Rotator Cuff Across the Life Span

Description:

This book presents the consensus findings of the ISAKOS Shoulder Committee regarding the treatment options in patients suffering from shoulder pain and reduced function or dead arm syndrome as a consequence of rotator cuff injuries. The aim is twofold: to equip readers with a precise knowledge of the presenting characteristics of these injuries in different age groups and to describe in detail the initial management and surgical and non-surgical approaches, taking into account the age-specific features. Readers will find clear descriptions of all the latest arthroscopic techniques, which allow repair of even the largest tears. The indications for and performance of tendon transfer procedures, biceps tenotomy, tenodesis, hemiarthroplasty, anatomic shoulder arthroplasty, reverse total shoulder arthroplasty, and revision surgery are explained. Helpful guidance is also provided on the use of strategies to promote rotator cuff healing, including stem cell therapy and scaffolds. The authors are leading experts in the field, and the book will be of value for all shoulder surgeons and orthopaedic trainees and consultants, as well as sports medicine specialists.

Table of contents:

Part I. Basic

1. Diagnosis and Classification of Rotator Cuff Tears

2. Rotator Cuff Isometric Strength Across the Life Span in Normal Population and in Patients with Rotator Cuff Pathology

3. Healing of the Rotator Cuff Tendon

4. The Role of Platelet-Rich Plasma and Growth Factors in Rotator Cuff Repair

5. Genetics in Rotator Cuff Tears: First Steps to the Future

Part II. The Young Athletic High Risk Patient (Age 10–30)

6. The Very Young Athlete (10–15) with Overuse Tear

7. The Adolescent Overhead Athlete with SLAP Tear and Partial Infraspinatus Tear

8. Rotator Cuff Injuries in the Elite Athlete

9. Management of Rotator Cuff Injuries in the Very Young

10. Definition and Classification of Different Forms of Impingement

11. Arthroscopic Subacromial Decompression: The US Perspective

12. Arthroscopic Acromioclavicular Joint Resection

13. Scapulothoracic Disorders and Nonsurgical Management of the Impingement

Part III. RC in the Middle Ages (Age 30–50)

14. The Philosophy of Arthroscopic Rotator Cuff Repair

15. Biology of Rotator Cuff Healing

16. Philosophy on Repair In Situ vs Completing and Repair of the Partial Rotator Cuff Tear

17. Bursal-Side Partial-Thickness Rotator Cuff Tears

18. Single-Row Repair

19. Delaminated Tears of the Rotator Cuff: The Rationale and Techniques for the Double-Row Repair

20. Double Row Rotator Cuff Transosseous Equivalent Repair

21. Classification of Subscapularis Tears and Correlation with Physical Exam

22. Single-Row Subscapularis Repair: The Intra-articular Technique

23. Double-Row Subscapularis Repair: The US Perspective

24. Double-Row Subscapularis Repair: The German Perspective

25. The Anatomy of the Biceps Pulley

26. Injuries of the Biceps Pulley System

27. Crossfire Tenotomy Versus Tenodesis: Pro-tenotomy

28. Crossfire: Tenotomy Versus Tenodesis # Pro Tenodesis

29. Intra-articular Biceps Tenodesis with an Interference Screw

30. Arthroscopic Supra-pectoral Biceps Tenodesis

31. Biceps Transfer to the Conjoint Tendon

32. Subpectoral Biceps Tenodesis with an All-Suture Anchor

33. Arthroscopic Proximal Biceps Versus Subpectoral Tenodesis: Short-Term Differences and Long-Term Follow-Up

34. Glenohumeral Osteoarthritis: Biological Interposition

35. The Comprehensive Arthroscopic Management (CAM) Procedure

36. Partial Replacement (Partial Eclipse/HemiCAP)

Part IV. RC in the “Older” Patient (Age 50–70)

37. Rotator Cuff Pathology in the Older Active Patient

38. Subacromial Spacer

39. Massive Tears: Techniques for Mobilization of the Large Retracted Rotator Cuff Tears

40. Biologic Augmentation in RC Repair (Patches and Grafts): Part I

41. Biologic Augmentation in RC Repair (Patches and Grafts): Part II

42. Arthroscopic-Assisted Lower Trapezius Tendon Transfer

43. Open Latissimus Dorsi Transfer

44. Management of Irreparable Rotator Cuff Tear: Arthroscopy-Assisted Latissimus Dorsi Tendon Transfer

45. Superior Capsule Reconstruction: The Italian Perspective

46. Superior Capsule Reconstruction: The US Perspective

Part V. RC in Old Patients (Age> 70)

47. Cuff Tear Arthropathy with Bone Loss (Acetabular Acromion)

48. Shoulder Arthroplasty: Intact Rotator Cuff Muscles

49. Primary Osteoarthritis

50. Shoulder Arthroplasty in Rheumatoid Arthritis

51. Shoulder Arthroplasty for Humeral Head Osteonecrosis

52. Reverse Shoulder Replacement for Massive Rotator Cuff Tears

Part VI. Miscellaneous

53. Arthroscopic Suprascapular Nerve Release in the Young High-Risk Patient

54. Postoperative Rehabilitation Following Rotator Cuff Repair: General Principles

55. Postoperative Rehabilitation: Return to Sport in the Noncompetitive Athlete

56. Outcome Measurement Tools for Rotator Cuff Disease

Part VII. Complication

57. Failed RC Surgery