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Superior Capsular Reconstruction for Shoulder with an Irreparable Massive Posterosuperior Rotator Cuff Tear – A Case Report

January 10, 2020/0 Comments/in Uncategorized /by ASESADMIN2016

Acta of Shoulder and Elbow Surgery | Volume 4 | Issue 1 | January-June 2020 | Page 11-14 | Dinesh Chidambaram Authors: Dinesh Chidambaram [1] [1] Department of Orthopaedics, Royal Care Superspeciality Hospital, Neelambur, Coimbatore, Tamil Nadu, India. Address of Correspondence Dr. Dinesh Chidambaram, Consultant Trauma and Arthroscopy Surgeon, Royal Care Superspeciality Hospital, Neelambur, Coimbatore, […]

Proximal Humerus Fracture: Surgical Outcome and Complications in A Prospective Study Of 99 Patients and review of literature

January 10, 2020/0 Comments/in Vol 4 | Issue 1| Jan-June 2020 /by ASESADMIN2016

Acta of Shoulder and Elbow Surgery | Volume 4 | Issue 1 | January-June 2020 | Page 15-19 | Dheeraj Attarde, Dhruv Verma, Chetan Puram, Chetan Pradhan, Atul Patil, Parag Sancheti, Ashok Shyam Authors: Dheeraj Attarde [1], Dhruv Verma [1], Chetan Puram [1], Chetan Pradhan [1], Atul Patil [1], Parag Sancheti [1], Ashok Shyam [1,2] […]

Superior Capsular Reconstruction for Shoulder with an Irreparable Massive Posterosuperior Rotator Cuff Tear – A Case Report

January 10, 2020/0 Comments/in Uncategorized /by ASESADMIN2016

Proximal Humerus Fracture: Surgical Outcome and Complications in A Prospective Study Of 99 Patients and review of literature

January 10, 2020/0 Comments/in Vol 4 | Issue 1| Jan-June 2020 /by ASESADMIN2016

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Superior Capsular Reconstruction for Shoulder with an Irreparable Massive Posterosuperior Rotator Cuff Tear – A Case Report

January 10, 2020/0 Comments/in Uncategorized /by ASESADMIN2016

Authors: Dinesh Chidambaram [1]

[1] Department of Orthopaedics, Royal Care Superspeciality
Hospital, Neelambur, Coimbatore, Tamil Nadu, India.

Address of Correspondence
Dr. Dinesh Chidambaram,
Consultant Trauma and Arthroscopy Surgeon,
Royal Care Superspeciality Hospital, Neelambur,
Coimbatore, Tamil Nadu, India.
E-mail: dineshchidambaram75@gmail.com

Abstract

A 65 year old gentleman presented with complaints of progressive pain over right shoulder for the past six months following fall onto his right shoulder one year back. He was diagnosed with massive retracted irreparable posterosuperior rotator cuff tear, for which superior capsular reconstruction with fascia lata autograft was performed. At 9 months follow up, patient has normal range of shoulder movements without any pain.
Keywords: Superior capsular reconstruction, Fascia lata graft

References

1.Inman VT, Saunders JB, Abbott LC. Observations of the function of the shoulder joint. 1944. Clin Orthop Relat Res. 1996:3e12.
2.Burkhart SS. Partial repair of massive rotator cuff tears: the evolution of a concept. Orthop Clin North Am. 1997; 28:125e132.
3.Parsons IM, Apreleva M, Fu FH,Woo SL. The effect of rotator cuff tears on reaction forces at the glenohumeral joint. J Orthop Res. 2002; 20:439e446.
4.Bedi A, Dines J, Warren RF, Dines DM. Massive tears of the rotator cuff. J Bone Joint Surg Am 2010; 92:1894-1908
5.Goutallier D, Postel JM, Bernageau J, Lavau L, Voisin MC. Fatty muscle degeneration in cuff ruptures. Pre- and postoperative evaluation by CT scan. Clin Orthop Relat Res 1994; 78-83
6.Burkhart SS. Arthroscopic debridement and decompression for selected rotator cuff tears. Clinical results, pathomechanics, and patient selection based on biomechanical parameters. Orthop Clin North Am 1993; 24:111-123.
7.Rockwood CA Jr, Williams GR Jr, Burkhead WZ Jr. Debridement of degenerative, irreparable lesions of the rotator cuff. J Bone Joint Surg Am 1995; 77:857-866.
8.Burkhart SS, Nottage WM, Ogilvie-Harris DJ, Kohn HS, Pachelli A. Partial repair of irreparable rotator cuff tears. Arthroscopy 1994; 10:363-370.
9.Duralde XA, Bair B. Massive rotator cuff tears: The result of partial rotator cuff repair. J Shoulder Elbow Surg 2005; 14:121-127.
10.Gerber C. Latissimus dorsi transfer for the treatment of irreparable tears of the rotator cuff. Clin Orthop Relat Res 1992; 152-160.
11.Warner JJ, Parsons IM. Latissimus dorsi tendon transfer: A comparative analysis of primary and salvage reconstruction of massive, irreparable rotator cuff tears. J Shoulder Elbow Surg 2001; 10:514-521.
12.Gerber C, Maquieira G, Espinosa N. Latissimus dorsi transfer for the treatment of irreparable rotator cuff tears. J Bone Joint Surg Am 2006; 88:113-120.
13.Farshad M, Gerber C. Reverse total shoulder arthroplastyfrom the most to the least common complication. Int Orthop 2010; 34:1075-1082.
14.Mihata T, Lee TQ, Watanabe C, Fukunishi K, Ohue M, Tsujimura T, et al. Clinical results of arthroscopic superior capsule reconstruction for irreparable rotator cuff tears. Arthroscopy. 2013; 29(3):459-70
15.Hirahara AM, Andersen WJ, Panero AJ. Superior capsular reconstruction: clinical outcomes after minimum 2-year follow-up. Am J Orthop. 2017; 44(6):266-78.
16.Burkhart SS, Denard PJ, Adams CR, Brady PC, Hartzler RU. Arthroscopic superior capsular reconstruction for massive irreparable rotator cuff repair. Arthrosc Tech. 2016; 5(6):e1407-18.
17.Clark JM, Harryman DT 2nd. Tendons, ligaments, and capsule of the rotator cuff. Gross and microscopic anatomy. J Bone Joint Am. 1992; 74(5):713-25.
18.Ishihara Y, Mihata T, Tamboli M, Nguyen L, Park KP, McGarry MH, et al. Role of the superior shoulder capsule in passive stability of the glenohumeral joint. J Shoulder Elbow Surg. 2014; 23(5):642-8.
19.Mihata T, McGarry MH, Kahn T, Goldberg I, Neo M, Lee TQ. Biomechanical effect of thickness and tension of fascia lata graft on glenohumeral stability for superior capsule reconstruction in irreparable supraspinatus tears. Arthroscopy. 2016; 32(3):418-26.
20.Mihata T, Bui CNH, Akeda M, Cavagnaro MA, Kuenzler M, Peterson AB, et al. A biomechanical cadaveric study comparing superior capsule reconstruction using fascia lata allograft with human dermal allograft for irreparable rotator cuff tear. J Shoulder Elbow Surg. 2017; 26(12):2158-66.
21.Mihata T, McGarry MH, Kahn T, Goldberg I, Neo M, Lee TQ. Biomechanical effects of acromioplasty on superior capsule reconstruction for irreparable supraspinatus tendon tears. Am J Sports Med. 2016; 44(1):191-7.
22.Mihata T, McGarry MH, Kahn T, Goldberg I, Neo M, Lee TQ. Biomechanical role of capsular continuity in superior capsule reconstruction for irreparable tears of the supraspinatus tendon. Am J Sports Med. 2016; 44(6):1423-30

How to Cite this article: Chidambaram D | Superior Capsular Reconstruction for Shoulder with an Irreparable Massive Posterosuperior Rotator Cuff Tear – A Case Report | Acta of Shoulder and Elbow Surgery | January-June 2020; 4(1): 11-14.

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Proximal Humerus Fracture: Surgical Outcome and Complications in A Prospective Study Of 99 Patients and review of literature

January 10, 2020/0 Comments/in Vol 4 | Issue 1| Jan-June 2020 /by ASESADMIN2016

Authors: Dheeraj Attarde [1], Dhruv Verma [1], Chetan Puram [1], Chetan Pradhan [1], Atul Patil [1], Parag Sancheti [1], Ashok Shyam [1,2]

[1] Department of Orthopaedics, Sancheti Institute of Orthopaedics and Rehabilitation, Pune, India.
[2] Indian Orthopaedic Research Group, Thane, India.

Address of Correspondence
Dr. Dheeraj Attarde,
Sancheti Institute of Orthopaedics and Rehabilitation, Pune, India.
E-mail: dheerajattarde@yahoo.co.in

Abstract

Objective: To report the outcomes of proximal humerus fracture operated with angular stability locking plate with regards to fracture pattern.
Design: Prospective clinical study.
Setting: Level 1 trauma center.
Patients: During a 24-month period, 99 patients with proximal humerus fracture with OTA type 11A, 11B, 11c were treated operatively with open reduction and internal fixation with angular stability locking plate at a level 1 trauma center. 37 patients were OTA type 11A, 33 and 29 patients were OTA 11B and OTA 11C respectively.
Main Outcome Measurements: Radiological outcome, functional outcome and complication of proximal humerus fractures with respect to fracture pattern, age, and gender.
Results: At 1 year follow up DASH score, Constant Murley score and range of motion showed a significant difference with respect to fracture type. Outcome was better in <50years of age group while gender showed no difference. Varus collapse was observed with 5 cases, stiffness and restricted mobility in 4 patients, implant loosening and avascular necrosis in 3 patients each, post op infection, rotator cuff weakness, screw backout, screw penetration and sub acromial impingement due to superior plate placement was found in 1 patient each.
Conclusions: Angular Locking plate fixation for proximal humerus fracture gives satisfactory results, good functional and radiological outcome. Occurrence of complications is independent of age and gender. Older patients (>50 years of age) have inferior functional outcomes as compared to younger patients (<50 years of age).
Keywords: PHILOS, Angular stability locking compression plate, Proximal humerus fracture, Neer’s fracture.

References

1. Roux A, Decroocq L, El Batti S, Bonnevialle N, Moineau G, Trojani C, Boileau P, de Peretti F. Epidemiology of proximal humerus fractures managed in a trauma center. Orthopaedics & Traumatology: Surgery & Research. 2012 Oct 1;98(6):715-9.
2. Launonen AP, Lepola V, Saranko A, Flinkkilä T, Laitinen M, Mattila VM. Epidemiology of proximal humerus fractures. Archives of osteoporosis. 2015 Dec 1;10(1):2.
3. Palvanen M, Kannus P, Niemi S, Parkkari J. Update in the epidemiology of proximal humeral fractures. Clinical Orthopaedics and Related Research (1976-2007). 2006 Jan 1;442:87-92.
4. Baron JA, Barrett JA, Karagas MR. The epidemiology of peripheral fractures. Bone. 1996 Mar 1;18(3):S209-13.
5. Court-Brown CM, Garg A, McQueen MM. The epidemiology of proximal humeral fractures. Acta orthopaedica Scandinavica. 2001 Jan 1;72(4):365-71.
6. Schumaier A, Grawe B. Proximal humerus fractures: evaluation and management in the elderly patient. Geriatr Orthop Surg Rehabil. 2018; 9: 2151458517750516.
7. Zyto K. Non-operative treatment of comminuted fractures of the proximal humerus in elderly patients. Injury. 1998 Jun 1;29(5):349-52..
8. Russo R, Lombardi LV, Ciccarelli M, Giudice G, Cautiero F. A new osteosynthesis device for the treatment of proximal humerus fractures. Description of the technique and preliminary results. La Chirurgia degli organi di movimento. 2008 Jan 1;91(1):27-34.
9. Plecko M, Kraus A. Internal fixation of proximal humerus fractures using the locking proximal humerus plate. Operative Orthopadie und Traumatologie. 2005 Feb;17(1):25-50.
10. Handschin AE, Cardell M, Contaldo C, Trentz O, Wanner GA. Functional results of angular-stable plate fixation in displaced proximal humeral fractures. Injury. 2008 Mar 1;39(3):306-13.
11. Helwig P, Bahrs C, Epple B, Oehm J, Eingartner C, Weise K. Does fixed-angle plate osteosynthesis solve the problems of a fractured proximal humerus? A prospective series of 87 patients. Acta orthopaedica. 2009 Jan 1;80(1):92-6.
12. Sproul RC, Iyengar JJ, Devcic Z, Feeley BT. A systematic review of locking plate fixation of proximal humerus fractures. Injury. 2011 Apr 1;42(4):408-13.
13. Thanasas C, Kontakis G, Angoules A, Limb D, Giannoudis P. Treatment of proximal humerus fractures with locking plates: a systematic review. Journal of shoulder and elbow surgery. 2009 Nov 1;18(6):837-44.
14. Sharafeldin KN, Quinlan JF, Corrigan J, Kelly IP. Functional follow-up of locking plate fixation of fractures of the proximal humerus. European Journal of Orthopaedic Surgery & Traumatology. 2008 Feb 1;18(2):87-92.
15. Kettler M, Biberthaler P, Braunstein V, Zeiler C, Kroetz M, Mutschler W. Treatment of proximal humeral fractures with the PHILOS angular stable plate. Presentation of 225 cases of dislocated fractures. Der Unfallchirurg. 2006 Dec;109(12):1032-40.
16. Vijayvargiya M, Pathak A, Gaur S. Outcome analysis of locking plate fixation in proximal humerus fracture. Journal of clinical and diagnostic research: JCDR. 2016 Aug;10(8):RC01.
17. Südkamp NP, Audigé L, Lambert S, Hertel R, Konrad G. Path analysis of factors for functional outcome at one year in 463 proximal humeral fractures. Journal of shoulder and elbow surgery. 2011 Dec 1;20(8):1207-16.
18. Aggarwal S, Bali K, Dhillon MS, Kumar V, Mootha AK. Displaced proximal humeral fractures: an Indian experience with locking plates. Journal of Orthopaedic surgery and research. 2010 Dec;5(1):60.
19. Kohli S, Sikdar J. Management of proximal humerus fracture with PHILOS (Proximal Humerus Internal Locking System): A prospective study. International Journal of Orthopaedics. 2018;4(1):15-7.
20. Jose TM, Paul AG. Evaluation of the Outcome of Proximal Humerus Fracture Managed By Internal Locking Plate-A Prospective Study.
21. Fazal MA, Haddad FS. Philos plate fixation for displaced proximal humeral fractures. Journal of Orthopaedic Surgery. 2009 Apr;17(1):15-8.
22. Krappinger D, Bizzotto N, Riedmann S, Kammerlander C, Hengg C, Kralinger FS. Predicting failure after surgical fixation of proximal humerus fractures. Injury. 2011 Nov 1;42(11):1283-8.
23. Agudelo J, Schürmann M, Stahel P, Helwig P, Morgan SJ, Zechel W, Bahrs C, Parekh A, Ziran B, Williams A, Smith W. Analysis of efficacy and failure in proximal humerus fractures treated with locking plates. Journal of orthopaedic trauma. 2007 Nov 1;21(10):676-81.
24. Zhang L, Zheng J, Wang W, Lin G, Huang Y, Zheng J, Prince GA, Yang G. The clinical benefit of medial support screws in locking plating of proximal humerus fractures: a prospective randomized study. International orthopaedics. 2011 Nov 1;35(11):1655-61.
25. Hirschmann MT, Quarz V, Audigé L, Ludin D, Messmer P, Regazzoni P, Gross T. Internal fixation of unstable proximal humerus fractures with an anatomically preshaped interlocking plate: a clinical and radiologic evaluation. Journal of Trauma and Acute Care Surgery. 2007 Dec 1;63(6):1314-23.
26. Gardner MJ, Weil Y, Barker JU, Kelly BT, Helfet DL, Lorich DG. The importance of medial support in locked plating of proximal humerus fractures. J Orthop Trauma. 2007;21(3):185–91.
27. Voigt C, Hurschler C, Rech L, Vosshenrich R, Lill H. Additive fiber-cerclages in proximal humeral fractures stabilized by locking plates: no effect on fracture stabilization and rotator cuff function in human shoulder specimens. Acta orthopaedica. 2009 Jan 1;80(4):465-71.
28. Shulman BS, Egol KA. Open Reduction Internal Fixation for Proximal Humerus Fractures. Bulletin of the Hospital for Joint Diseases. 2013 Oct 2;71.
29. Aliuddin AM, Idrees Z, Zamir M, Najjad MK, Shah SA. Functional outcome of proximal humeral fractures treated with PHILOS plate in adults. Journal of Ayub Medical College Abbottabad. 2016 Jun 1;28(2):337-40.
30. Owsley KC, Gorczyca JT. Displacement/screw cutout after open reduction and locked plate fixation of humeral fractures. JBJS. 2008 Feb 1;90(2):233-40.
31. Hepp P, Theopold J, Voigt C, Engel T, Josten C, Lill H. The surgical approach for locking plate osteosynthesis of displaced proximal humeral fractures influences the functional outcome. Journal of shoulder and elbow surgery. 2008 Jan 1;17(1):21-8.
32. Koukakis A, Apostolou CD, Taneja T, Korres DS, Amini A. Fixation of proximal humerus fractures using the PHILOS plate: early experience. Clinical Orthopaedics and Related Research®. 2006 Jan 1;442:115-20.
33. Südkamp N, Bayer J, Hepp P, Voigt C, Oestern H, Kääb M, Luo C, Plecko M, Wendt K, Köstler W, Konrad G. Open reduction and internal fixation of proximal humeral fractures with use of the locking proximal humerus plate: results of a prospective, multicenter, observational study. JBJS. 2009 Jun 1;91(6):1320-8.

How to Cite this article: Attarde D, Verma D, Puram C, Pradhan C, Patil A, Sancheti P, Shyam A | Proximal Humerus Fracture: Surgical Outcome and Complications in A Prospective Study Of 99 Patients and review of literature | Acta of Shoulder and Elbow Surgery | January-June 2020; 4(1): 15-19.

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Superior Capsular Reconstruction for Shoulder with an Irreparable Massive Posterosuperior Rotator Cuff Tear – A Case Report

Proximal Humerus Fracture: Surgical Outcome and Complications in A Prospective Study Of 99 Patients and review of literature

Superior Capsular Reconstruction for Shoulder with an Irreparable Massive Posterosuperior Rotator Cuff Tear – A Case Report

Proximal Humerus Fracture: Surgical Outcome and Complications in A Prospective Study Of 99 Patients and review of literature

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Superior Capsular Reconstruction for Shoulder with an Irreparable Massive Posterosuperior Rotator Cuff Tear – A Case Report

Authors: Dinesh Chidambaram [1]

Abstract

References

(Abstract Full Text HTML) (Download PDF)

Proximal Humerus Fracture: Surgical Outcome and Complications in A Prospective Study Of 99 Patients and review of literature

Authors: Dheeraj Attarde [1], Dhruv Verma [1], Chetan Puram [1], Chetan Pradhan [1], Atul Patil [1], Parag Sancheti [1], Ashok Shyam [1,2]

Abstract

References

(Abstract Full Text HTML) (Download PDF)

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