BACKGROUND Long-term results regarding tear progression, arthropathy, and clinical scores of unrepaired rotator cuff tears are largely unknown. This study investigated whether the condition of the glenohumeral joint and rotator cuff had deteriorated at a minimum of 20 years after an acromioplasty without cuff repair and assessed the clinical results. METHODS A retrospective analysis was condu...

Rotator cuff deficient arthritis of the glenohumeral joint, especially cuff tear arthropathy, has proved a challenging clinical entity for orthopaedic surgeons ever since Charles Neer originally detailed the problem in 1983. Understanding has improved regarding the pathophysiology and pathomechanics underlying cuff tear arthropathy. Surgical reconstruction options can lead to excellent outcomes...

Background: Successful repair of a torn rotator cuff may prevent progression to rotator cuff arthropathy. However,previous studies have shown a substantial rate of failure after rotator cuff repair and characteristics of surgicallyrepaired rotator cuffs that go on to shoulder arthroplasty have not been fully elucidated. The purpose of this study wasto determine the patient cha...

Rotator cuff arthropathy is often associated with disabling pain and shoulder dysfunction. When non operative treatment options have failed, reverse shoulder replacement is usually indicated. Alternative treatment options may be prudent in younger patients, those with multiple co morbidities compromising surgical options, or those unable to comply with postoperative rehabilitation. There is lit...

BACKGROUND This study evaluates the preoperative conventional anteroposterior radiography and clinical testing in non-operated patients with cuff tear arthropathy. It analyses the radiological findings in relation to the status of the rotator cuff and clinical status as also the clinical testing in relation to the rotator cuff quality. The aim of the study is to define the usefulness of radiogr...

What are the indications for shoulder replacement surgery? The most common indication for shoulder replacement remains primary glenohumeral osteoarthritis. Other indications include complex proximal humeral fractures, rheumatoid arthritis and other inflammatory arthropathies, humeral head osteonecrosis, instability arthropathy, posttraumatic arthritis, chronic fixed glenohumeral dislocation, ro...

Large to massive rotator cuff tears are challenging to repair, although there are several options for dealing with them. Among them, superior capsular reconstruction was recently introduced as an effective procedure for retaining the static stability of the shoulder joint and preventing the progression to cuff tear arthropathy. The purpose of this technique-based article is to describe a surgic...

Total shoulder arthroplasty and shoulder hemiarthroplasty have been the traditional method for treating a variety of shoulder conditions, including arthritis, cuff tear arthropathy, and some fracture types. However, these procedures did not provide consistently good results for patients with torn rotator cuffs. The development of the reverse prosthesis by Grammont in the late 20th century revol...

A rotator cuff tear causes shoulder pain and limits movement of the shoulder joint. A chronic degenerative change or impingement is the reason for a rotator cuff tear. Diagnosis is made based on medical history and, physical and radiological examinations. Other causes of shoulder pain include calcific tendinitis, degenerative arthropathy, joint dislocation, fracture, and primary or metastatic n...

BACKGROUND Long head biceps (LHB) degeneration in combination with rotator cuff tears can be a source of chronic shoulder pain. LHB tenotomy is an approved surgical procedure for pain reduction and improvement of joint function, however, the pathophysiology of LHB degeneration is not fully understood. In the literature, neoangiogenesis in tendon tissue has previously been shown to be associated...