Recent advances in shoulder surgery.

Abstract:

:Major changes have taken place in the diagnosis and treatment of rotator cuff tears. It seems that magnetic resonance imaging alone as a diagnostic tool is still not sensitive enough, particularly in the diagnosis of partial tears. Arthrography and arthroscopy are still considered essential for an accurate preoperative diagnosis. To guarantee a better postoperative result, a carefully planned course of preoperative physiotherapy is mandatory. In experienced hands, arthroscopic surgery gives results comparable to those obtained with open procedures. A careful debridement, anterior acromioplasty, and decompression have replaced extensive surgical intervention in the treatment of massive tears. The first results in treating calcifying tendinitis with shock-wave therapy seem encouraging. A more refined diagnosis of the impingement syndrome is a prerequisite for a successful outcome because impingement is not caused by a narrowing of the subacromial space in all patients. Increase in contents of this space and instability are equally important factors.

journal_name

Curr Opin Rheumatol

authors

Uhthoff HK

doi

10.1097/00002281-199603000-00011

subject

Has Abstract

pub_date

1996-03-01 00:00:00

pages

154-7

issue

2

eissn

1040-8711

issn

1531-6963

journal_volume

8

pub_type

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