Rotator cuff tendon pain seems to be more likely bio-chemical than bio-mechanical!
Eg, more inflammatory than impingement!
https://t.co/odvgdsxAje
But remember all pain is always multifactorial… even tendon pain!
What is the primary biological pain mechanisms (nociceptive, nociplastic, neuropathic) behind rotator cuff‐related shoulder pain?
Lo et al. conducted a narrative review on current evidence to answer this important question.
https://t.co/JrXb1iBmsl
This article describes a technique for reconstruction of the coracoclavicular ligaments as well as the acromioclavicular ligament complex using a hamstrings tendon allograft and dermal graft
https://t.co/IVlXcx07oi
Reverse total shoulder replacement is increasingly used as a reliable treatment option for complicated fractures of the shoulder.
#ASES#Shoulder#OrthoTwitter
Biceps tendon autograft demonstrated similar strength to human dermal allograft when performing superior capsular reconstruction in a cadaveric biomechanical model
https://t.co/GNPGeNPb91
Gender was not found to play a role in functional outcomes, recurrence rate or return to play following arthroscopic bankart repair.
https://t.co/ZaI4MJagYV
Is the pendulum starting to swing back the other way? This systematic review and meta-analysis of level I evidence shows superior outcomes following subacromial decompression for impingement vs. non-operative management or placebo surgery. https://t.co/MxS0etXsnC
This month's @JsesFamily has a comprehensive analysis of the effect of the pandemic on shoulder arthroplasty by the Codman society and provides fascinating insight into how shoulder arthroplasty is changing! https://t.co/gNahwsoBOr
#ASES#Arthroplasty#Shoulder#Ortho
@H2O_SportsMD with his commentary on the clinical usefulness of classic anterolateral acromioplasty vs. lateral acromioplasty in cases of RTC tears with an increased critical shoulder angle. https://t.co/3jbtj83dnv
👉 Moreover, as the athlete’s arm attains maximum external rotation in the preparatory/cocking phase of throwing, shear force, measured at the anterior aspect of the GH joint, reaches 400-600 N, equal to approximately 50% of body weight.
https://t.co/JDIRJb5hmw
Critical Shoulder Angle (CSA) and Acromial Index (AI) have been implicated in the presence of cuff tears, and CSA correlated with progression and retear. Ideas used to justify acromioplasty, but do we actually correct values? This n=435 study says no!
https://t.co/2zCNprPLCu
Internal rotation following reverse total shoulder arthroplasty continues to be a complex challenge. A great article recently published in @JsesFamily investigating the relationship of scapular motion associated with internal rotation.
https://t.co/TBPQohdwc4
#ASES#Ortho
Off-Track Shoulder Instability:
Finite element analysis models of a critical Hill Sachs defect prove that adding Remplissage improves stability vs Bankart alone, but medial or 2 anchor configurations can over-restrain.
https://t.co/0NPx7hfZFz
With patient consent ✅
Persistent shoulder pain on elevation and horizontal abduction with regular night disturbance post sub acromial decompression and ACJ excision done 12 months ago! US of cuff NAD! 😲
Discuss… 🤔