The rotator cuff consists of four muscles. These are the subscapularis, the supraspinatus, the infraspinatus and the teres minor muscles. These muscles end in short, flat, broad tendons which fuse intimately with the fibrous capsule to form the musculotendinous cuff. This fusion occurs approximately 1⁄2 to inch from the point of the insertion of the tendons into the humerus. The subscapularis m...

BACKGROUND Failure of closed manipulative reduction of an acute anterior shoulder dislocation is seldom reported in the literature and is usually due to structural blocks such as soft tissue entrapment (biceps, subscapularis, labrum), bony fragments (glenoid, greater tuberosity) and severe head impaction (Hill-Sachs lesion). CASE REPORT We present a case of an irreducible anterior shoulder di...

INTRODUCTION Arthroscopic management of extensive subscapularis tendon lesions was reported more recently than for the supra- and infra-spinatus tendons. Extensive tears create technical problems requiring an extra-articular approach. The few results so far reported have been encouraging. STUDY DESIGN Surgical techniques adapted to each type of tear according to our subscapularis lesion class...

We report two cases of tendon rupture associated with ciprofloxacin. One patient had a complete rupture of an Achilles tendon 6 months after taking the medication. The other case involved a partial rupture of the subscapularis tendon. Both ruptures occurred with minimal mechanical stress on the tendons, suggesting that the fluoroquinolone increased the susceptibility to rupture. We also review ...

Shoulder dysfunction in the setting of irreparable rotator cuff tears (RCTs) can be treated successfully with different types of tendon transfer: Latissimus dorsi transfer for irreparable posterosuperior RCTs works best for young, active patients with an intact subscapularis, no pseudoparalysis or previous surgery, and a functioning teres minor.A more anatomical transfer for irreparable postero...

CT arthrography and arthroscopy were used to assess tears of the rotator cuff in 259 shoulders. Tear size was determined in the frontal and sagittal planes according to the classification of the French Arthroscopy Society. CT arthrography had a sensitivity of 99% and a specificity of 100% for the diagnosis of tears of supraspinatus. For infraspinatus these figures were 97.44% and 99.52%, respec...

This study evaluates the position of the long head of biceps tendon using ultrasound following simple tenotomy, in patients with arthroscopically repaired rotator cuff tears. In total, 52 patients with a mean age of 60.7 years (45 to 75) underwent arthroscopic repair of the rotator cuff and simple tenotomy of the long head of biceps tendon. At two years post-operatively, ultrasound re...