JACKSONVILLE, Fla. (Ivanhoe Newswire) — The rotator cuff is a group of muscles that come together to help comfortably lift and rotate your arm. Rotator cuff tears are extremely common, with up to 30 percent of the population over the age of 60 suffering from them. But what happens when standard repair surgery fails? Now, there is a new procedure from Japan called superior capsule reconstruction.
Reginald or “Reggie” Lucas is a coach, who loves playing golf. But after tearing his rotator cuff, his entire life was impacted.
“I was really limited to a lot of things I couldn’t do because I had to sleep on one side of the bed, and didn’t get enough sleep because of the pain I would be in,” Lucas explained to Ivanhoe.
After five failed rotator cuff surgeries, Reggie went to see Kevin Kaplan, MD, an Orthopedic Surgeon at the Jacksonville Orthopaedic Institute, who is also Head Team Physician for the Jacksonville Jaguars.
Dr. Kaplan told Ivanhoe, “He was in such pain with limited function he said I’d like to try anything to make this better.” (Read Full Interview)
Dr. Kaplan recommended superior capsule reconstruction. Using donated tissue to recreate the rotator cuff, “we attach that to both the socket and the ball, and it acts almost like a reverse trampoline and it keeps the ball centered in the socket,” Dr. Kaplan explained.
The surgery was successful. Reggie’s pain was gone almost immediately.
“When I came back and I showed doc how the range of motion was with the arm, he said I release you to putt well I didn’t tell him I was already swinging,” Lucas laughed.
“His results have been fantastic, and he has been one of the biggest advocates I’ve had. In fact I’ve had patients who were nervous about the procedure, and he was able to talk them through his process and how well he’s done with this,” Dr. Kaplan said.
Lucas said, “On a scale of one to ten, I’m at a ten plus.”
Dr. Kaplan says the risk of rejection and infection of donated tissue in superior capsule reconstruction is extremely low, because the body will incorporate the tissue as part of its own.
Contributors to this news report include: Cyndy McGrath, Supervising Producer; Gabriella Battistiol, Assistant Producer; Roque Correa, Editor and Videographer.
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TOPIC: NEW ROTATOR CUFF GETS REGGIE BACK IN THE SWING
REPORT: MB #4286
BACKGROUND: The rotator cuff is a group of muscles and tendons that surround the shoulder joint. This keeps the upper arm firmly in the socket of the shoulder. An injury could cause dull aches in the shoulder. While an injury can be treated with physical therapy, a tear may require surgical repair. The risk factors include age, as it is most common in those who are over 40. Additionally, certain sports like basketball, construction jobs, and family history can play a part in it. Without treatment, the rotator cuff injury may lead to progressive degeneration of the shoulder joint.
TREATMENT: A doctor will recommend imaging tests such as X-rays, magnetic resonance imaging (MRI), and ultrasounds. There are many types of surgery that include arthroscopic tendon repair, open tendon repair, bone spur removal, tendon transfer and shoulder replacement. In arthroscopic tendon repair surgeons insert a tiny camera and tools to reattach the tendons to the bone. In open tendon repair, the surgeon works through a large incision to reattach the tendon. If there is an overgrowth of the bone irritating the rotator cuff then a bone spur removal is used to cut off the excess bone and smooth over a portion of the tendon. When the torn tendon is too damaged, then surgeons may decide to use a nearby tendon as a replacement. Lastly, a shoulder replacement is used when injuries become too severe.
NEW PROCEDURE: A new surgical procedure was pioneered by Dr. Teruhisa Mihata in 2007. This procedure is for those with irreparable rotator cuff tears. It utilizes a graft from the superior glenoid to the greater tuberosity to stabilize the humeral head. The surgery also involves using human dermal allograft and absorbable suture anchors. This procedure allows restored shoulder function, and delays the development of advanced cuff tears. Similar to the rotator cuff repair rehabilitation, the patient is in a sling following surgery for about six to eight weeks. Range of motion begins to return around six weeks, and strengthening occurs at about ten to 12 weeks.
Dr. Kevin Kaplan)
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