Southern Oregon Orthopedics
  • Dr. Denard’s Blog

    Expert Advice from a
    Leading Shoulder Surgeon.

Rotator Cuff

  • Does Atrophy Improve After Rotator Cuff Repair?

    Does Atrophy Improve After Rotator Cuff Repair?

    Atrophy is an important consideration in rotator cuff tears. Atrophy is when a muscle shrinks in size well accepted that greater atrophy leads to a poorer chance of healing following rotator cuff repair. In general, the greater the atrophy, the lower the chance of obtaining healing.

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  • What is Superior Capsule Reconstruction?

    What is Superior Capsule Reconstruction?

    Superior capsule reconstruction (SCR) is a procedure that is used in the treatment of irreparable rotator cuff tears. The procedure was first described in 2013 by Dr. Teruhisa Mihata from Japan. Patch grafting has a long history of being used to "bridge gaps" in irreparable rotator cuff tears. Mihata’s innovation was attaching the graft to the glenoid or socket site of the joint as opposed to sewing the graft into soft tissue.

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  • Can Repairing Your Rotator Cuff Save You Money?

    Can Repairing Your Rotator Cuff Save You Money?

    With changes in health care physicians are increasingly being scrutinized for the care they administer including rotator cuff repair. More and more we are required to ask ourselves whether a procedure or medicine is cost-effective, that is does it produce a result medically and does it come at a reasonable cost.

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  • If You Have a Rotator Cuff Tear, Should the Opposite Shoulder Be Screened?

    If You Have a Rotator Cuff Tear, Should the Opposite Shoulder Be Screened?

    An emerging topic in the shoulder world is screening for rotator cuff tears. One question is if the opposite shoulder should also be screened for a rotator cuff tear. That is, if someone has a rotator cuff tear in one shoulder, should the other shoulder be evaluated with an MRI or ultrasound to determine if there is a tear in the opposite shoulder?

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  • Are You Too Old for a Rotator Cuff Repair?

    Are You Too Old for a Rotator Cuff Repair?

    Rotator cuff tears increase with age and are particularly common in people over the age of 65. At the same time the ability to get the rotator cuff to heal after a repair decreases as we age.

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  • What is the Best Treatment of a Type III AC Separation?

    What is the Best Treatment of a Type III AC Separation?

    There are several types of acromioclavicular (AC) separations. Low grade injuries (Type I and II) involve limited injury to the AC joint only and should be managed conservatively. In contrast, high grade injuries (Type IV, V, and VI) involve injury to the AC joint, coracoclavicular (CC) ligaments, and overlying fascia and should thus be managed surgically.

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  • What Are the Complications After Shoulder Arthroscopy?

    What Are the Complications After Shoulder Arthroscopy?

    Shoulder arthroscopy has been a major advancement in the treatment of shoulder conditions. Through the use a camera and small stab incisions, conditions in the shoulder can be clearly viewed and treated in a minimally invasive fashion.

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  • Quality of Life After Reverse Shoulder Replacement

    Quality of Life After Reverse Shoulder Replacement

    Reverse shoulder replacement can have a substantial impact on your shoulder function and quality of life. The procedure was developed in France and then approved for use in the United States in 2004.

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  • Double-row or Single-row Rotator Cuff Repair: Which is Best?

    Double-row or Single-row Rotator Cuff Repair: Which is Best?

    There is currently a lot of controversy about the best type of rotator cuff repair, particularly with regard to whether the repair is single-row or double-row. In a single-row repair, anchors are placed in the humeral bone in a single line or row (typically 2 anchors) and sutures are passed through the rotator cuff and tied to bring the tendon down to bone and promote healing.

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  • Does the Location of a Rotator Cuff Tear Affect Treatment?

    Does the Location of a Rotator Cuff Tear Affect Treatment?

    The rotator cuff is a group of four muscles that come together to form a covering around the head of the humerus. Tears can occur in one or more of areas of the rotator cuff, but does treatment vary depending on the location of the tear? Yes it does.

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