Acute Tears of the Rotator Cuff

Bassett, Rick W.; Cofield, Robert H.

doi:10.1097/00003086-198305000-00003

Cited by 199 publications

(37 citation statements)

References 1 publication

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“…An exception would Downloaded by [New York University] at 20:20 04 August 2015 be when acute rotator cuff tear is suspected because outcomes may be better with acute repair. 18 Although evidence is limited, the authors believe that emphasizing core strength in this group of athletes is imperative, as core muscle weakness is almost universally encountered in injured golfers. 19 Medication management consists of analgesic medications and judicious use of corticosteroid injection.…”

Section: Shoulder Injuriesmentioning

confidence: 99%

Upper Extremity Injuries in Golf

Bayes

Wadsworth

2009

The Physician and Sportsmedicine

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Golf is an asymmetric sport with unique patterns of injury depending upon the skill level. Higher handicap players typically experience injuries that result from swing mechanics, whereas lower handicap and professional players have overuse as the major cause of their injuries. The majority of shoulder injuries affecting golfers occur in the nondominant shoulder. Common shoulder injuries include subacromial impingement, rotator cuff pathology, glenohumeral instability, and arthritis involving the acromioclavicular and/or glenohumeral joints. Lead arm elbow pain resulting from lateral epicondylosis (tennis elbow) is the leading upper extremity injury in amateur golfers. Tendon injury is the most common problem seen in the wrist and forearm of the golfer. Rehabilitation emphasizing improvement in core muscle streng is important in the treatment of golf injury. Emerging treatments for tendinopathy include topical nitrates, ultrasound-guided injection of therapeutic substances, and eccentric rehabilitation. There is evidence supporting physiotherapy, and swing modification directed by a teaching professional, for treatment of upper extremity golf injuries. This article focuses on upper extremity injuries in golf, including a discussion of the epidemiology, causes, diagnosis, treatment, and prevention of injuries occurring in the shoulder, elbow, wrist, and hand.

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Section: Shoulder Injuriesmentioning

confidence: 99%

Upper Extremity Injuries in Golf

Bayes

Wadsworth

2009

The Physician and Sportsmedicine

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“…This may delay treatment and influence the prognosis after surgical repair. 1,4 The diagnosis is further complicated because small lesions tend to be more painful than full-thickness tears (FTTs) and pain seems to be related more to the degree of bursitis than to the degree of tearing. 9 Several retrospective studies have tried to evaluate the etiology of rotator cuff injuries and have found that 40% to 72% of patients report trauma in the history before their shoulder problems occurred.…”

mentioning

confidence: 99%

Acute rotator cuff tear: Do we miss the early diagnosis? A prospective study showing a high incidence of rotator cuff tears after shoulder trauma

Sørensen

Bak

Krarup

et al. 2007

Journal of Shoulder and Elbow Surgery

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“…Although a majority of patients have chronic pain as a presenting feature, a small percentage of patients without a previous history of shoulder pain have an acute, traumatic cause for their RCT. 8 Acute tears are considered an indication for early surgical intervention because a delay in repair may result in attritional changes in the cuff tendon, muscle, or both. These chronic changes may make the repair more difficult technically and the functional outcome less satisfactory.…”

Section: Discussionmentioning

confidence: 99%

“…These chronic changes may make the repair more difficult technically and the functional outcome less satisfactory. 3,[7][8][9][10] Early repair generally affords the best opportunity for return of shoulder function and strength in addition to pain relief. 2,[11][12][13][14] Although patient history, physical examination, and plain radiographs can provide information about the chronicity of a cuff tear, the diagnosis may not always be clear, and imaging tests, such as ultrasound may be important in providing additional information.…”

Section: Discussionmentioning

confidence: 99%

Sonographic differences in the appearance of acute and chronic full-thickness rotator cuff tears.

Teefey

Middleton

Bauer

et al. 2000

Journal of Ultrasound in Medicine

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This study was undertaken to identify differences in the sonographic appearance of acute and chronic full‐thickness rotator cuff tears. The ultrasonograms of 24 patients with an acute rotator cuff tear and 20 with a chronic tear were reviewed for tear size (width), location, and the presence and distribution of fluid. Among these 24 patients, 75% with a midsubstance tear location had an acute tear; 64% of patients with joint or bursal fluid had an acute tear; 80% of patients with a nonvisualized rotator cuff due to a massive tear had a chronic tear; and 73% of patients with no sonographic evidence of bursal or joint fluid had a chronic tear. In conclusion, a midsubstance location and the presence of joint or bursal fluid were more commonly associated with an acute tear. A nonvisualized cuff and the absence of joint and bursal fluid were more commonly observed with a chronic tear.

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Acute Tears of the Rotator Cuff

Cited by 199 publications

References 1 publication

Upper Extremity Injuries in Golf

Upper Extremity Injuries in Golf

Acute rotator cuff tear: Do we miss the early diagnosis? A prospective study showing a high incidence of rotator cuff tears after shoulder trauma

Sonographic differences in the appearance of acute and chronic full-thickness rotator cuff tears.

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