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Record Nr. |
UNINA9910506387203321 |
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Titolo |
The failed rotator cuff : diagnosis and management / / Felix H. Savoie III, Emilio Calvo, Augustus D. Mazzocca, editors |
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Pubbl/distr/stampa |
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Cham, Switzerland : , : Springer, , [2021] |
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©2021 |
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ISBN |
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Descrizione fisica |
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1 online resource (307 pages) |
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Disciplina |
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Soggetti |
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Shoulder joint - Rotator cuff - Surgery |
Shoulder joint - Rotator cuff - Surgery - Complications |
Orthopedics |
Músculs |
Espatlla |
Diagnòstic |
Ortopèdia |
Llibres electrònics |
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Lingua di pubblicazione |
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Formato |
Materiale a stampa |
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Livello bibliografico |
Monografia |
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Nota di contenuto |
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Intro -- Preface -- Contents -- Part I: Basic Science -- 1: The Failed Rotator Cuff: Diagnosis and Management-Rotator Cuff Anatomy/Blood Supply -- 1.1 Supraspinatus Muscle -- 1.1.1 Structure and Humeral Insertions -- 1.1.2 Innervation -- 1.1.3 Blood Supply -- 1.1.4 Variations -- 1.2 Subscapularis Muscle -- 1.2.1 Structure and Humeral Insertions -- 1.2.2 Innervation -- 1.2.3 Blood Supply -- 1.2.4 Variations -- 1.3 Infraspinatus -- 1.3.1 Structure and Humeral Insertions -- 1.3.2 Innervation -- 1.3.3 Blood Supply -- 1.3.4 Variations -- 1.4 Teres Minor Muscle -- 1.4.1 Structure and Humeral Insertions -- 1.4.2 Innervation -- 1.4.3 Blood Supply -- 1.4.4 Variations -- 1.5 Conclusion -- References -- 2: Failed Rotator Cuff Repairs: Building an International Perspective -- 2.1 Introduction -- 2.2 Definitions in the Literature -- 2.3 Subjective Failure -- 2.3.1 The Literature Reports Several Subjective Aspects of RCR Failure -- 2.3.1.1 Worsening of Preoperative Clinical Status -- 2.3.1.2 Patients Can |
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Consider Persistent Pain as Failure -- 2.3.1.3 Postoperative Stiffness -- 2.3.1.4 Loss of Strength -- 2.3.1.5 Pseudoparalysis -- 2.3.1.6 Inability to Return to Work -- 2.4 Objective Failure -- 2.4.1 Table of Failure Criteria -- 2.5 Conclusion -- References -- 3: Biomechanical Consequences of Rotator Cuff Tears on the Glenohumeral Joint -- 3.1 Introduction -- 3.2 Biomechanics of the Intact Glenohumeral Joint -- 3.2.1 The Concept of Concavity Compression -- 3.2.2 Muscular Force Couples and the Concept of the Suspension Bridge Model -- 3.3 Biomechanical Consequences of Rotator Cuff Tears -- 3.4 Conclusion -- References -- 4: The Failed Rotator Cuff: Diagnosis and Management-New Concepts in Biology of Repair -- 4.1 Introduction -- 4.2 Biologic Adjuvants for Repair Augmentation -- 4.2.1 Platelet-Rich Plasma. |
4.2.1.1 Basic Science Evidence -- 4.2.1.2 Clinical Outcomes -- 4.3 Cell-Based Therapies -- 4.4 Concentrated Bone Marrow Aspirate (BMAC) -- 4.4.1 Basic Science Evidence -- 4.4.2 Clinical Outcomes -- 4.5 Subacromial Bursa-Derived Cells (SBDCs): The Future? -- 4.5.1 Basic Science Evidence -- 4.5.2 Clinical Experience and Future -- 4.6 Further Considerations -- 4.7 Summary -- References -- 5: Reasons for Structural Failure of Rotator Cuff Repair -- References -- 6: Imaging of Failed Rotator Cuff Tears -- 6.1 Introduction -- 6.2 Imaging Modalities -- 6.2.1 Radiography -- 6.2.2 Ultrasonography (US) -- 6.2.3 Magnetic Resonance Imaging (MRI) -- 6.2.4 Magnetic Resonance Arthrography (MRA) -- 6.2.5 Computed Tomography (CT) -- 6.3 Expected Findings -- 6.3.1 Artefacts -- 6.3.2 Osseous Findings -- 6.3.3 Soft Tissue Findings -- 6.4 Pathologic Findings -- 6.4.1 Recurrent Tear -- 6.4.2 Displacement of Suture Anchors -- 6.4.3 Infection -- 6.4.4 Iatrogenic Injuries -- 6.4.5 Diagnostic Errors -- References -- 7: Special Techniques in Evaluation of the Failed Rotator Cuff -- 7.1 Introduction -- 7.2 Definition of Failed Cuff Repair -- 7.3 Changes seen after Cuff Repair -- 7.4 Role of Radiographs in Failed Rotator Cuff Tears -- 7.5 After the Radiographs, MRI, CT, or Ultrasound? A Radiologist's Perspective -- 7.6 The Diagnostic Value of Imaging: Is there a re-tear? -- 7.7 The Forensic Value of Imaging: Why Did the Repair Fail? -- 7.8 The Prognostic Value of Imaging: What Can Be Done? -- 7.9 Conclusion -- References -- 8: Biomechanics of Failed Rotator Cuff Repair: How to Optimize Anchor and Suture Placement -- 8.1 Introduction -- 8.2 How to Optimize Suture Placement -- 8.3 Biomechanics of Repair Construct -- 8.4 How to Optimize Anchor Insertion -- 8.5 Assessment of Bone Strength -- References. |
Part II: Soft Tissue Procedures for the Failed RCR -- 9: Debridement and Long Head of the Biceps Tenotomy in Revision Rotator Cuff Tears -- 9.1 Introduction -- 9.2 Indications -- 9.3 Technical Aspects of Debridement and Tenotomy -- 9.4 Surgical Technique -- 9.5 Prognostic Risk Factors -- 9.6 Outcomes -- 9.7 Summary -- References -- 10: Revision Repair for the Failed Rotator Cuff -- 10.1 Introduction -- 10.2 Clinical Examination -- 10.3 Radiographic Examination -- 10.4 Indications -- 10.5 Technical Aspects of Revision Rotator Cuff Reconstruction -- 10.6 Subscapularis Repair -- 10.7 Supraspinatus and Infraspinatus Repair -- 10.8 Advantages of Arthroscopic Techniques -- 10.9 Outcomes -- 10.10 Prognostic and Risk Factors -- 10.11 Summary -- References -- 11: Repair and Augmentation: Overview -- 11.1 Introduction -- 11.2 Autograft Augmentation -- 11.3 Xenograft Augmentation -- 11.4 Allograft Augmentation -- 11.5 Synthetic Patches -- 11.6 Bio-Inductive Implants -- 11.7 Author's Preferred Technique and Pearls -- 11.8 Conclusion -- References -- 12: Debridement and Releases to Set |
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up for Revision Success -- 12.1 Introduction -- 12.2 Intra-articular Preparation, Capsular and Ligamentous Releases -- 12.3 Debridement -- 12.4 Interval Slides -- 12.5 Author's Preferred Technique and Pearls -- 12.6 Conclusion -- References -- 13: Repair with Biologic Augment -- 13.1 Introduction -- 13.2 Rotator Cuff Repair Failure Evaluation -- 13.3 Patient Selection -- 13.4 Outcomes of Revisions with Biologic Augmentation -- 13.5 Other Augmentation Alternatives -- 13.6 Author's Preferred Technique -- 13.7 Conclusions -- References -- 14: Repair with Interposition Graft for a Failed Rotator Cuff Repair -- 14.1 Introduction -- 14.2 Graft Utilization in Rotator Cuff Repairs -- 14.3 Preoperative Evaluation -- 14.4 Surgical Technique. |
14.5 Postoperative Protocol -- 14.6 Discussion -- 14.7 Conclusion -- References -- 15: Superior Capsule Reconstruction with Biceps Tendon -- 15.1 Introduction -- 15.2 Indications and Contraindications to Superior Capsule Reconstruction -- 15.3 Superior Capsule Reconstruction with Biceps Tendon Autograft -- 15.4 Surgical Technique -- 15.4.1 Patient Positioning -- 15.4.2 Portal Placement -- 15.4.3 Step-by-Step Procedure -- 15.4.4 Postoperative Care -- 15.5 Conclusions -- References -- 16: Superior Capsular Reconstruction with Dermal Allograft -- 16.1 Introduction -- 16.2 Pertinent Anatomy and Biomechanics -- 16.2.1 Anatomy -- 16.2.2 Biomechanics -- 16.3 Clinical Evaluation -- 16.3.1 History -- 16.3.2 Physical Exam -- 16.3.3 Imaging -- 16.4 Operative Treatment -- 16.4.1 Procedure -- 16.5 Rehabilitation -- 16.6 Clinical Outcomes -- 16.7 Summary -- References -- 17: Superior Capsule Reconstruction with the Mid-Thigh Fascia Lata -- 17.1 Introduction -- 17.2 Decision-Making Algorithm for SCR -- 17.2.1 Indications for SCR -- 17.2.2 Contraindications for SCR -- 17.3 Arthroscopic Surgical Technique of SCR -- 17.4 Patient Positioning -- 17.5 Portals -- 17.6 Diagnostic Arthroscopy -- 17.7 Mid-Thigh Fascia Lata Autograft Harvesting -- 17.8 Arthroscopic Procedure -- 17.9 Tips and Tricks -- 17.9.1 Failed Rotator Cuff Repairs -- 17.9.2 Long Head of the Biceps -- 17.9.3 Subscapularis Tendon Tear Repair -- 17.9.4 Thickness of the Graft -- 17.9.5 Medial-to-Lateral Length of the Graft -- 17.9.6 Shuttling of the Graft -- 17.9.7 Graft Fixation Site on the Superior Glenoid Rim -- 17.9.8 Configuration of Graft Fixation on the Humerus -- 17.9.9 Donor Site -- 17.10 Postoperative Treatment -- 17.10.1 Postoperative Protocol for Shoulder -- 17.10.2 Postoperative Protocol for Donor Site -- 17.11 Literature Review. |
17.11.1 Clinical Evidence -- 17.11.2 Biomechanical Evidence -- 17.12 Summary -- References -- 18: Augmenting Rotator Cuff Repairs with Scaffolds -- 18.1 Introduction -- 18.2 Allografts for Patch Augmentation -- 18.3 Xenografts for Patch Augmentation -- 18.4 Synthetic Grafts for Patch Augmentation -- 18.5 Future Directions -- 18.6 Summary -- References -- 19: The Subacromial Balloon Spacer: Indications and Technique -- 19.1 Introduction -- 19.2 Biomechanics -- 19.3 Surgical Indications -- 19.4 Surgical Technique -- 19.5 Postoperative Protocol -- 19.6 Clinical Outcomes -- 19.7 Complications -- 19.8 Alternatives to Treatment (SCR, RSA) and Cost-Effectiveness -- 19.9 Cost-Effectiveness -- 19.10 Conclusion -- References -- 20: Balloon: Soft-Tissue Options for the Failed Balloon -- 20.1 Introduction -- 20.2 Balloon Failure -- 20.3 General Balloon Revision Considerations -- 20.4 Revision Balloon Spacer Placement -- 20.5 Tendon Transfers -- 20.6 Partial Cuff Repair -- 20.7 Conclusion -- References -- 21: The Role of the Suprascapular Nerve in the Failed Rotator Cuff Repair -- 21.1 Background -- 21.2 Suprascapular Nerve Anatomy with Regard to Revision Cuff Surgery -- 21.3 The Rationale |
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of the Suprascapular Nerve Release in Revision Cuff Repair -- 21.4 Surgical Technique -- 21.5 The Role of the Suprascapular Nerve Release for the Failed Rotator Cuff Repair -- 21.6 Final Thoughts -- References -- Part III: Muscle Transfers -- 22: Open Latissimus Dorsi Transfer -- 22.1 Introduction -- 22.2 Indication and Contraindication -- 22.3 Preoperative Assessment -- 22.3.1 Patient History and Physical Examination -- 22.3.2 Imaging -- 22.4 Operative Technique -- 22.4.1 Positioning and Preparation -- 22.4.2 Step-by-Step Technique -- 22.5 Postoperative Management and Rehabilitation -- 22.6 Tips, Tricks, and Pitfalls -- 22.7 Outcomes. |
22.8 Summary. |
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