Arthroscopic Rotator Cuff Repair

Mancini, Michael R.; Horinek, Jeffrey L.; Phillips, Cameron J; Denard, Patrick J.

doi:10.1016/j.csm.2022.08.004

Cited by 9 publications

(9 citation statements)

References 63 publications

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“… 20 The introduction of shoulder arthroscopic rotator cuff repair addressed these issues, improving postoperative tendon longevity and emerging as the gold standard for the treatment of rotator cuff tears. 21 In this technique, medial anchors are strategically positioned slightly lateral to the articular margin, while the lateral row anchors are situated on the greater tuberosity’s lateral aspect, proximal to the “dropoff.” 22 This method maximizes the area of tendon compression on the bone surface, aligning with anatomic, biomechanical, and biological factors. 23 Currently, common practice involves using a shoulder suture that anchors to the side of the articular capsule through the rotator cuff tissue.…”

Section: Discussionmentioning

confidence: 99%

Use of a Spinal Needle Through the Deep Rotator Cuff Tissue to Treat Rotator Cuff Tears Under Direct Articular Vision

Zhang,

Lai,

Chen

et al. 2024

Arthroscopy Techniques

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Section: Discussionmentioning

confidence: 99%

Use of a Spinal Needle Through the Deep Rotator Cuff Tissue to Treat Rotator Cuff Tears Under Direct Articular Vision

Zhang,

Lai,

Chen

et al. 2024

Arthroscopy Techniques

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“…O ver the past two decades, surgeons have increasingly shown a preference for acromioplasty surgery over open surgery in the management of rotator cuff tear (RCT), based on clinical practice and outcomes. [1][2][3] Over the past two decades, surgeons have increasingly shown a preference for acromioplasty surgery over open surgery in the management of RCT, based on clinical practice and outcomes. 4 Arthroscopic surgery has demonstrated favorable outcomes in patients with varying degrees of rotator cuff injury.…”

Section: Introductionmentioning

confidence: 99%

Changes in the Lateral Acromion Angle in Rotator Cuff Tear Patients with Acromioplasty

Hong,

Kong,

Zhang

et al. 2023

Orthopaedic Surgery

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BackgroundArthroscopic surgery has been established as an efficacious intervention for the treatment of rotator cuff tears. The primary aim of this study was to analyze the modifications in the lateral acromial angle (LAA) subsequent to rotator cuff repair surgery using single‐row rivet fixation and double‐row rivet fixation techniques. Furthermore, we sought to investigate the influence of LAA on the prognosis of rotator cuff repair surgery.MethodThis observational study retrospectively enrolled 105 patients diagnosed with degenerative rotator cuff tears who underwent arthroscopic rotator cuff repair between 2016 and 2019. Following the exclusion of two patients with subscapularis or superior labrum anterior and posterior (SLAP) tears, as well as three patients who were lost to follow‐up, a cohort of 100 patients was included for clinical and imaging evaluation. Among these individuals, 50 were assigned to the double‐row repair group, whereas the remaining 50 comprised the single‐row repair group. Bilateral shoulder magnetic resonance imaging (MRI) scans were conducted no less than 24 months post‐surgery. Experienced arthroscopic surgeons, blinded to the LAA measurements, assessed the rotator interval (RI) using a control MRI. Functional assessment was performed using the University of California, Los Angeles (UCLA) quick disability of the shoulder and arm, shoulder and hand (qDASH) score. The Wilcoxon signed‐rank test for dependent samples was employed to compare data between the pre‐ and post‐intervention groups. Pearson correlation coefficients were calculated to evaluate the relationship between different parameters.ResultsThe study population consisted of 73 female patients and 27 male patients, with a mean age of 58.32 ± 5.29 years and a mean follow‐up duration of 25.88 ± 8.11 months. Preoperatively, the mean LAA was 75.81° ± 11.28°, RI was 4.78 ± 0.62, UCLA score was 17.54 ± 2.44, and qDASH score was 2.45 ± 0.25. The average tear size was 8.95 ± 2.11 mm. A statistically significant difference in LAA was observed between the preoperative and postoperative measurements, with the double‐row repair group exhibiting a greater LAA than the single‐row repair group. Finally, a significant correlation was identified between LAA, RI, and qDASH scores after a 24‐month follow‐up period.ConclusionAccording to our findings, the utilization of double‐row rivet fixation has a greater LAA angle than single‐row rivet fixation. Moreover, this preservation of LAA is significantly associated with the functional recovery of the shoulder joint.

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“…Consequently, over the past 30 years, performing acromioplasty during arthroscopic rotator cuff repair has become a routine step [7]. Many sports medicine practitioners believe that combining effective anterior acromioplasty with rotator cuff repair can safeguard repaired tendons, preventing mechanical wear from postoperative collisions and reducing the likelihood of re-tearing.…”

Section: Introductionmentioning

confidence: 99%

Clinical effect of modified anterolateral acromioarthroplasty during arthroscopic rotator cuff repair

Zhou,

He,

Kang

et al. 2023

Preprint

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Background: To compare the clinical effect of modified anterolateral acromioplasty and traditional acromioplasty in arthroscopicrotator cuff repair. Methods: The clinical data of 92 patients with total rotator cuff tears admitted to the Department of Joint Surgery of Jinhua Central Hospital from January 2016 to December 2019 were retrospectively analyzed. Among them,42 patients underwent traditional acromioplasty during arthroscopic rotator cuff repair, and 50 patients underwent modified anterolateral acromioplasty. Patients were evaluated for preoperative and postoperative shoulder function, pain and critical shoulder angle, and incidence of rotator cuff retear at 12 months postoperatively. Results: There was no statistical difference between the preoperative general data of the patients in the traditional acromioplasty and modified anterolateral acromioplasty groups (P>0.05), and they were comparable. The UCLA score, ASES score and Constant score of the shoulder joint in both groups were significantly improved and the VAS score was significantly decreased compared with those before surgery at 12 months after surgery, and the differences were statistically significant (P≤0.05). There was no statistically significant difference in shoulder function and pain scores between the two groups at 12 months postoperatively (P>0.05). There was no significant difference in CSA between the preoperative and postoperative 12 months in the traditional acromioplasty group (P>0.05), and the postoperative 12 months CSA in the modified anterolateral acromioplasty group was significantly smaller than the preoperative CSA, with a statistically significant difference (P≤0.05). At 12 months postoperatively, the rates of rotator cuff retears were 16.67% (7/42) and 4% (2/50) in the two groups, respectively, with statistically significant differences (P≤0.05). Conclusions: Both traditional acromioplasty and modified anterolateral acromioplasty performed during the treatment of total rotator cuff tears using arthroscopic rotator cuff repair significantly improved the function of the shoulder joint in patients, but modified anterolateral acromioplasty significantly reduced the CSA value and decreased the incidence of rotator cuff retears.

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Arthroscopic Rotator Cuff Repair

Cited by 9 publications

References 63 publications

Use of a Spinal Needle Through the Deep Rotator Cuff Tissue to Treat Rotator Cuff Tears Under Direct Articular Vision

Use of a Spinal Needle Through the Deep Rotator Cuff Tissue to Treat Rotator Cuff Tears Under Direct Articular Vision

Changes in the Lateral Acromion Angle in Rotator Cuff Tear Patients with Acromioplasty

Clinical effect of modified anterolateral acromioarthroplasty during arthroscopic rotator cuff repair

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