Summary: Glenohumeral joint synovitis might be more involved in the pathogenesis for pain and tear progression of rotator cuff disease compared with subacromial space synovitis.

Synovitis of the glenohumeral joint (GHJ) and subacromial space (SAS) is one of the most common findings during arthroscopic rotator cuff repair (RCR). The purpose of this study is to determine clinical factors associated with the degree of synovitis in patients with a rotator cuff tear and whether macroscopic synovitis affects early clinical outcomes following arthroscopic RCR. Arthroscopic videos of 230 patients treated with arthroscopic RCR were randomly reviewed by two experienced shoulder surgeons. The synovitis scores of the GHJ using David’s grading system and the SAS using Jo’s grading system were rated with a consensus. Univariate and multivariate analyses were used to identify the associations between the synovitis scores and various parameters, including demographics, preoperative, and postoperative clinical outcomes. Univariate analyses revealed that age, side, body mass index, duration of symptoms, preoperative stiffness, diabetes, muscle atrophy, fatty infiltration, tear size, preoperative clinical scores, and preoperative range of motion were significantly associated with the GHJ synovitis score (all P < .05). Multivariate analyses revealed that the duration of symptoms, tear size, and diabetes were significantly associated with the GHJ synovitis score (P = .048, P = .025, P = .011, respectively). Longer duration of symptoms, larger tear size, and the presence of diabetes were independently associated with increased GHJ synovitis in patients with a rotator cuff tear. These results suggest that GHJ synovitis might be more involved in the pathogenesis for pain and tear progression of rotator cuff disease compared with SAS synovitis.

Does Cold Therapy Reduce Pain After Arthroscopic Rotator Cuff Surgery: A Randomized Controlled Trial ePoster Presentation Christoffer von Essen, MD, PhD, SWEDEN
Impact of Patient Resilience on Rotator Cuff Repair Post-Operative Outcomes ePoster Presentation Ryan W. Paul, BS, UNITED STATES Michael P Campbell, MD, UNITED STATES Sydney Streicher, BA, UNITED STATES Matthew P Wallingford, BS, UNITED STATES Taylor D'Amore, MD, UNITED STATES Sean Bryan, MD, UNITED STATES Fotios P. Tjoumakaris, MD, UNITED STATES Kevin Freedman, MD, UNITED STATES
Effect of Polydeoxyribonucleotide and Polynucleotide on Healing and Fatty Degeneration of Rotator Cuff in Hypercholesterolemic Rat model ePoster Presentation Jung-Taek Hwang, MD, PhD, KOREA, REPUBLIC OF
Outcome Comparison Between Arthroscopic Repair of Full-Thickness Rotator Cuff Tear and Partial-Thickness Rotator Cuff Tear ePoster Presentation Andres Eduardo Rodriguez Borgonovo, MD, AUSTRALIA Mark David Haber, MBBS, FRACS, AUSTRALIA Noam Rosen, MD, AUSTRALIA Dvir Shalom Ben Shabat, MD, AUSTRALIA
Virtual Reality Rehabilitation for Patients with Shoulder Disorders ePoster Presentation Umile Giuseppe Longo, MD, MSc, PhD, Prof., ITALY Arianna Carnevale, Eng, ITALY Vincenzo Candela, ITALY Carlo Casciaro, MD, ITALY Giuseppe Salvatore, MD, PhD, ITALY Alessandra Berton, MD, ITALY Emiliano Schena, Eng, ITALY Marco Carli, Prof., ITALY Vincenzo Denaro, MD, PhD, Prof., ITALY
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Progression of Symptomatic Partial-Thickness Rotator Cuff Tears Association With Initial Tear Involvement and Work Level ePoster Presentation Myung-Seo Kim, MD, PhD., KOREA, REPUBLIC OF Sang-Hun Ko, MD, Prof., KOREA, REPUBLIC OF
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The Influence of Different Rotator Cuff Tears in Relation to Glenoid Depth on Glenohumeral Stability - A Robotic Biomechanical Analysis ePoster Presentation Sebastian Oenning, MD, GERMANY Mats Jonas Wiethölter, MD, GERMANY Jens Wermers, MD, GERMANY Alina Köhler, MD, GERMANY Sebastian Oenning, MD, GERMANY Michael J. Raschke, MD, Prof., GERMANY J. Christoph Katthagen, MD, GERMANY
Comparison of Tear Characteristics, Outcome Parameters and Healing In Traumatic and Non-Traumatic Rotator Cuff Tear: A Prospective Cohort Study ePoster Presentation Souvik Paul, MBBS, MS Orthopedics (AIIMS), DNB, MCh, Dip SICOT, INDIA Tarun Goyal, MBBS, MS, DNB, MCh, FRCS (Edin), INDIA
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Cuff Plus Procedure for the Treatment of Large to Massive Rotator Cuff Tears ePoster Presentation Francesco De Filippo, MD, ITALY Marcello Motta, MD, ITALY Marco Adriani, MD, ITALY Emanuele Maggini, MD, ITALY Maristella Francesca Saccomanno, MD, PhD, ITALY Giuseppe Milano, Prof., ITALY
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Usability of the Dynamic Assessment of the Supraspinatus Using Ultrasonography ePoster Presentation Junsuke Miyasaka, MS, JAPAN Ryuzo Arai, MD, JAPAN Yuji Yoshioka, MS, JAPAN Takuma Yuri, PhD, JAPAN Shuichi Matsuda, MD, PhD, JAPAN
The Functional Outcome Of Arthroscopic Subscapularis Tendon Repair Through Anterolateral Viewing Portal Using Lasso-Loop Technique ePoster Presentation Prince Shanavas Khan, D' ORTHO, M.S. ORTHO, INDIA Arun Mundakkal, M.B.B.S, INDIA
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Arthroscopic Repair of Displaced Greater Tuberosity Fractures: Outcomes and Radiographic Consolidation ePoster Presentation Pablo A. Narbona, MD, ARGENTINA Martin Vaquer, Md, ARGENTINA Manuel Olmos, MD, ARGENTINA Rafael Norberto Martinez Gallino, MD, ARGENTINA Gabriel Arce, MD, ARGENTINA Guillermo Ruffini, ARGENTINA Nicolas Ignacio Carranza, MD, ARGENTINA
Efficacy of MRI Imaging Versus Reports On Surgical Decision Making In the Shoulder ePoster Presentation Maciej Jk Simon, MD, PhD, GERMANY William Regan, MD FRCSc, CANADA
Primary Cuff Repair Augmented With Balloon Spacer in a Majority Massive Rotator Cuff Tear Series - A Short Term Outcome and Imaging Study ePoster Presentation Seng Juong Wong, MBChB, MRCS, SINGAPORE Hannah Marian Lie, Medical Student, SINGAPORE Muhammad Danish Bin Massuryono, Medical Student, SINGAPORE Denny T. T. Lie, MBBS, FRCS, FAMS, SINGAPORE
Long-term Clinical Outcomes and Imaging Evaluation More than 10 years after Arthroscopic otator cuff repair ePoster Presentation Hironori Kakoi, MD, JAPAN Hideyasu Kaieda, JAPAN Yasunari Fujii, MD, JAPAN
Conservative Treatment For Full-Thickness Supraspinatus Tendon Tears: Efficacy And Prognostic Factors ePoster Presentation Thomas Kappe, MD, Prof., GERMANY Mirco Sgroi, MD, GERMANY Heiko Reichel, Prof., GERMANY
Effects of an Abduction Brace After Shoulder Surgery on Gait Parameters and Functional Mobility ePoster Presentation Filippo Familiari, MD, Prof., ITALY Michele Mercurio, MD, ITALY Francesca Greco, MSc, ITALY Alessandro Barone, MD, Prof., ITALY Gian Pietro Emerenziani, PT, ITALY Olimpio Galasso, MD, Prof., ITALY Giorgio Gasparini, MD, Prof., ITALY
Histopathology Of Long Head Of Biceps Tendon Removed During Tenodesis Demonstrates Degenerative Histopathology and Not Inflammatory Changes ePoster Presentation Maciej Jk Simon, MD, PhD, GERMANY Jane Yeoh, MD, FRCSC, CANADA Michael Nimmo, MD, FRCPC, CANADA William Regan, MD FRCSc, CANADA
Arthroscopic Margin Convergence Rotator Cuff Repair Without Suture Anchors – Outcome and Prognostic Factors ePoster Presentation S. Ali Ghasemi, MD, UNITED STATES Adam Lencer, BS, UNITED STATES Arthur R Bartolozzi, MD, UNITED STATES
Radiological Evaluation Of Rotator Cuff Healing and Its Clinical Correlation After Arthroscopic Repair of Rotator Cuff Tear By Single Row Technique ePoster Presentation Vinod Kumar, MBBS, MS, DNB, MNAMS, INDIA Rakesh Sehrawat, MBBS, MS, INDIA Ananya Sharma, MBBS, MS, DNB , INDIA

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Chronicity is Associated With the Glenohumeral Synovitis in Patients with a Rotator Cuff Tear

Chronicity is Associated With the Glenohumeral Synovitis in Patients with a Rotator Cuff Tear

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Chronicity is Associated With the Glenohumeral Synovitis in Patients with a Rotator Cuff Tear

Chronicity is Associated With the Glenohumeral Synovitis in Patients with a Rotator Cuff Tear

More 2023 ISAKOS Congress Content