Good functional results have been reported for arthroscopic repair of rotator cuff tears, but the rate tendon-to-bone healing is still unknown. Our hypothesis was that full-thickness supraspinatus tears achieves a complete tendon equivalent to those in literature with open or mini-open techniques.Sixty-five consecutive shoulders chronic tear were repaired arthroscopically sixty-five patients use tension-band suture technique. Patients ranged age from twenty-nine seventy-nine years. The...

There is no simple method available to identify patients who will develop recurrent instability after an arthroscopic Bankart procedure and would be better served by open operation. We carried out a prospective case-control study of 131 consecutive unselected with anterior shoulder underwent this using suture anchors. At follow-up mean 31.2 months (24 52) 19 (14.5%) had instability. The following risk factors were identified: patient age under 20 years at the time surgery; involvement in...

Background: The higher failure rates reported with arthroscopic stabilization of traumatic, recurrent anterior shoulder instability compared open remain a concern. purpose this study was to evaluate the outcomes Bankart repairs use suture anchors and identify risk factors related postoperative recurrence instability. Methods: Ninety-one consecutive patients underwent for traumatic mean age (and standard deviation) at time surgery 26.4 ± 5.4 years. Seventy-one were male. Seventy-nine involved...

Background: The higher failure rates reported with arthroscopic stabilization of traumatic, recurrent anterior shoulder instability compared open remain a concern. purpose this study was to evaluate the outcomes Bankart repairs use suture anchors and identify risk factors related postoperative recurrence instability. Methods: Ninety-one consecutive patients underwent for traumatic mean age (and standard deviation) at time surgery 26.4 ± 5.4 years. Seventy-one were male. Seventy-nine involved...

We have studied the three-dimensional geometry of proximal humerus on human cadaver specimens using a digitised measuring device linked to computer. Our findings demonstrated variable shape as well its dimensions. The articular surface, which is part sphere varies individually in orientation regards inclination and retroversion, it has medial posterior offsets. These variations cannot be accommodated by designs most contemporary humeral components. Although good clinical results can achieved...

Lesions of the long head biceps tendon are often associated with massive rotator cuff tears and may be responsible for shoulder pain dysfunction. The purpose this study was to evaluate clinical radiographic outcomes isolated arthroscopic tenotomy or tenodesis as treatment persistent dysfunction due an irreparable tear a lesion.We conducted retrospective sixty-eight consecutive patients (mean age [and standard deviation], 68 +/- 6 years) in whom total seventy-two had been treated...

Scapular notching, prosthetic instability, limited shoulder rotation and loss of contour are associated with conventional medialized design reverse arthroplasty. Prosthetic (ie, metallic) lateralization increases torque at the baseplate-glenoid interface potentially leading to failure.We asked whether bony arthroplasty would avoid problems caused by humeral medialization without increasing or shear force applied glenoid component.We prospectively followed 42 patients rotator cuff deficiency...

Background: Lesions of the long head biceps tendon are often associated with massive rotator cuff tears and may be responsible for shoulder pain dysfunction. The purpose this study was to evaluate clinical radiographic outcomes isolated arthroscopic tenotomy or tenodesis as treatment persistent dysfunction due an irreparable tear a lesion. Methods: We conducted retrospective sixty-eight consecutive patients (mean age [and standard deviation], 68 ± 6 years) in whom total seventy-two had been...

Background Overhead athletes report an inconsistent return to their previous level of sport and satisfaction after arthroscopic SLAP lesion repair. Hypothesis Arthroscopic biceps tenodesis offers a viable alternative the repair isolated type II lesion. Study Design Cohort study; Level evidence, 3. Methods Twenty-five consecutive patients operated for between 2000 2004 were evaluated at mean 35 months postoperatively (range, 24-69). Patients with associated instability, rotator cuff rupture,...

Arthroscopic Bankart repair and open Latarjet bone block procedure are widely considered mainstays for surgical treatment of recurrent anterior shoulder instability. The choice between these procedures depends mainly on surgeon preference or training rather than published evidence.We compared patients with posttraumatic instability treated arthroscopic in terms (1) frequency timing instability, (2) risk factors (3) patient-reported outcomes.In this retrospective comparative study, we paired...

Scapular notching, erosion of the scapular neck related to impingement by medial rim humeral cup during adduction, is a radiographic sign specific reverse shoulder arthroplasty (RSA). Its clinical and radiological consequences remain unclear.Therefore, we: (1) determined incidence notching in large series, (2) described natural history (3) whether functional scores or (4) signs failure, (5) identified factors notch development.We retrospectively reviewed 448 patients who underwent...

Background: The aim of this study was to radiographically analyze the long-term glenoid migration patterns following total shoulder arthroplasty better understand factors responsible for loosening. Methods: Complete radiographic follow-up more than five years available 518 arthroplasties performed primary glenohumeral osteoarthritis with use an anatomically designed prosthesis a cemented, all-polyethylene, keeled component. Radiographs were assessed humeral head subluxation, periprosthetic...

Background: Large osseous defects of the posterosuperior aspect humeral head can engage glenoid rim and cause recurrent instability after arthroscopic Bankart repair for glenohumeral dislocation. Filling defect with posterior capsule infraspinatus tendon (i.e., Hill-Sachs remplissage) has recently been proposed as an additional procedure. Our hypothesis is that capsulotenodesis heals in bone without a severe adverse effect on shoulder mobility, allowing return to preinjury sports activity....