PRP: A proven treatment for partial rotator cuff tears
Dr Louis Re offers PRP as treatment for partial rotator cuff tears. PRP consistently improves pain and improves tissue health over a short duration with minimal treatments
Impingement syndrome is a descriptive term for the pinching of the tendons of the rotator cuff between the bones causing injury . In many individuals with this problem, BONE SPURS or the shape of their bones is such that they have less space than others.
Rotator cuff tears are a common injury of the complex shoulder joint. The shoulder is one of the most amazing joints in the body. The range of motion of your shoulder—the amount of movement at the joint—is greater than in any other joint in the body.
What is arthroscopy?
Arthroscopy is a surgical procedure that allows your shoulder specialist to visualize the inside of your joint through several tiny incisions. Your specialist can confirm your diagnosis and repair any injured tissues by using a camera
Causes of Shoulder Pain and Treatment Options
It isn't always easy to identify the difference between frozen shoulder, shoulder blade pain, and symptoms of a rotator cuff tear. This is why it helps to know a little about how your shoulder functions.
The collarbone, also called the clavicle, is the bone over the top of your chest, between your breastbone (sternum) and the shoulder blade (scapula). It is easy to feel the clavicle because unlike other bones that are covered with muscle, only skin covers
The sternoclavicular joint, or SC joint, is the connection of the sternum (breastbone) to the clavicle (collarbone). This SC joint is uncommonly injured, but it can be problematic when an injury is sustained.
Reverse shoulder replacement was developed because traditional surgical options for shoulder arthritis, such as total shoulder replacements, aren’t a suitable option when patients also have a rotator cuff tear.
Results of this imaging study on patients with stiff shoulders that demonstrated severe and global loss of passive range of motion shows no correlation between the condition and full-thickness rotator cuff tears.
A shoulder separation is an injury to the acromioclavicular joint on the top of the shoulder. The shoulder joint is formed at the junction of three bones: the collarbone (clavicle), the shoulder blade (scapula), and the arm bone (humerus).
The reverse shoulder replacement was specifically designed for a problem called rotator cuff tear arthropathy. Rotator cuff tear arthropathy is a problem that occurs when a patient has both shoulder arthritis and a rotator cuff tear.
Shoulder pain, stiffness or weakness can make it difficult to carry out everyday tasks, like reaching for something on a high shelf, driving a car or brushing your hair. If you have pain that won’t go away, it’s time to see a doctor.
New research on the biology of tendon irritation from Jefferson (Philadelphia University + Thomas Jefferson University) pinpoints key molecular components of injury, opening the possibility of targeting the pathways with pharmaceutical...
The shoulder is the most flexible joint in your body, and given the number of everyday activities it’s involved in—from brushing your hair to reaching up into the cupboard—it’s easy to see why shoulder pain is something you’d want to get to the bottom...
Sore shoulder remedies: This common joint problem can affect anyone. Shoulder pain may involve the cartilage, ligaments, muscles, nerves, or tendons. It can also include the shoulder blade, neck, arm, and hand.
Patients who received interscalene brachial plexus block plus soft tissue infiltration with Exparel when undergoing primary shoulder arthroplasty used significantly more narcotics postoperatively and had no significant reduction in pain scores...
For patients with rotator cuff tears, improving shoulder function is the most important reason for moving forward with surgical repair. Researchers also found that through arthroscopic rotator cuff repair (ARCR),...
Young athletes with shoulder instability are considered to be a high-risk group of patients following arthroscopic shoulder stabilization given the high recurrence rates and lower rates of return to sport,...
The part of the body we call the shoulder consists of several joints that work with tendons and muscles to allow the arm to move in many directions. We can bowl a perfect game or reach the top shelf thanks to this system of joints, muscles and tendons.
For patients undergoing shoulder joint replacement surgery (arthroplasty), higher body mass index is linked to increased complications — including the need for “revision” surgery, reports a study in the June 7 issue of The Journal of Bone & Joint Surgery.
Most patients who underwent nonoperative treatment for rotator cuff tears had anatomic tear deterioration, with poorer functional outcomes found in large tear size increases and progression of muscle atrophy, according to results.
Results presented at the Arthroscopy Association of North America Annual Meeting showed favorable results with both tenodesis and tenotomy in the treatment of lesions of the long head of the biceps tendon.
Conversion to Reverse Total Shoulder Arthroplasty with and without Humeral Stem Retention: The Role of a Convertible-Platform Stem
As the volume of shoulder arthroplasty procedures performed in the United States continues to increase,...
Ultrasound Screening for Posterior Shoulder Dislocation in Infants with Persistent Brachial Plexus Birth Palsy
Early detection of posterior shoulder dislocation in infants with brachial plexus birth palsy (BPBP) is essential,..
Locked posterior shoulder dislocation is an uncommon condition and is associated with a reverse Hill-Sachs lesion in 50% of cases. The condition is likely to occur in cases of violent trauma, seizures, or electric shock.
A new study being presented today at the 2017 Annual Meeting of the American Academy of Orthopaedic Surgeons (AAOS), found that 96.4 percent of recreational athletes, age 55 and younger, who underwent total shoulder replacement surgery returned...
Recently published results of a level 3 study showed patients who underwent outpatient and inpatient total shoulder arthroplasty had no significant differences in 30-day adverse event and readmission rates.
The role of arthroscopy in the treatment of anterior shoulder instability continues to be refined. The surgical technique focuses on anterior capsulolabral reconstruction. The presence of bone loss is a well-known risk factor for failure1.
Technique pearls for revision shoulder arthroplasty aid in preventing fracture, preserving bone stock
We present simple techniques for revision shoulder arthroplasty using a telescoping osteotome technique for glenoid removal, an open-book...
Meditating before running could change the brain in ways that are more beneficial for mental health than practicing either of those activities alone, according to an interesting study of a new treatment program for people with depression.
Patients with irreparable, posterosuperior massive rotator cuff tears experienced pain relief, functional recovery and postoperative satisfaction after undergoing an arthroscopic-assisted latissimus dorsi tendon transfer, according to results.
Most people know they need to eat right and exercise to be healthy. But what about sleep? We spend about one-third of our lives asleep, and sleep is essential to better health. But many of us are struggling with sleep.
Activity monitors could improve our health and extend our lives — if only we could be motivated to use them. Those are the conclusions of two new studies about the promise and perils of relying on fitness trackers to measure and guide how we move.
Patients who received tranexamic acid prior to total shoulder arthroplasty had a statistically significant reduction in blood loss and had shorter recovery room and hospital stays than controls, according to results.
Listening to music during a short, intense bout of exercise might change how you feel about hard workouts and encourage you to continue with the program in the future, according to a new study of intense interval training and how to make it more palatable.
Shoulder instability is most common in the young, athletic population, bringing a focus to how these injuries are best treated. Research presented today at the American Orthopaedic Society for Sports Medicine’s (AOSSM)
According to research presented here, Bankart repair following initial shoulder dislocation leads to improved patient outcomes.
A retrospective chart review was conducted to determine patient demographics and quantity of reported preoperative...
Getting back into the game is important for any athlete after a significant injury but shoulder injuries can be tricky, especially for football players. Researchers presenting their work today at the American Orthopaedic Society for Sports Medicine’s...
With the advancement of arthroscopic surgery in the repair of rotator cuff tears, the gold standard of open surgery has begun to be slowly replaced. However, the literature has shown similar results when comparing arthroscopic and open rotator cuff repair.
Patients with rotator cuff tears experience fatty infiltration increased percentages of most likely caused primarily by muscle atrophy and a single image slice did not capture 3-D muscle measurements, according to recently published data.
A large study of hand and shoulder surgeries performed at a freestanding, outpatient center found few complications — 0.2 percent in nearly 29,000 patients over an 11-year period. The study appears in the new issue of the Journal of Bone and Joint Surgery.
Although recently published results showed no dynamic superior humeral head migration among patients with well-compensated single or two-tendon rotator cuff tears, an unexpected inferior shift during active elevation was found.
Successful long-term results seen after arthroscopic subacromial decompression for impingement syndrome
Patients with impingement syndrome did well 20 years after their index arthroscopic subacromial decompression, including acromioplasty,...
Patients with a history of preoperative opioid use experienced significantly lower preoperative baseline and final outcome scores after total shoulder arthroplasty than patients who did not take opioids preoperatively, according to results.
At 6-month follow-up, intra-articular injection, subacromial injection and hydrodilatation had similar clinical improvements in the treatment of primary frozen shoulder, with hydrodilatation showing more rapid improvement, according to results.
Full-thickness cuff tears were associated with the presence of an acromion spur, and a higher acromial index and critical shoulder angle. However, a higher acromial index and critical shoulder angle were not associated with partial tears...