An Evidenced-Based Examination of the Epidemiology and Outcomes of Traumatic Rotator Cuff Tears

Mall, Nathan A.; Lee, Andrew S.; Chahal, Jaskarndip; Sherman, Seth L.; Romeo, Anthony A.; Verma, Nikhil N.; Cole, Brian J.

doi:10.1016/j.arthro.2012.06.024

Cited by 133 publications

(120 citation statements)

References 54 publications

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“…Further studies corroborate that traumatic rotator cuff tears treated with surgical repair have better functional results. 65 Outcome appears better in those treated with early repair. 66,67 Summary: Patients over the age of 40 years should, ideally, undergo ultrasound or magnetic resinance imaging to assess cuff integrity following traumatic anterior instability.…”

Section: Rotator Cuff Tearsmentioning

confidence: 99%

BESS/BOA Patient Care Pathways

Brownson¹,

Donaldson²,

Fox³

et al. 2015

Shoulder & Elbow

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Section: Rotator Cuff Tearsmentioning

confidence: 99%

BESS/BOA Patient Care Pathways

Brownson¹,

Donaldson²,

Fox³

et al. 2015

Shoulder & Elbow

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“…These injuries can be as simple as a strain or tendonitis, and as severe as partial or complete tear of the tendon [59]. The incidence of rotator cuff tendon damage increases with age and is most frequently due to degeneration of the tendon, rather than injury from sports or trauma [59][60][61]. Though found to be more common in older populations, rotator cuff injuries do not discriminate and occur in males and females of all ages [61,62].…”

Section: Epidemiologic Aspects Of Tendon and Ligament Injuriesmentioning

confidence: 99%

“…The incidence of rotator cuff tendon damage increases with age and is most frequently due to degeneration of the tendon, rather than injury from sports or trauma [59][60][61]. Though found to be more common in older populations, rotator cuff injuries do not discriminate and occur in males and females of all ages [61,62]. Due to the aging process, the rotator cuff tendon tissue loses its elasticity, become more susceptible to injury, and is more frequently damaged while performing everyday activities [63].…”

Section: Epidemiologic Aspects Of Tendon and Ligament Injuriesmentioning

confidence: 99%

“…In younger patients, these injuries are typically due to unusually high demand of the shoulders or traumatic injuries [59]. In addition to primary causes of injuries, the risks of developing weakness or injury to the rotator cuff include: being an athlete (using repetitive motions, such as baseball pitchers, swimmers, archers and tennis players), working in the construction trades (carpenters and painters), poor posture, and weak shoulder muscles [60][61][62][63].…”

Section: Epidemiologic Aspects Of Tendon and Ligament Injuriesmentioning

confidence: 99%

“…The first is the 20 to 30-year-old active patients with an acute tear and severe functional deficit from a specific event [54,59]. The second is the 30 to 50-year-old patients with acute tendon tear secondary to a specific event [61,63]. The third instance is the highly competitive athlete who is primarily involved in overhead or throwing sports [51,54].…”

Section: Managing Mild Tendon Injuries With Least Tissue Defectmentioning

confidence: 99%

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Tendon and Ligament Tissue Engineering, Healing and Regenerative Medicine

Moshiri¹,

Oryan²

2013

J Sports Med Doping Stud 2013

102

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Tendons transmit forces from muscle to bone and provide the joint function and ligaments transmit forces from bone to bone and provide joint stability. Tendon and ligament injuries have high incidence and management of tendon and ligament injuries is technically demanding because the healing response of these soft connective tissues is low. In addition, number of the available options to be considered as tissue replacement for large defects is low and healing of tendon and ligaments is faced to significant limitations. Among the available options, autografts are still gold standard but all the auto-allo and xenografts have their own limitations. Tissue engineering is a newer option but it is still primitive to be applicable extensively, in clinical setting. Tissue engineering could be divided into four categories including scaffolds, healing promotive factors, stem cells and gene therapy. To be able to have a good judgment regarding the management of tendon and ligament injuries, it is crucial to have a basic knowledge of tendon and ligament healing and regeneration. In this review, we discussed various types of tendon and ligament injuries and their incidence, and introduced the available and future options in managing large and massive tendon and ligament injuries. We specifically discussed the tissue engineering and it's advantageous and disadvantageous. To give a better clarification for the readers, we described different phases and cascades of tendon and ligament healing, modeling and remodeling, host-graft interaction after implantation of the graft and various types of prosthetic implants and finally provided some suggestions for the future investigations.

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