<i>Editorial Commentary:</i> Dermal Allografts Are Indicated for Repair of Irreparable Rotator Cuff Tears and for Revision Surgery, and May Be Cost‐Effective for Primary Repair

Arthroscopy The Journal of Arthroscopic and Related Surgery · 2022-07-01 · 2 citations

Improving rotator cuff repair results is the goal of all shoulder surgeons. The addition of a biologic graft may speed healing, allow accelerated rehabilitation, and increase healing rates. Recent research suggests that augmentation of rotator cuff repair using dermal allograft may be cost-effective. Indications for dermal allografts are revision rotator cuff repairs and primary cuff repairs in which a tensionless repair cannot be accomplished. Allografts act as a load-sharing device to allow tendons to heal without tension. They also serve to fill the gap in irreparable cuff tears. It is important to understand that augmentation will not compensate for advanced muscle fatty atrophy or neurapraxia. Precautions to prevent Cutibacterium acne nosocomial infection are essential. The healing time or dermal grafts is considerably longer than the repaired native cuff tendon, requiring supervised rehabilitation. Dermal allografts are a crucial tool for repair of irreparable rotator cuff tears and for revision surgery. From an economic standpoint, they now also may be considered for use in primary rotator cuff repair surgery.

Contributors

Elsevier eBooks · 2022

• Computer Science
• Computer Science

Arthroscopic and open decompression of the suprascapular nerve

Elsevier eBooks · 2022 · 1 citations

• Medicine
• Surgery
• Anatomy

<i>Editorial Commentary:</i> Don't Let Cuff Tears With Adhesive Capsulitis Give You the Cold Shoulder

Arthroscopy The Journal of Arthroscopic and Related Surgery · 2019-02-28 · 2 citations

Despite vastly different rehabilitation goals, adhesive capsulitis and a rotator cuff tear of the shoulder can be treated concomitantly with good outcomes. In the face of adhesive capsulitis, rotator cuff tears can be safely repaired with manipulation under anesthesia and/or capsular release without a substantial increase in complication rates compared with patients undergoing rotator cuff repair alone. Adhesive capsulitis pathology causes the cuff to heal rapidly, and we recommend aggressive passive range of motion as part of a traditional but accelerated rehabilitation that can be monitored and thus adjusted on a case-by-case basis.

Congenital Absence of the Long Head of the Biceps Tendon: A Case Report

JBJS Case Connector · 2005-07-01 · 40 citations

C ongenital absence of the long head of the biceps tendon is a rare entity. The exact prevalence of this anomaly is unknown; a review of the literature revealed only two reported cases1,2. We present a third case. Several interesting observations and similarities noted among these three cases may have clinical implications regarding shoulder stability. Our patient was informed that data concerning the case would be submitted for publication. Fig. 1 T1-weighted axial magnetic resonance image of the proximal part of the right humeral shaft. Note the hypoplastic bicipital groove and the absence of the long head of the biceps tendon. A thirty-seven-year-old right-hand-dominant man presented to our clinic because of left shoulder weakness. The medical history was notable for spina bifida occulta, congenital inguinal hernia, and an undescended testicle on the right side. The family history was notable for the fact that the father had ankylosing spondylitis and the human leukocyte antigen-B27. Physical examination revealed anterior shoulder instability and mechanical symptoms suggestive of labral pathology. Generalized ligamentous laxity was noted as the patient's thumb could be approximated to the volar aspect of the forearm with wrist flexion. Magnetic resonance imaging of the left shoulder confirmed a labral tear extending from the eleven o'clock position to the six o'clock position. A relatively small long head of the biceps tendon was seen to run along the typical intra-articular course from the bicipital groove to the superior aspect of the labrum (Fig. 1). Although the tendon was believed to be diminished in diameter …

CONGENITAL ABSENCE OF THE LONG HEAD OF THE BICEPS TENDON

Journal of Bone and Joint Surgery · 2005-07-01 · 14 citations

1 Santa Monica Orthopaedic and Sports Medicine Group, 1301 20th Street, Suite 150, Santa Monica, CA 90404. E-mail address for T.P. Knapp: [email protected]

Surgical management of the subacromial arch: Arthroscopic techniques for subacromial decompression, acromioplasty, and distal clavicle resection

Operative Techniques in Sports Medicine · 2004-04-01

Articular cartilage repair:Assessment and classification

Operative Techniques in Sports Medicine · 2000-04-01 · 6 citations

WHY ARE STRESS INJURIES SO COMMON IN THE SOCCER PLAYER?*

Clinics in Sports Medicine · 1998-10-01 · 35 citations

MANAGEMENT OF ACUTE ACHILLES TENDON RUPTURES

Foot and Ankle Clinics · 1997-09-01 · 1 citations