Editorial & Opinion
Editorial Commentary: Subacromial Balloon Spacer for Management of Massive Irreparable Posterosuperior Rotator Cuff Tears Improves Shoulder Range of Motion and Patient-Reported Outcome Measures.
| العنوان: | Editorial Commentary: Subacromial Balloon Spacer for Management of Massive Irreparable Posterosuperior Rotator Cuff Tears Improves Shoulder Range of Motion and Patient-Reported Outcome Measures. |
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| المؤلفون: | Cotter EJ; Chicago, Illinois (E.J.C.)., Verma NN; Chicago, Illinois (E.J.C.). |
| المصدر: | Arthroscopy : the journal of arthroscopic & related surgery : official publication of the Arthroscopy Association of North America and the International Arthroscopy Association [Arthroscopy] 2024 Jan; Vol. 40 (1), pp. 174-175. |
| نوع المنشور: | Editorial; Comment |
| اللغة: | English |
| بيانات الدورية: | Publisher: W.B. Saunders Co Country of Publication: United States NLM ID: 8506498 Publication Model: Print Cited Medium: Internet ISSN: 1526-3231 (Electronic) Linking ISSN: 07498063 NLM ISO Abbreviation: Arthroscopy Subsets: MEDLINE |
| أسماء مطبوعة: | Publication: Philadelphia, PA : W.B. Saunders Co. Original Publication: [New York, N.Y.] : Raven Press, [c1985- |
| مواضيع طبية MeSH: | Rotator Cuff Injuries*/surgery , Shoulder Joint*/surgery, Humans ; Shoulder ; Rotator Cuff/surgery ; Range of Motion, Articular ; Patient Reported Outcome Measures ; Treatment Outcome |
| مستخلص: | Considerable controversy exists regarding the management of massive posterosuperior rotator cuff tears. This conversation has been invigorated further by the emergence of the subacromial balloon spacer for management of patients with tear patterns deemed irreparable. Most data lend support to the balloon spacer improving shoulder range of motion and patient-reported outcome measures, with a simplified technique and accelerated patient recovery. Biomechanical data support both decreased contact pressure in the subacromial space and humeral re-centering. Patient indications are increasingly being defined and include lower-demand patients who prioritize pain relief over strength recovery and have maintained active elevation, absence of glenohumeral arthritis, and an intact subscapularis. The subacromial balloon spacer has shown largely positive results at mid-term follow-up. Further data are still needed to determine long-term outcomes and the impact on future revision surgery or conversion to reverse arthroplasty, as well as expanded indications such as large tears that are mechanically repairable but carry a substantial risk of failure of healing. For now, so far, so good. (Copyright © 2023 Arthroscopy Association of North America. Published by Elsevier Inc. All rights reserved.) |
| التعليقات: | Comment on: Arthroscopy. 2024 Jan;40(1):162-173.e2. (PMID: 37355186) |
| تواريخ الأحداث: | Date Created: 20231220 Date Completed: 20231222 Latest Revision: 20240226 |
| رمز التحديث: | 20240227 |
| DOI: | 10.1016/j.arthro.2023.07.043 |
| PMID: | 38123264 |
| قاعدة البيانات: | MEDLINE |
Full Text via ClinicalKey 
Full Text Finder | تدمد: | 1526-3231 |
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| DOI: | 10.1016/j.arthro.2023.07.043 |