Reconstruction of rotator cuff tears in wheelchair-bound paraplegic patients

Arthroscopic rotator cuff repair in the weight-bearing shoulder

“…Our study shows comparable clinical outcome scores (CS of 80 points, ASES score of 92 points, and SSV of 84%) to most of the previous reports of repairs in able-bodied patients, with postoperative CSs ranging from 74 to 85 points, ASES scores of 83 to 95 points, and 90% to 100% of patients being satisfied or very satisfied. 5,15 Our results are compatible with the good results of the 8 patients in the case series of Popowitz et al, 16 with an ASES score improvement from 34 to 84 points, as well as the findings of Jung et al, 12 who recently reported an ASES score improvement from 53 to 85 points and a CS improvement from 48 to 75 points (13 wheelchairbound patients); however, our findings are in contrast to those in the series of Goldstein et al, 8 in which outcomes were not successful in 5 of 6 shoulders.…”

“…They also found biceps tendon tears or dislocations to be more common in individuals with paraplegia than in able-bodied individuals. Similarly, a recently published study by Jung et al 12 showed SSC involvement in 9 of 16 shoulders. The etiology of this specific tear pattern might be explained by repetitive and forceful wheelchair propulsion, where the shoulder jerkily moves in a 70 abduction position from extension and internal rotation at the onset of the propulsive phase to flexion and external rotation at the onset of the recovery phase, 9 which potentially leads to an instable pulley with mechanical conflict of the long head of the biceps and the upper border of the SSC and/or anterior border of the SSP tendon.…”

“…1 Despite these high numbers of disabling shoulder pain in wheelchair-dependent patients, there is a paucity of data available to help clinicians to decide how to treat such a problem in these high-demand patients. 8,12,16,17 The purposes of this study were therefore to investigate (1) specific rotator cuff tear patterns, (2) structural healing, (3) and clinical outcomes of arthroscopic repair in wheelchairdependent patients.…”

Outcomes of Rotator Cuff Repair in Patients with Comorbid Disability in the Extremities

“…Improvement of outcomes could be hampered in this situation, and few reports on the outcomes of rotator cuff repair in patients with spinal cord injury have been published. 4 7 8 9 10) …”

Reverse Shoulder Arthroplasty in Weight‐Bearing Shoulders of Wheelchair‐Dependent Patients: Outcomes and Complications at 2 to 5 years

“…Common causes of shoulder pain in these patients include rotator cuff inflammation, rotator cuff tears, and osteoarthritis [2][3][4]6,[20][21][22]. Most common reports on the treatment of shoulder disorders in wheelchairdependent patients have reported on the outcomes of rotator cuff repair and anatomic shoulder arthroplasty [10,11,23,24]. Garreau et al [10] and Hattrup and Cofield [11] reported the outcomes of anatomic shoulder arthroplasty in paraplegic patients.…”