Arthroscopic Subacromial Spacer Implantation in Patients With Massive Irreparable Rotator Cuff Tears: Clinical and Radiographic Results of 39 Retrospectives Cases

Deranlot, Julien; Herisson, Olivier; Nourissat, Geoffroy; Zbili, David; Werthel, Jean David; Vigan, Marie; Bruchou, F

doi:10.1016/j.arthro.2017.03.029

Cited by 122 publications

(95 citation statements)

References 31 publications

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“…In these patients, the mean constant score increased from 48.4 points preoperatively to 67.6 points postoperatively. Specifically, the mean pain score improved from 3.4 to 11, a significantly better improvement than that reported by Deranlot et al 1 and also with relatively minimal intervention.…”

mentioning

confidence: 46%

“…They reported that the arthroscopic lateral retinacular release of a symptomatic type III bipartite patella without excision of the accessory fragment allowed early return to sporting activities, with excellent symptom relief. 1 I congratulate the authors on their very good clinical outcome.…”

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confidence: 96%

“…13. Sonnery-Cottet B, Saithna A, Cavalier M, et al 1 The authors concluded that "arthroscopic subacromial spacer implantation for irreparable rotator cuff tear leads to significant improvement in shoulder function at a minimum of 1 year postoperatively." However, they reported a preoperative constant score of 39 and a postoperative constant score of 64 at a 1-year followup.…”

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confidence: 99%

“…I read with interest the article by Felli et al 1 entitled "Clinical Outcome of Arthroscopic Lateral Retinacular Release for Symptomatic Bipartite Patella in Athletes". They reported that the arthroscopic lateral retinacular release of a symptomatic type III bipartite patella without excision of the accessory fragment allowed early return to sporting activities, with excellent symptom relief.…”

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confidence: 99%

“…Until now, subperiosteal detachment of the vastus lateralis insertion, 2 lateral retinacular release, 3 and vastus lateralis release 4 were devised based on the idea that a major cause of symptomatic bipartite patella is excessive traction force exerted by the vastus lateralis muscle and is aimed at reducing this traction force on the bipartite fragment. In their study, Felli et al 1 also described that arthroscopic lateral retinacular release was performed to reduce the compressive forces on the lateral patella-femoral joint. However, there is not sufficient evidence to support these hypothesis and their use for routine treatment of symptomatic bipartite patella.…”

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confidence: 99%

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Arthroscopic Subacromial Spacer Implantation in Patients With Massive Irreparable Rotator Cuff Tears: Clinical and Radiographic Results of 39 Retrospectives Cases—Is the Pain Relief Enough?

Rajnish

Chouhan

Agarwal

2018

Arthroscopy: The Journal of Arthroscopic & Related Surgery

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confidence: 46%

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confidence: 96%

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confidence: 99%

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confidence: 99%

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confidence: 99%

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Arthroscopic Subacromial Spacer Implantation in Patients With Massive Irreparable Rotator Cuff Tears: Clinical and Radiographic Results of 39 Retrospectives Cases—Is the Pain Relief Enough?

Rajnish

Chouhan

Agarwal

2018

Arthroscopy: The Journal of Arthroscopic & Related Surgery

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Subacromial balloon spacer massive rotator cuff tear treatment systematic review and meta‐analysis: Patient selection and physical therapy may be keys to outcome success

Sirignano,

Nyland,

Krupp

2024

Knee surg. sports traumatol. arthrosc.

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PurposeSubacromial balloon spacer implantation (SBSI) efficacy for massive rotator cuff tear treatment was evaluated based on perceived shoulder function, active shoulder mobility, pain, complications and research study methodological quality. The purpose was to better discern the efficacy of this device from both surgical and rehabilitative perspectives to improve patient outcomes.MethodsPubMed, EMBASE and Cochrane Library databases were searched (1 January 2010 to 1 June 2024) using ‘balloon spacer’, ‘subacromial spacer’, ‘subacromial balloon spacer’, ‘shoulder spacer’ and ‘inspace’ terms. Pre‐surgery (baseline), 12‐month (12‐m) and 24‐month (24‐m) post‐SBSI mean changes were compared using one‐way ANOVA and Scheffe post hoc tests, and comparative study effect sizes were calculated (p ≤ 0.05).ResultsThis review consists of 27 studies with 894 patients (67.8 ± 5 years of age) and 29.4 ± 17‐month follow‐up. Modified Coleman Methodology Scores (MCMS) revealed fair overall quality (mean = 61.4 ± 11). Constant–Murley scores improved from 34.8 ± 6 (baseline), to 64.2 ± 9 (12‐m) and 67.9 ± 8 (24‐m) (12‐m, 24‐m > baseline, p < 0.001). ASES scores improved from 35.1 ± 14 (baseline), to 83.3 ± 7 (12‐m) and 81.8 ± 5 (24‐m)(12‐m, 24‐m > baseline, p < 0.001). VAS pain scores improved from 6.6 ± 1 (baseline), to 2.6 ± 1 (12‐m) and 2.0 ± 1 (24‐m) (12‐m, 24‐m < baseline, p < 0.001). Flexion increased from 108.5 ± 25° (baseline), to 128.5 ± 30° (12‐m) and 151.2 ± 14° (24‐m) (24‐m > 12‐m, baseline, p = 0.01). Abduction increased from 97.7 ± 24° (baseline) to 116.3 ± 23° (12‐m) and 142.3 ± 15° (24‐m) (24‐m > 12‐m, baseline, p = 0.02). External rotation (ER) in adduction changed from 33.1 ± 7° (baseline) to 32.5 ± 4° (12‐m) and 53.9 ± 9° (24‐m)(24‐m > 12‐m, baseline, p = 0.01). ER at 90° abduction increased from 56.3 ± 3° (baseline) to 83.5 ± 5° (12‐m) and 77.1 ± 4° (24‐m) (24‐m, 12‐m > baseline, p = 0.01). Comparison studies, however, displayed insignificant results with small effect sizes.ConclusionDespite overall fair MCMS scores, at 24‐m post‐SBSI, shoulder function improved and pain decreased. More rigorous comparative studies, however, revealed insignificant findings. Patients with the potential to re‐establish the essential glenohumeral joint force couple that depresses the humeral head on the glenoid fossa and who comply with physical therapy may be more likely to achieve success following SBSI.Level of EvidenceLevel IV.

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The Subacromial Balloon Spacer: Indications and Technique

Savage-Elliott

Ross

SavoieIII

et al. 2021

The Failed Rotator Cuff

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Arthroscopic Subacromial Spacer Implantation in Patients With Massive Irreparable Rotator Cuff Tears: Clinical and Radiographic Results of 39 Retrospectives Cases

Cited by 122 publications

References 31 publications

Arthroscopic Subacromial Spacer Implantation in Patients With Massive Irreparable Rotator Cuff Tears: Clinical and Radiographic Results of 39 Retrospectives Cases—Is the Pain Relief Enough?

Arthroscopic Subacromial Spacer Implantation in Patients With Massive Irreparable Rotator Cuff Tears: Clinical and Radiographic Results of 39 Retrospectives Cases—Is the Pain Relief Enough?

Subacromial balloon spacer massive rotator cuff tear treatment systematic review and meta‐analysis: Patient selection and physical therapy may be keys to outcome success

The Subacromial Balloon Spacer: Indications and Technique

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