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Arthroscopy: The Journal of Arthroscopic and Related Surgery
Volume 18, Issue 2,
Supplement
, Pages 51-64
, February 2002
Complex topics in arthroscopic subacromial space and rotator cuff surgery
References
- . Arthroscopic subacromial decompression: A clinical review. Arthroscopy. 1992;8:141–147
- Arthroscopic acromioplasty: A 6-10 year follow-up. Arthroscopy. 1998;14:382–388
- . Failed acromioplasty for impingement syndrome. J Bone Joint Surg Br. 1990;72:1070–1072
- . Arthroscopic subacromial decompression: analysis of one to three year results. Arthroscopy. 1987;3:173–181
- Arthroscopic subacromial decompression: results according to the degree of rotator cuff tear. Arthroscopy. 1988;4:241–249
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Shoulder impingement syndrome in athletes treated by an anterior acromioplasty.
Clin Orthop Rel Res. 1985;198:134–140
- . Arthroscopic acromioplasty: Techniques and results. J Bone Joint Surg Am. 1990;72:1198–1207
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Failed anterior acromioplasty: a review of 51 cases.
Clin Orthop. 1989;243:106–111
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Shoulder impingement syndrome: diagnosis, radiographic evaluation and treatment with a modified Neer acromioplasty.
J Bone Joint Surg Am. 1993;74:409–424
- Impingement of the deep surface of the supraspinatus tendon on the posterosuperior glenoid rim: An orthopaedic study. J Shoulder Elbow Surg. 1992;1:238–245
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Internal impingement: an overview.
Presented at 18th annual meeting San Diego Shoulder Arthroscopy, Arthroplasty and Fractures, San Diego, CA
June 20-23, 2001;
- Arthroscopic findings in the overhand throwing athlete: Evidence for posterior internal impingement of the rotator cuff. Arthroscopy. 2000;16:35–40
- . Arthroscopic decompression of shoulder impingement secondary to os acromiale. Arthroscopy. 1993;9:28–32
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The treatment of symptomatic os acromiale.
Orthopaedics. 1999;22:325–328
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- . The treatment of symptomatic os acromiale. J Bone Joint Surg Am. 1998;80:1320–1326
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Os acromiale: Always excise/My experience.
Presented at Shoulder Surgery Controversies 2000, Laguna Hills, CA
October 2000;
- Arthroscopic decompression for impingement syndrome secondary to an unstable os acromiale. Arthroscopy. 2000;16:595–599
- . Recognition and treatment of refractory posterior capsule contracture of the shoulder. Arthroscopy. 2000;16:27–34
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Failed acromioplasty etiology and prevention.
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- Acromial fracture: a complication of arthroscopic subacromial decompression. J Shoulder Elbow Surg. 1994;3:256–261
- . Detached deltoid during arthroscopic subacromial decompression. Arthroscopy. 2000;16:745–748
- . Precision acromioplasty in arthroscopic subacromial decompression of the shoulder. Arthroscopy. 1991;7:301–307
- . A stepwise approach to arthroscopic rotator cuff repair based on biomechanical principles. Arthroscopy. 2000;16:82–90
- . Arthroscopic management of massive rotator cuff tears. Arthroscopy. 1994;10:334; (abstr)
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Arthroscopic subacromial decompression and debridement for partial thickness rotator cuff tears: A clinical outcome study.
Presented at 20th Annual Meeting, Arthroscopy Association of North America, Seattle, Washington
April 2001;
- . Arthroscopic debridement and acromioplasty versus mini-open repair in the management of significant partial thickness tears of the rotator cuff. Orthop Clin North Am. 1997;28:79–82
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Diagnosis and treatment of incomplete rotator cuff tears.
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- Surgical treatment for failed anterior acromioplasties: A comparison of arthroscopic and open revision decompression. Arthroscopy. 1996;12:355; (abstr)
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Effect of acromioplasty and distal clavicle resection in acromioclavicular joint mechanics.
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Re-operation on the acromioclavicular joint following arthroscopic subacromial decompression.
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To co-plane or not to co-plane: how does the remaining A-C joint respond?.
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Arthroscopic subacromial decompression: A 9 year follow-up.
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Fluoroscopic comparisons of kinematic patterns in massive rotator cuff tears: A suspension bridge model.
Clin Orthop. 1992;284:144–152
- . Arthroscopic debridement and decompression for selected rotator cuff tears. Clinical results, pathomechanics, and patient selection based on biomechanical parameters. Orthop Clin North Am. 1993;24:111–123
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Arthroscopic treatment of massive rotator cuff tears. Clinical results and biomechanical rationale.
Clin Orthop. 1991;267:45–46
- . Reconciling the paradox of rotator cuff repair vs. debridement: A unified biomechanical rationale for the treatment of rotator cuff tears. Arthroscopy. 1994;10:1–16
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Burkhart SS, Tehrany AM. Arthroscopic subscapularis tendon repair: Technique and preliminary results. Arthroscopy (in press).
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Diagnosis and treatment of anterosuperior rotator cuff tears.
J Shoulder and Elbow Surg. 2001;10:37–46
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Flatow EL, Connor PM, Levine WM, et al. Coracoacromial arch reconstruction for anterosuperior subluxation after failed rotator cuff surgery: A preliminary report (abstract). J Shoulder and Elbow Surg 6:228
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Superior humeral dislocation: A complication following decompression and debridement for rotator cuff tears.
Clin Orthop. 1991;263:135–141
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Transfer of the latissimus dorsi muscle after failed repair of a massive tear of the rotator cuff.
J Bone Joint Surg. 1999;81A:1120–1127
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Latissimus dorsi transfer for irreparable rotator cuff tears: Clinical, anatomic and electromyographic results.
Presented at the 17th Annual Meeting of the American Shoulder and Elbow Surgeons. San Francisco, CA
March 3, 2001;
- . Operative treatment of irreparable rupture of the subscapularis. J Bone Joint Surg Am. 1997;79(5):722–731
- . Transfer of the pectoralis major muscle for the treatment of irreparable rupture of the subscapularis tendon. J Bone Joint Surg Am. 2000;82(3):372–382
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Results of subcoracoid pectoralis major transfer for the treatment of anterosuperior shoulder instability.
Presented at the 17th Annual Meeting of the American Shoulder and Elbow Surgeons. San Francisco, CA
March 3, 2001;
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Iliotibial band graft reconstruction for treatment of glenohumeral instability associated with irreparable subscapularis tears and capsular deficiency.
Presented at the 17th Annual Meeting of the American Shoulder and Elbow Surgeons. San Francisco, CA
March 3, 2001;
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Shoulder hemiarthroplasty for rotator cuff tear arthropathy.
Presented at the 17th Annual Meeting of the American Shoulder and Elbow Surgeons. San Francisco, CA
March 3, 2001;
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Shoulder impingement syndrome in athletes treated by an anterior acromioplasty.
Clin Orthop. 1985;198:134–140
This is one of the first papers to identify that impingement pain in an overhead athlete may be a more complex problem than in an older nonathletic individual. They report an 89 percent improvement in the symptoms of pain but only 43 percent of their patients were able to return to their preoperative athletic level. Within that group of athletes, no swimmers recovered to their pre-injury level and only 22 percent of the baseball pitchers and throwers recovered
- Anterior capsulolabral reconstruction of the shoulder in athletes. J Shoulder Elbow Surg. 1992;1:229–237 Jobe et al. relate that most instability operations are more predictable in terms of restoring stability than in terms of maintaining full external rotation. This becomes pertinent with the overhead athlete. The goal of the capsular labral reconstruction is to offer a safe, predictable, reproducible surgical procedure that offers stability as well as maintains a full range of motion. His surgical procedure does not violate the subscapularis insertion and tightens the capsular structures primarily on a superior to inferior direction. The results of 76 patients at an average of 39 months postoperative were: 96 percent satisfied with procedure, 93 percent return to preoperative athletic level. The average loss of external rotation at 90 degrees of abduction was 2 degrees while the loss of abduction was 1 degree
- Labrum-biceps-cuff dysfunction in the throwing athlete. Arthroscopy. 1999;15:852–857 This article focuses on the pathomechanics of internal impingement. Two differing views are featured. Chris and Frank Jobe both favor anterior laxity or increased external rotation as the primary abnormality that leads to internal impingement. Burkhart and Morgan favor a tight posterior capsule which prevents normal external rotation and shifts the fulcrum of rotation superioposterior to the insertion of the biceps tendon causing a “peel back” injury of the biceps insertion into the posterior labrum. They indicate that the instability is “pseudo-laxity” and will disappear with repair of the SLAP injury. Since both authors have been successful in treating this problem, yet with differing approaches, it leaves room for the possibility that the single problem may have more than one pathomechanical pathway
- . Recurrent instability of the shoulder after age 40. J Shoulder Elbow Surg. 1995;4:416–418 This is a report of 12 patients with recurrent instability following their index dislocation, which occurred after the age of 40 years. Eleven of the patients with anterior instability all had a rupture of the subscapularis muscle as well as a humeral avulsion of the glenohumeral ligaments. The main message from this article is that the pathology for recurrent dislocations in this age group is frequently not the routine Bankart injury as seen with younger individuals
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Current concepts review—Rotator cuff tear arthropathy.
J Bone Joint Surg Am. 1999;81a:1312–1324
The authors describe a condition of the shoulder in which a tear of the rotator cuff progresses in size and in location to the point where the force couples are disrupted and secondary instability ensues. The degenerative process, which results from this situation, creates basic calcium phosphate crystals, which cause an inflammatory condition that frequently results in severe bony deformity. This is a thorough overview of rotator cuff tear arthropathy and would be an excellent article for any individual interested in a deeper understanding of this disorder
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Arthroscopic treatment of massive rotator cuff tears. Clinical results and biomechanical rationale.
Clin Orthop. 1991;267:45–56
Burkhart emphasizes the importance of looking at the rotator cuff as a three-dimensional structure. He emphasizes that the length of a tear is not nearly as important as is its effect on “force couples.” The loss or the maintenance of force couples on the frontal (deltoid balanced by the intact portion of the rotator cuff), and the transverse plane (the subscapularis balanced by the infraspinatus and teres minor), will allow the surgeon a better biomechanical view of the effect of a tear on the shoulder. This paper offers a logical approach to assess and plan treatment for a rotator cuff tear
☆ Address correspondence to Richard K. N. Ryu, M.D., 533 E. Micheltorena St, Santa Barbara, CA 93103, U.S.A. E-mail: FamRyu5@aol.com
PII: S0749-8063(02)70099-6
© 2002 Arthroscopy Association of North America. Published by Elsevier Inc. All rights reserved.
« Previous
Next »
Arthroscopy: The Journal of Arthroscopic and Related Surgery
Volume 18, Issue 2,
Supplement
, Pages 51-64
, February 2002


