Calcific tendinitis of the rotator cuff is often encountered in daily clinical practice, but cases with rotator cuff tears associated with ossification in the rotator cuff are extremely rare. We experienced a 74-year-old male case with ossification in the rotator cuff associated with extensive tearing. At another hospital he had been diagnosed with calcific rotator cuff tendinitis and treated c...

BACKGROUND Arthroscopic rotator cuff repair is described as being a successful procedure. These results are often derived from clinical general shoulder examinations, which are then classified as 'excellent', 'good', 'fair' or 'poor'. However, the cut-off points for these classifications vary and sometimes modified scores are used.Arthroscopic rotator cuff repair is performed to improve quality...

PURPOSE To evaluate the effectiveness of early and delayed motion in rehabilitation after arthroscopic rotator cuff repair using a meta-analysis from randomized controlled trials. MATERIALS AND METHODS Electronic searches of the CENTRAL, PUBMED, and EMBASE were used to identify randomized controlled trials that evaluated the effectiveness and safety of early and delayed motion for rehabilitat...

Arthroscopic rotator cuff repair is being performed by an increasing number of orthopaedic surgeons. The principles, techniques, and instrumentation have evolved to the extent that all patterns and sizes of rotator cuff tear, including massive tears, can now be repaired arthroscopically. Achieving a biomechanically stable construct is critical to biologic healing. The ideal repair construct mus...

Surgical management of massive rotator cuff tears remains challenging, with failure rates ranging from 20% to 90%. Multiple different arthroscopic and open techniques have been described, but there is no current gold standard. Failure after rotator cuff repair is typically multifactorial; however, failure of tendon-footprint healing is often implicated. Patch augmentation has been described as ...

BACKGROUND Little is known about the influence of rotator cuff pathology on sleep. The purpose of this study was to determine which patient-reported factors correlate with sleep disturbance in patients with rotator cuff disease. METHODS A nonrandomized, cross-sectional cohort study was performed to evaluate the effects of rotator cuff disease on sleep quality. Data collected at time zero (bef...

BACKGROUND Very little comparative information is available regarding the demographic and morphological characteristics of asymptomatic and symptomatic rotator cuff tears. This information is important to provide insight into the natural history of rotator cuff disease and to identify which factors may be important in the development of pain. The purpose of the present study was to compare the ...

BACKGROUND After reinsertion on the humerus, the rotator cuff has limited ability to heal. Growth factor augmentation has been proposed to enhance healing in such procedure. PURPOSE This study was conducted to assess the efficacy and safety of growth factor augmentation during rotator cuff repair. STUDY DESIGN Randomized controlled trial; Level of evidence, 1. METHODS Eighty-eight patient...

BACKGROUND Several tests for making the diagnosis of rotator cuff disease have been described, but their utility for diagnosing bursitis alone, partial-thickness rotator cuff tears, and full-thickness rotator cuff tears has not been studied. The hypothesis of this study was that the degree of severity of rotator cuff disease affects the diagnostic values of the commonly used clinical tests. M...

Question: What is the diagnostic accuracy of the physical examination in predicting arthroscopy findings in patients with suspected rotator cuff tear? Design: Cross-sectional study comparing the results of the clinical examination with presence of partial or complete rotator cuff tear on arthroscopy. Setting: Australian orthopaedic surgeon’s practice. Patients: Patients (400) with shoulder inju...