Arthroscopic Minced Cartilage Repair in the Glenohumeral Joint – Short Term Clinical Outcome in a 33-Year-Old Handyman: A Case Report
Roman Frederik Karkosch, Tomas Smith, Gunnar Jensen, Lars Rene Tuecking, Hauke Horstmann Orthopedic Surgery Department, Hannover Medical School (MHH), Hannover, D-30625, GermanyCorrespondence: Hauke Horstmann, Email hauke.horstmann@diakovere.deObjective: Clinical outcome data for the novel minced ca...
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| Format: | Article |
| Language: | English |
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Dove Medical Press
2023-11-01
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| Series: | Orthopedic Research and Reviews |
| Subjects: | |
| Online Access: | https://www.dovepress.com/arthroscopic-minced-cartilage-repair-in-the-glenohumeral-joint--short--peer-reviewed-fulltext-article-ORR |
| _version_ | 1797486278969655296 |
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| author | Karkosch RF Smith T Jensen G Tuecking LR Horstmann H |
| author_facet | Karkosch RF Smith T Jensen G Tuecking LR Horstmann H |
| author_sort | Karkosch RF |
| collection | DOAJ |
| description | Roman Frederik Karkosch, Tomas Smith, Gunnar Jensen, Lars Rene Tuecking, Hauke Horstmann Orthopedic Surgery Department, Hannover Medical School (MHH), Hannover, D-30625, GermanyCorrespondence: Hauke Horstmann, Email hauke.horstmann@diakovere.deObjective: Clinical outcome data for the novel minced cartilage procedure are sparse. While good results have been shown for the knee joint, this is the first report in the current literature regarding this increasingly important procedure in the glenohumeral joint.Case Description: A 33-year-old handyman with a cartilage defect in the humeral head underwent an all arthroscopic one-stage cartilage repair with the AutoCartTM procedure (Arthrex GmbH, Munich, Germany). A senior specialist examined the patient before surgery, five-, 12-and 24-weeks post-surgery. Outcome parameters (Constant-Murley Score, UCLA Shoulder Score and ASES Score) and radiographic imaging were recorded.Results: At six months, follow-up the outcome parameter showed excellent results, the joint pain decreased to numeric rating scale (NRS) 0. The postoperative magnetic resonance imaging (MRI) revealed a thin cartilage layer in the treated area with sufficient integration to the surrounding tissue. The cartilage in the former defect zone presented a homogeneous signal, which was comparable to the intact cartilage.Conclusion: This case report underlines the growing interest in single-stage arthroscopic minced cartilage procedures and shows promising results in the glenohumeral joint. Yet, larger investigations with long-term follow-up are necessary to provide reliable clinical data to determine if comparable results can be achieved over time. Keywords: cartilage repair, shoulder, minced cartilage |
| first_indexed | 2024-03-09T23:31:54Z |
| format | Article |
| id | doaj.art-27f195cb64d845eb8d2bd8386a37c242 |
| institution | Directory Open Access Journal |
| issn | 1179-1462 |
| language | English |
| last_indexed | 2024-03-09T23:31:54Z |
| publishDate | 2023-11-01 |
| publisher | Dove Medical Press |
| record_format | Article |
| series | Orthopedic Research and Reviews |
| spelling | doaj.art-27f195cb64d845eb8d2bd8386a37c2422023-11-23T17:07:56ZengDove Medical PressOrthopedic Research and Reviews1179-14622023-11-01Volume 1524525188451Arthroscopic Minced Cartilage Repair in the Glenohumeral Joint – Short Term Clinical Outcome in a 33-Year-Old Handyman: A Case ReportKarkosch RFSmith TJensen GTuecking LRHorstmann HRoman Frederik Karkosch, Tomas Smith, Gunnar Jensen, Lars Rene Tuecking, Hauke Horstmann Orthopedic Surgery Department, Hannover Medical School (MHH), Hannover, D-30625, GermanyCorrespondence: Hauke Horstmann, Email hauke.horstmann@diakovere.deObjective: Clinical outcome data for the novel minced cartilage procedure are sparse. While good results have been shown for the knee joint, this is the first report in the current literature regarding this increasingly important procedure in the glenohumeral joint.Case Description: A 33-year-old handyman with a cartilage defect in the humeral head underwent an all arthroscopic one-stage cartilage repair with the AutoCartTM procedure (Arthrex GmbH, Munich, Germany). A senior specialist examined the patient before surgery, five-, 12-and 24-weeks post-surgery. Outcome parameters (Constant-Murley Score, UCLA Shoulder Score and ASES Score) and radiographic imaging were recorded.Results: At six months, follow-up the outcome parameter showed excellent results, the joint pain decreased to numeric rating scale (NRS) 0. The postoperative magnetic resonance imaging (MRI) revealed a thin cartilage layer in the treated area with sufficient integration to the surrounding tissue. The cartilage in the former defect zone presented a homogeneous signal, which was comparable to the intact cartilage.Conclusion: This case report underlines the growing interest in single-stage arthroscopic minced cartilage procedures and shows promising results in the glenohumeral joint. Yet, larger investigations with long-term follow-up are necessary to provide reliable clinical data to determine if comparable results can be achieved over time. Keywords: cartilage repair, shoulder, minced cartilagehttps://www.dovepress.com/arthroscopic-minced-cartilage-repair-in-the-glenohumeral-joint--short--peer-reviewed-fulltext-article-ORRcartilage repair – shoulder – minced cartilage |
| spellingShingle | Karkosch RF Smith T Jensen G Tuecking LR Horstmann H Arthroscopic Minced Cartilage Repair in the Glenohumeral Joint – Short Term Clinical Outcome in a 33-Year-Old Handyman: A Case Report Orthopedic Research and Reviews cartilage repair – shoulder – minced cartilage |
| title | Arthroscopic Minced Cartilage Repair in the Glenohumeral Joint – Short Term Clinical Outcome in a 33-Year-Old Handyman: A Case Report |
| title_full | Arthroscopic Minced Cartilage Repair in the Glenohumeral Joint – Short Term Clinical Outcome in a 33-Year-Old Handyman: A Case Report |
| title_fullStr | Arthroscopic Minced Cartilage Repair in the Glenohumeral Joint – Short Term Clinical Outcome in a 33-Year-Old Handyman: A Case Report |
| title_full_unstemmed | Arthroscopic Minced Cartilage Repair in the Glenohumeral Joint – Short Term Clinical Outcome in a 33-Year-Old Handyman: A Case Report |
| title_short | Arthroscopic Minced Cartilage Repair in the Glenohumeral Joint – Short Term Clinical Outcome in a 33-Year-Old Handyman: A Case Report |
| title_sort | arthroscopic minced cartilage repair in the glenohumeral joint ndash short term clinical outcome in a 33 year old handyman a case report |
| topic | cartilage repair – shoulder – minced cartilage |
| url | https://www.dovepress.com/arthroscopic-minced-cartilage-repair-in-the-glenohumeral-joint--short--peer-reviewed-fulltext-article-ORR |
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