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Related Concept Videos

Mesenchymal Stem Cells01:19

Mesenchymal Stem Cells

Mesenchymal stem cells (MSCs) are adult stem cells that can differentiate into most connective tissue cell types, except for hematopoietic cells, depending upon the source of MSCs. For example, bone-marrow-derived MSCs (BM-MSCs) can differentiate into osteocytes, hepatocytes, and pancreatic and neuronal cells. MSCs can be isolated from various sources such as bone marrow, placenta, adipose tissue, teeth, and Wharton’s jelly, a gelatinous substance in the umbilical cord. The ease of their access...

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Editorial Commentary: Routine Medical Thromboprophylaxis Following Knee Arthroscopy Has Low Utility-If Any.

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Editorial Commentary: Tranexamic Acid Shown to Not Inhibit Healing Following Rotator Cuff Repair in Rats.

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Regarding "Primary Medial Patellofemoral Ligament Repair Versus Reconstruction: Rates and Risk Factors for Instability Recurrence in a Young, Active Patient Population".

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Editorial Commentary: Subacromial Bursa May Possess Mesenchymal Progenitor Cells.

Omer A Ilahi

    Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association
    |April 4, 2022
    PubMed
    Summary

    Subacromial bursa tissue contains mesenchymal progenitor cells, important for healing rotator cuff tears. Routine removal of this bursa during surgery may hinder healing and should be reconsidered.

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    Area of Science:

    • Orthopedic Surgery
    • Regenerative Medicine
    • Cell Biology

    Background:

    • Mesenchymal progenitor cells (MPCs) are crucial for tissue repair and regeneration.
    • Rotator cuff tears often involve surgical intervention, including arthroscopy.
    • Subacromial bursectomy is a common procedure during rotator cuff repair surgery.

    Discussion:

    • The presence of MPCs in subacromial bursal tissue suggests a potential role in rotator cuff healing.
    • Routine excision of the subacromial bursa may inadvertently remove a source of regenerative cells.
    • This finding challenges the standard practice of complete subacromial bursectomy.

    Key Insights:

    • Subacromial bursal tissue harbors mesenchymal progenitor cells.
    • These cells may contribute to the healing process following rotator cuff repair.
    • The therapeutic harvesting of these cells is currently not feasible but their presence is significant.

    Outlook:

    • Future research should investigate the functional role of bursal MPCs in rotator cuff healing.
    • Clinical guidelines for rotator cuff repair may need revision regarding subacromial bursa management.
    • Optimizing the preservation of non-diseased bursal tissue could enhance surgical outcomes.