Espatlla "capturada"

Tot hi havent passat 13 anys de la seua descripció el terme es "enginyos". Espatlla capturada per diferenciar-la de la espatlla "capsulitica" ó congelada dels saxons.

Captured shoulder: a complication of rotator cuff surgery.

Mormino MA, Gross RM, McCarthy JA.

Source

Creighton-Nebraska Health Foundation, Orthopaedic Residency Program, Omaha, USA.

Abstract

Thirteen patients who developed restrictive subdeltoid adhesions after rotator cuff repair were identified. These patients underwent second-look arthroscopy and takedown of adhesions at an average of 37 weeks after their index surgery. Clinical findings include pain and restricted motion that does not yield to manipulation under anesthesia. Arthroscopic findings are subdeltoid adhesions and a chondral lesion (companion lesion) of the humeral head articular surface. Patients were reevaluated at 26 weeks after their release of adhesions. Prerelease and postrelease University of California, Los Angeles (UCLA) scores average 14.8 and 30.1, respectively. Prerelease and postrelease UCLA pain scores averaged 2.6 and 7.7, respectively. Prerelease and postrelease range of motion was as follows: Flexion, 141/158; abduction, 123/141; internal rotation, 47/69; and external rotation, 53/74. The authors have proposed a theory to explain the clinical and arthroscopic findings in this subgroup of patients who are dissatisfied after rotator cuff repair. A technique for and the results of release of the subdeltoid adhesions also are reported.

National Trends in Rotator Cuff Repair

National Trends in Rotator Cuff Repair

Alexis Chiang Colvin, MD; Natalia Egorova, PhD, MPH; Alicia K. Harrison, MD; Alan Moskowitz, MD; Evan L. Flatow, MD

The Journal of Bone & Joint Surgery.  2012; 94:227-233  doi:10.2106/JBJS.J.00739

Background: 

Recent publications suggest that arthroscopic and open rotator cuff repairs have had comparable clinical results, although each technique has distinct advantages and disadvantages. National hospital and ambulatory surgery databases were reviewed to identify practice patterns for rotator cuff repair.

Methods: 

The rates of medical visits for rotator cuff pathology, and the rates of open and arthroscopic rotator cuff repair, were examined for the years 1996 and 2006 in the United States. The national incidence of rotator cuff repairs and related data were obtained from inpatient (National Hospital Discharge Survey, NHDS) and ambulatory surgery (National Survey of Ambulatory Surgery, NSAS) databases. These databases were queried with use of International Classification of Diseases, Ninth Revision (ICD-9) procedure codes for arthroscopic (ICD-9 codes 83.63 and 80.21) and open (code 83.63 without code 80.21) rotator cuff repair. We also examined where the surgery was performed (inpatient versus ambulatory surgery center) and characteristics of the patients, including age, sex, and comorbidities.

Results: 

The unadjusted volume of all rotator cuff repairs increased 141% in the decade from 1996 to 2006. The unadjusted number of arthroscopic procedures increased by 600% while open repairs increased by only 34% during this time interval. There was a significant shift from inpatient to outpatient surgery (p < 0.001).

Conclusions: 

The increase in national rates of rotator cuff repair over the last decade has been dramatic, particularly for arthroscopic assisted repair.