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

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 Rapidly Progressive Osteonecrosis of the Humeral Head after Arthroscopic Bankart and Rotator Cuff Repair in a 66-Year Old Woman: A Case Report

2015 ◽  
Vol 18 (3) ◽  
pp. 167-171 ◽  
Author(s):  
Hyun IK Cho ◽  
Hyung Lae Cho ◽  
Tae Hyok Hwang ◽  
Tae Hyun Wang ◽  
Hong Cho
Keyword(s):  
Case Report ◽  
Rotator Cuff ◽  
Humeral Head ◽  
Rotator Cuff Repair ◽  
Cuff Repair

scholarly journals TOTAL SHOULDER ARTHROPLASTY, AN OVERVIEW, INDICATINS AND PROSTHETIC OPTIONS

2020 ◽  
Vol 73 (9) ◽  
pp. 1870-1873
Author(s):  
Mateusz Wicha ◽  
Agnieszka Tomczyk-Warunek ◽  
Jaromir Jarecki ◽  
Anna Dubiel
Keyword(s):  
Shoulder Arthroplasty ◽  
Humeral Head ◽  
Reverse Shoulder Arthroplasty ◽  
Total Shoulder Arthroplasty ◽  
Shoulder Function ◽  
Long Term Result ◽  
Glenohumeral Osteoarthritis ◽  
Hip Arthroplasties ◽  
Reverse Total Shoulder

Shoulder arthroplasty (SA) has improved significantly over the last twenty years. It offers the effective treatment for patients with severe shoulder dysfunctions. The indications for this procedure have recently expanded tremendously. However, the most common are glenohumeral osteoarthritis, inflammatory shoulder arthropathies, rotator cuff-tear arthropathy, complex fractures of the proximal humerus and osteonecrosis of a humeral head. There is range of the procedures, such as resurfacing of humeral head, anatomic total shoulder arthroplasty, hemiarthroplasty and reverse shoulder arthroplasty. All of them could significantly improve patients quality of life. The outcomes of the shoulder arthroplasty are very satisfying in terms of pain relief and considerable improvements in shoulder function as well as in motion. However, this procedure is not so popular as knee or hip arthroplasties. The reasons for this phenomenon are not clear. The complication rate is considerably low. The most common are periprosthetic fractures, infections, implant loosening and instability. The reasonable solution is a conversion to reverse total shoulder arthroplasty. The survivorship of the prosthesis is up to 12 years, which is acceptable by patients. Long term result are still not clear. Surgeons performing SA opt for deltopectoral approach which provides good exposure of the joint also for revisions. The aim: To summarize knowledge about SA based on current literature.

scholarly journals Anchor Site Fracture Following Arthroscopic Rotator Cuff Repair – A Case Report and Review of the Literature

2021 ◽  
Vol 11 (5) ◽  
Author(s):  
Jan Weller ◽  
Björn Birkner ◽  
Kristian Nikolaus Schneider ◽  
Holger Durchholz
Keyword(s):  
Case Report ◽  
Rotator Cuff ◽  
Humeral Head ◽  
Rotator Cuff Repair ◽  
Case Reports ◽  
Rare Complication ◽  
Arthroscopic Rotator Cuff Repair ◽  
Massive Rotator Cuff Tear ◽  
Arthroscopic Rotator Cuff ◽  
Cuff Repair

Introduction: Fractures at the anchor site following arthroscopic rotator cuff repair are rare and only a few case reports have been described. We report two additional well-documented cases of this uncommon post-operative complication and provide a review of the current literature. Case Report: A 48-year-old male underwent arthroscopic rotator cuff repair (ARCR) due to a massive rotator cuff tear. Nine weeks postoperatively, the patient suffered a humeral head fracture at the anchor site of the ARCR after trauma. Despite subsequent surgical treatment with open reduction and internal fixation, the patient demonstrates with excellent functional outcome scores at 2-year follow-up. Conclusion: Humeral head fractures are a rare complication after ARCR. The use of intraosseous anchors requires careful consideration regarding positioning and quantity used. Keywords: Rotator cuff, arthroscopy, complication, anchor, Speed Bridge, fracture, osteochondral defect.

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.

scholarly journals Tendon Repair Leads to better Long-Term Clinical Outcome than Debridement in Massive Rotator Cuff Tears

2017 ◽  
Vol 11 (1) ◽  
pp. 546-553 ◽  
Author(s):  
Matthias Alexander König ◽  
Volker Alexander Braunstein
Keyword(s):  
Rotator Cuff ◽  
Clinical Outcome ◽  
Tendon Repair ◽  
Shoulder Function ◽  
Rotator Cuff Tears ◽  
Short Term ◽  
Massive Rotator Cuff Tears ◽  
Massive Tears

Introduction: Massive tears in the rotator cuff are debilitating pathologies normally associated with loss of function and pain. Tendon reconstruction is seen as the standard treatment in order to preserve shoulder function and to inhibit cuff associated osteoarthritis. However, the effect on longer-term shoulder function and patient satisfaction is unknown. Material and Methods: 165 consecutive patients with massive tears were included. 57 debridement (mean age 61.9±8.7 years (range 43-77)) and 108 reconstruction (mean age 57.5±8.9 years (range 45-74)) cases could be followed up 2-4 (short-term), 5-6 (mid-term) and 8-10 (long-term) years after surgery. Evaluation was performed with the Constant, a modified ASES and the DASH score. Statistical analysis was done using Sigma-Stat Version 3.5 with a p-value<0.05 indicating statistical significant differences. Results: All three scoring systems showed no significant differences in the short-term follow-up for the two groups (mean values: Constant debridement/repair: 70±11.9/66±13.6; ASES debridement/repair: 22.3±3.3/ 23.3±3.3; DASH debridement/repair: 22.3±11.0/ 24.3±10.1). In the mid-term (Constant debridement/repair: 51±2.9/68.3±5.2; ASES debridement/repair: 20.3±1.3/24.3±1.7; DASH debridement/repair: 31.0±6.5/20.3±5.4) and long-term follow-up (Constant debridement/repair: 42.3±3.8 /60.7±2.6, ASES debridement/repair: 17.3±0.5/21.7±0.5, DASH debridement/repair: 41.3±6.2/25.0±1.4), rotator cuff reconstruction revealed better objective results and better patients’ satisfaction. Conclusion: Rotator cuff tendon repair leads to better long-term clinical outcome and subjective satisfaction compared to debridement. Tendon reconstruction should be considered as a treatment for patients suffering from massive rotator cuff tears, thus preserving shoulder function and by that means delay indication for reverse arthroplasty.

scholarly journals The Efficacy of Injections for Partial Rotator Cuff Tears: A Systematic Review

2020 ◽  
Vol 10 (1) ◽  
pp. 51
Author(s):  
Edoardo Giovannetti de Sanctis ◽  
Edoardo Franceschetti ◽  
Ferdinando De Dona ◽  
Alessio Palumbo ◽  
Michele Paciotti ◽  
...  
Keyword(s):  
Systematic Review ◽  
Rotator Cuff ◽  
Platelet Rich Plasma ◽  
Shoulder Function ◽  
Rotator Cuff Tears ◽  
Therapeutic Modality ◽  
Cochrane Library ◽  
Long Term Follow Up

(1) Background: Even though rotator cuff tears are the most frequent tendon injuries in adults, the effectiveness of conservatively treated partial-thickness tears still remains a matter of debate. The purpose of this review is to compare corticosteroid injections to other drugs in the treatment of partial rotator cuff tears, focusing on the effectiveness of this therapeutic modality in terms of pain and shoulder functionality. (2) Methods: A systematic electronic search was performed using the PubMed (MEDLINE), EMBASE and Cochrane Library databases. All studies comparing the use of corticosteroids and other infiltrative techniques in the treatment of partial lesions (excluding studies that considered subacromial impingement as inclusion criteria) were pooled, data were extracted and statistically analyzed. (3) Results: Nine studies were included in this systematic review. Those studies, composed by a total of 494 shoulders treated, have been published from 1985 to 2019. All compared techniques have shown a significant improvement over baseline condition. PRP (Platelet Rich Plasma) injections have been shown to be significantly more effective in both functional and pain control only in the long term. (4) Conclusions: None of the techniques prevail indisputably on the others. Anyway, the treatment of partial rotator cuff tears with PRP injections seems to lead to significantly better outcomes in terms of pain and shoulder function in long term follow up. Whereas in short and medium term follow up, PRP injections was superior only in terms of shoulder function. The small number of studies on prolotherapy did not enable us to provide an opinion on the outcomes of this technique.

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