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History of Shoulder Pain and Rotator Cuff Pathology
Pages 3-23
This handbook provides detailed, state of the art information on simple and complex rotator cuff tears that will be of value in daily clinical practice. It covers all relevant aspects, including basic science, pathogenesis, clinical and instrumental evaluation, and treatment techniques. Drawing on the results of recent studies, the book will enable the reader to better understand how tears occur and what treatment should be employed in different circumstances.
Rotator cuff tear has always attracted great interest because it may cause shoulder pain, loss of strength, simple or complex disabilities, and partial or total inability to work, reducing quality of life. The goals of cuff repair are to restore footprint anatomy with biomechanically secure, tension-free construction that promotes biological healing at the tendon-to-bone interface. Even today, there is cause for discussion about when and how to perform surgical repair and on what to do in cases of irreparable rupture. This book casts light on such issues. It is especially designed for shoulder surgeons and rehabilitation specialists and will also be of value for residents and shoulder fellows.
History of Shoulder Pain and Rotator Cuff Pathology
Pages 3-23
Subacromial Space and Rotator Cuff Anatomy
Pages 25-44
Rotator Cuff Biomechanics
Pages 45-51
Epidemiology and Demographics of the Rotator Cuff Tear
Pages 53-59
Histopathology of Rotator Cuff Tear
Pages 65-68
The Impact of Aging on Rotator Cuff Tear Size
Pages 69-70
Smoking Habit
Pages 71-74
Arterial Blood Hypertension
Pages 75-77
Obesity
Pages 79-82
Hypercholesterolemia
Pages 83-85
Diabetes
Pages 87-90
The Role of Genetics
Pages 91-92
The Association Between Alcohol Consumption and Rotator Cuff Tear
Pages 93-96
Subacromial Impingement
Pages 97-102
Acromioclavicular Joint Degeneration
Pages 103-105
Thoracic Hyperkyphosis
Pages 107-110
Subcoracoid Impingement
Pages 111-113
Other Causes: Pigmented Villonodular Synovitis
Pages 115-119
Classifications of the Rotator Cuff Tears
Pages 123-131
Shoulder Pain Intensity and Distribution
Pages 133-137
Clinical Evaluation
Pages 139-162
Differential Diagnosis
Pages 163-168
Instrumental Evaluation: X-Rays, MRI
Pages 169-183
CT and CT Arthrography (CTA)
Pages 185-191
Ultrasound Evaluation
Pages 193-203
Natural History
Pages 207-212
The Possible Role of the Transcription Factor NF-kB on Evolution of Rotator Cuff Tear and on Mechanisms of Cuff Tendon Healing
Pages 213-219
Indications for Conservative Treatment
Pages 221-226
Operating Room Setting
Pages 227-235
Anesthesiological Techniques
Pages 237-243
Treatment of the Partial Tear
Pages 245-255
Treatment of the Reparable Postero-Superior Lesions: Single and Double-Row Repair
Pages 257-273
Suture Bridge and Transosseous Techniques
Pages 275-282
Open-Surgery Technique
Pages 283-296
Treatments for Irreparable Tears
Pages 297-307
Failure of Arthroscopic Rotator Cuff Repair
Pages 309-313
Augmentation with Patches
Pages 315-322
Latissimus Dorsi Transfer for Primary Treatment of Irreparable Rotator Cuff Tears
Pages 323-333
Pectoralis Major Transfer for Isolated Subscapularis Tear
Pages 335-337
Biceps Tenodesis Augmenting Repair
Pages 339-344
Subscapularis Tear: Intraoperative Evaluation and Treatment
Pages 345-351
Stem Cells in Rotator Cuff Healing
Pages 353-356
PRP in Rotator Cuff Healing
Pages 357-360
The Impact of Nanomedicine on Rotator Cuff Lesions: A Future Outlook
Pages 361-367
Rehabilitation After Rotator Cuff Repair
Pages 369-380
Rotator Cuff Arthropathy. What Is It?
Pages 383-390
Reverse Shoulder Arthroplasty: Evolution in Design, Indications, Surgical Technique, and Associated Complications
Pages 391-413
New Concepts on the Glenoid Fixation in Reverse Shoulder Prosthesis
Pages 415-423
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