A subset of patients is often seen with an unusual pattern tendon failure after arthroscopic rotator cuff repair using a suture bridge technique.To evaluate retear patterns in cases structural primary repairs tears.Cohort study; Level evidence, 3.Forty-six revealing on magnetic resonance imaging performed at least 6 months for the treatment full-thickness tear were evaluated. single-row technique had been 19 and 27 cases. According to postoperative imaging, divided into type 1 (cuff tissue...

Background: Suture bridge repair has been recognized to have superior biomechanical characteristics, as shown in previous studies. However, it is not clear whether the tendon heals better vivo after suture repair. Purpose: To evaluate clinical results and integrity arthroscopic rotator cuff using a technique for patients with tears. Study Design: Case series; Level of evidence, 4. Methods: One hundred twenty-three shoulders (120 patients) that underwent full-thickness tear were enrolled this...

Background Collision athletes are reported to be at high risk for redislocation after anterior stabilization of shoulder instability. Some authors have suggested that arthroscopic produces results similar those open stabilization. Purpose To evaluate the in collision and compare clinical between methods. Hypothesis Open might produce better than does athletes. Study Design Cohort study; Level evidence, 4. Methods Forty-eight shoulders 46 were enrolled this study. The mean age patients time...

The purpose of this study was to evaluate the functional and anatomic results arthroscopic rotator cuff repair, analyze factors affecting integrity arthroscopically repaired tears shoulder.One hundred sixty-nine consecutive shoulders that underwent had a postoperative MRI evaluation were followed for at least two years enrolled in study. mean age 57.6 (range, 38 74 years) follow-up period 39 months 24 83 months).The completely healed 131 (77.5%) out 169 recurrent occurred (22.5%). At last...

It has been reported that engagement of the Hill-Sachs lesion affects postoperative recurrence anterior shoulder instability. However, no method recognized as an effective preoperative means to predict lesion.This study was undertaken assess diagnostic validity computed tomography (CT) with 3-dimensional (3D) reconstruction judge preoperatively.Cohort (diagnosis); Level evidence, 2.One hundred four consecutive patients (107 shoulders) who underwent arthroscopic Bankart repair for traumatic...

The clinical effect of sustained hyperglycemia on tendon-to-bone healing after rotator cuff repair has not been well characterized.To compare the and structural outcomes between diabetic nondiabetic patients arthroscopic to determine a phenotype healing.Cohort study; Level evidence, 3.This study retrospectively evaluated total 335 shoulders that were available for magnetic resonance imaging (MRI) evaluation at least 6 months using suture-bridge technique with minimum follow-up 1 year. Only...

A general consensus has been formed that glenoid bone loss greater than 20% to 25% is the critical amount at which bony augmentation procedures are needed; however, recent clinical results suggest levels must be reconsidered lower values.This study aimed find value of anterior when a soft tissue repair not adequate restore anterior-inferior glenohumeral translation, rotational range motion, or humeral head position using biomechanical shoulder instability model.Controlled laboratory...

Background: When using a method of suture bridge technique, there may be possibility strangulation the rotator cuff tendon at medial row. The style knots chosen to secure row might conceivably factor reduce this possibility. Purpose: To compare clinical results and repair integrity arthroscopic between knotless conventional knot-tying technique for patients with full-thickness tears evaluate retear patterns in cases structural failure after by magnetic resonance imaging (MRI). Study Design:...

Numerous operative techniques have been described for the treatment of massive rotator cuff tears with severe retraction where anatomical repair is impossible.To evaluate outcome repaired using biceps interposition technique.Case series; Level evidence, 4.Between April 2000 and 2004, 31 shoulders irreparable associated degenerative lesions tendon were included analysis. Open procedures performed in 15 cases (open group), while 16 patients underwent arthroscopic (arthroscopic group). The mean...

In biceps tenodesis for intra-articular tears, determining the distal extension of lesions through groove is important in choosing optimal site.To determine site by analyzing and delamination an extra-articular lesion, or a "hidden lesion," retrieved after subpectoral tenodesis.Case series; Level evidence, 4.A total 36 tenodeses were performed, analyzed. The divided into zones according to their location as follows: proximal (zone A), middle intragroove B), portions C); B C called lesions."...

Little has been reported on treatment of rotator cuff tears with shoulder stiffness.Rotator stiffness will show worse clinical results than without stiffness. Those are expected to take longer time in pain reduction and recovery range motion.Case control study; Level evidence, 3.Among patients who underwent arthroscopic repairs, 15 cases preoperative (group A) 30 B) were enrolled this study. Preoperative mean forward flexion was 118.3 degrees group A 163.4 B, whereas external rotation at the...

Only a few studies have provided homogeneous analysis of open revision surgery after failed arthroscopic Bankart procedure.Open will be effective in anterior stabilization but inevitably results loss range motion, especially external rotation.Case series; Level evidence, 4.Twenty-six shoulders that went through traditional repair as procedure for traumatic shoulder instability were enrolled this study. The mean patient age at the time was 24 years (range, 16-38 years), and duration follow-up...

Background: There is no clear consensus regarding optimal management of lesions the long head biceps tendon (LHBT) associated with rotator cuff tears. Purpose: To compare clinical outcome and cosmetic deformity a funnel tenotomy versus intracuff tenodesis for concomitant LHBT lesion in patients Study Design: Cohort study; Level evidence, 3. Methods: Patients who underwent surgical treatment tears between March 2005 February 2011 were enrolled study (N = 83). Forty-one (group A), 42 an B)....

Some studies have shown significant functional improvement after rotator cuff (RC) repair in elderly patients. However, few reported the healing potential of RC tears patients.Twenty-five patients aged ≥ 75 years who underwent were enrolled. The mean age at time surgery was 78.3 (range, to 88 years) while follow-up 36.3 months 18 114 months). We evaluated clinical and structural outcomes retear healed groups.Of 25 patients, 16 (64%) had lesions 9 (36%) retorn lesions. rate increased...