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Medicina
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Shoulder Surgeries
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Shoulder Surgeries

A special issue of Medicina (ISSN 1648-9144). This special issue belongs to the section "Surgery".

Deadline for manuscript submissions: closed (15 July 2021) | Viewed by 9856

Special Issue Editor

Dr. Nahum Rosenberg

E-Mail Website
Guest Editor
Department of Orthopedic Surgery, Rambam Health Care Campus, P.O. Box 9602, Haifa, Israel
Interests: joint biomechanics; outcomes of orthopaedic surgery; arthroplasty; tissue regeneration
Special Issues, Collections and Topics in MDPI journals

Special Issue Information

Dear Colleagues,

Shoulder surgery is on an ongoing track for the improvement of functional outcomes. This process is driven by the ultimate aim of restoring normal function in patients with shoulder disability, either due to trauma or degenerative pathophysiology. Because the new surgical methods are evolving continuously, their effectiveness should be compared to the classical surgical techniques. Therefore, in the present Special Issue of Medicina we would like to present the recently developed surgical methods from experienced shoulder surgeons, their clinical experience, and follow up impressions on the expected outcome improvements.

We are especially interested in obtaining knowledge on innovative surgical tactics to approach different parts of the shoulder, innovations in implant design, the use of biological means to improve healing, innovative materials for the restoration of tendon, capsule, and bone integrity, etc.

We also hope to present didactic methods for the long-term evaluation of the outcome of innovative techniques in shoulder surgery.

Dr. Nahum Rosenberg
Guest Editor

Manuscript Submission Information

Manuscripts should be submitted online at www.mdpi.com by registering and logging in to this website. Once you are registered, click here to go to the submission form. Manuscripts can be submitted until the deadline. All submissions that pass pre-check are peer-reviewed. Accepted papers will be published continuously in the journal (as soon as accepted) and will be listed together on the special issue website. Research articles, review articles as well as short communications are invited. For planned papers, a title and short abstract (about 100 words) can be sent to the Editorial Office for announcement on this website.

Submitted manuscripts should not have been published previously, nor be under consideration for publication elsewhere (except conference proceedings papers). All manuscripts are thoroughly refereed through a single-blind peer-review process. A guide for authors and other relevant information for submission of manuscripts is available on the Instructions for Authors page. Medicina is an international peer-reviewed open access monthly journal published by MDPI.

Please visit the Instructions for Authors page before submitting a manuscript. The Article Processing Charge (APC) for publication in this open access journal is 1800 CHF (Swiss Francs). Submitted papers should be well formatted and use good English. Authors may use MDPI's English editing service prior to publication or during author revisions.

Keywords

  • shoulder
  • surgical approach
  • rotator cuff
  • biceps
  • scapula
  • glenoid labrum
  • shoulder instability
  • acromioclavicular joint
  • muscle transfer
  • glenoid fracture
  • humeral fracture
  • enthesopathy in shoulder
  • outcome of shoulder surgery
  • shoulder arthroplasty
  • shoulder arthroscopy

Published Papers (4 papers)

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Research

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9 pages, 2353 KiB  
Article
Enhancement of External Rotation after Latissimus Dorsi Tendon Transfer (LDTT): A Cadaveric Study
by José M. Silberberg, Alessandro Nilo and Jorge Roces-García
Medicina 2021, 57(4), 305; https://0-doi-org.brum.beds.ac.uk/10.3390/medicina57040305 - 24 Mar 2021
Cited by 2 | Viewed by 1568
Abstract
Background and objectives: Massive rotator cuff tears compromise shoulder mobility function and cannot be directly repaired. Latissimus dorsi tendon transfer (LDTT) is a therapeutic alternative suitable for the treatment of rotator cuff tears that helps to restore external shoulder rotation. Cadaver models [...] Read more.
Background and objectives: Massive rotator cuff tears compromise shoulder mobility function and cannot be directly repaired. Latissimus dorsi tendon transfer (LDTT) is a therapeutic alternative suitable for the treatment of rotator cuff tears that helps to restore external shoulder rotation. Cadaver models have been used for studying the effects of LDTT and procedural variations, but, to the best of our knowledge, none of them have been validated. The aim of our study was to validate a novel cadaver model while verifying the effects of LDTT on external rotation. Materials and Methods: Two groups were included in the study: a cadaver group and a control group made up of healthy volunteers, which were used for the validation of the cadaver model. Baseline external rotation measurements were performed with both groups, after which a massive rotator cuff tear was inflicted and repaired with LDTT in the cadaver group. Their postoperative external rotation was evaluated using three different tests. Results: No statistically significant differences were found between the baseline measurements of the two groups, and postoperative external rotation was significantly higher after LDTT in all cases but one. Conclusions: Cadaver models were validated, since they had a similar preoperative external rotation to healthy volunteers. Moreover, they allowed us to demonstrate the effect of LDTT on external shoulder rotation. Full article
(This article belongs to the Special Issue Shoulder Surgeries)
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14 pages, 2311 KiB  
Article
Mid-Term Outcomes after Arthroscopic “Tear Completion Repair” of Partial Thickness Rotator Cuff Tears
by Giuseppe Fama, Jacopo Tagliapietra, Elisa Belluzzi, Assunta Pozzuoli, Carlo Biz and Pietro Ruggieri
Medicina 2021, 57(1), 74; https://0-doi-org.brum.beds.ac.uk/10.3390/medicina57010074 - 17 Jan 2021
Cited by 16 | Viewed by 3014
Abstract
Background and Objectives: Different arthroscopic procedures are used for partial-thickness rotator cuff tears (PT-RCTs), but there is still no evidence on the superiority of one procedure over the other. The aim of this study was to evaluate the clinical outcomes and the [...] Read more.
Background and Objectives: Different arthroscopic procedures are used for partial-thickness rotator cuff tears (PT-RCTs), but there is still no evidence on the superiority of one procedure over the other. The aim of this study was to evaluate the clinical outcomes and the rate of complications of a tear completion repair (TCR) technique. Materials and Methods: Patients who had undergone arthroscopic TCR technique for PT-RCTs with a follow-up of at least 2-years after surgery were included. The TCR technique involved the removal of the “critical zone” and creating microfractures to biologically support tendon healing. Functional outcomes were assessed prospectively by the Constant score (CS) and active and passive range of movement (ROM). Pain and patient satisfaction were measured using a visual analog scale (VAS). Complication rates were recorded, and tendon integrity was assessed with magnetic resonance imaging (MRI) or ultrasound performed at least 2-years after surgery. Results: Eighty-seven patients with a median age of 57 years were followed-up for a median of 5 years. The CS score improved from 53.5 preoperatively to 94.0 postoperatively (p < 0.001). Median VAS score decreased from 8.6 to 1.0 (p < 0.0001). Median patient satisfaction was 9.3. The overall complication rate was 14.9%. Conclusions: Patients with PT-RCTs of the supraspinatus tendon treated by the TCR technique with “critical zone” removal and biological stimulation by microfractures showed good functional results with excellent strength recovery, a high degree of patient satisfaction, and resolution of painful symptoms at mid-term follow-up. Full article
(This article belongs to the Special Issue Shoulder Surgeries)
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Review

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12 pages, 1083 KiB  
Review
Superior Capsular Reconstruction of the Shoulder Using the Long Head of the Biceps Tendon: A Systematic Review of Surgical Techniques and Clinical Outcomes
by Dimitrios Kitridis, Christos Yiannakopoulos, Chris Sinopidis, Panagiotis Givissis and Nikiforos Galanis
Medicina 2021, 57(3), 229; https://0-doi-org.brum.beds.ac.uk/10.3390/medicina57030229 - 02 Mar 2021
Cited by 17 | Viewed by 2480
Abstract
Background and Objectives: Superior capsular reconstruction (SCR) with the use of a fascia lata autograft or a dermal allograft is an established treatment in treating irreparable rotator cuff (RC) tears. The long head of the biceps tendon (LHBT) has been recently proposed as [...] Read more.
Background and Objectives: Superior capsular reconstruction (SCR) with the use of a fascia lata autograft or a dermal allograft is an established treatment in treating irreparable rotator cuff (RC) tears. The long head of the biceps tendon (LHBT) has been recently proposed as an alternative graft for SCR. The purpose of this study was to present the surgical techniques and clinical studies utilizing the LHBT for SCR. Material and Methods: Medline, Scopus, and the Cochrane library were searched for relevant studies up to December 2020. The primary outcomes were pain intensity improvement and the incidence of RC and LHBT graft retears. Secondary outcomes were functional scores and acromiohumeral distance (AHD) improvements. Results: Nine studies described surgical techniques of SCR using the LHBT, and four clinical studies reported the outcomes of the technique. The mean pain intensity improved from 4.9 ± 2.3 to 1.6 ± 1.5 in terms of the visual analog scale, exceeding the minimum clinically important difference for adequate pain relief. Significant improvements were also noted in functional scores and AHD. When compared with other repair techniques for massive RC tears, i.e., the double-row repair, the transosseous-equivalent technique with absorbable patch reinforcement, and the traditional SCR with a fascia lata autograft, there were no significant differences in pain and function improvements. Conclusion: SCR using the LHBT is a useful treatment option for massive RC tears; it is equally effective with the traditional SCR and other established techniques. It presents numerous advantages being a safe, easy, time-saving, and cost-effective method. The only precondition for the technique is the presence of an intact LHBT. Additional clinical trials are necessary to determine which treatment is superior for treating massive RC tears, as well as to evaluate the long-term results of the technique. Full article
(This article belongs to the Special Issue Shoulder Surgeries)
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Other

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4 pages, 233 KiB  
Opinion
Diagnostic Value of Frequently Implemented Provocative Tests in the Assessment of Shoulder Pain—A Glimpse of Current Practice
by Nahum Rosenberg
Medicina 2021, 57(3), 221; https://0-doi-org.brum.beds.ac.uk/10.3390/medicina57030221 - 01 Mar 2021
Cited by 1 | Viewed by 2228
Abstract
Initial evaluation of chronic shoulder disability is a diagnostic challenge due to the anatomic complexity of the shoulder joints. For this purpose, several diagnostic tools utilizing provocative testing exist, but only a few have a reliable basis for their diagnostic value. Therefore, objectively [...] Read more.
Initial evaluation of chronic shoulder disability is a diagnostic challenge due to the anatomic complexity of the shoulder joints. For this purpose, several diagnostic tools utilizing provocative testing exist, but only a few have a reliable basis for their diagnostic value. Therefore, objectively determining the predictive value of these tests in identifying the precise anatomical source for disability—subacromial, intraarticular or other—is essential in order to proceed with further imaging evaluations for final objective diagnoses. Using validated clusters of provocative tests should improve their diagnostic values. Full article
(This article belongs to the Special Issue Shoulder Surgeries)
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