1,720,966 research outputs found
Urinary tract infections after early removal of urinary catheter in total joint arthroplasty
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Short-term outcomes of extracorporeal shock wave therapy for the treatment of chronic non-calcific tendinopathy of the supraspinatus: a double-blind, randomized, placebo-controlled trial
No full textAbstract Background There is evidence supporting the use of extracorporeal shock wave therapy (ESWT) in calcific tendinopathy of the rotator cuff, but the best current evidence does not support its use in non-calcifying tendinopathy. We conducted a randomized placebo-controlled trial to investigate the efficacy and safety of low energy ESWT for non-calcifying tendinopathy of the rotator cuff. Methods 20 patients with non-calcifying supraspinatus tendinopathy (NCST) were randomized to an active or a sham treatment group. Physical, blood, roentgenographic, and MRI examinations of the shoulder were conducted to verify that patients met the inclusion and exclusion criteria. These examinations were repeated six and twelve weeks after treatments. Effectiveness was determined by comparison of the mean improvement in the Constant and Murley score (CMS) between the treatment and the placebo groups at three months. Safety was assessed by analyzing the number and severity of adverse events. Results All the patients completed the investigation protocol. At the final follow-up, significant improvement in the total CMS score and most of the CMS subscales was observed in the ESWT group when compared to the baseline values. Significantly higher total CMS, and significantly higher scores for CMS pain and ROM were observed in the ESWT group when compared to the placebo. No serious adverse events were noted after ESWT. Conclusions Patients suffering from NCST may benefit from low energy ESWT, at least in short-term. The application protocol of ESWT is likely to play a key-role in a successful treatment. Future investigations should be undertaken on the long-term effects of this technique for the treatment of NCST. Trial registration Current Controlled Trials ISRCTN41236511</p
Studio prospettico randomizzato a doppio cieco con gruppo di controllo sull'efficacia clinica del trattamento con onde d'urto nella tendinopatia cronica del sovraspinoso. Comunicazione 3° Congresso Accademia Universitaria di Ortopedia e Traumatologia
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La riparazione funzionale artroscopica della cuffia dei rotatori - risultati a lungo termine. Comunicazione congresso SIOT
No full textAutofagia, aumentata espressione di PTEN e riprogrammazione metabolica nei condrociti umani nel corso della deplezione sperimentale di nutrienti ed artrosi. Comunicazione alla relatore alla 108° riunione SOTIMI
No full textLa riparazione funzionale artro scopica della cuffia dei rotatori – risultati a lungo termine
No full textQuality of Life and Functional Results of Arthroscopic Partial Repair of Irreparable Rotator Cuff Tears
No full textPurpose: To evaluate the minimum 2-year results and possible outcomes of arthroscopic partial repair in different
patterns of irreparable rotator cuff tears (RCTs). Methods: Patients suffering from an irreparable supraspinatus and a
reparable infraspinatus tendons who underwent arthroscopic partial repair with a minimum 24-month follow-up were
included in this study. The Constant and Murley score (CMS) was used to assess patients’ functionality pre- and postoperatively.
Postoperative patient assessment included the Simple Shoulder Test (SST) and the Short Form Health Survey
questionnaire (SF-36). A postoperative range of motion, CMS, and strength were compared with the contralateral side.
Postoperative SF-36 was compared with age- and sex-matched norms. Results: Ninety patients (95 shoulders) were
reviewed after a mean follow-up of 7 (range 2-12) years. The subscapularis tendon was intact in 80 shoulders and torn but
completely reparable in the remaining 15 shoulders. The CMS improved from 39.1 8.4 (10-61) to 76.3 9.7 (32-93)
(P < .001). The mean postoperative SST was 9.1 2.2 (1-12). Although the patients had lower postoperative abduction
and internal rotation, strength in abduction and CMS in comparison with the measurements from the contralateral side,
the median postoperative SF-36 physical and mental component summaries were 98% and 100% of the matched norms.
No significant differences were found in postoperative outcomes according to the RCT pattern. Males showed significantly
higher strengths in abduction (B 1⁄4 1.384, 95% confidence interval [CI] 2.144 to 0.624, h2 1⁄4 0.123, P < .001, 95%
power), external rotation (B1⁄43.646, 95% CI 5.2 to 2.092, h2 1⁄4 0.189, P < .001, 100% power), and internal rotation
(B 1⁄4 3.867, 95% CI 5.676 to 2.057, h2 1⁄4 0.162, P < .001, 99% power) than females. Significantly higher ranges of
abduction (h2 1⁄4 0.431, P 1⁄4 .019, 98% power) and external rotation (h2 1⁄4 0.417, P < .03, 97% power) were noted in
younger patients. Higher strengths in abduction (h2 1⁄4 0.495, P 1⁄4 .002, 100% power) and internal rotation (h2 1⁄4 0.464,
P 1⁄4 .006, 99% power) were also reported in these patients. Conclusions: When there is an irreparable supraspinatus but
there is still the possibility to repair the infraspinatus and subscapularis, the arthroscopic partial cuff repair should be
considered as an effective surgical option. Indeed, a significant clinical improvement can be achieved and, differently from
pure symptomatic surgical procedures, this technique represents a reasonable effort to restore, at least in part, the shoulder
joint functionality. Successful and reliable results can be expected at an average 7-year follow-up, regardless of the RCT
pattern. Female and older patients have a greater likelihood of lower functional outcomes. Level of Evidence: Level IV,
therapeutic case series
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