Clinics in Shoulder and Elbow最新文献

{"title":"Normal ossification of the glenoid mimicking a glenoid fracture in an adolescent patient: a case report.","authors":"María Galán-Olleros,&nbsp;Rosa M Egea-Gámez,&nbsp;Ángel Palazón-Quevedo,&nbsp;Sergio Martínez-Álvarez,&nbsp;Olga M Suárez Traba,&nbsp;Marta Escribano Pérez","doi":"10.5397/cise.2022.01151","DOIUrl":"https://doi.org/10.5397/cise.2022.01151","url":null,"abstract":"<p><p>A 13-year-old male was diagnosed with a glenoid fracture following direct shoulder trauma, for which surgical treatment was considered. After referral to a center for pediatric orthopedic care, physical examination, contralateral shoulder X-ray, and detailed computed tomography examination ruled out the presence of fracture; these findings were later confirmed by magnetic resonance imaging. Normal ossification patterns in the adolescent shoulder may simulate a fracture in traumatic settings. To accurately diagnose and manage pediatric shoulder pathology, orthopedic surgeons must be aware of the normal anatomy of the growing shoulder, its secondary ossification centers, and growth plates.</p>","PeriodicalId":33981,"journal":{"name":"Clinics in Shoulder and Elbow","volume":"26 3","pages":"306-311"},"PeriodicalIF":0.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/25/73/cise-2022-01151.PMC10497921.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10583483","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Celebrating Clinics in Shoulder and Elbow milestones: a journey toward excellence in shoulder and elbow surgery.","authors":"Hyung Bin Park","doi":"10.5397/cise.2023.00717","DOIUrl":"https://doi.org/10.5397/cise.2023.00717","url":null,"abstract":"","PeriodicalId":33981,"journal":{"name":"Clinics in Shoulder and Elbow","volume":"26 3","pages":"219"},"PeriodicalIF":0.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/ee/8f/cise-2023-00717.PMC10497925.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10229943","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Transient postoperative inferior subluxation of the shoulder after surgical stabilization of recurrent anterior dislocation in a patient with myasthenia gravis: a case report.","authors":"Samuel Baek,&nbsp;Geum-Ho Lee,&nbsp;Myung Ho Shin,&nbsp;Tae Min Kim,&nbsp;Kyung-Soo Oh,&nbsp;Seok Won Chung","doi":"10.5397/cise.2022.00794","DOIUrl":"https://doi.org/10.5397/cise.2022.00794","url":null,"abstract":"<p><p>The authors present a case of transient postoperative inferior subluxation of the shoulder after arthroscopic surgical stabilization for recurrent anterior dislocation. The patient was a 61-year-old woman with myasthenia gravis (MG). The first anterior shoulder dislocation occurred because of a fall to the ground. Despite a successful closed reduction, two more dislocations occurred in 3 weeks. Magnetic resonance imaging revealed an anterior labroligamentous periosteal sleeve avulsion (ALPSA) lesion, an engaging Hill-Sachs lesion, and large tears of the supraspinatus and infraspinatus tendons. The patient underwent arthroscopic rotator cuff repair and ALPSA repair with a remplissage procedure. Intraoperatively, no tendency for instability was found; however, a widened glenohumeral joint space and inferior subluxation of the humeral head without functional compromise was observed on the day after surgery and disappeared spontaneously on radiographs 2 weeks later. To the authors' knowledge, this is the first report documenting the occurrence of transient postoperative inferior subluxation of the shoulder in a patient with MG.</p>","PeriodicalId":33981,"journal":{"name":"Clinics in Shoulder and Elbow","volume":"26 3","pages":"302-305"},"PeriodicalIF":0.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/3b/93/cise-2022-00794.PMC10497917.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10237709","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Now, we all know about the Osborne-Cotterill lesions, but we still don't know how to treat them.","authors":"Jong Heon Lee,&nbsp;Tae Kang Lim","doi":"10.5397/cise.2023.00696","DOIUrl":"https://doi.org/10.5397/cise.2023.00696","url":null,"abstract":"Received: August 9, 2023 Revised: August 10, 2023 Accepted: August 10, 2023 Correspondence to: Tae Kang Lim Department of Orthopedic Surgery, Nowon Eulji Medical Center, Eulji University School of Medicine, 68 Hangeulbiseong-ro, Nowon-gu, Seoul 01830, Korea Tel: +82-2-970-8036, Fax: +82-2-970-2773, E-mail: shouldertk@gmail.com, ORCID: https://orcid.org/0000-0001-8752-3987 In 1966, Osborne and Cotterill [1] described a posterior capitellum defect associated with recurrent elbow instability. The eponymous term “Osborne-Cotterill lesion” was later coined by Jeon et al. [2] in 20081). Since then, it has been used to describe capitellar bony defects or loose fragments detached from the posterolateral margin of the capitellum associated with posterolateral rotatory instability of the elbow [3-6]. Identifying this bony lesion on simple radiographs helps the surgeon recognize the associated posterolateral rotatory instability, which is mainly caused by injury to soft tissue such as the lateral ulnar collateral ligament (LUCL). However, the optimal treatment of Osborne-Cotterill lesions has not been established. According to previous reports on the surgical treatment of this injury, reconstruction of the LUCL was the most common approach, but how the bony lesion was addressed varied, including bony fragment removal [3], bone graft [7], osteochondral autograft, osteochondral allograft transfer [8] or no treatment [3,9]. Thus, I read with great interest the recent paper entitled “Prosthetic resurfacing of engaging posterior capitellar defects in recurrent posterolateral rotatory (PLRI) of the elbow,” by Rotman et al. [10]. The authors reported five patients with PLRI and associated Osborne-Cotterill lesions that were surgically treated with repair/reconstruction of the lateral collateral ligament and reconstruction of the capitellar defect with a metal prosthesis. The implant was originally designed for metatarsal head resurfacing (HemiCAP Toe Classic, Arthrosurface), and so this was an off-label use in the elbow joint, as acknowledged by the authors. Midterm follow-up (median, 4.5 years postoperatively; range, 1–6 years) showed excellent results with no instability, prothesis loosening or reoperation, except for mild arthritis in one patient. This study has several strengths. Given that LUCL reconstruction without addressing the bony lesion can cause recurrent instability [2], resurfacing of the engaging posterior capitellar defect shown in this study can be a useful option as a concomitant procedure in LUCL reconstruction. This study also reminds the treating surgeons of the importance of Osborne-Cotterill lesions in elbow instability. Off-label use of a metatarsal prosthesis is a limitation of this study, which may not be allowed elsewhere. Metatarsal resurfacing prostheses also may not be available or familiar to all elbow surgeons. Future studies related to Osborne-Cotterill lesions are needed. First, a well-organized randomized clinical trial comparin","PeriodicalId":33981,"journal":{"name":"Clinics in Shoulder and Elbow","volume":"26 3","pages":"220-221"},"PeriodicalIF":0.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/24/d8/cise-2023-00696.PMC10497928.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10238556","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A review of chronic pectoralis major tears: what options are available?","authors":"Joshua R Giordano,&nbsp;Brandon Klein,&nbsp;Benjamin Hershfeld,&nbsp;Joshua Gruber,&nbsp;Robert Trasolini,&nbsp;Randy M Cohn","doi":"10.5397/cise.2023.00129","DOIUrl":"https://doi.org/10.5397/cise.2023.00129","url":null,"abstract":"<p><p>Rupture of the pectoralis major muscle typically occurs in the young, active male. Acute management of these injuries is recommended; however, what if the patient presents with a chronic tear of the pectoralis major? Physical exams and magnetic resonance imaging can help identify the injury and guide the physician with a plan for management. Nonoperative management is feasible, but is recommended for elderly, low-demand patients whose functional goals are minimal. Repair of chronic tears should be reserved for younger, healthier patients with high functional demands. Although operative management provides better functional outcomes, operative treatment of chronic pectoralis tears can be challenging. Tendon retraction, poor tendinous substance and quality of tissue, muscle atrophy, scar formation, and altered anatomy make direct repairs complicated, often necessitating auto- or allograft use. We review the various graft options and fixation methods that can be used when treating patients with chronic pectoralis major tears.</p>","PeriodicalId":33981,"journal":{"name":"Clinics in Shoulder and Elbow","volume":"26 3","pages":"330-339"},"PeriodicalIF":0.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/0a/be/cise-2023-00129.PMC10497927.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10241789","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Prosthetic resurfacing of engaging posterior capitellar defects in recurrent posterolateral rotatory instability of the elbow.","authors":"Dani Rotman,&nbsp;Jorge Rojas Lievano,&nbsp;Shawn W O'Driscoll","doi":"10.5397/cise.2022.01424","DOIUrl":"https://doi.org/10.5397/cise.2022.01424","url":null,"abstract":"<p><strong>Background: </strong>Posterolateral rotatory instability (PLRI) is a common mechanism of recurrent elbow instability. While the essential lesion is a deficiency in the lateral ulnar collateral ligament (LUCL), there are often associated concomitant bony lesions, such as an Osborne-Cotterill lesions (posterior capitellar fractures) and marginal radial head fractures, that compromise stability. Currently, there is no standard treatment for posterior capitellar deficiency associated with recurrent PLRI.</p><p><strong>Methods: </strong>We conducted a retrospective review of five patients with recurrent PLRI of the elbow associated with a posterior capitellar impaction fracture engaging with the radial head during normal range of motion. The patients were treated surgically with LUCL reconstruction or repair and off-label reconstruction of the capitellar joint surface using a small metal prosthesis designed for metatarsal head resurfacing (HemiCAP toe classic).</p><p><strong>Results: </strong>Five patients (three adolescent males, two adult females) were treated between 2007 and 2018. At a median follow-up of 5 years, all patients had complete relief of their symptomatic instability. No patients had pain at rest, but two patients had mild pain (visual analog scale 1-3) during physical activity. Three patients rated their elbow as normal, one as almost normal, and one as greatly improved. On short-term radiographic follow-up there were no signs of implant loosening. None of the patients needed reoperation.</p><p><strong>Conclusions: </strong>Recurrent PLRI of the elbow associated with an engaging posterior capitellar lesion can be treated successfully by LUCL reconstruction and repair and filling of the capitellar defect with a metal prosthesis. This treatment option has excellent clinical results in the short-medium term. Level of evidence: IV.</p>","PeriodicalId":33981,"journal":{"name":"Clinics in Shoulder and Elbow","volume":"26 3","pages":"287-295"},"PeriodicalIF":0.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/f1/50/cise-2022-01424.PMC10497932.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10238553","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Does humeral fixation technique affect long-term outcomes of total shoulder arthroplasty?","authors":"Troy Li,&nbsp;Kenneth H Levy,&nbsp;Akiro H Duey,&nbsp;Akshar V Patel,&nbsp;Christopher A White,&nbsp;Carl M Cirino,&nbsp;Alexis Williams,&nbsp;Kathryn Whitelaw,&nbsp;Dave Shukla,&nbsp;Bradford O Parsons,&nbsp;Evan L Flatow,&nbsp;Paul J Cagle","doi":"10.5397/cise.2023.00199","DOIUrl":"https://doi.org/10.5397/cise.2023.00199","url":null,"abstract":"<p><strong>Background: </strong>For anatomic total arthroscopic repair, cementless humeral fixation has recently gained popularity. However, few studies have compared clinical, radiographic, and patient-reported outcomes between cemented and press-fit humeral fixation, and none have performed follow-up for longer than 5 years. In this study, we compared long-term postoperative outcomes in patients receiving a cemented versus press-fit humeral stem anatomic arthroscopic repair.</p><p><strong>Methods: </strong>This study retrospectively analyzed 169 shoulders that required primary anatomic total shoulder arthroplasty (aTSA). Shoulders were stratified by humeral stem fixation technique: cementation or press-fit. Data were collected pre- and postoperatively. Primary outcome measures included range of motion, patient reported outcomes, and radiographic measures.</p><p><strong>Results: </strong>One hundred thirty-eight cemented humeral stems and 31 press-fit stems were included. Significant improvements in range of motion were seen in all aTSA patients with no significant differences between final cemented and press-fit stems (forward elevation: P=0.12, external rotation: P=0.60, and internal rotation: P=0.77). Patient reported outcome metrics also exhibited sustained improvement through final follow-up. However, at final follow-up, the press-fit stem cohort had significantly better overall scores when compared to the cemented cohort (visual analog score: P=0.04, American Shoulder and Elbow Surgeon Score: P<0.01, Simple Shoulder Test score: P=0.03). Humeral radiolucency was noted in two cemented implants and one press-fit implant. No significant differences in implant survival were observed between the two cohorts (P=0.75).</p><p><strong>Conclusions: </strong>In this series, we found that irrespective of humeral fixation technique, aTSA significantly improves shoulder function. However, within this cohort, press-fit stems provided significantly better outcomes than cemented stems in terms of patient reported outcome scores. Level of evidence: III.</p>","PeriodicalId":33981,"journal":{"name":"Clinics in Shoulder and Elbow","volume":"26 3","pages":"245-251"},"PeriodicalIF":0.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/0c/14/cise-2023-00199.PMC10497929.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10241787","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Mid- to long-term success rate and functional outcomes of acromioclavicular injections in patients with acromioclavicular osteoarthritis.","authors":"Nienke Miedema,&nbsp;Inger Sierevelt,&nbsp;Tjarco Dirk Willem Alta,&nbsp;Roderick Jan Maximiliaan Vossen,&nbsp;Arthur van Noort","doi":"10.5397/cise.2023.00031","DOIUrl":"https://doi.org/10.5397/cise.2023.00031","url":null,"abstract":"<p><strong>Background: </strong>Acromioclavicular (AC) osteoarthritis (OA) is a frequent pathology of the shoulder in elderly patients. Drug injection plays an important role in treatment of AC OA. Literature has demonstrated excellent short-term results regarding shoulder function and pain. However, mid- to long-term results are lacking. The aim of this study was to assess the efficacy of a single intra-articular AC injection in patients with AC OA and to identify predictive factors for success.</p><p><strong>Methods: </strong>A retrospective study was performed to analyze success rate, shoulder function, and pain perception after a single intra-articular injection in patients with AC OA. Success was defined as the absence of reinterventions such as additional injection or surgery. Outcome measures were 1-year success rate and clinical outcome scores of Numeric Rating Scale (NRS) for pain, Oxford Shoulder Score, and Subjective Shoulder Value.</p><p><strong>Results: </strong>Ninety-eight patients participated in this study. At a median final follow-up of 0.8 years (interquartile range, 0-6), 57 of these patients (58%) had undergone a reintervention. The 1-year success rate was 47% (95% confidence interval, 37%-57%), with NRS at rest as the sole factor significantly associated with success. Thirty patients not requiring reintervention reported significant improvement from baseline for all reported outcome measures at final follow-up.</p><p><strong>Conclusions: </strong>AC injections offer a 1-year success rate of 47%. The AC injection produces good mid- to long-term clinical outcomes regarding shoulder function, quality of life, and pain perception in one-third of patients. Further research is essential to analyze mid- to longterm outcomes of AC injections. Level of evidence: Level IV.</p>","PeriodicalId":33981,"journal":{"name":"Clinics in Shoulder and Elbow","volume":"26 2","pages":"175-181"},"PeriodicalIF":0.0,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/9b/38/cise-2023-00031.PMC10277705.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9659854","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Isolated acromioclavicular osteoarthritis and steroid injection.","authors":"Jin Woong Yi","doi":"10.5397/cise.2023.00311","DOIUrl":"https://doi.org/10.5397/cise.2023.00311","url":null,"abstract":"vial joint that aids in raising the arm over the head and rotates minimally in all directions [1]. The AC joint is conspicuously smaller than the glenohumeral joint and is referred to as the forgotten joint [2]. Primary osteoarthritic change of the AC joint is a common degenerative change typically seen in middle-aged or elderly patients [3]. But secondary osteoarthritis, mainly following traumas such as joint sprains or distal clavicular fractures, appears to be even more common than primary osteoarthritis [4]. A study found that 54%–57% of elderly patients had X-ray evidence of degenerative changes in the AC joint [5]. Magnetic resonance imaging (MRI) is the most powerful diagnostic tool for detecting osteoarthritic change in the AC joint [6]. There are many parameters for describing AC joint osteoarthritis (ACJOA) in an image. Joo et al. [7] said that the cross-sectional area of the AC joint seems to be a sensitive image parameter for ACJOA. However, some authors believe that image results have a poor correlation with clinical symptoms. Rajagopalan et al. [8] claimed that MRI characteristics in ACJOA are so prevalent that they can be considered a universal aspect of human aging, but imaging cannot be used as a reference standard to assess the reliability and accuracy of various symptoms and signs for diagnosis of symptomatic ACJOA. Symptomatic ACJOA is a relatively easy diagnosis clinically, presenting as pain localized at the lateral end of the clavicle that is exacerbated with cross-body adduction or with active contraction of the pectoralis major. In cases where differential diagnosis is difficult, local anesthetic injection into the AC joint or subacromial bursa can be helpful. Conservative therapy is the first option for shoulder pain caused by ACJOA, while surgical therapy, whether open or arthroscopic, is reserved only for patients who do not improve with conservative therapy [9]. Nonsteroidal anti-inflammatory medication and injections are commonly used modalities for conservative treatment of ACJOA or other joint diseases. The agent used for (intra-articular) injection include steroids, hyaluronic acid, and mesenchymal stem cells [10,11]. Steroid injection shows good short-term results but relatively poor midand longterm outcomes. Thus, it remains unclear which site should be targeted for the steroid injection to achieve good clinical outcomes in ACJOA. For frozen shoulder, there are reports suggesting no significant difference in clinical outcomes between subacromial space and intra-articular injections [12,13]. This is explained by the location of the pathology causing symptoms. A meta-analysis about wrist joints has suggested that the variability in clinical outcomes after steroid injections might be due to inclusion of cases where the steroid was unintentionally injected in extra-articular space [14]. Katt et al. [15] reported that intra-articular injections into the carpometacarpal joint guided by fluoroscopy demonstrated superio","PeriodicalId":33981,"journal":{"name":"Clinics in Shoulder and Elbow","volume":"26 2","pages":"107-108"},"PeriodicalIF":0.0,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/85/54/cise-2023-00311.PMC10277703.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9666259","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"An objective assessment of the impact of tendon retraction on sleep efficiency in patients with full-thickness rotator cuff tears: a prospective cohort study.","authors":"Ashley E MacConnell,&nbsp;William Davis,&nbsp;Rebecca Burr,&nbsp;Andrew Schneider,&nbsp;Lara R Dugas,&nbsp;Cara Joyce,&nbsp;Dane H Salazar,&nbsp;Nickolas G Garbis","doi":"10.5397/cise.2022.01438","DOIUrl":"https://doi.org/10.5397/cise.2022.01438","url":null,"abstract":"<p><strong>Background: </strong>Sleep quality, quantity, and efficiency have all been demonstrated to be adversely affected by rotator cuff pathology. Previous measures of assessing the impact of rotator cuff pathology on sleep have been largely subjective in nature. This study was undertaken to objectively analyze this relationship through the use of activity monitors.</p><p><strong>Methods: </strong>Patients with full-thickness rotator cuff tears at a single institution were prospectively enrolled between 2018 and 2020. Waistworn accelerometers were provided for the patients to use each night for 14 days. Sleep efficiency was calculated using the ratio of the time spent sleeping to the total amount of time that was spent in bed. Retraction of the rotator cuff tear was classified using the Patte staging system.</p><p><strong>Results: </strong>This study included 36 patients: 18 with Patte stage 1 disease, 14 with Patte stage 2 disease, and 4 patients with Patte stage 3 disease. During the study, 25 participants wore the monitor on multiple nights, and ultimately their data was used for the analysis. No difference in the median sleep efficiency was appreciated amongst these groups (P&gt;0.1), with each cohort of patients demonstrating a generally high sleep efficiency.</p><p><strong>Conclusions: </strong>The severity of retraction of the rotator cuff tear did not appear to correlate with changes in sleep efficiency for patients (P&gt;0.1). These findings can better inform providers on how to counsel their patients who present with complaints of poor sleep in the setting of full-thickness rotator cuff tears. Level of evidence: Level II.</p>","PeriodicalId":33981,"journal":{"name":"Clinics in Shoulder and Elbow","volume":"26 2","pages":"169-174"},"PeriodicalIF":0.0,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/1f/5c/cise-2022-01438.PMC10277714.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9659858","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}