Elbow Ulnar Collateral Ligament Repair With Suture Augmentation Is Biomechanically Equivalent to Reconstruction and Clinically Demonstrates Excellent Outcomes: A Systematic Review
To systematically review (1) biomechanical properties of augmented elbow ulnar collateral ligament (UCL) repair compared with reconstruction and (2) clinical efficacy and complication rates of UCL repair with and without augmentation.
The rotator cuff muscles stabilize the shoulder and control the arm, but they are prone to inflammation, tears, and repetitive stress injuries.2 Strengthening these muscles can help prevent shoulder injuries. Your healthcare provider may also suggest exercises to help you heal after an injury or surgery.
Dermal allograft augmentation is commonly indicated for patients with large rotator cuff tears (3 cm to 5 cm), previous unsuccessful rotator cuff repairs or patients with chronic tears with compromised tissue quality and no advanced glenohumeral osteoarthritis (Hamada grades 1 and 2). Prior to the surgical intervention, a crucial step involves the preoperative assessment to ascertain the feasibility of repairing the tear. This assessment involves a comprehensive evaluation of the patient’s MRI scans, focusing on factors such as tear size, tissue quality and the degree of retraction exhibited by the tear.
Subacromial decompression with arthroscopic rotator cuff repair yielded a 21% risk reduction for revision compared with repair alone.
Wheelchair users are nearly three times more likely to experience hospital readmission following total shoulder arthroplasty (TSA), according to UT Southwestern Medical Center researchers. The findings, published in the Journal of Clinical Medicine, highlight the importance of comprehensive preoperative counseling and risk assessment for patients who use wheelchairs.
Shoulder pain can range from mild to severe and can come on suddenly or build up over time. Possible causes of pain in the front of the shoulder, outside, top, or all over include fractures, tissue inflammation or tears, joint or ligament instability, and arthritis. Shoulder pain can also stem from conditions that don't directly involve the shoulder at all.
Patients aged 80 years and older had low rates of perioperative mortality and reoperation after anatomic and reverse total shoulder arthroplasty, according to results published in the Journal of Shoulder and Elbow Surgery.
Long periods of physical work involving positioning the arms over the shoulder and excessive load on the shoulders are common direct causes of shoulder pain.
When something compresses or pinches a nerve in the shoulder, a person may experience pain, numbness, or tingling. Pinched nerves typically heal without treatment.
Results showed the optimal observed outcome after anterior shoulder instability surgery included minimal postoperative pain, absence of recurrent instability and osteoarthritis, low revision rates and increased range of motion.