Predictors of Clinical Outcomes of Arthroscopic Rotator Cuff Repair: A Pilot Study

#arthroscopic #rotator cuff
Fuente
Este artículo es originalmente publicado en:
http://www.shoulderdoc.co.uk/news/view/1663

Predictors of Clinical Outcomes of Arthroscopic Rotator Cuff Repair: A Pilot Study - http://t.co/JbpeQXQNQl pic.twitter.com/r4UXSkFg6D
— ShoulderDoc (@theshoulderdoc) abril 27, 2015

Patrón de rotura masiva del manguito y pérdida de ROM activo / Relationship between massive chronic rotator cuff tear pattern and loss of active shoulder range of motion

#rotura masiva #manguito rotador #rotator cuff tear

Fuente
Este artículo es originalmente publicado en:
http://www.ncbi.nlm.nih.gov/pubmed/24433628
http://www.jshoulderelbow.org/article/S1058-2746(13)00579-X/abstract
http://www.anatomia-fisioterapia.es/22-systems/musculoskeletal/upper-extremity/shoulder/1120-patron-de-rotura-masiva-del-manguito-y-perdida-de-rom-activo
De:
Collin P1, Matsumura N2, Lädermann A3, Denard PJ4, Walch G5.
J Shoulder Elbow Surg. 2014 Aug;23(8):1195-202. doi: 10.1016/j.jse.2013.11.019. Epub 2014 Jan 14.
Todos los derechos reservados para:
Copyright © 2015 Elsevier Inc. All rights reserved.

Abstract

BACKGROUND:

Management of massive chronic rotator cuff tears remains controversial, with no clearly defined clinical presentation as yet. The purpose of the study was to evaluate the effect of tear size and location on active motion in patients with chronic and massive rotator cuff tears with severe muscle degeneration.

METHODS:

One hundred patients with massive rotator cuff tears accompanied by muscle fatty infiltration beyond Goutallier stage 3 were prospectively included in this study. All patients were divided into 5 groups on the basis of tear pattern (supraspinatus, superior subscapularis, inferior subscapularis, infraspinatus, and teres minor). Active range of shoulder motion was assessed in each group and differences were analyzed.

RESULTS:

Active elevation was significantly decreased in patients with 3 tear patterns involved. Pseudoparalysis was found in 80% of the cases with supraspinatus and complete subscapularis tears and in 45% of the cases with tears involving the supraspinatus, infraspinatus, and superior subscapularis. Loss of active external rotation was related to tears involving the infraspinatus and teres minor; loss of active internal rotation was related to tears of the subscapularis.

CONCLUSIONS:

This study revealed that dysfunction of the entire subscapularis and supraspinatus or 3 rotator cuff muscles is a risk factor for pseudoparalysis. For function to be preserved in patients with massive chronic rotator cuff tears, it may be important to avoid fatty infiltration with anterior extension into the lower subscapularis or involvement of more than 2 rotator cuff muscles.

Copyright © 2014 Journal of Shoulder and Elbow Surgery Board of Trustees. Published by Mosby, Inc. All rights reserved.

KEYWORDS:

Shoulder; active range of motion; classification; massive rotator cuff tear; pseudoparalysis; subscapularis tear

PMID:

 

24433628

 

[PubMed - indexed for MEDLINE]

Patrón de rotura masiva del manguito y pérdida de ROM activo

Hasta la fecha, no existe un consenso generalmente aceptado de la definición de una rotura masiva del manguito rotador, y a menudo, cuando se clasifican en el mismo grupo las roturas basándonos en el tamaño de la misma, los síntomas clínicos difieren bastante. El trazado o localización de la rotura puede ser un factor importante que influya en los síntomas y el pronóstico.

Este estudio comparó el ROM activo de hombro en 100 pacientes con roturas del manguito rotador en dos o más tendones y en pacientes con grado 3 Goutallier o mayor de infiltración grasa. El patrón de rotura se definió de la siguiente forma: A) supraespinoso y subescapular superior; B) supraespinoso y subescapular completo; C) infraespinoso, supraespinoso y subescapular superior; D) supraespinoso e infraespinoso; E) supraespinoso, infraespinoso, redondo menor.

Todos los pacientes con una rotura tipo A fueron capaces de realizar una elevación por encima del nivel del hombro y el 80% de los pacientes con el tipo B tenían pseudoparálisis, mientras que la única diferencia entre estos dos tipos fue el patrón de rotura del subescapular: este músculo parece esencial para mantener la elevación. Además, la pseudoparálisis se observó solamente en los patrones B, C y E, indicando la implicación de tres o más músculos como factor de riesgo para la pseudoparálisis.

> De: Collin et al., J Shoulder Elbow Surg 23 (2015) 1195-1202. Todos los derechos reservados: the Journal of Shoulder and Elbow Surgery Board of Trustees. Pincha aquí para acceder al resumen de Pubmed.. Traducido por Francisco Jimeno Serrano.

Arthroscopic Shoulder & Rotator Cuff Surgery | OACM

#arthroscopic shoulder #rotatorcuff #artroscopia de hombro #manguito rotador


Fuente
Este artículo es originalmente publicado en:
https://www.youtube.com/watch?v=nCJjRtne1PY&list=TLF0mEFo-P2BI
https://www.youtube.com/user/OACMorthopedics
http://www.mdbonedocs.com/ContactUs/RequestanAppointment
https://youtu.be/nCJjRtne1PY
De:
OACMorthopedics

Publicado el 20/04/2015

http://www.mdbonedocs.com/OurSpecialt... A torn rotator cuff can be mended with arthroscopic surgery if physical therapy, medication, and other forms of treatment do not relieve the pain. Keep the following details in mind when considering shoulder or rotator cuff surgery.

The first step is a diagnosis, which includes detailing the patient’s history, a physical examination, and possibly imaging such as X-rays or an MRI. A treatment in line with the diagnosis will be created, and if all other treatment does not suffice, surgery may be recommended.

The rotator cuff may have been torn due to a muscle abnormality or spurs that have formed along the surface bones. Pain in the front of the shoulder can be caused by damage to the bicep’s tendon. Even scarring can cause pain and a limited range of movement. To correct these issues, punctures are made into the shoulder so that the surgeon can properly assess the tears’ features. Stitches are then used to affix the muscle back down to the bone.

Recovery time can vary wildly depending on the severity of the tears and damage to the rotator cuff. The first step is treating the shoulder with ice and pain management, allowing it to heal after surgery. Next, passive range of motion, where a physical therapist moves your arm, helps you back on the road to restoring your range of motion. Once the muscle is adequately healed, active assisted range of motion is put into practice. Strengthening is the final step to recovery.

To learn more about arthroscopic shoulder or rotator cuff surgery and OACM, click the link above.

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https://youtu.be/nCJjRtne1PY

Así es una prótesis de hombro ¿sabes qué permite solucionar?

Fuente
Este artículo es originalmente publicado en:
http://www.clinicacemtro.com/es/biblioteca/biblioteca-traumatologia-ortopedia-y-medicina-del-deporte/774-protesis-de-hombro

Todos los derechos reservados para:
©2014 Clinica CEMTRO, S.A. Nº. de registro de centro autorizado por la Cons.Sanidad de la CAM CH0079   

Así es una prótesis de hombro ¿sabes qué permite solucionar? http://t.co/ypofYL7uk4 pic.twitter.com/i1iISJDSUa
— ClinicaCEMTRO (@ClinicaCEMTRO) abril 20, 2015

El doctor Arauz, habla sobre dolencias de hombro en La Mañana de TVE - See more at: http://www.clinicacemtro.com/es/sala-de-prensa/noticias/1067-el-doctor-arauz-de-robles-en-la-manana-de-tve#sthash.mSzPsLNg.dpuf

#hombro #shoulder

Fuente
Este artículo es originalmente publicado en:
http://www.clinicacemtro.com/es/sala-de-prensa/noticias/1067-el-doctor-arauz-de-robles-en-la-manana-de-tve

De:
doctor Santiago Arauz de Robles

Todos los derechos reservados para:
©2014 Clinica CEMTRO, S.A. Nº. de registro de centro autorizado por la Cons.Sanidad de la CAM CH0079   

El doctor @arauz_santiago, esta mañana en @LaMananaTVE, sobre dolencias de hombro http://t.co/jDafbhCpOP pic.twitter.com/3G5yVSBDME
— ClinicaCEMTRO (@ClinicaCEMTRO) abril 20, 2015

Tipos de cirugías de reemplazo de hombro / Types of Shoulder Replacement Surgeries

#cirugíasdereemplazohombro #ShoulderReplacementSurgeries

Fuente
Este artículo es originalmente publicado en:
http://www.arthritis-health.com/surgery/shoulder-surgery/types-shoulder-replacement-surgeries
De:
Arthritis-health publishes original, informative content written for patients by physician authors and peer-reviewed by our Medical Advisory Board.
Todos los derechos reservados para:
1999-2015 Veritashealth.com. All rights reserved.

Did you know a reverse shoulder replacement surgery is one in which the ball and socket configuration of the shoulder is reversed? Learn more about shoulder replacement surgery options.
Posted by Arthritis-health on Domingo, 19 de abril de 2015

CUAL ES EL MEJOR EN EL TRATAMIENTO DE FRACTURAS PROXIMALES DE HUMERO? / WHO’S BETTER AT TREATING PROXIMAL HUMERUS FRACTURES?

#FRACTURASPROXIMALES #HUMERO #HUMERUSFRACTURES

Fuente
Este artículo es originalmente publicado en:
http://icjr.net/report_338_humerus_fracture#.VS6lKfmG9EO

De:
Surena Namdari, MD, from The Rothman Institute, Philadelphia, Pennsylvania, examines the question “Proximal Humerus Fractures - Who Does it Better? Practice Variability Across Shoulder Surgeons and Traumatologists”

Todos los derechos reservados para:
Producer: Susan Doan-Johnson; Director and Post Production: Charles Maynard

Dr. Surena Namdari examines the question “Proximal Humerus Fractures - Who Does it Better? Practice Variability Across...
Posted by International Congress for Joint Reconstruction on Miércoles, 15 de abril de 2015