We use cookies to understand how you use our site and to improve your experience. This includes personalizing content and advertising. To learn more, click here. By continuing to use our site, you accept our use of cookies. Cookie Policy.

Features Partner Sites Information LinkXpress
Sign In
Advertise with Us

Download Mobile App




Events

ATTENTION: Due to the COVID-19 PANDEMIC, many events are being rescheduled for a later date, converted into virtual venues, or altogether cancelled. Please check with the event organizer or website prior to planning for any forthcoming event.
16 Feb 2023 - 18 Feb 2023

Reconstruction Reverses Pseudoparalysis in Rotator Cuff Tears

By HospiMedica International staff writers
Posted on 05 Apr 2017
Print article
Image: Comparative MRI scans before (L) and four years after ASCR (R) (Photo courtesy of Teruhisa Mihata).
Image: Comparative MRI scans before (L) and four years after ASCR (R) (Photo courtesy of Teruhisa Mihata).
Arthroscopic superior capsule reconstruction (ASCR) to treat irreparable rotator cuff tears may eliminate pseudoparalysis and significantly improve shoulder function, according to a new study.

Developed by researchers at Osaka Medical College, ASCR involves using the deep fascia of the thigh as a tissue graft which attached medially to the superior tubercle of the glenoid and laterally to the greater tuberosity, with concomitant arthroscopic repair of the torn subscapularis tendon. Side-to-side sutures are added between the graft and the infraspinatus tendon, and between the graft and the subscapularis tendon, in order to improve force coupling in the shoulder joint.

A new study involving 90 patients who were eligible for ASCR divided them into three groups by level of pseudoparalysis prior to surgery - none, moderate, or severe, based on extent of arm elevation. The patients underwent magnetic resonance imaging (MRI) scans at 3, 6 and 12 months post-surgery, as well as a series of physical tests. The results showed that 96.3% of patients with moderate pseudoparalysis and 93.3% with severe pseudoparalysis regained motion in their shoulder. The study was presented at the American Orthopaedic Society for Sports Medicine's (AOSSM) specialty day, held during March 2017 in San Diego (CA, USA).

"Rotator cuff tears can result in pain and loss of function in the shoulder. Our latest research shows this surgical approach is an asset to helping these patients not only relieve pain, but hopefully return to full shoulder motion and an active lifestyle,” said lead author Teruhisa Mihata, MD, PhD. “Overall, all patients showed improved shoulder function and stability after surgery.”

Massive rotator cuff tears comprise approximately 20% of all cuff tears and approximately 80% of recurrent rotator cuff tears. Some patients with massive cuff tears are functional with limited pain, while others are severely debilitated and can present with pseudoparalysis of the shoulder, which is defined as active forward flexion less than 90° with full passive motion (the inability to actively raise the affected arm above shoulder level).

New
Gold Supplier
Creatinine Meter
StatSensor Xpress Creatinine Meter
New
Analgesic Gas Delivery System
O-Two Equinox Advantage
New
Smart nCPAP Device
SVAAS nCPAP
New
Data Management Platform
Track-it

Print article

Channels

AI

view channel
Image: MyoVista Wavelet technology utilizes AI for early detection of heart disease (Photo courtesy of Heart Test Laboratories)

Novel ECG Technology Utilizes AI for Early Detection of Heart Disease

Cardiovascular disease is responsible for 17.9 million deaths every year, or about 32% of all deaths worldwide. Every week, millions of electrocardiographs (ECGs) are performed across the world, making... Read more

Critical Care

view channel
Image: Studies have shown the Autus Valve maintains control of blood flow as it expands (Photo courtesy of Boston Children’s Hospital)

Heart Valve That Grows Along With Child Could Reduce Invasive Surgeries

In children with congenital pulmonary valve disease, the flow of blood between the heart and lungs is impeded. In cases where the pulmonary valves have narrowed or are leaking and cannot be treated effectively... Read more

Health IT

view channel
Image: Using digital data can improve health outcomes (Photo courtesy of Unsplash)

Electronic Health Records May Be Key to Improving Patient Care, Study Finds

When a patient gets transferred from a hospital to a nearby specialist or rehabilitation facility, it is often difficult for personnel at the new facility to access the patient’s electronic health records... Read more

Point of Care

view channel
Image: Steripath improves the diagnostic accuracy and timeliness of sepsis test results (Photo courtesy of Magnolia)

All-in-One Device Reduces False-Positive Diagnostic Test Results for Bloodstream Infections

Blood cultures are considered the gold standard diagnostic test for the detection of blood stream infections, such as sepsis. However, positive blood culture results can be frequently wrong, and about... Read more

Business

view channel
Image: The global patient positioning systems market is projected to reach USD 1.7 billion by 2027 (Photo courtesy of Pexels)

Global Patient Positioning Systems Market Driven by Increasing Chronic Diseases

The global patient positioning systems market is projected to grow at a CAGR of 4% from USD 1.4 billion in 2022 to USD 1.7 billion by 2027, driven by increasing technological advancements in medical devices,... Read more
Copyright © 2000-2023 Globetech Media. All rights reserved.