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Augmentation with onlay dermal allografts may enhance rotator cuff repair
Dermal allograft augmentation is commonly indicated for patients with large rotator cuff tears (3 cm to 5 cm), previous unsuccessful rotator cuff repairs or patients with chronic tears with compromised tissue quality and no advanced glenohumeral osteoarthritis (Hamada grades 1 and 2). Prior to the surgical intervention, a crucial step involves the preoperative assessment to ascertain the feasibility of repairing the tear. This assessment involves a comprehensive evaluation of the patient’s MRI scans, focusing on factors such as tear size, tissue quality and the degree of retraction exhibited by the tear.
Concurrent subacromial decompression, rotator cuff repair may reduce risk of revision
Subacromial decompression with arthroscopic rotator cuff repair yielded a 21% risk reduction for revision compared with repair alone.
Readmissions more likely for wheelchair users after shoulder replacement
Wheelchair users are nearly three times more likely to experience hospital readmission following total shoulder arthroplasty (TSA), according to UT Southwestern Medical Center researchers. The findings, published in the Journal of Clinical Medicine, highlight the importance of comprehensive preoperative counseling and risk assessment for patients who use wheelchairs.
Causes of Shoulder Pain and Treatment Options
Shoulder pain can range from mild to severe and can come on suddenly or build up over time. Possible causes of pain in the front of the shoulder, outside, top, or all over include fractures, tissue inflammation or tears, joint or ligament instability, and arthritis. Shoulder pain can also stem from conditions that don't directly involve the shoulder at all.
The posterolateral ligament of the elbow anatomy and clinical relevance
The posterolateral capsule was recognized in the past as an important structure for elbow stability but was later disregarded. Two recent biomechanical papers demonstrated its role in preventing posterolateral instability, and thus it should be identified as a distinct ligament: the posterolateral ligament (PLL). This study includes two parts: an anatomic study of the PLL's footprint; and 5 cases of pathological lesions of the PLL.