Amin Karimi, MD; Maryam Sedaghatnia, MD; Adel Ebrahimpour, MD; Seyed Ramin Etemadi, MD Etemadi, MD; Pejman Moradi, MD; Ahmad shafaeizadeh, MD
Abstract
Alkaptonuria is a rare metabolic disorder. Symptoms include discoloration of tissues and degenerative joint disease and urinary stones. A 60-year-old man was admitted due to knee and hip pain. Brown lesions on the eye, ear, hand and fingers were visible. Limitation of motion of the hip and knee and elbow ...
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Alkaptonuria is a rare metabolic disorder. Symptoms include discoloration of tissues and degenerative joint disease and urinary stones. A 60-year-old man was admitted due to knee and hip pain. Brown lesions on the eye, ear, hand and fingers were visible. Limitation of motion of the hip and knee and elbow was present on both sides. He had history of kidney stones ad Achilles tendon rupture. During hip arthroplasty, black lesions on the greater trochanter and femoral head were visible.
Hamid Reza Aslani; Amin karimi; Zohreh Zafarani
Abstract
Background: In massive irreparable shoulder rotator cuff tears in older patients, an alternative surgery is debredement of subacromial bursa, biceps tendon and tuberoplasty. This is a short-term report of such a treatment performed arthroscopically in a small group of patients. Methods: In a prospective ...
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Background: In massive irreparable shoulder rotator cuff tears in older patients, an alternative surgery is debredement of subacromial bursa, biceps tendon and tuberoplasty. This is a short-term report of such a treatment performed arthroscopically in a small group of patients. Methods: In a prospective study, in a 2 year interval, 8 patients with massive irreparable rotator cuff tear with mean age of 65 (60-75) underwent arthroscopic debridement of necrotic rotator cuff tendon remnants and tuberoplasty without coracoaromial ligament excision. The sign and symptoms of patients before and after surgery were evaluated with modified UCLA score. Results: With a mean follow-up of 12 months (6-18 months), the modified UCLA score improved from 9.2 to 27.5. In 7 patients, pain and range of motion improved to near normal and 6 cases obtained near normal function. Although the acromiohumeral distance decreased from 5 to 4 millimeters and slight increase in degenerative changes was observed, the functional outcome was good. Conclusion: This simple arthroscopic procedure is recommended in massive irreparable rotator cuff tear especially in elderly patients.
Hamid Reza Aslani, MD; Mehdi Abooei Mehrizi, MD; Amin Karimi, MD; Zohreh Zaferani, MD
Abstract
Background: Rotator cuff muscles are the milestone of shoulder function. Tear of the rotator cuff could result in shoulder pain and deterioration of the function. The purpose of this study was to evaluate the outcome of arthroscopically repaired large and massive rotator cuff tears in short term. Methods: ...
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Background: Rotator cuff muscles are the milestone of shoulder function. Tear of the rotator cuff could result in shoulder pain and deterioration of the function. The purpose of this study was to evaluate the outcome of arthroscopically repaired large and massive rotator cuff tears in short term. Methods: Fifity one consecutive patients (41 males, 10 females) with average age of 49 years old (38-62 y/o) who had arthroscopically repairable large or massive tears during a 3 year period in two hospitals in Tehran were included in the study. Ten of these patients were lost to follow-up and were excluded from the study. The remaining 41 were the focus of this study. Results: 28 patients had large tears and 13 had massive tears. Follow-up averaged 25 months (range, 12 to 48 months). Based on the University of California Los Angeles shoulder rating (UCLA), 88% of patients had good or excellent outcomes. Although 5 patients were considered failures based on the UCLA score, 98% of patients were satisfied with the result. Only 1 of these failures underwent a second operation for revision repair. There was no significant difference in final scores when comparing the massive tears with the entire group. The preoperative scores however for massive tears were lower than the large tears.Conclusion: Arthroscopic management of large and massive of rotator cuff tears results in good or excellent outcomes comparable to reported outcomes following open repair
