compensate for the torn rotator cuff tendons. By doing so, the balloon can act as a "rehabilitation accelerator", ultimately resulting in improved shoulder pain and function...
December 1, 2023: Sports Medicine and Arthroscopy Review
https://read.qxmd.com/read/38109160/single-row-or-double-row-rotator-cuff-repair
#15
JOURNAL ARTICLE
Andres Felipe Cobaleda-Aristizabal, Michell Ruiz-Suarez, F Alan Barber, Antonio Miguel Lara, Mauricio Lopez Ramos, Eduardo Torres Rangel, Rafael Gamba Galeazzi
Rotator cuff tears are potentially a career-ending injury for athletes. The surgeon must identify which patients will benefit from surgical repair. The factors to consider are age, type of sport, time since injury, athlete's level, and the patient's expectations. An essential and independent fact determining the surgical treatment is whether the damage is due to overuse or from a traumatic/collision injury. Some sports are more demanding than others resulting in different return-to-participation (RTP) rates...
December 1, 2023: Sports Medicine and Arthroscopy Review
https://read.qxmd.com/read/38109159/rotator-cuff-injuries-in-the-athlete-part-2-editorial
#16
EDITORIAL
Nicola Maffulli
No abstract text is available yet for this article.
December 1, 2023: Sports Medicine and Arthroscopy Review
https://read.qxmd.com/read/37976129/conservative-management-of-partial-thickness-rotator-cuff-tears-a-systematic-review
#17
JOURNAL ARTICLE
Umile Giuseppe Longo, Alberto Lalli, Giovanna Medina, Nicola Maffulli
BACKGROUND: Conservative management has emerged as an attractive option for partial thickness rotator cuff tears (PT-RCTs). A single algorithmic treatment strategy for patients with symptomatic PT-RCT has not yet been developed. This systematic review aims to ascertain whether a conservative approach to PT-RCTs yields positive results in terms of clinical outcomes and functional recovery. METHODS: This is a systematic review of the literature on patients with PT-RCTs receiving conservative treatment with physiotherapy, platelet-rich plasma (PRP) injections, collagen injections, hyaluronic acid (HA) injections, or corticosteroids injections coupled with polydeoxyribonucleotide (PDRN)...
September 1, 2023: Sports Medicine and Arthroscopy Review
https://read.qxmd.com/read/37976128/allogenic-umbilical-cord-tissue-for-rotator-cuff-injuries
#18
JOURNAL ARTICLE
Adarsh Aratikatla, Justin Sidhu, Nicola Maffulli, Manu Gupta, Anish G Potty, Ashim Gupta
Highly prone to injury, the rotator cuff greatly contributes to the stability and mobility of the shoulder. Clinicians prioritize conservative treatment, resorting to surgery only when necessary, although they are hindered by inherent limitations. Biological therapies, including perinatal tissue, such as umbilical cord (UC) tissue, hold promise for treating rotator cuff injuries (RCIs) in the field of regenerative medicine. This article qualitatively presents the in vitro, preclinical, clinical, and ongoing scientific literature exploring the application of UC tissue and associated mesenchymal stem cells in the context of RCIs...
September 1, 2023: Sports Medicine and Arthroscopy Review
https://read.qxmd.com/read/37976127/artificial-intelligence-and-machine-learning-in-rotator-cuff-tears
#19
REVIEW
Hugo C Rodriguez, Brandon Rust, Payton Yerke Hansen, Nicola Maffulli, Manu Gupta, Anish G Potty, Ashim Gupta
Rotator cuff tears (RCTs) negatively impacts patient well-being. Artificial intelligence (AI) is emerging as a promising tool in medical decision-making. Within AI, deep learning allows to autonomously solve complex tasks. This review assesses the current and potential applications of AI in the management of RCT, focusing on diagnostic utility, challenges, and future perspectives. AI demonstrates promise in RCT diagnosis, aiding clinicians in interpreting complex imaging data. Deep learning frameworks, particularly convoluted neural networks architectures, exhibit remarkable diagnostic accuracy in detecting RCTs on magnetic resonance imaging...
September 1, 2023: Sports Medicine and Arthroscopy Review
https://read.qxmd.com/read/37976126/rotator-cuff-repair-in-pediatric-and-adolescent-athletes-indications-and-outcomes
#20
JOURNAL ARTICLE
Antonio Caldaria, Edoardo Giovannetti de Sanctis, Alessio Palumbo, Francesco Franceschi, Nicola Maffulli
Rotator cuff (RC) tears in pediatric and adolescent athletes are rare events. In these patients, RC tears are more likely to be traumatic or related to overuse among overhead. Repeated movements of abduction and external rotation are frequent mechanisms of injury. The supraspinatus is the most commonly involved tendon and the articular-sided tears are more common than the bursal side. Magnetic resonance imaging is considered the gold standard for diagnosing RC tears. Conservative treatment, arthroscopic, and open repair are all effective treatment methods depending on the type of injury...
September 1, 2023: Sports Medicine and Arthroscopy Review
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