المؤلفون: Andrew L. Wallace, MA, PhD, FFSEM, FRCS, FRACS, Emilio Calvo, MD, PhD, Jordi Ardèvol Cuesta, MD, Riccardo Lanzetti, MD, Gonzalo Luengo-Alonso, MD, PhD, FEBOT, ECFMG, Andrew S. Rokito, MD, Edwin E. Spencer, Jr, MD, Marco Spoliti, MD

المصدر: JSES International, Vol 8, Iss 4, Pp 763-768 (2024)

مصطلحات موضوعية: Labral tear, Shoulder instability, Glenoid labrum, All-soft suture anchor, Shoulder repair, Arthroscopic repair, Orthopedic surgery, RD701-811, Diseases of the musculoskeletal system, RC925-935

الوصف: Background: This study’s primary aim was to assess the safety and performance of second-generation all-soft suture anchors following arthroscopic labral tear repair. Methods: This prospective, multicenter study was conducted by 6 surgeons at 6 sites in Europe and the United States between November 2018 and August 2020. Patients who required shoulder arthroscopic repair, for a range of labral injuries, were treated with a second-generation all-soft suture anchor. The primary outcome was clinical success rate (percentage of patients without signs of failure and/or reintervention) at 6 months. Secondary outcomes included clinical success rate at 12 months, intraoperative anchor deployment success rate, and patient-reported outcomes (PROs) at 6 and 12 months, including visual analog scale (VAS) pain assessment, VAS satisfaction assessment, EQ-5D-5L Index Score, EQ-5D-5L VAS Health Score, Rowe Shoulder Score for Instability, American Shoulder and Elbow Surgeons score, and Constant-Murley Shoulder Score. Serious adverse events and serious adverse device effects were collected throughout the study. Results: Forty-one patients were enrolled (mean age, 28.2 years; 87.8% male, 12.2% female). Clinical success was achieved in 27/28 and 31/32 patients at 6 months and 12 months, respectively. Anchor deployment had a 100% success rate. Significant improvements over baseline were reported for all PROs except Constant-Murley Shoulder (6 months) and VAS Satisfaction Score (12 months). One patient experienced 1 serious adverse event and 1 patient experienced 1 serious adverse device effect. Conclusion: Second-generation all-soft suture anchors used in this study demonstrated a high clinical success rate, a favorable safety profile, and patients exhibited significant improvement in PROs.

وصف الملف: electronic resource

العلاقة: http://www.sciencedirect.com/science/article/pii/S2666638324001130Test; https://doaj.org/toc/2666-6383Test

الوصول الحر: https://doaj.org/article/6eae81f3397d415099a05fc6d692dca0Test

المؤلفون: Yaniv Pines, MD, Kevin M. Magone, MD, Erel Ben-Ari, MD, Dan Gordon, MD, Andrew S. Rokito, MD, Mandeep S. Virk, MD, Young W. Kwon, MD, PhD

المصدر: JSES International, Vol 6, Iss 6, Pp 1005-1010 (2022)

مصطلحات موضوعية: Shoulder, Rotator cuff tear, Irreparable, Symptomatic, Arthroscopic tuberoplasty, Arthroscopy, Orthopedic surgery, RD701-811, Diseases of the musculoskeletal system, RC925-935

الوصف: Background: The purpose of this study is to report the outcomes in patients undergoing arthroscopic tuberoplasty for symptomatic irreparable rotator cuff tear (RCT). Methods: This is a retrospective cohort study comparing preoperative and postoperative data of patients undergoing arthroscopic tuberoplasty for symptomatic irreparable RCT. Exclusion criteria included open tuberoplasty, concomitant partial RCT repair, glenohumeral arthritis, concomitant ipsilateral extremity fractures,

وصف الملف: electronic resource

العلاقة: http://www.sciencedirect.com/science/article/pii/S2666638322001402Test; https://doaj.org/toc/2666-6383Test

الوصول الحر: https://doaj.org/article/e172f8bccaa048fc8524adcc236a508bTest

المؤلفون: Mathew Hamula, M.D., Siddharth A. Mahure, M.D., M.B.A., Daniel J. Kaplan, M.D., Brent Mollon, M.D., F.R.C.S.C., Joseph D. Zuckerman, M.D., Young W. Kwon, M.D., Ph.D., Andrew S. Rokito, M.D.

المصدر: Arthroscopy Techniques, Vol 6, Iss 6, Pp e2137-e2142 (2017)

مصطلحات موضوعية: Orthopedic surgery, RD701-811

الوصف: Arthroscopic SLAP tear repair has become an increasingly used treatment for patients presenting with symptomatic SLAP tears after failed nonoperative management. Debridement, SLAP repair, and open or arthroscopic biceps tenodesis or tenotomy have been used for the treatment of SLAP tears. Various techniques for repair have been described, and furthermore, there is a high incidence of concomitant pathology of the shoulder. Repair remains an excellent option in isolated SLAP tears amenable to repair, with excellent outcomes in well-indicated patients. We present a method for repairing a SLAP tear using standard suture anchor fixation, anterior and posterior portals, and an accessory portal of Wilmington. Adequate labral repair can be achieved with this technique in patients with no concomitant biceps pathology. This report highlights this technique for SLAP repair in patients with isolated symptomatic SLAP tears that have failed conservative management.

وصف الملف: electronic resource

العلاقة: http://www.sciencedirect.com/science/article/pii/S2212628717302876Test; https://doaj.org/toc/2212-6287Test

الوصول الحر: https://doaj.org/article/11f44b8e32c54aedbb178c7dede1da7bTest

المؤلفون: Mina Abdelshahed, M.D., Siddharth A. Mahure, M.D., M.B.A., Daniel J. Kaplan, B.A., Brent Mollon, M.D., F.R.C.S.C., Joseph D. Zuckerman, M.D., Young W. Kwon, M.D., Ph.D., Andrew S. Rokito, M.D.

المصدر: Arthroscopy Techniques, Vol 5, Iss 6, Pp e1297-e1304 (2016)

مصطلحات موضوعية: Orthopedic surgery, RD701-811

الوصف: Following a failed course of conservative management, arthroscopic rotator cuff repair (ARCR) has become the gold standard treatment for patients presenting with symptomatic rotator cuff (RC) tears. Traditionally, the single-row repair technique was used. Although most patients enjoy good to excellent clinical outcomes, structural healing to bone remains problematic. As a result, orthopaedic surgeons have sought to improve outcomes with various technological and technical advancements. One such possible advancement is the double-row technique.We present a method for repairing an RC tear using double-row suture anchors in a transosseous equivalent suture bridge technique. The double-row technique is believed to more effectively re-create the anatomic footprint of the tendon, as well as increase tendon to bone surface area, and apposition for healing. However, it requires longer operating times and is costlier. This report highlights this technique for ARCR in an adult by using a double-row transosseous equivalent suture bridge.

وصف الملف: electronic resource

العلاقة: http://www.sciencedirect.com/science/article/pii/S2212628716300974Test; https://doaj.org/toc/2212-6287Test

الوصول الحر: https://doaj.org/article/0fa05aee8a4847c88a795a15a4b0fb27Test

المؤلفون: Michael J. Alaia, Eoghan T. Hurley, Kinjal Vasavada, Danielle H. Markus, Briana Britton, Guillem Gonzalez-Lomas, Andrew S. Rokito, Laith M. Jazrawi, Kevin Kaplan

المصدر: The American Journal of Sports Medicine. 50:3056-3063

مصطلحات موضوعية: Analgesics, Opioid, Arthroscopy, Pain, Postoperative, Rotator Cuff, Treatment Outcome, Double-Blind Method, Cannabidiol, Humans, Physical Therapy, Sports Therapy and Rehabilitation, Orthopedics and Sports Medicine, Personal Satisfaction, Rotator Cuff Injuries

الوصف: Background: Despite the widespread use and sales of cannabidiol (CBD) products in the United States, there is a paucity of literature to evaluate its effectiveness, safety, or ideal route of administration for postoperative pain. Purpose: To evaluate the potential analgesic effects of buccally absorbed CBD in patients who have undergone arthroscopic rotator cuff repair (ARCR). Study Design: Randomized controlled trial; Level of evidence, 1. Methods: This was a US Food and Drug Administration–sanctioned, multicenter, placebo-controlled, randomized, double-blinded trial conducted in patients undergoing ARCR. Patients aged from 18 to 75 years undergoing ARCR were prospectively enrolled and randomized to the control and experimental groups. The experimental group received an oral, buccally absorbed tablet containing 25 mg of CBD 3 times a day if 80 kg, for 14 days postoperatively, while the control group received an identical placebo. Patients were followed up on days 1, 2, 7, and 14, and visual analog scale (VAS) for pain scores, opioid consumption, and satisfaction with pain control were recorded. Additionally, liver function tests were conducted on days 7 and 14 to assess safety, and nausea was monitored. P < .05 was considered to be statistically significant. Results: Overall, 100 patients were recruited, with 1 patient being excluded, for a total of 99 patients. There were no significant differences in patient demographics between the 2 groups. On day 1, the VAS pain score was significantly lower in the CBD group than in the control group (4.4 ± 3.1 vs 5.7 ± 3.2, respectively; P = .04), although this difference was no longer present on day 2 (4.7 ± 2.8 vs 5.3 ± 2.6, respectively; P = .32). On both days 1 and 2, patient satisfaction with pain control was significantly higher in the CBD group than in the control group (day 1: 7.0 ± 3.0 vs 5.6 ± 3.7, respectively [ P = .04]; day 2: 7.3 ± 2.5 vs 6.0 ± 3.3, respectively [ P = .03]). The quantity of opioids consumed was low in both groups, and there were no statistically significant differences in opioid consumption ( P > .05). On days 7 and 14, there were no statistically significant differences in VAS scores, opioid consumption, or patient satisfaction with pain control between the CBD and control groups ( P > .05 for all). There were no significant differences in liver function test results postoperatively ( P > .05). Conclusion: Buccally absorbed CBD demonstrated an acceptable safety profile and showed significant promise in the reduction of pain in the immediate perioperative period after ARCR compared with the control. Further studies are currently ongoing to confirm dosing and effectiveness in other orthopaedic conditions. Registration: NCT04672252 (ClinicalTrials.gov identifier).

الوصول الحر: https://explore.openaire.eu/search/publication?articleId=doi_dedup___::89c90f76ee65f910d7ab257f5fed65d4Test
https://doi.org/10.1177/03635465221109573Test

المؤلفون: Matthew G. Alben, Neil Gambhir, Aidan G. Papalia, Nicholas Bostrom, Gabriel Larose, Mandeep S. Virk, Andrew S. Rokito

المصدر: Clinical Journal of Sport Medicine.

مصطلحات موضوعية: Physical Therapy, Sports Therapy and Rehabilitation, Orthopedics and Sports Medicine

الوصول الحر: https://explore.openaire.eu/search/publication?articleId=doi_________::8cdc1ed9394e2dc7d9c4d04d3e951cd4Test
https://doi.org/10.1097/jsm.0000000000001130Test

المؤلفون: Dan Gordon, Yaniv Pines, Matthew G. Alben, Erel Ben-Ari, Andrew S. Rokito, Young W. Kwon, Joseph D. Zuckerman, Mandeep S. Virk

المصدر: Arthrosc Sports Med Rehabil

مصطلحات موضوعية: Rehabilitation, Public Health, Environmental and Occupational Health, Physical Therapy, Sports Therapy and Rehabilitation, Orthopedics and Sports Medicine, Original Article

الوصف: PURPOSE: To assess the preoperative and postoperative performance of the Patient-Reported Outcomes Measurement Information System Upper Extremity (PROMIS-UE, version 2.0) outcome score in comparison to the American Shoulder and Elbow Surgeons (ASES) and Western Ontario Rotator Cuff Index (WORC) instruments in patients undergoing rotator cuff repair. METHODS: This prospective longitudinal study included 91 patients undergoing rotator cuff repair. Patients completed the PROMIS-UE, ASES, and WORC instruments preoperatively and postoperatively at 2 weeks, 6 weeks, 3 months, and 12 months. The Pearson correlation coefficient (r) between these tools was calculated at each time point. Correlations were graded as excellent (>0.7), excellent-good (0.61-0.7), good (0.4-0.6), or poor (

الوصول الحر: https://explore.openaire.eu/search/publication?articleId=doi_dedup___::fda932272dc15f12b697fff93ec4b58cTest
https://europepmc.org/articles/PMC10123413Test/

المؤلفون: Matthew G. Alben, Dan Gordon, Neil Gambhir, Matthew T. Kim, Paul V. Romeo, Andrew S. Rokito, Joseph D. Zuckerman, Mandeep S. Virk

المصدر: Knee Surgery, Sports Traumatology, Arthroscopy.

مصطلحات موضوعية: Orthopedics and Sports Medicine, Surgery

الوصول الحر: https://explore.openaire.eu/search/publication?articleId=doi_________::d27dbebe417ded739284b09e128e7e5fTest
https://doi.org/10.1007/s00167-022-07279-7Test

المؤلفون: Ruby G. Patel, Young W. Kwon, Mandeep S. Virk, Erel Ben-Ari, Joshua D. Kirschenbaum, Joseph D. Zuckerman, Andrew S. Rokito

المصدر: Journal of Shoulder and Elbow Surgery. 30:e703-e712

مصطلحات موضوعية: medicine.medical_specialty, Telemedicine, SARS-CoV-2, business.industry, Medical record, COVID-19, General Medicine, Telehealth, Emergency department, Orthopedics, Patient satisfaction, Family medicine, Pandemic, Orthopedic surgery, medicine, Complaint, Humans, Orthopedics and Sports Medicine, Surgery, business, Pandemics

الوصف: Background The objective of this study was to assess patient satisfaction and preference for telemedicine vs. in-person visits for outpatient shoulder and elbow musculoskeletal consultation during the coronavirus disease 2019 (COVID-19) pandemic and in the future. Methods Patients who had telemedicine visits for shoulder and elbow musculoskeletal complaints at a single institution from March through June 2020 were invited to respond to a post-visit survey. The survey included a standardized questionnaire that focused on the patient’s satisfaction with the telemedicine visits during the pandemic and preference for using the telemedicine platform in the future, following the pandemic. Additional details regarding their virtual visits (severity of medical condition, as well as previous virtual or emergency department visits) were also obtained. Data regarding patient demographic characteristics and visit details (primary diagnosis, type of visit, length of visit, and treating physician) were extracted from the electronic medical records. Results In total, 153 patients participated in the study. Overall, high satisfaction scores regarding the telemedicine visits were noted: 91% of patients reported that their concerns were adequately addressed, 89% would recommend telemedicine to a friend, and 94% stated that they would use the telemedicine platform again in the presence of a situation similar to the COVID-19 pandemic. However, the majority of patients (76%) reported a preference for in-person visits for the same musculoskeletal complaint if it were not for COVID-19. A telemedicine visit duration > 10 minutes and a first-time telemedicine visit correlated with higher satisfaction rates (P = .037 and P = .001, respectively). Conclusions COVID-19 has provided a boost to the use of our telemedicine platform, with a high satisfaction rate among patients with shoulder and elbow musculoskeletal complaints, largely owing to safety reasons and limited access to in-person doctor visits. However, a considerable number of patients would have preferred in-person visits for similar health complaints if there were no pandemic. Further research on optimizing the selection of patients for telemedicine visits and addressing their expectations and concerns regarding their visits will improve patients’ preference for future telemedicine visits.

الوصول الحر: https://explore.openaire.eu/search/publication?articleId=doi_dedup___::249199e425fe5ce7df87b051946ea80bTest
https://doi.org/10.1016/j.jse.2021.05.008Test

المؤلفون: Eoghan T. Hurley, Michael J. Alaia, Kinjal Vasavada, Danielle H. Markus, Brianna Britton, Guillem Gonzalez-Lomas, Andrew S. Rokito, Laith M. Jazrawi

المصدر: Journal of Shoulder and Elbow Surgery. 32:e248

مصطلحات موضوعية: Orthopedics and Sports Medicine, Surgery, General Medicine

الوصول الحر: https://explore.openaire.eu/search/publication?articleId=doi_________::d02b09536f0033b8857282ffb184f139Test
https://doi.org/10.1016/j.jse.2023.02.032Test