Arthroscopic Photographs of a Rotator Cuff
Left: rotator cuff tear Right: final repair
Rotator cuff tear is a common cause of shoulder pain and disability. Although it is not limited to the area and may occur elsewhere, the majority of rotator cuff tears are located in the supraspinatus muscle. One surgical repair option is arthroscopic repair; within this category there is a huge range in the reported failure rate. The relationship between repair technique and surgery failure is also quite controversial among surgeons.
The study, “Arthroscopic Rotator Cuff Repair Using the Opus Knotless Suture Anchor Fixation System” was published in March of 2009 in The American Journal of Sports Medicine. The article is available online through their website. The study’s main focus was to evaluate the post-op functionality of arthroscopic knotless fixation using the Opus AutoCuff device in rotator cuff repair surgeries. The study was a case series and evaluated 48 patients who underwent rotator cuff surgery using the Opus AutoCuff device. The advantages of knotless fixation are a reduction of suture materials and the subsequent reduction in operative time. The Opus AutoCuff device also allows a gradual adjustment of suture tension while decreasing the steps for suture passage. At this time the main disadvantage of the system is cost but with further research the device could eventually be covered by health insurance and potentially lower procedure costs by minimizing surgery time.
There was a significant improvement of the status of the shoulder as well as pain levels when post and pre-operative scores were compared. Functionality of the shoulder also greatly increased for a given list of daily occurring activities.
This is the first published study that examines arthroscopic rotator cuff surgery using a knotless suture anchor system, in this case the Opus AutoCuff device. Certain flaws in the study are the retrospective design, specific criteria for determining patients, lack of postoperative imaging, and the short follow-up period.
The study found that arthroscopic knotless suture fixation using the Opus AutoCuff device produces high quality results that are at least equivalent to techniques that employ conventional suture anchors. Although the study had many limitations in applying its results to the medical field, it is still effective in documenting the equivalence of the Opus AutoCuff device to other surgery techniques.
A full or partially torn rotator cuff injury may result in surgery to reduce symptoms like sharp pain and a limited range of motion. Due to the fact that the shoulders bear weight in many Yoga asanas, people who have rotator cuff surgery must be careful when resuming asana practice. List of Hospitals in Thailand for Rotator Cuff Surgery
ReplyDeleteIn anatomy, the rotator cuff (sometimes incorrectly called a "rotator cup","rotor cuff", or rotary cup) is a group of muscles and their tendons that act to stabilize the shoulder.
ReplyDeletecauses of Rotator Cuff Tear:-
Rotator cuff disease may be the result of either a substantial injury to the shoulder or to progressive degeneration or wear andtear of the tendon tissue.
Repair of Rotator Cuff Tear:-
Surgical Treatment:
During arthroscopy, your surgeon inserts a small camera, called an arthroscope, into your shoulder joint. The camera displays pictures on atelevision screen, and your surgeon uses these images to guide miniature surgical instruments also known as arthroscopic rotator cuff surgery
Non Surgical Treatment:
In about 50% of patients, nonsurgical treatment relieves pain and improves function in the shoulder. Shoulder strength, however, does not usually improve without surgery.It may include :
Rest.
Activity modification.
Non-steroidal anti-inflammatory medication.
bankart repair surgery