BACKGROUND/PURPOSE Little has been mentioned about the treatment of rotator cuff tears and associated shoulder stiffness. We prospectively treated a series of patients with rotator cuff tears associated with shoulder stiffness concomitantly and reported the outcomes. METHODS A combined procedure of manipulation, lysis of adhesions, anterior acromioplasty and repair of rotator cuff was perform...

INTRODUCTION: Rotator cuff tear is one of the common shoulder disorders and surgical repair is very effective for the improvement of shoulder functions. Current surgical technique for rotator cuff tear is an arthroscopical repair or a mini-open repair. Selection of surgical technique should be determined by the appropriate patient’s selection based on the pathology of the rotator cuff tear. Mag...

The tissue-suture interface is the most vulnerable and challenging part of adequate restoration and fixation in rotator cuff repair. We describe a simple stitch technique for arthroscopic rotator cuff repair using knotless suture anchors based on the cow hitch. The simple cow hitch stitch technique is easy to perform, especially under difficult conditions, and provides excellent initial fixatio...

BACKGROUND Restoration of shoulder function is a primary goal when treating patients with traumatic brachial plexus injury. A concomitant rotator cuff tear may alter the treatment approach and prognosis for these individuals. The purpose of this study was to define the prevalence of rotator cuff tears in patients with traumatic brachial plexus injuries. METHODS This is a retrospective review ...

INTRODUCTION Rotator cuff tears are a common cause of shoulder disability and pain. Excellent outcomes can be obtained with surgical treatment although this outcome is affected by several factors. We sought to investigate the effect of hand dominance on subjective functional outcome post rotator cuff repair. METHODS All patients who had rotator cuff repair over a calendar year were identified...

The predictability of early postoperative ultrasonography (USG) for evaluating the structural integrity of repaired rotator cuffs is still unclear. The aim of this study was to compare the predictability of early USG performed 3 and 6 months postoperatively with magnetic resonance imaging (MRI) performed 1 year after arthroscopic cuff repair for structural failure. Among 213 patients who had ar...

Introduction otator cuff repair is one of the most common surgical procedures performed in the shoulder, and the benefit of repair is well known. Over the past decade, the treatment of rotator cuff tears has evolved from an open procedure to an arthroscopic-assisted (mini-open) technique to an all-arthroscopic technique. Traditional open rotator cuff repairs produce satisfactory results when us...

Rotator cuff tendon tears are one of the most common shoulder injuries. Although surgical repair is typically beneficial, re-tearing of the tendons frequently occurs. It is generally accepted that healing is worse for chronic tears than acute tears, but the reasons for this are unknown. One potential cause may be the large tensions that are sometimes required to repair chronically torn tendons ...

Strangulation around cuff tissue is a possible cause of retear after rotator cuff repair. Therefore, tendon healing ideally requires changes in suture tension over the cuff tissue in accord with rotator cuff muscle activity. The authors present a type of fixation that mimics the mechanism of the Chinese finger trap. The devised knot-free tendon trap technique resembles the double-pulley-suture ...

Subscapularis is the most powerful muscle in the rotator cuff. A steep learning curve and constrained space anteriorly make the repair difficult. In massive tears of the rotator cuff, repair of the subscapularis initially makes the massive supraspinatus tear repairable. We present our technique to repair subscapularis and supraspinatus tear by double-row anchors in a knotless and tension-free m...