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The rotator cuff tear (RCT) repairing of tendon-to-bone junction (enthese) after surgery in osteoporotic patients is mainly hindered by poor bone formation at the damaged humeral tuberosity region. We found that long-term oral supplementation of Magnesium ions (Mg) can significantly promote humeral tuberosity bone formation and enthese regeneration after RCT surgery in ovariectomized (OVX) rats, attributing to the promotive effect of Mg on the osteogenic differentiation of bone marrow mesenchymal stem cells (BMSCs) and its inhibition of new bone mineralization. Meanwhile, the in vitro replicative senescent markers of BMSCs are significantly relieved by Mg. The BMSCs' RNA-seq data analysis and cell energy metabolism results indicate that Mg significantly increase senescent BMSCs' mitochondrial transmembrane potential and intracellular ATP content, and reduce reactive oxygen species production.
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http://dx.doi.org/10.1016/j.yexcr.2025.114593 | DOI Listing |
Front Bioeng Biotechnol
August 2025
Department of Sports Medicine, The First Affiliated Hospital, Guangdong Provincial Key Laboratory of Speed Capability, The Guangzhou Key Laboratory of Precision Orthopedics and Regenerative Medicine, Jinan University, Guangzhou, Guangdong, China.
Introduction: During the healing process, the functional gradient attachment of the rotator cuff (RC) tendon-bone interface fails to regenerate, which severely impedes load transfer and stress dissipation, thereby increasing the risk of retears. As a result, the treatment of rotator cuff tears remains a significant clinical challenge.
Methods: In this study, a dual-crosslinked hyaluronic acid/polyethylene glycol (HA/PEG) hydrogel scaffold was synthesized using hyaluronic acid and polyethylene glycol as base materials.
Ugeskr Laeger
September 2025
fdeling for Led- og Knoglekirurgi, Københavns Universitetshospital - Herlev og Gentofte Hospital.
The clinical presentation of rotator cuff ruptures varies greatly and ranges from no symptoms to severe shoulder impairment. Clinical shoulder tests are an effective screening tool to identify patients who require early specialist assessment or further radiological investigation, but they are not sufficient to rule out smaller ruptures. Small ruptures can often be managed non-surgically, while larger traumatic ruptures may necessitate early surgical intervention.
View Article and Find Full Text PDFJ ISAKOS
September 2025
McMaster University Division of Orthopaedic Surgery, Hamilton, ON, Canada; Oakville Trafalgar Memorial Hospital, Division of Orthopaedic Surgery, Oakville, ON, Canada.
Introduction/objectives: Irreparable subscapularis tears can cause severe functional impairment and present significant clinical challenges. Current treatment options include tendon transfers (TTs), anterior capsular reconstruction, and reverse shoulder arthroplasty. Each approach has distinct biomechanical advantages and limitations, but there remains no consensus regarding the optimal treatment.
View Article and Find Full Text PDFEur J Orthop Surg Traumatol
September 2025
Pontifical Bolivarian University, Medellín, Colombia.
Introduction: Accurate diagnosis of subscapularis tears remains challenging due to the limitations of physical examinations and imaging techniques. Therefore, specific radiological parameters have been proposed as predictors of atraumatic subscapularis tears to improve diagnostic sensitivity and accuracy. These parameters include coracohumeral distance (CHD), coracoglenoid angle (CGA), coracoid angle (CA), coracoid overlap (CO), and coracohumeral angle (CHA).
View Article and Find Full Text PDFMusculoskelet Surg
September 2025
Orthopaedic and Traumatology Department, ASST Sette Laghi-Circolo Hospital and Macchi Foundation in Varese University Center, Viale Luigi Borri, 57, 21100, Varese, Italy.
Purpose: The aim of this study was to evaluate the radiological-functional outcomes and rotator cuff (RC) status following humeral intramedullary nailing (IMN), comparing the anterolateral standard approach (group 1) and the percutaneous antero-acromial approach (group 2).
Methods: This observational prospective monocentric study was conducted from August 2021 to March 2023. Inclusion criteria included: two-parts proximal (surgical neck) and diaphyseal Humeral fractures treated with IMN; 12-month follow-up; age between 18 and 85 years; good performance status (excluding neurologic deficits or mental disorders).