Biomechanical analysis of bursal-sided partial thickness rotator cuff tears.

Abstract:

BACKGROUND:Treatment of partial thickness supraspinatus tendon tears is controversial with no clearly defined treatment algorithms based on severity of tears. This study aims to evaluate the relationship between depth of partial thickness tears and strain. METHODS:Bursal-sided partial thickness tears were created at 1 mm increments in depth at the anterior portion of the supraspinatus tendon to 3/4 tendon width on ten fresh-frozen shoulder specimens. The supraspinatus muscle was dynamically loaded from 0-50N, and strain recorded at both the anterior and posterior portions of the tendon. RESULTS:Strain in the intact posterior portion increased monotonically with tear depth and supraspinatus force. Strain in the torn anterior portion decreased with increasing tear thickness and loading force. At 60% thickness tear, strain was significantly higher (P = 0.023) in the intact posterior portion compared to intact tendon. As the tear thickness exceeded 50% tendon thickness, the strain in the intact tendon rapidly increased nonlinearly. CONCLUSIONS:Biomechanical results herein suggest increasing potential for tear propagation in the transverse plane with increasing depth of tears, and biomechanically supports repairs of grade III (>50% thickness).

journal_name

J Shoulder Elbow Surg

authors

Yang S,Park HS,Flores S,Levin SD,Makhsous M,Lin F,Koh J,Nuber G,Zhang LQ

doi

10.1016/j.jse.2008.12.011

subject

Has Abstract

pub_date

2009-05-01 00:00:00

pages

379-85

issue

3

eissn

1058-2746

issn

1532-6500

pii

S1058-2746(09)00029-9

journal_volume

18

pub_type

杂志文章
  • Association between kyphosis and subacromial impingement syndrome: LOHAS study.

    abstract:BACKGROUND:Kyphosis is a cause of scapular dyskinesis, which can induce various shoulder disorders, including subacromial impingement syndrome (SIS). This study aimed to clarify the impact of kyphosis on SIS with use of cross-sectional data from the Locomotive Syndrome and Health Outcome in Aizu Cohort Study (LOHAS). ...

    journal_title:Journal of shoulder and elbow surgery

    pub_type: 杂志文章

    doi:10.1016/j.jse.2014.04.010

    authors: Otoshi K,Takegami M,Sekiguchi M,Onishi Y,Yamazaki S,Otani K,Shishido H,Kikuchi S,Konno S

    更新日期:2014-12-01 00:00:00

  • Stabilizers of capitellocondylar total elbow arthroplasty.

    abstract::The contribution of the medial and lateral collateral ligaments (MCL, LCL) and muscle forces to the kinematics and stability of the capitellocondylar total elbow arthroplasty was investigated in six fresh cadaveric elbows. The three-dimensional orientation of the ulna relative to the humerus was monitored with the use...

    journal_title:Journal of shoulder and elbow surgery

    pub_type: 杂志文章

    doi:10.1016/S1058-2746(09)80069-4

    authors: Itoi E,King GJ,Morrey BF,An KN

    更新日期:1992-09-01 00:00:00

  • Functional outcomes following lateral ulnar collateral ligament reconstruction for symptomatic posterolateral rotatory instability of the elbow in an athletic population.

    abstract:HYPOTHESIS:The purpose of this investigation was to characterize the functional and surgical outcomes following lateral ulnar collateral ligament (LUCL) reconstruction for posterolateral rotatory instability in an athletic population. METHODS:All US military service members who underwent LUCL reconstruction between 20...

    journal_title:Journal of shoulder and elbow surgery

    pub_type: 杂志文章

    doi:10.1016/j.jse.2017.08.015

    authors: Rodriguez MJ,Kusnezov NA,Dunn JC,Waterman BR,Kilcoyne KG

    更新日期:2018-01-01 00:00:00

  • Optimizing stability in distal humeral fracture fixation.

    abstract::Restoration of painless and satisfactory elbow function after a fracture of the distal humerus requires anatomic reconstruction of the articular surface, restitution of the overall geometry of the distal humerus, and stable fixation of the fracture fragments to allow early and full rehabilitation. Although these goals...

    journal_title:Journal of shoulder and elbow surgery

    pub_type: 杂志文章

    doi:10.1016/j.jse.2004.09.033

    authors: O'Driscoll SW

    更新日期:2005-01-01 00:00:00

  • The posterolateral plica: a cause of refractory lateral elbow pain.

    abstract::Lateral epicondylitis is one of the most common upper extremity pain syndromes. We report the results of patients in whom conservative treatment was unsuccessful and who were finally treated arthroscopically for symptomatic plicae. Ten patients (mean age, 40 years [range, 18-60 years]) who were misdiagnosed as having ...

    journal_title:Journal of shoulder and elbow surgery

    pub_type: 杂志文章

    doi:10.1016/j.jse.2005.08.013

    authors: Ruch DS,Papadonikolakis A,Campolattaro RM

    更新日期:2006-05-01 00:00:00

  • A radiographic evaluation of birotational head motion in the bipolar shoulder hemiarthroplasty.

    abstract::The concept of bipolar hemiarthroplasty has been described in the hip for more than 20 years, its role being to decrease acetabular wear. Shoulder bipolar hemiarthroplasty was described shortly afterward. The purpose of this study was to determine if the prosthesis acted as a bipolar device moving primarily at the inn...

    journal_title:Journal of shoulder and elbow surgery

    pub_type: 杂志文章

    doi:10.1016/j.jse.2005.10.002

    authors: Stavrou P,Slavotinek J,Krishnan J

    更新日期:2006-07-01 00:00:00

  • Mobile technology and telemedicine for shoulder range of motion: validation of a motion-based machine-learning software development kit.

    abstract:BACKGROUND:Mobile technology offers the prospect of delivering high-value care with increased patient access and reduced costs. Advances in mobile health (mHealth) and telemedicine have been inhibited by the lack of interconnectivity between devices and software and inability to process consumer sensor data. The object...

    journal_title:Journal of shoulder and elbow surgery

    pub_type: 杂志文章

    doi:10.1016/j.jse.2018.01.013

    authors: Ramkumar PN,Haeberle HS,Navarro SM,Sultan AA,Mont MA,Ricchetti ET,Schickendantz MS,Iannotti JP

    更新日期:2018-07-01 00:00:00

  • Does hand-behind-back range of motion accurately reflect shoulder internal rotation?

    abstract::Shoulder internal rotation (IR) is commonly assessed by an indirect method where the hand is placed behind the back and the distance reached by the tip of the extended thumb is recorded. The aim of this study was to assess the validity of measuring active IR range of motion (ROM) by use of the indirect hand-behind-bac...

    journal_title:Journal of shoulder and elbow surgery

    pub_type: 临床试验,杂志文章

    doi:10.1016/j.jse.2005.08.005

    authors: Ginn KA,Cohen ML,Herbert RD

    更新日期:2006-05-01 00:00:00

  • Comparison of complication types and rates associated with anatomic and reverse total shoulder arthroplasty.

    abstract:BACKGROUND:Complications after anatomic (aTSA) and reverse (rTSA) total shoulder arthroplasty can be devastating to a patient's quality of life and require revisions that are costly to both the patient and the health care system. The purpose of this study is to determine the types, incidence, and timing of complication...

    journal_title:Journal of shoulder and elbow surgery

    pub_type: 杂志文章

    doi:10.1016/j.jse.2020.07.028

    authors: Parada SA,Flurin PH,Wright TW,Zuckerman JD,Elwell JA,Roche CP,Friedman RJ

    更新日期:2020-08-04 00:00:00

  • Patient outcomes after humeral fracture surgery during the COVID-19 outbreak in Spain.

    abstract:BACKGROUND:The global spread of the 2019 novel coronavirus (COVID-19) has profoundly affected the way we conduct our health care practices. The goal of this paper is to report the outcomes of 11 patients who underwent humeral fracture surgery in the first few weeks of the COVID-19 outbreak in Spain. METHODS:This was a...

    journal_title:Journal of shoulder and elbow surgery

    pub_type: 杂志文章

    doi:10.1016/j.jse.2020.06.001

    authors: Garcia-Portabella M,Nuñez JH,Batalla L,Plomer M,Lakhani K,Massons J

    更新日期:2020-08-01 00:00:00

  • Biomechanical analysis of a novel locking plate with smooth pegs versus a conventional locking plate with threaded screws for proximal humerus fractures.

    abstract:BACKGROUND:Repair of proximal humeral fractures with locking plates has greatly improved outcomes. However, an alarming rate of complications including screw cutout and impingement under the acromion has recently been reported. A novel locking plate with smooth pegs was developed to reduce these risks. The purpose of t...

    journal_title:Journal of shoulder and elbow surgery

    pub_type: 杂志文章

    doi:10.1016/j.jse.2012.04.005

    authors: Yamamoto N,Hongo M,Berglund LJ,Sperling JW,Cofield RH,An KN,Steinmann SP

    更新日期:2013-04-01 00:00:00

  • Reliability testing of the Larsen and Sharp classifications for rheumatoid arthritis of the elbow.

    abstract:BACKGROUND:Two popular systems for classifying rheumatoid arthritis affecting the elbow are the Larsen and Sharp schemes. To our knowledge, no study has investigated the reliability of these 2 systems. We compared the intraobserver and interobserver agreement of the 2 systems to determine whether one is more reliable t...

    journal_title:Journal of shoulder and elbow surgery

    pub_type: 杂志文章

    doi:10.1016/j.jse.2016.07.074

    authors: Jew NB,Hollins AM,Mauck BM,Smith RA,Azar FM,Miller RH 3rd,Throckmorton TW

    更新日期:2017-01-01 00:00:00

  • Surgeon accuracy in the selection of the flexion-extension axis of the elbow: an in vitro study.

    abstract::The incorrect determination of the flexion-extension axis of the elbow may result in poor clinical outcomes for patients undergoing ligament repairs, joint arthroplasties, and procedures requiring articulated external fixators. The variability in the selection of the flexion-extension axis based on a visual approximat...

    journal_title:Journal of shoulder and elbow surgery

    pub_type: 杂志文章

    doi:10.1016/j.jse.2005.09.011

    authors: Brownhill JR,Furukawa K,Faber KJ,Johnson JA,King GJ

    更新日期:2006-07-01 00:00:00

  • The effect of matrix metalloproteinase inhibition on tendon-to-bone healing in a rotator cuff repair model.

    abstract:HYPOTHESIS:Recent studies have demonstrated a potentially critical role of matrix metalloproteinases (MMPs) and tissue inhibitors of matrix metalloproteinases (TIMPs) in the pathophysiology of rotator cuff tears. We hypothesize that local delivery of a MMP inhibitor after surgical repair of the rotator cuff will improv...

    journal_title:Journal of shoulder and elbow surgery

    pub_type: 杂志文章

    doi:10.1016/j.jse.2009.07.010

    authors: Bedi A,Kovacevic D,Hettrich C,Gulotta LV,Ehteshami JR,Warren RF,Rodeo SA

    更新日期:2010-04-01 00:00:00

  • Outcomes and radiographic findings of anatomic press-fit radial head arthroplasty.

    abstract:BACKGROUND:Radial head arthroplasty (RHA) is a popular method of treatment for complex fractures of the radial head. The purpose of this study was to investigate patient outcomes and radiographic findings associated with a single anatomic monopolar press-fit radial head system commonly used for the treatment of radial ...

    journal_title:Journal of shoulder and elbow surgery

    pub_type: 杂志文章

    doi:10.1016/j.jse.2015.11.014

    authors: Levy JC,Formaini NT,Kurowicki J

    更新日期:2016-05-01 00:00:00

  • Effects of glenohumeral internal rotation deficit on baseball pitching among pitchers of different ages.

    abstract:BACKGROUND:Previous studies have reported that glenohumeral internal rotation deficit (GIRD) may increase the risk of shoulder injury. However, the effects of GIRD on baseball pitching among pitchers of different age groups are still unclear. METHODS:The study participants were 24 high school and 24 university pitcher...

    journal_title:Journal of shoulder and elbow surgery

    pub_type: 杂志文章

    doi:10.1016/j.jse.2017.09.001

    authors: Chou PP,Chou YL,Wang YS,Wang RT,Lin HT

    更新日期:2018-04-01 00:00:00

  • A less invasive surgery for rotator cuff tear: mini-open repair.

    abstract::As a less invasive surgery of the shoulder, the mini-open repair was carried out from March 1997 through December 1998 in 22 patients (mini-open repair group) for all types of rotator cuff tears, except massive tears. A transacromial skin incision about 3 cm long was made. The anterior deltoid was split along its musc...

    journal_title:Journal of shoulder and elbow surgery

    pub_type: 临床试验,杂志文章

    doi:10.1067/mse.2001.110514

    authors: Hata Y,Saitoh S,Murakami N,Seki H,Nakatsuchi Y,Takaoka K

    更新日期:2001-01-01 00:00:00

  • The prevalence of shoulder osteoarthritis in the elderly Korean population: association with risk factors and function.

    abstract:BACKGROUND:The purpose of this study was to document the prevalence of shoulder osteoarthritis (OA) in the elderly population in South Korea, to determine the risk factors for shoulder OA, and to evaluate the relationship with function. MATERIALS AND METHODS:This project was part of a population-based prospective coho...

    journal_title:Journal of shoulder and elbow surgery

    pub_type: 杂志文章

    doi:10.1016/j.jse.2011.01.021

    authors: Oh JH,Chung SW,Oh CH,Kim SH,Park SJ,Kim KW,Park JH,Lee SB,Lee JJ

    更新日期:2011-07-01 00:00:00

  • Surgical release of elbow stiffness after internal fixation of intercondylar fracture of the distal humerus.

    abstract:BACKGROUND:Loss of motion is common after intercondylar fracture of the distal humerus despite proper management. The purpose of the current study was to report the results of contracture release for stiffness that developed after open reduction and internal fixation (ORIF) of distal humeral intercondylar fractures. M...

    journal_title:Journal of shoulder and elbow surgery

    pub_type: 杂志文章

    doi:10.1016/j.jse.2012.10.024

    authors: Koh KH,Lim TK,Lee HI,Park MJ

    更新日期:2013-02-01 00:00:00

  • Fracture mapping of displaced partial articular fractures of the radial head.

    abstract:BACKGROUND:Recognition of patterns of traumatic elbow instability helps anticipate specific fracture characteristics and associated injuries. The objective of this study was to assess the association of fracture line distribution and location of displaced partial articular radial head fractures with specific patterns o...

    journal_title:Journal of shoulder and elbow surgery

    pub_type: 杂志文章

    doi:10.1016/j.jse.2016.01.030

    authors: Mellema JJ,Eygendaal D,van Dijk CN,Ring D,Doornberg JN

    更新日期:2016-09-01 00:00:00

  • Use of the Liverpool Elbow Score as a postal questionnaire for the assessment of outcome after total elbow arthroplasty.

    abstract::The Liverpool Elbow Score (LES) is a newly developed, validated elbow-specific score. It consists of a patient-answered questionnaire (PAQ) and a clinical assessment. The purpose of this study was to determine whether the PAQ portion of the LES could be used independently as a postal questionnaire for the assessment o...

    journal_title:Journal of shoulder and elbow surgery

    pub_type: 杂志文章

    doi:10.1016/j.jse.2006.08.008

    authors: Ashmore AM,Gozzard C,Blewitt N

    更新日期:2007-05-01 00:00:00

  • Long-term results and patient satisfaction after shoulder resurfacing.

    abstract:BACKGROUND:Shoulder resurfacing has regained popularity in recent years. This report presents the long-term (>20 years) results of this procedure with regard to patient satisfaction and implant survival. MATERIALS AND METHODS:We followed up 61 patients who underwent shoulder resurfacing procedures (74 shoulders) for a...

    journal_title:Journal of shoulder and elbow surgery

    pub_type: 杂志文章

    doi:10.1016/j.jse.2010.08.014

    authors: Pritchett JW

    更新日期:2011-07-01 00:00:00

  • A new role for orthopaedic surgeons: ongoing changes, lessons learned, and perspectives from a level I trauma center during the COVID-19 pandemic.

    abstract::The COVID-19 pandemic has redefined global health care. With almost 13 million confirmed cases worldwide, medical professionals have been forced to modify their practice to take care of an expanded, critically ill population. Institutions have been challenged to implement innovative ways to maximize the utility and th...

    journal_title:Journal of shoulder and elbow surgery

    pub_type: 杂志文章,评审

    doi:10.1016/j.jse.2020.07.020

    authors: Congiusta DV,Otero K,Ippolito J,Thomson J,Beebe KS

    更新日期:2020-10-01 00:00:00

  • Regeneration of the coracoacromial ligament after acromioplasty and arthroscopic subacromial decompression.

    abstract::The clinical observation of apparent and complete regeneration of the coracoacromial ligament after known partial excision of the ligament and acromioplasty has been investigated. Ten patients who had open revision surgery following failure of symptomatic relief after arthroscopic subacromial decompression were studie...

    journal_title:Journal of shoulder and elbow surgery

    pub_type: 杂志文章

    doi:10.1067/mse.2001.116519

    authors: Levy O,Copeland SA

    更新日期:2001-07-01 00:00:00

  • The management of infected elbow arthroplasty by two-stage revision.

    abstract:BACKGROUND:Deep prosthetic infection is a potentially devastating complication after total elbow arthroplasty, with an incidence of up to 12%. This study examined the demographics, microbiologic profile, and outcomes of infected total elbow arthroplasty treated with 2-stage revision in a tertiary referral unit. METHOD...

    journal_title:Journal of shoulder and elbow surgery

    pub_type: 杂志文章

    doi:10.1016/j.jse.2017.12.033

    authors: Rudge WBJ,Eseonu K,Brown M,Warren S,Majed A,Bayley IL,Lambert SM,Higgs D,Falworth M

    更新日期:2018-05-01 00:00:00

  • Response shift of the Western Ontario Rotator Cuff index in patients undergoing arthroscopic rotator cuff repair.

    abstract:HYPOTHESIS:This study determined the response shift in patients undergoing rotator cuff repair using the Western Ontario Rotator Cuff index (WORC), a disease-specific quality of life questionnaire. We hypothesized there would be a response shift with a positive recalibration (overestimated their preoperative disability...

    journal_title:Journal of shoulder and elbow surgery

    pub_type: 杂志文章

    doi:10.1016/j.jse.2016.05.012

    authors: Hollman F,Wessel RN,Wolterbeek N

    更新日期:2016-12-01 00:00:00

  • Is nonoperative management of partial distal biceps tears really successful?

    abstract:BACKGROUND:The current treatment of partial distal biceps tears is a period of nonoperative management, followed by surgery, if symptoms persist. Little is known about the success rate and outcomes of nonoperative management of this illness. METHODS:We identified 132 patients with partial distal biceps tears through a...

    journal_title:Journal of shoulder and elbow surgery

    pub_type: 杂志文章

    doi:10.1016/j.jse.2017.12.010

    authors: Bauer TM,Wong JC,Lazarus MD

    更新日期:2018-04-01 00:00:00

  • Glenohumeral relationship in the transverse plane of the body.

    abstract::Reconstruction of a normal glenohumeral relationship is desirable for a successful arthroplasty. Double-contrast computed tomography was performed on 49 healthy shoulders in young volunteers. For creation of a uniform spatial reference system, the subjects were positioned in a thoracobrachial orthosis with the arm add...

    journal_title:Journal of shoulder and elbow surgery

    pub_type: 杂志文章

    doi:10.1016/s1058-2746(02)86884-7

    authors: De Wilde LF,Berghs BM,VandeVyver F,Schepens A,Verdonk RC

    更新日期:2003-05-01 00:00:00

  • Does the timing of surgery for proximal humeral fracture affect inpatient outcomes?

    abstract:BACKGROUND:Delayed surgical treatment of hip fractures is associated with adverse medical outcomes, but it is unclear whether the same is true for proximal humeral fractures. The purpose of this study was to evaluate the relationship between surgical delay for proximal humeral fracture and inpatient adverse events, in-...

    journal_title:Journal of shoulder and elbow surgery

    pub_type: 杂志文章

    doi:10.1016/j.jse.2014.03.010

    authors: Menendez ME,Ring D

    更新日期:2014-09-01 00:00:00

  • Can the impingement test predict outcome after arthroscopic subacromial decompression?

    abstract::The impingement test, placement of local anesthetic in the subacromial space, is considered a useful tool in diagnosing impingement syndrome. The purpose of this study was to examine the predictive value of the impingement test with respect to outcome after arthroscopic subacromial decompression. Fifty-five patients w...

    journal_title:Journal of shoulder and elbow surgery

    pub_type: 杂志文章

    doi:10.1016/j.jse.2003.12.006

    authors: Mair SD,Viola RW,Gill TJ,Briggs KK,Hawkins RJ

    更新日期:2004-03-01 00:00:00