Journal of shoulder and elbow surgery | 2020 | Rashid MS, Arner JW, Millett PJ, Sugaya H
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[Indexed for MEDLINE] 18. Arthroscopy. 2020 Mar;36(3):638-639. doi: 10.1016/j.arthro.2019.10.040. Editorial Commentary: Rotator Cuff Tendon Healing May Be Enhanced With a Blanket. Ciccone W 2nd. Comment on Arthroscopy. 2020 Mar;36(3):629-637. doi: 10.1016/j.arthro.2019.09.015. After rotator cuff repair, the regeneration of the anatomic enthesis may be beneficial. Although many cell and growth factor studies have been performed, none have shown a consistent regeneration of this structure. The use of bone marrow vents in the greater tuberosity has been associated with improved healing. The resultant clot has been dubbed a "crimson duvet" or blanket. The use of this readily available-and inexpensive-modality should be maximized in patients undergoing rotator cuff repair. In the end, a goal could be to enhance tendon-to-bone healing via a scaffold, cells, and growth factors. Pending inevitable reliable advances in biological augmentation, mesenchymal stem cells and growth factors from the greater tuberosity are just a marrow-stimulating pick away. Copyright © 2019 Arthroscopy Association of North America. Published by Elsevier Inc. All rights reserved. DOI: 10.1016/j.arthro.2019.10.040
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