35 YO female police officer totally disabled due 8 months of pain and limited function shoulder and rotator cuff. Patient was advised she must have surgery to repair the shoulder and she wanted other options. Physical therapy and cortisone injection failed to provide any benefits. Video is taken five months after precision ultrasound guided Lipogems® fat graft for the the orthopedic pain in the shoulder an rotator cuff.MRI anterior inferior labral tear with a 9mm X 6mm multilocuated ganglion cyst along the anterior inferior glenoid margin. Partial thickness interstitial tear of the supraspinatous tendon.Outcome scores one year after Lipogems® fat graft: Pain score from 0-10 with 10 being the worst pain was 7/10 now 0/10. ASES shoulder score with 100 being perfect was 16/100 now 100/100. Constant shoulder score with 100 being perfect was 24/100 now 100/100. Range of motion raising the arm from the side with 180 degrees being full motion was 53/180 now 180/180. Forward flexion raising the arm in front with 180 being full motion was 53/180 now 180/180. Strength with maximum on the instrument being 22lbs/in2 was 7lbs. now 22lbs. Full return to work unrestricted.

Posted by Optimum Joint Integrated Joint and Spine on Wednesday, October 12, 2016