Asian Journal of Arthroscopy最新文献

Evolving concepts in the rotator cuff footprint 肩袖足迹概念的演变

Asian Journal of Arthroscopy Pub Date : 2021-06-10 DOI: 10.13107/aja.2021.v06i01.019

Ajinkya Achalare, Nilesh Kamat, M.P. Ramraju Mudunuri

引用次数: 0

Diagnostic Clinical Tests in Rotator Cuff Tear: Which and Why? 肩袖撕裂的诊断性临床试验:哪些和为什么?

Asian Journal of Arthroscopy Pub Date : 2021-06-10 DOI: 10.13107/aja.2021.v06i01.021

V. Pandey

引用次数: 0

Rotator Cuff Tears: An Everlasting Enigma 肩袖撕裂:一个永恒的谜

Asian Journal of Arthroscopy Pub Date : 2021-06-10 DOI: 10.13107/aja.2021.v06i01.016

Anshu Shekhar, Nilesh Kamat, S. Tapasvi

{"title":"Rotator Cuff Tears: An Everlasting Enigma","authors":"Anshu Shekhar, Nilesh Kamat, S. Tapasvi","doi":"10.13107/aja.2021.v06i01.016","DOIUrl":"https://doi.org/10.13107/aja.2021.v06i01.016","url":null,"abstract":"Rotator Cuff (RC) tear is a common cause of disability and pain for which middle aged and elderly individuals seek orthopaedic consultation. A unique feature of RC tear treatment is that it encompasses an entire spectrum, which ranges from humble conservative methods to complicated tendon transfers. There is a now a fair amount of agreement about which treatment modality must be offered to whom, based on tear type, tendon retraction, tissue quality and patient profile. What must be borne in mind however, is that no bridges be burnt when choosing a treatment method. This would keep the door open for a salvage or revision procedure to help the patient. This issue of the Asian Journal of Arthroscopy is a symposium dedicated to management strategies for Rotator cuff tears.\u0000\u0000 \u0000\u0000The importance of clinical examination in a patient with shoulder pain and weakness cannot be overemphasized. It is the cornerstone of formulating an individualized treatment plan. Vivek Pandey has discussed the methodology for all the relevant tests to accurately diagnose a rotator cuff tear, along with their pearls and pitfalls. One of the most important reasons why arthroscopic shoulder surgery in general and rotator cuff surgery is particular has evolved, is the remarkable progress in imaging, especially Magnetic Resonance scans. Anupama Patil has written a detailed descriptive review in this subject. An understanding of the nuances of imaging will help the clinician to clinically co-relate her findings. A sound clinician is one has a grasp of theoretical concepts developed and validated over the years. The ability to a classify rotator cuff tear based on imaging findings and co-relating clinically in the foundation on which every treatment decision is made. Ram Chidambaram has written an exhaustive review detailing all classification systems for rotator cuff tear. Jaap Willems has presented an algorithm for such decision making based primarily on age and tear morphology.\u0000\u0000 \u0000\u0000The non-operativ","PeriodicalId":331352,"journal":{"name":"Asian Journal of Arthroscopy","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-06-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133545666","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Role And Outcomes of Conservative Treatment in Management of Rotator Cuff Tears: A Systematic Review of Randomised Controlled Trials 保守治疗在肩袖撕裂治疗中的作用和结果:随机对照试验的系统回顾

Asian Journal of Arthroscopy Pub Date : 2021-06-10 DOI: 10.13107/aja.2021.v06i01.024

Andrew Arjun Sayampanathan, M. Tan, D. Lie

{"title":"Role And Outcomes of Conservative Treatment in Management of Rotator Cuff Tears: A Systematic Review of Randomised Controlled Trials","authors":"Andrew Arjun Sayampanathan, M. Tan, D. Lie","doi":"10.13107/aja.2021.v06i01.024","DOIUrl":"https://doi.org/10.13107/aja.2021.v06i01.024","url":null,"abstract":"Rotator cuff tears are known to result in significant societal burden. This review synthesises the evidence regarding the role and outcomes of conservatively managed rotator cuff tears. 17 prospective randomised controlled trials (RCTs) (Level 1 and 2 studies) were included in this systematic review. Modalities which were studied were classified into physical rehabilitative modalities, electrophysiological rehabilitative modalities, biological therapies, and pharmacologic therapies. Outcomes which were evaluated in the included RCTs comprised of clinical outcomes, functional outcomes, pain scores, quality of life scores, imaging based outcomes, and patient satisfaction scores. As the modalities and outcomes studied were varied, no quantitative analysis could be performed based on the primary data available. Nevertheless, most studies do suggest that conservative treatment remains beneficial for the management of rotator cuff tears. Based on these findings, an algorithm which proposes conservative therapy as the central mode of management for rotator cuff tear patients has been described. More high-quality studies are required in this area of study to allow for a quantitative review (meta-analysis and meta-regression) of the various non-surgical treatment\u0000modalities of rotator cuff tears.\u0000Keywords: Rotator Cuff Tears; Conservative; Non-operative; Management; Randomised controlled trials; Review.","PeriodicalId":331352,"journal":{"name":"Asian Journal of Arthroscopy","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-06-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124885414","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Classification Systems in Rotator Cuff Tears 肩袖撕裂的分类系统

Asian Journal of Arthroscopy Pub Date : 2021-06-10 DOI: 10.13107/aja.2021.v06i01.022

R. Chidambaram, R. Mukhopadhyay

引用次数: 0

Functional Outcome in Arthroscopic ACL Reconstruction with Immediate Full Weight Bearing Mobilization- Retrospective Study 关节镜下ACL重建即刻全负重活动的功能结果-回顾性研究

Asian Journal of Arthroscopy Pub Date : 2021-06-10 DOI: 10.13107/aja.2021.v06i01.017

V. Vijayamohan, Shyam Gopal V, Mohan P. Chandran, A. Antony

引用次数: 0

Natural History of Rotator Cuff Tears 肩袖撕裂的自然历史

Asian Journal of Arthroscopy Pub Date : 2021-06-10 DOI: 10.13107/aja.2021.v06i01.023

W. Willems

引用次数: 0

Spectrum of Imaging Findings In Rotator Cuff Tears – A Descriptive Review 肩袖撕裂的影像学表现-描述性回顾

Asian Journal of Arthroscopy Pub Date : 2021-06-10 DOI: 10.13107/aja.2021.v06i01.020

A. Patil, Joban Babhulkar,, Pranav Mahadeokar

引用次数: 0

Acromial Index in Indian Population and it’s Significance on Rotator Cuff Tears 印度人群肩峰指数及其对肩袖撕裂的意义

Asian Journal of Arthroscopy Pub Date : 2021-06-10 DOI: 10.13107/aja.2021.v06i01.018

Sharat Balemane, Kaushik S. Eswaran, N. Shetty

{"title":"Acromial Index in Indian Population and it’s Significance on Rotator Cuff Tears","authors":"Sharat Balemane, Kaushik S. Eswaran, N. Shetty","doi":"10.13107/aja.2021.v06i01.018","DOIUrl":"https://doi.org/10.13107/aja.2021.v06i01.018","url":null,"abstract":"Background: The etiopathogenesis of rotator cuff tears remains debatable. Among the many causes, abnormal scapular morphology has been found to accelerate the degenerative process of rotator cuff tears. The morphology and lateral extension of the acromion process were assessed indetail by Nyffeler et al. and the Acromion Index (AI) was introduced, which measures the lateral extension of the acromion. It was theorized that a large lateral extension of the acromion increased the chances of the supraspinatus tendon to degenerate because of impingement between the acromion and the deltoid muscle. The AI was compared between patients with rotator cuff tears and patients with an intact rotator cuff.\u0000Methods: 21 Indian patients presenting to the orthopaedics OPD, Yenepoya Medical College, with rotator cuff tears were taken up for this study between August 2020 and February 2021. Another 21 patients with intact rotator cuff and other shoulder diseases such as frozen shoulder were included in this study. Patients with rotator cuff tears were included in group A, and patients with intact rotator cuff were included in group B. Both groups had the AI measured on radiographs, and their values were compared.\u0000Results: The mean Acromial Index (AI) in the rotator cuff tear group was 0.74 and in the intact rotator cuff group it was 0.59, which was statistically significant. There was no statistical difference in AI between male and female patients. The mean age of the patients in the rotator cuff group was 50.8 years, and in non rotator cuff tear group, it was 50.2 years.\u0000Conclusion: Acromial Index is a useful predictive tool for detecting rotator cuff tears in the Indian population. Further studies are required to assess its usefulness in predicting the progression of a rotator cuff tear.\u0000Keywords: Rotator cuff tear; Acromial Index; Shoulder.","PeriodicalId":331352,"journal":{"name":"Asian Journal of Arthroscopy","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-06-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131933044","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Should We be Routinely Performing Arthroscopic Subacromial Decompression During Rotator Cuff Repair (RCR)? 在肩袖修复(RCR)中，我们是否应该常规进行关节镜下肩峰下减压?

Asian Journal of Arthroscopy Pub Date : 2021-06-10 DOI: 10.13107/aja.2021.v06i01.025

Sachin Kumar, R. Gogna, D. Morris, A. Tambe

引用次数: 0