Reparacio RTC i atrofia

Article interessant per el resum a 2019 del tema i el recull bibliogràfic que presenta. 

Resultat i atrofia van de la ma 

.JBJS Reviews

Efficacy of Imaging Modalities Assessing Fatty Infiltration in Rotator Cuff Tears. (Troy N. Tenbrunsel, BS).  

DOI :10.2106/JBJS.RVW.18.00042
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Mes KINECT

Mes de les eines de estudi del moviment ( kinect) aplicades a la patologia de l'espatlla

Validity and Reliability of Upper Limb Functional Assessment Using the Microsoft Kinect V2 Sensor  Significance. Kinect V2 has great potential as a low-cost, easy implemented device for assessing upper limb angular waveforms when performing functional tasks. The system is suitable for assessing relative within-person change in upper limb motions over time, such as disease progression or improvement due to intervention.

Importància. Kinect V2 té un gran potencial com a dispositiu de baix cost i fàcil implementació per avaluar les formes d'ona angulars superiors en realitzar tasques funcionals. El sistema és adequat per avaluar el canvi relatiu de la persona en els moviments dels membres superiors al llarg del temps, com ara la progressió o la millora de la malaltia a causa de la intervenció.

Video interessant per explicar el tema de la guia...

https://www.djoglobal.com/products/djo-surgical/match-point-system

Rotator cuff tears after total shoulder arthroplasty in primary osteoarthritis: A systematic review

David M Levy¹, Geoffrey D Abrams², Joshua D Harris³, Bernard R Bach¹, Gregory P Nicholson¹, Anthony A Romeo¹

Aquesta revisió sistemàtica suggereix que la disfunció del manegot després de la pròtesi total d'espatlla  pot ser més comuna del que es va informar anteriorment.

Al final totes seran inverses!!

GUIES PER LA COLOCACIÓ DE LA GLENA

Totes les companyies que fan protesi van en la mateixa direcció i Materialise talla el bacalla en el tema de les guies personalitzada 3D.

  Zimmer-biomet,

 DJO ( Frankle)

 Mathys

 Wrigth

Materialise llançara Surgi Case Connect 1.0  un soft per implementar la planificacio+ impressio 3D als hospitals. 

Mes de plaquetes mes factorets per FACTURAR

ttps://doi.org/10.1016/j.jse.2018.05.003

Platelet-rich plasma in fibrin matrix to augment rotator cuff repair: a prospective, single-blinded, randomized study with 2-year follow-up

Our results showed no benefit from PRPFM used for rotator cuff repair according to the WORC Index, Simple Shoulder Test, and shoulder strength index.

Dr quan temsp recuperare la funcio despres de la pròtesi ?

Molt interesant per les espectatives dels pacients en la consulta...

https://doi.org/10.1016/j.jse.2018.05.029

Establishing maximum medical improvement following reverse total shoulder arthroplasty for rotator cuff deficiency

Results

MMI occurred at 1 postoperative year following rTSA. When preoperative measures were compared with 1-year postoperative outcomes, all but 1 PROM demonstrated significant clinical improvement (P < .001). There were no significant improvements between any 2 subsequent time points beyond 1 year (P > .050). Range of motion significantly improved between preoperative and 1-year levels (P < .001). No PROMs or range-of-motion parameters significantly improved beyond 1 year (P > .999).

Conclusions

Patients achieved MMI at 1 postoperative year following rTSA. Patients showed rapid improvements in subjective symptoms within the first 3 months and continued to gradually improve until 1 year. Surgeons should counsel patients with these evidence-based expectations for clinical recovery, particularly the time frame of expected improvements in pain, function, and range of motion, as well as risks of and plans of action for postoperative complications.