scholarly journals Early rehabilitation affects functional outcomes and activities of daily living after arthroscopic rotator cuff repair: a case report

2016 ◽  
Vol 28 (2) ◽  
pp. 714-717 ◽  
Author(s):  
Satoshi Shimo ◽  
Yuta Sakamoto ◽  
Akinari Tokiyoshi ◽  
Yasuhiro Yamamoto
Keyword(s):  
Case Report ◽  
Rotator Cuff ◽  
Activities Of Daily Living ◽  
Rotator Cuff Repair ◽  
Functional Outcomes ◽  
Daily Living ◽  
Early Rehabilitation ◽  
Arthroscopic Rotator Cuff Repair ◽  
Arthroscopic Rotator Cuff ◽  
Cuff Repair

scholarly journals Pulmonary Embolism after Arthroscopic Rotator Cuff Repair: A Case Report

2014 ◽  
Vol 17 (1) ◽  
pp. 31-35
Author(s):  
Ji Yong Gwark ◽  
Jin Sin Koh ◽  
Hyung Bin Park
Keyword(s):  
Risk Factors ◽  
Pulmonary Embolism ◽  
Case Report ◽  
Rotator Cuff ◽  
Orthopedic Surgery ◽  
Rotator Cuff Repair ◽  
Arthroscopic Rotator Cuff Repair ◽  
Arthroscopic Shoulder Surgery ◽  
Arthroscopic Rotator Cuff ◽  
Cuff Repair

Pulmonary embolism (PE) is a serious complication that can occur after orthopedic surgery. Most instances of PE in the orthopedic field have occurred after hip or knee arthroplasties or after fracture surgeries. The occurrence of PE related to arthroscopic shoulder surgery is very rare. We report a case of PE that developed after arthroscopic rotator cuff repair, in which the patient did not show preoperatively any remarkable risk factors for PE. We also review the current literature related to this topic.

scholarly journals Clinical and Radiologic Outcomes of Combined Use of Biocomposite and PEEK Suture Anchors during Arthroscopic Rotator Cuff Repair: A Prospective Observational Study

2020 ◽  
Vol 9 (8) ◽  
pp. 2545
Author(s):  
Jae-Hoo Lee ◽  
Yong-Beom Lee
Keyword(s):  
Rotator Cuff ◽  
Rotator Cuff Repair ◽  
Functional Outcomes ◽  
Fluid Collection ◽  
Cyst Formation ◽  
Arthroscopic Rotator Cuff Repair ◽  
Suture Anchors ◽  
Shoulder Range Of Motion ◽  
Arthroscopic Rotator Cuff ◽  
Cuff Repair

The aim of the current study was to evaluate the functional and radiologic outcomes of biocompatible non-absorbable PEEK (polyetheretherketone) and biocomposite (poly-L-lactic acid/poly(lactic-co-glycolic acid) 70% + β-tricalcium phosphate) anchors, especially in terms of perianchor cyst formation during the first six months postoperatively. We prospectively analysed 29 patients who underwent arthroscopic rotator cuff repair between March and May 2019. Both PEEK and biocomposite suture anchors were used as lateral anchors in one body. Clinical outcomes were assessed using the shoulder range of motion (ROM), visual analogue scale (VAS) for pain and satisfactory score, American Shoulder and Elbow Surgeons (ASES) score, and Simple Shoulder Test (SST). All these were obtained in patients preoperatively at 3 and 6 months after surgery. The imaging evaluation included perianchor cyst formation, anchor absorption, repaired cuff integrity, and retear pattern. All functional outcomes significantly improved over time. The biocomposite anchor had a statistically significant tendency to form higher grades of fluid collection at 3 months after surgery. However, the perianchor cyst reduced by the sixth postoperative month. Six months postoperatively, the functional outcomes were improved after rotator cuff repair and similar degrees of perianchor cyst formation were observed, regardless of the suture anchor material used.

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 Comparing the Predictors of Functional Outcomes After Arthroscopic Rotator Cuff Repair Modified Frailty Index, Clinical Frailty Scale, and Charlson Comorbidity Index

2021 ◽  
Vol 9 (7) ◽  
pp. 232596712110050
Author(s):  
Vikaesh Moorthy ◽  
Merrill Lee ◽  
Benjamin Fu Hong Ang ◽  
Jerry Yongqiang Chen ◽  
Denny Tjiauw Tjoen Lie
Keyword(s):  
Rotator Cuff ◽  
Rotator Cuff Repair ◽  
Functional Outcomes ◽  
Frailty Index ◽  
Arthroscopic Rotator Cuff Repair ◽  
Clinical Frailty Scale ◽  
Comorbidity Index ◽  
Arthroscopic Rotator Cuff ◽  
Cuff Repair ◽  
Shoulder Score

Background: The incidence of rotator cuff tears increases with age, and operative management is usually required in patients with persistent symptoms. Although several studies have analyzed the effect of age and comorbidities on outcomes after rotator cuff repair, no study has specifically examined the consequence of frailty. Purpose: To determine the best frailty/comorbidity index for predicting functional outcomes after arthroscopic rotator cuff repair. Study Design: Cohort study; Level of evidence, 3. Methods: The authors conducted a retrospective cohort study of 340 consecutive patients who underwent unilateral arthroscopic rotator cuff repair at a tertiary hospital between April 2016 and April 2018. All patients had undergone arthroscopic double-row rotator cuff repair with subacromial decompression by a single fellowship-trained shoulder surgeon. Patient frailty was measured using the Modified Frailty Index (MFI), Clinical Frailty Scale (CFS), and Charlson Comorbidity Index (CCI), calculated through retrospective chart review based on case notes made just before surgery; patient age and sex were also noted preoperatively. Functional outcomes using the Oxford Shoulder Score (OSS), Constant Shoulder Score (CSS), University of California Los Angeles (UCLA) Shoulder Score, and visual analog scale for pain were measured preoperatively and at 3, 6, 12, and 24 months postoperatively. Results: The MFI was a consistent significant predictor in all functional outcome scores up to 24 months postoperatively ( P < .05), unlike the CFS and CCI. Sex was also a significant predictor of postoperative OSS, CSS, and UCLA Shoulder Score, with male sex being associated with better functional outcomes. Patients with higher MFI scores had slower functional improvement postoperatively, but they eventually attained functional outcome scores comparable with those of their counterparts with lower MFI scores at 24 months postoperatively. Conclusion: The MFI was found to be a better tool for predicting postoperative function than was the CFS or CCI in patients undergoing arthroscopic rotator cuff repair. The study findings suggest that a multidimensional assessment of frailty (including both functional status and comorbidities) is important in determining functional outcomes after arthroscopic rotator cuff repair.

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