{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T14:45:23Z","timestamp":1787755523087,"version":"build-2784847793"},"reference-count":15,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"4","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"abstract":"<jats:sec>\n                    <jats:title>Case:<\/jats:title>\n                    <jats:p>A 69-year-old woman with chronic upper extremity lymphedema secondary to bilateral mastectomy and axillary lymph node dissection for breast cancer 10 years before presented to the clinic with a massive rotator cuff tear. Her shoulder pain and dysfunction persisted despite nonoperative treatment. She underwent left shoulder arthroscopic rotator cuff repair (RCR) and biceps tenotomy. Arm, forearm, and wrist circumference measurements were obtained, preoperatively, immediately postoperatively, and 1-week and 2-weeks postoperatively. No permanent increase in extremity circumference measurements was observed.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>This case suggests that it is possible to perform an arthroscopic RCR in a patient with chronic upper extremity lymphedema without creating further morbidity.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.2106\/jbjs.cc.20.00290","type":"journal-article","created":{"date-parts":[[2020,11,24]],"date-time":"2020-11-24T19:53:51Z","timestamp":1606247631000},"page":"e20.00290","source":"Crossref","is-referenced-by-count":1,"title":["Uncomplicated Arthroscopic Rotator Cuff Repair in Chronic Ipsilateral Upper Extremity Lymphedema"],"prefix":"10.2106","volume":"10","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3110-166X","authenticated-orcid":false,"given":"Zachary","family":"Schwartz","sequence":"first","affiliation":[{"name":"Department of Orthopaedic Surgery, Madigan Army Medical Center, Joint Base Lewis-McChord, Washington"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3599-428X","authenticated-orcid":false,"given":"B. Holt","family":"Zalneraitis","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Madigan Army Medical Center, Joint Base Lewis-McChord, Washington"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1048-6951","authenticated-orcid":false,"given":"Brian P.","family":"Milam","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Madigan Army Medical Center, Joint Base Lewis-McChord, Washington"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9841-1251","authenticated-orcid":false,"given":"Marc-Gregory","family":"Warhola","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Madigan Army Medical Center, Joint Base Lewis-McChord, Washington"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0844-1057","authenticated-orcid":false,"given":"Gregory","family":"Gasbarro","sequence":"additional","affiliation":[{"name":"The Shoulder, Elbow, Wrist, and Hand Center, Mercy Medical Center, Baltimore, Maryland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6139-9890","authenticated-orcid":false,"given":"Joseph W.","family":"Galvin","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Madigan Army Medical Center, Joint Base Lewis-McChord, Washington"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2020]]},"reference":[{"issue":"6","key":"bib2-20230719","doi-asserted-by":"crossref","first-page":"500","DOI":"10.1016\/S1470-2045(13)70076-7","article-title":"Incidence of unilateral arm lymphoedema after breast cancer: a systematic review and meta-analysis","volume":"14","author":"DiSipio","year":"2013","journal-title":"Lancet Oncol."},{"issue":"7","key":"bib4-20230719","doi-asserted-by":"crossref","first-page":"691","DOI":"10.1200\/JCO.2015.61.5948","article-title":"Impact of ipsilateral blood draws, injections, blood pressure measurements, and air travel on the risk of lymphedema for patients treated for breast cancer","volume":"34","author":"Ferguson","year":"2016","journal-title":"J Clin Oncol."},{"issue":"3","key":"bib5-20230719","doi-asserted-by":"crossref","first-page":"227","DOI":"10.2106\/JBJS.J.00739","article-title":"National trends in rotator cuff repair","volume":"94","author":"Colvin","year":"2012","journal-title":"J Bone Joint Surg Am."},{"issue":"10","key":"bib6-20230719","doi-asserted-by":"crossref","first-page":"2325967117731310","DOI":"10.1177\/2325967117731310","article-title":"Evaluation of the trends, concomitant procedures, and complications with open and arthroscopic rotator cuff repairs in the Medicare population","volume":"5","author":"Jensen","year":"2017","journal-title":"Orthop J Sports Med."},{"issue":"3","key":"bib7-20230719","doi-asserted-by":"crossref","first-page":"215","DOI":"10.1016\/S0749-8063(88)80030-6","article-title":"Complications in arthroscopic surgery performed by experienced arthroscopists","volume":"4","author":"Small","year":"1988","journal-title":"Arthroscopy."},{"issue":"5","key":"bib8-20230719","doi-asserted-by":"crossref","first-page":"2325967118771616","DOI":"10.1177\/2325967118771616","article-title":"Fluid extravasation in shoulder arthroscopic surgery: a systematic review","volume":"6","author":"Memon","year":"2018","journal-title":"Orthop J Sports Med."},{"issue":"5","key":"bib9-20230719","doi-asserted-by":"crossref","first-page":"386","DOI":"10.1067\/mse.2000.106468","article-title":"Shoulder arthroplasty in patients with prior mastectomy for breast cancer","volume":"9","author":"Andrews","year":"2000","journal-title":"J Shoulder Elbow Surg."},{"issue":"5","key":"bib10-20230719","doi-asserted-by":"crossref","first-page":"344","DOI":"10.1177\/1758573218780519","article-title":"Outcomes of shoulder arthroplasty following axillary lymph node dissection","volume":"11","author":"Padegimas","year":"2019","journal-title":"Shoulder Elbow."},{"key":"bib11-20230719","article-title":"Shoulder arthroplasty in patients with upper extremity lymphedema may result in transient or permanent lymphedema worsening","author":"Lee J","year":"2019","journal-title":"Shoulder Elbow."},{"key":"bib12-20230719","doi-asserted-by":"crossref","first-page":"9","DOI":"10.1016\/j.jclinane.2019.08.018","article-title":"Impact of interscalene nerve block on lymphedema in a post-mastectomy patient undergoing shoulder surgery","volume":"60","author":"Chang","year":"2020","journal-title":"J Clin Anesth."},{"issue":"10","key":"bib13-20230719","first-page":"515","article-title":"Sequelae of axillary dissection vs. axillary sampling with or without irradiation for breast cancer. A randomized trial","volume":"155","author":"Borup Christensen","year":"1989","journal-title":"Acta Chir Scand."},{"issue":"6","key":"bib14-20230719","doi-asserted-by":"crossref","first-page":"2345","DOI":"10.1200\/JCO.1997.15.6.2345","article-title":"Sentinel lymphadenectomy in breast cancer","volume":"15","author":"Giuliano","year":"1997","journal-title":"J Clin Oncol."},{"issue":"2","key":"bib15-20230719","doi-asserted-by":"crossref","first-page":"194","DOI":"10.1097\/00000658-199908000-00009","article-title":"Complications of level I and II axillary dissection in the treatment of carcinoma of the breast","volume":"230","author":"Roses","year":"1999","journal-title":"Ann Surg."},{"issue":"3","key":"bib16-20230719","doi-asserted-by":"crossref","first-page":"452","DOI":"10.1097\/01.sla.0000245472.47748.ec","article-title":"Morbidity of sentinel lymph node biopsy (SLN) alone versus SLN and completion axillary lymph node dissection after breast cancer surgery: a prospective Swiss multicenter study on 659 patients","volume":"245","author":"Langer","year":"2007","journal-title":"Ann Surg."},{"issue":"12","key":"bib17-20230719","doi-asserted-by":"crossref","first-page":"1628","DOI":"10.1016\/j.jse.2013.01.006","article-title":"The rising incidence of rotator cuff repairs","volume":"22","author":"Ensor","year":"2013","journal-title":"J Shoulder Elbow Surg."}],"container-title":["JBJS Case Connector"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.2106\/JBJS.CC.20.00290","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T13:44:18Z","timestamp":1787751858000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.2106\/JBJS.CC.20.00290"}},"subtitle":["A Case Report"],"short-title":[],"issued":{"date-parts":[[2020]]},"references-count":15,"journal-issue":{"issue":"4","published-online":{"date-parts":[[2020]]}},"URL":"https:\/\/doi.org\/10.2106\/jbjs.cc.20.00290","relation":{},"ISSN":["2160-3251"],"issn-type":[{"value":"2160-3251","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020]]}}}