Management of Disorders of the Rotator Cuff: Proceedings of the ISAKOS Upper Extremity Committee Consensus Meeting

Arce, Guillermo; Bak, Klaus; Bain, Gregory I.; Calvo, Emílio; Ejnisman, Benno; Giacomo, Giovanni Di; Gutiérrez, Vicente Guilarte; Guttmann, Dan; Itoi, Eiji; Kibler, W. Ben; Ludvigsen, Tom C.; Mazzocca, Augustus D.; Pochini, Alberto de Castro; Savoie, Felix H.; Sugaya, Hiroyuki; Uribe, John W.; Vergara, Francisco; Willems, Jaap; Yoo, Yon Sik; McNeil, John W.; Provencher, Matthew T.

doi:10.1016/j.arthro.2013.07.265

Cited by 45 publications

(27 citation statements)

References 60 publications

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“…This is supported by multiple studies demonstrating both macroscopic and microscopic LHB tendinopathy in the setting of chronic RTC tears. 3,32 In fact, a study by Walch et al consisting of 307 patients with nonoperable full-thickness RTC tears demonstrated that biceps tenotomy alone resulted in considerable improvement in 87% of patients with an average follow-up of 57 months. 29 Although Walch's study involved biceps tenotomy, it is plausible that a similar response could be seen in cases of biceps tenodesis.…”

Section: Arthroscopic Tenodesismentioning

confidence: 96%

“…This may be due to the fact that arthroscopic RTC repair is the current ''gold standard,'' and some surgeons may also opt to repair the biceps tendon or SLAP tear if they have already committed to performing the RTC repair in this manner vs. performing a separate open procedure. 3 Currently, no consensus for treatment of SLAP lesions or isolated biceps tendon disorders specifically has been reached, and treatments vary between arthroscopic repair, tendon tenotomy, biceps tenodesis, and d ebridement. 6,7,31,33 In a number of recent studies, the addition of biceps tenodesis in the setting of RTC repair had equivocal effect on the subjective outcomes when performed and in comparison to tenotomy.…”

Section: Arthroscopic Tenodesismentioning

confidence: 99%

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Demographic trends in arthroscopic and open biceps tenodesis across the United States

Vellios

Nazemi

Yeranosian

et al. 2015

Journal of Shoulder and Elbow Surgery

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Section: Arthroscopic Tenodesismentioning

confidence: 96%

Section: Arthroscopic Tenodesismentioning

confidence: 99%

Demographic trends in arthroscopic and open biceps tenodesis across the United States

Vellios

Nazemi

Yeranosian

et al. 2015

Journal of Shoulder and Elbow Surgery

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“…Neurologic injuries have been reported to occur in 1–3.4% of patients undergoing arthroscopic rotator cuff repair [11, 13–15]. This number may be even higher during arthroscopic repair of massive rotator cuff tears when considering the placement of portals and suture anchors as well as the new dynamics of the repaired rotator cuff causing compression of the nerve itself [16, 17]. When performing an interval slide to lateralize the rotator cuff, it is imperative for the surgeon to understand the changes in force across the nerve.…”

Section: Discussionmentioning

confidence: 99%

Anatomical Considerations of the Suprascapular Nerve in Rotator Cuff Repairs

Tom

Mesfin

Javandel

et al. 2014

Anatomy Research International

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Introduction. When using the double interval slide technique for arthroscopic repair of chronic large or massive rotator cuff tears, the posterior interval release is directed toward the scapular spine until the fat pad that protects the suprascapular nerve is reached. Injury to the suprascapular nerve can occur due to the nerve's proximity to the operative field. This study aimed to identify safe margins for avoiding injury to the suprascapular nerve. Materials and Methods. For 20 shoulders in ten cadavers, the distance was measured from the suprascapular notch to the glenoid rim, the articular margin of the rotator cuff footprint, and the lateral border of the acromion. Results. From the suprascapular notch, the suprascapular nerve coursed an average of 3.42 cm to the glenoid rim, 5.34 cm to the articular margin of the rotator cuff footprint, and 6.09 cm to the lateral border of the acromion. Conclusions. The results of this study define a safe zone, using anatomic landmarks, to help surgeons avoid iatrogenic injury to the suprascapular nerve when employing the double interval slide technique in arthroscopic repair of the rotator cuff.

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“…There is a lack of concensus regarding the optimal treatment of degenerate cuff tears and limited and inconclusive evidence regarding the relative effectiveness and harms of surgical and conservative treatment approaches [1,7,8]. Non-operative management such as physiotherapy is recommended prior to considering surgery but surgical referral criteria are not straightforward [9,10]. The need for further research was highlighted at a recent consensus meeting on the management of disorders of the rotator cuff which identified 30 unresolved issues/areas for future research to improve management [9].…”

Section: Introductionmentioning

confidence: 99%

“…Non-operative management such as physiotherapy is recommended prior to considering surgery but surgical referral criteria are not straightforward [9,10]. The need for further research was highlighted at a recent consensus meeting on the management of disorders of the rotator cuff which identified 30 unresolved issues/areas for future research to improve management [9]. …”

Section: Introductionmentioning

confidence: 99%

Living with a symptomatic rotator cuff tear ‘bad days, bad nights’: a qualitative study

Lowe

Moser

Barker

2014

BMC Musculoskelet Disord

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BackgroundRotator cuff tears are a common cause of shoulder pain. There is an absence of information about symptomatic rotator cuffs from the patients’ perspective; this limits the information clinicians can share with patients and the information that patients can access via sources such as the internet. This study describes the experiences of people with a symptomatic rotator cuff, their symptoms, the impact upon their daily lives and the coping strategies utilised by study participants.MethodsAn interpretive phenomenological analysis approach was used. 20 participants of the UKUFF trial (The United Kingdom Rotator Cuff Surgery Trial) agreed to participate in in-depth semi-structured interviews about their experiences about living with a symptomatic rotator cuff tear. Interviews were digitally recorded and fully transcribed. Field notes, memos and a reflexive diary were used. Data was coded in accordance with interpretive phenomenological analysis. Peer review, code-recode audits and constant comparison of data, codes and categories occurred throughout.ResultsThe majority of patients described intense pain and severely disturbed sleep. Limited movement and reduced muscle strength were described by some participants. The predominantly adverse impact that a symptomatic rotator cuff tear had upon activities of daily living, leisure activities and occupation was described. The emotional and financial impact and impact upon caring roles were detailed. Coping strategies included attempting to carry on as normally as possible, accepting their condition, using their other arm, using analgesics, aids and adaptions.ConclusionsClinicians need to appreciate and understand the intensity and shocking nature of pain that may be experienced by participants with known rotator cuff tears and understand the detrimental impact tears can have upon all areas of patient’s lives. Clinicians also need to be aware of the potential emotional impact caused by cuff tears and to ensure that patients needing help for conditions such as depression are speedily identified and provided with support, explanation and appropriate treatment.

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Management of Disorders of the Rotator Cuff: Proceedings of the ISAKOS Upper Extremity Committee Consensus Meeting

Cited by 45 publications

References 60 publications

Demographic trends in arthroscopic and open biceps tenodesis across the United States

Demographic trends in arthroscopic and open biceps tenodesis across the United States

Anatomical Considerations of the Suprascapular Nerve in Rotator Cuff Repairs

Living with a symptomatic rotator cuff tear ‘bad days, bad nights’: a qualitative study

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