Rotator Cuff Tears
| Title of Article | Author | Year of Publication | Summary of Article |
| Treatment Strategy for Irreparable Rotator Cuff Tears
|
Joo Han Oh, Min Suk Park, and Sung Min Rhee | 2018 | Proper management of rotator cuff tears (RCTs) requires healthcare professionals to do a comprehensive analysis of several factors, such as medical condition, the severity of RCT, functional demands, and prior history of shoulder surgery. Conservative treatment to relieve pain is recommended for patients with poor systematic medical conditions. Conservative management and minimally invasive medical procedures, including tuberoplasty and arthroscopic debridement, are recommended for geriatric patients with functional deficits. Complete repair strategies are recommended for younger patients without functional deficits. If complete repair techniques are not feasible, balloon spacer insertions or patch graft augmentation can be considered. |
| Degenerative Rotator Cuff Tears: Refining Surgical Indications Based on Natural History Data | Jay D Keener, Brendan M Patterson, Nathan Orvets, and Aaron M Chamberlain, | 2019 | Degenerative RCTs are one of the most common reasons for shoulder pains. RCTs are strongly linked with advanced age. However, there are differences in surgeons’ opinions regarding the best treatment options for pain related to RCTs.
Natural history data better outline tear enlargement risks and functional decline; a combination of natural history data and known factors such as tear size and age, which influence healing rates, can be utilized in making better surgical options for RCTs. Even though conservative management has successfully managed many RCTs, nonoperative strategies also present risks. Natural history data can identify RCTs that require early surgical interventions. |
| Surgical or nonsurgical treatment for nontraumatic rotator cuff tears | Huang et al. | 2020 | The treatment option for patients with RCTs is always unclear. Consequently, physicians are torn between physiotherapy and surgical treatment. Early surgical treatment is critical for younger individuals with acute tears and functional deficits. However, in some cases, surgical interventions are not recommended. Additionally, nonsurgical interventions are only preferred if short-term or long-term outcomes are comparable to surgical interventions. The study aimed to compare the outcomes of surgical and non–surgical treatments. |
References
Huang, D., Wu, Y., Chen, P., Xia, C., Lin, Z., & Song, J. (2020). Surgical or nonsurgical treatment for nontraumatic rotator cuff tears. Medicine, 99(18), e20027. https://doi.org/10.1097/md.0000000000020027
Keener, J. D., Patterson, B. M., Orvets, N., & Chamberlain, A. M. (2019). Degenerative rotator cuff tears. Journal of the American Academy of Orthopaedic Surgeons, 27(5), 156-165. https://doi.org/10.5435/jaaos-d-17-00480
Oh, J. H., Park, M. S., & Rhee, S. M. (2018). Treatment Strategy for Irreparable Rotator Cuff Tears. Clinics in Orthopedic Surgery, 10(2), 119-134. https://dx.doi.org/10.4055%2Fcios.2018.10.2.119
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Instructions: Log into Saber’s virtual library and locate three articles. You can choose from one of my topics below, or you can select a topic that interests you in the field of medicine. After you have located the 3 articles, fill out the chart below. The three articles should be on one topic.
Rotator Cuff Tears
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http://www.sabercollege.edu/virtual-libraries/references/
Topics:
Gait Training
Lower Extremity Amputee Rehabilitation
Rotator Cuff Tears
Opiates and addiction
Complete the following chart:
Topic Selected
| Title of Article | Author | Year of Publication | Summary of Article |