Lipoma arborescens, a rare benign intra-articular lesion, is characterized by lipomatous proliferation of the synovium in which the subsynovial tissue is replaced by mature adipocytes. Subdeltoid bursa is a rare location for lipoma arborescens, and only a few cases have been reported in the literature. This article reports 2 cases of subdeltoid lipoma arborescens combined with rotator cuff tear...

BACKGROUND Tendon transfers can be a surgical treatment option in managing younger, active patients with massive irreparable rotator cuff tears. The purpose of this article is to provide an overview of the use of tendon transfers to treat massive irreparable rotator cuff tears and to summarize clinical outcomes. METHODS A selective literature search was performed and personal surgical experie...

Massive irreparable rotator cuff tears are difficult to treat. Although several treatment options exist, none provides superior long-term results. There is no consensus on optimal surgical technique. Superior capsular reconstruction is an operative treatment option aimed at restoring native biomechanics of the glenohumeral joint by providing a restraint to superior subluxation. Partial rotator ...

To better understand the natural history of rotator cuff disease and its treatment, it is crucial to find a reliable method of classifying or describing rotator cuff tears. We can then use this classification to identify appropriate treatments for each type of tear that lead to the best outcomes. There are many rotator cuff classification systems in use today, making it difficult to compare res...

BACKGROUND The use of platelet-rich plasma (PRP) is an innovative clinical therapy, especially in arthroscopic rotator cuff repair. The purpose of this study was to compare the clinical improvement and tendon-to-bone healing with and without PRP therapy in arthroscopic rotator cuff repair. METHODS A systematic search was done in the major medical databases to evaluate the studies using PRP th...

Shoulder pain is defined as chronic when it has been present for longer than six months. Common conditions that can result in chronic shoulder pain include rotator cuff disorders, adhesive capsulitis, shoulder instability, and shoulder arthritis. Rotator cuff disorders include tendinopathy, partial tears, and complete tears. A clinical decision rule that is helpful in the diagnosis of rotator c...

BACKGROUND Rotator cuff tears are a common cause of shoulder pain. There is an absence of information about symptomatic rotator cuffs from the patients' perspective; this limits the information clinicians can share with patients and the information that patients can access via sources such as the internet. This study describes the experiences of people with a symptomatic rotator cuff, their sym...

Rotator cuff tears are common and result in considerable morbidity. Tears within the tendon substance or at its insertion into the humeral head represent a considerable clinical challenge because of the hostile local environment that precludes healing. Tears often progress without intervention, and current surgical treatments are inadequate. Although surgical implants, instrumentation, and tech...

INTRODUCTION: Pathologic changes in the long head of the biceps tendon are common clinically in conjunction with rotator cuff tears [1,2]. However, there is some debate regarding the role of the biceps at the shoulder following a cuff tear [3,4] and therefore, controversy exists regarding its treatment. A previous study in a rat model determined that the biceps tendon was detrimentally affected...

Introduction The long head of the biceps (LHB) tendon has different loading patterns in its intraand extra-articular regions. The intra-articular region is exposed to complex loads including tension, compression, shear, and frictional forces, while the extra-articular portion is subjected primarily to tensional loads. Previous studies have also shown that the intra-articular region has a more d...