The WORC is a quality of life questionnaire designed for patients with disorders of the rotator cuff. The score is validated for rotator cuff disease, but not for rotator cuff repair specifically. The aim of this study is to investigate reliability, validity and responsiveness of WORC in patients undergoing arthroscopic...

Supraspinatus tendonitis is often associated with shoulder impingement syndrome. The common belief is that impingement of the supraspinatus tendon leads to supraspinatus tendonitis (inflammation of the supraspinatus/rotator cuff tendon and/or the contiguous peritendinous soft tissues), which is a known stage of shoulder impingement syndrome (stage II) as described originally by...

In 1834, Smith wrote the first description of a rupture of the rotator cuff tendon. Since then, with the work of such authors as Duplay, Von Meyer, Codman, and, more recently, Neer, degenerative changes to the rotator cuff have been better characterized; however, the exact mechanisms leading to the degeneration...

Rotator cuff injuries are a common cause of shoulder pain in people of all age groups. They represent a spectrum of disease, ranging from acute reversible tendonitis to massive tears involving the supraspinatus, infraspinatus, and subscapularis. Diagnosis is usually made through detailed history, physical examination, and often, imaging studies. Often, younger...

Arthroscopic Rotator Cuff Findings -- Alessandro Castagna, MD Web Arhive Copy. Last posted 2006
The understanding and treatment of the pathology of the rotator cuff muscle-tendon complex is probably still the most stimulating challenge for the shoulder surgeon. Anatomy, biomechanics, presence of multiple layers of tissues, limited subacromial space make often...

Definition Rotator cuff surgery is the repair of inflammation or tears of the rotator cuff tendons in the shoulder. There are four tendons in the rotator cuff, and these tendons are attached individually to the following muscles: teres minor, subscapularis, infraspinatus, and the supraspinatus. The tears and inflammation associated with rotator...

Rotator cuff tears are a common cause of shoulder pain. Clinical and radiographic findings can suggest the presence of a rotator cuff tear. The most sensitive clinical findings are impingement and the "arc of pain" sign. Radiographic findings are usually normal in the acute setting, although the "active abduction" view...

Titles includes -

• Complications of Reverse Shoulder Arthroplasty (and How to Avoid Them)
• Reverse Shoulder Arthroplasty for Revision Problems
• Reverse Shoulder Arthroplasty for Acute Proximal Humerus Fracture
• Debate on Implant Design for Reverse Shoulder Arthroplasty
• Reverse Shoulder Arthroplasty for Massive Cuff Tears without OA
• Revision Glenoid...
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  - Multimedia Presentations: Shoulder and Elbow 
  

Corkscrew Rotator Cuff Repair -- Burkhart Web Archive Copy Last posted 2006
The Arthrex Corkscrew Rotator Cuff Repair System offers superior pullout strength in soft bone and a simplified, reproducible technique for min-open and arthroscopic rotator cuff repairs. The Corkscrew Anchor has a unique auger type thread and a thin 2.0...

Shoulder ultrasound (US) is a powerful, inexpensive, rapid, noninvasive, and dynamic method for evaluation of the integrity of the rotator cuff. This manuscript reviews the complex three-dimensional anatomy of the rotator cuff and describes in detail a suggested technique for sonographic evaluation of the shoulder. Strengths and weaknesses of this...

Shoulder pain is defined as chronic when it has been present for longer than six months. Common conditions that can result in chronic shoulder pain include rotator cuff disorders, adhesive capsulitis, shoulder instability, and shoulder arthritis. Rotator cuff disorders include tendinopathy, partial tears, and complete tears. A clinical decision rule...

Ultrasonography (US) has been shown to be an effective imaging modality in the evaluation of both rotator cuff and non-rotator cuff disorders, usually serving in a complementary role to magnetic resonance imaging of the shoulder. US technique for shoulder examination depends on patient positioning, scanning protocol for every tendon and...

Periarticular shoulder disorders are common in clinical practice, and diagnosis is often difficult. Medicare statistics indicate that between 2001 and 2006 the use of diagnostic shoulder ultrasonography increased significantly. Rotator cuff disease, shoulder impingement syndrome and subacromial bursitis are among the most common diagnoses reported on shoulder ultrasonography. Shoulder ultrasonography...

rotator cuff anatomy:
- frequency of tear:
- diff dx of cuff tears;: (partial rotator cuff tear)
- etilogy of tear:
- impingement syndrome: (75%)
...

Full-thickness rotator cuff tears tend to increase in size over time and rarely heal without surgery, researchers from Israel report in the February 10th online issue of The American Journal of Sports Medicine.
"Full-thickness rotator cuff tears tend to increase in size in about half of patients aged 60 years or...

In order to determine whether adhesion of the subacromial bursa leads to impingement, we measured the subacromial contact pressures before and after release of adhesion of this bursa.
We suggest that adhesion of the subacromial bursa increases impingement between the acromion and the insertion of rotator cuff tendons.
Adhesion of the subacromial...

It's not a medical drama. It's the real thing. Log on and watch John Uribe, M.D., renowned orthopedic surgeon and medical director for Doctors Hospital's Center for Orthopedics and Sports Medicine, as he performs shoulder rotator cuff repair surgery during a live webcast on Wednesday, June 18 at 4 p.m. The webcast...

This document will help you understand: 1) what the rotator cuff is, 2) how it can become torn, and 3) what treatments are available for a torn rotator cuff. Highly Reputable

Full thickness tears of the rotator cuff often present in the middle-aged and elderly population. There is wide variation in terms of the extent of rotator cuff tears, the patient's symptoms, the patient's goals and therefore the treatment options. Expert

Conclusions: The results of this study indicate that women with rotator cuff pathology suffer from higher levels of pre- and post-operative disability and sex and gender qualities contribute to these differences. Gender-sensitive approach will help to identify existing differences between men and women which will help to promote more effective...

Webinar presented Monday March 1st, 6pm PST / 9pm EST
Arthroscopic Subscapularis Repair Webinar Presentation Evan L Flatow
Arthroscopic Transosseous Rotator Cuff Repair - Webinar Presentation Sumant G. Butch Krishnan
Partial Tears of the Rotator Cuff Russell F. Warren MD
How I Do a Subscap Repair - Webinar Presentation Laurence Higgins

The purpose of this study was to assess the associations of lifestyle factors, metabolic factors and carotid intima-media thickness with shoulder pain and chronic (>3 months) rotator cuff tendinitis.
Conclusions Our findings showed associations of abdominal obesity, some other metabolic factors and carotid intima-media thickness with shoulder pain. Disturbed glucose metabolism...

Arthroscopic rotator cuff repair is a recently developed technique that is gaining increased popularity. To make arthroscopic rotator cuff repair a straightforward, standardized procedure, we have designed a special technique based on the tension band principle, using between 2 and 5 inverted horizontal mattress sutures placed through the tendon and...

Supervied progressive rehabilitation is crucial to the successful recovery after a rotator cuff repair. Many factors will affect rehabilitation after surgery. Some of these include:
* Type of repair (arthroscopic, mini-open, open)
* Size of tear (absolute size, number of tendons involved)
...