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More commonly, patients present with subscapularis tears in conjunction with tearing of the anterior supraspinatus and structures compromising the rotator interval, or with large multi-tendon tears of the rotator cuff. Tendon degeneration has been shown
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catagorised as partial (insertional or intrasubstance) or complete tears, acute for less than four weeks, and chronic for more than four weeks with either intact or ruptured lacertus fibrosus. 17 Diagnosis Complete distal biceps tendon tears
Academic Orthopaedic Department, Papageorgiou General Hospital, Aristotle University Medical School, Thessaloniki, Greece
Centre of Orthopaedics and Regenerative Medicine (CORE) – Centre of Interdisciplinary Research and Innovation (CIRI) – Aristotle University Thessaloniki, Greece
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Gennimatas General Hospital, Cholargos, Athens, Greece
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vascularity. 12 Three distinct clinical scenarios have been described for abductor tendon tears. First, they may be chronic tears. These are often found in the over 70-year-old age group, in patients with persistent lateral hip pain, non-responsive to
Ortoklinik & Cankaya Orthopedics, Ankara, Turkey
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Avcilar Hospital, Istanbul, Turkey
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Ortoklinik & Cankaya Orthopedics, Ankara, Turkey
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incidence of patellar tendon ruptures has been reported to be 0.68 per 100,000 person-years in the general population ( 4 ). The peak incidence of low-energy patellar tendon tears is seen in the third and fourth decades of life in non-arthroplasty patients
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The aim of this study is to determine whether adjuvant Distal Clavicle Resection (DCR) improves outcomes of Rotator Cuff Repair (RCR) in terms of ROM, clinical scores as well as reducing complications and/or reoperations.
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This systematic review conforms to the PRISMA guidelines. Studies were included if they compared outcomes of RCR with and without adjuvant DCR and reported on postoperative ROM, clinical scores, complications, and/or reoperations.
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Seven studies that comprised 1572 shoulders which underwent RCR at a follow-up ranged 8-54 months: 398 with adjuvant DCR and 1174 without DCR. No significant differences were found between patients that had DCR versus those that did not have DCR, in terms of postoperative clinical scores (ASES, Constant, pVAS), postoperative ROM (AFE, external and internal rotation), retear rate and reoperation rate.
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There were no significant differences in ROM, clinical scores, or rates of retears and reoperations between patients that underwent RCR with or without adjuvant DCR.
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There is insufficient evidence to support routine DCR during RCR; the incidence of new or residual acromioclavicular joint (ACJ) pain after RCR with adjuvant DCR is higher than following isolated RCR, which could in fact induce iatrogenic morbidity and therefore does not justify the additional surgery time and costs of routine adjuvant DCR.
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Tendons connect muscles to bones, ensuring joint movement. With advanced age, tendons become more prone to degeneration followed by injuries. Tendon repair often requires lengthy periods of rehabilitation, especially in elderly patients. Existing medical and surgical treatments often fail to regain full tendon function.
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The development of novel treatment methods has been hampered due to limited understanding of basic tendon biology. Recently, it was discovered that tendons, similar to other mesenchymal tissues, contain tendon stem/progenitor cells (TSPCs) which possess the common stem cell properties.
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The current strategies for enhancing tendon repair consist mainly of applying stem cells, growth factors, natural and artificial biomaterials alone or in combination. In this review, we summarise the basic biology of tendon tissues and provide an update on the latest repair proposals for tendon tears.
Cite this article: EFORT Open Rev 2017;2:332-342. DOI: 10.1302/2058-5241.2.160075
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deformity is critical. Brandes and Smith 27 suggested that in patients treated operatively for peroneal tendon tears, the foot was cavovarus in 82% of cases as measured using standardised radiographic parameters. Peroneal entrapment and impingement
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-superior rotator cuff tear . J Shoulder Elbow Surg 2015 . (Epub ahead of print). 58. Lyons RP , Green A . Subscapularis tendon tears . J Am Acad Orthop Surg 2005 ; 13 : 353 - 363 . 59. Sakurai G , Ozaki J
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University Hospital Antwerp, Department of Orthopedic Surgery, Edegem, Belgium
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biceps tendon tears of 2.55 cases per 100,000 patients in a large population database. 11 Because they only evaluated surgically treated patients, the actual incidence will likely be higher. The vast majority of complete distal biceps tendon ruptures
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shoulders with traumatic supraspinatus tendon tears. Hamid et al 22 found excellent inter-observer reliability of the AI but no difference between patients with rotator cuff tears and individuals with no history of rotator cuff pathology. Later, Moor
