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  Citation statistics : Table of Contents
   2009| January-March  | Volume 3 | Issue 1  
    Online since May 5, 2009

 
 
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ORIGINAL ARTICLES
Arthroscopic isolated posterior labral repair in rugby players
Ravi Badge, Amol Tambe, Lennard Funk
January-March 2009, 3(1):4-7
DOI:10.4103/0973-6042.50875  PMID:20616949
Background: The shoulder is the second most frequently injured joint after the knee in rugby players and labral tears appear to be common. There is limited data available in the literature regarding the mechanisms of posterior labral injury in rugby players and the management of these injuries. Objective: The aim of this study is to report the clinical presentation, arthroscopic findings, surgical technique for repair, and the functional outcome in elite English rugby players with isolated posterior labral injuries. Study Design: Case series (level IV evidence) Materials and m0 ethods: Over a 5-year period we surgically treated 142 elite rugby players, of whom 11 (7.8%) had isolated posterior labral injuries. All these 11 patients had significant contact injury. Only three (24%) patients had a true posterior shoulder dislocation. Pre- and postoperative assessment included Constant score, Oxford shoulder score, and Oxford instability score. We also assessed the time taken to return to preinjury level of fitness and the complications of surgery. Results: Average follow-up was for 32 months (range 17-54 months). The mean Constant score improved from 66 to 99. The Oxford score indicated improvement, decreasing from 33 to 18; similarly, the Oxford instability score also decreased from 52.2 to 12.3. Return to playing rugby at peak level was at a mean of 4.3 months after arthroscopic repair. Conclusion: Successful clinical results and rapid return to play can be achieved by appropriate early arthroscopic repair and supervised accelerated rehabilitation for posterior labral tears in elite rugby players.
  3 5,392 337
EDITORIAL
Shoulder injuries in rugby players
Joe de Beer, Deepak N Bhatia
January-March 2009, 3(1):1-3
DOI:10.4103/0973-6042.50874  PMID:20616948
  2 6,241 497
ORIGINAL ARTICLES
Arthroscopic rotator cuff repair in elite rugby players
Amol Tambe, Ravi Badge, Lennard Funk
January-March 2009, 3(1):8-12
DOI:10.4103/0973-6042.50876  PMID:20616950
Background: Rugby is an increasingly popular collision sport. A wide spectrum of injuries can be sustained during training and match play. Rotator cuff injury is uncommon in contact sports and there is little published literature on the treatment of rotator cuff tears in rugby players. Aims: We therefore reviewed the results and functional outcomes of arthroscopic rotator cuff repair in elite rugby players. Materials and Methods: Eleven professional rugby players underwent arthroscopic rotator cuff repair at our hospital over a 2-year period. We collected data on these patients from the operative records. The patients were recalled for outcome scoring and ultrasound scans. Results: There were seven rugby league players and four rugby union players, including six internationals. Their mean age was 25.7 years. All had had a traumatic episode during match play and could not return to the game after the injury. The mean time to surgery was 5 weeks. The mean width of the cuff tear was 1.8 cm. All were full- thickness cuff tears. Associated injuries included two Bankart lesions, one bony Bankart lesion, one posterior labral tear, and two 360 labral tears. The biceps was involved in three cases. Two were debrided and a tenodesis was performed in one. Repair was with suture anchors. Following surgery, all patients underwent a supervised accelerated rehabilitation programme. The final follow-up was at 18 months (range: 6-31 months) post surgery. The Constant scores improved from 44 preoperatively to 99 at the last follow-up. The mean score at 3 months was 95. The Oxford shoulder score improved from 34 to 12, with the mean third month score being 18. The mean time taken to return to full match play at the preinjury level was 4.8 months. There were no complications in any of the patients and postoperative scans in nine patients confirmed that the repairs had healed. Conclusion: We conclude that full-thickness rotator cuff tears in the contact athlete can be addressed successfully by arthroscopic repair, with a rapid return to preinjury status.
  2 5,911 234
CASE REPORTS
Lipomatous lesions around the shoulder: Recent experience in a Nigerian hospital
Ganiyu A Rahman, Adekunle Y Abdulkadir, IF Yusuf
January-March 2009, 3(1):13-15
DOI:10.4103/0973-6042.50877  PMID:20616951
We present four cases of shoulder lipomas in two females and two males in their fourth to fifth decades of life. All four lipomas were big. Three were subcutaneous and one was intermuscular. None of them were associated with any functional limitation of the affected shoulder. Subcutaneous or intermuscular lipomas around the shoulder do not appear to affect shoulder functions. Complete surgical excision is rewarding and was achieved under local anesthesia in all our patients with no incidence of recurrence.
  - 13,122 210
Dermatofibrosarcoma protuberans: A case report of a rare, bulky tumor that was managed with surgical therapy
Ahmet Yilmaz, Erol Cenesizoglu, Ertugrul Egilmez, Safa Onel, Mehdi Mustu, Ahmet Cennet
January-March 2009, 3(1):16-20
DOI:10.4103/0973-6042.48432  PMID:20616952
We report a case of this rare tumor and describe the surgical approach that we adopted and the clinical outcome; we also report his condition at 24 months' follow-up. Although treatment was with radical surgery, sufficient shoulder function could be obtained in our patient. We also describe the interesting MR findings of this tumor which correlated well with the histopathologic findings.
  - 6,294 461