“…This left 21 studies published in English between 1993 and 2020 that were included for analysis. 5,[21][22][23][24][25][26][27][28][29][30][31][32][33][34][35][36][37][38][39][40]…”
Section: Prisma Search Resultsmentioning
confidence: 99%
“…This left 21 studies published in English between 1993 and 2020 that were included for analysis. 5 , 21 , 22 , 23 , 24 , 25 , 26 , 27 , 28 , 29 , 30 , 31 , 32 , 33 , 34 , 35 , 36 , 37 , 38 , 39 , 40 Fig 1 Flowchart of study screening and selection in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analysis statement. …”
Section: Resultsmentioning
confidence: 99%
“… 23 Nine articles were assessed to have moderate quality and risk of bias, 24 , 27 , 28 , 29 , 31 , 32 , 35 , 37 , 39 and 11 were assessed to have low quality and, therefore, high risk of bias. 5 , 21 , 22 , 25 , 26 , 30 , 33 , 34 , 36 , 38 , 40 …”
Section: Resultsmentioning
confidence: 99%
“…2009 27 12 months (no range) RTP, ROM, strength 2 (100%) 12 months (no range) Same Eisner et al., 2013 28 16.4 months (range 7-30 months) SANE, QuickDASH, QuickDASH Sports 9 (69%) NR Same Gibson et al., 2013 29 19 months RTP, ROM, strength 1 3 months Same Gouron et al., 2013 30 2 months ROM NR n/a n/a Itoi and Tabata, 1993 5 12 months ROM, strength NR n/a n/a Muto et al. 2015 31 12 months RTP 1 12 months Same Rubio et al., 2017 32 12 months ROM, RTP, SSV 1 4 months Same Sanghera et al., 2010 33 7 months RTP, ROM 1 7 months Same Schwartz and Karas, 2018 34 6 months ROM, strength NR n/a n/a Smith and Funk, 2012 35 14 months RTP, ROM, strength 1 2.5 Same Tarkin et al., 2005 36 16.5 months (range 6-24 months) RTP, ROM, strength 4 (100%) 7.25 months (range 5-12 months) Same (1 patient had to stop playing baseball but continued other sports) Turman et al., 2010 37 …”
Section: Resultsmentioning
confidence: 99%
“…Only one included study was assessed to have good quality and, therefore, low risk of bias as per the Methodological Quality and Synthesis of Case Series and Case Reports framework proposed by Murad et al 23 Nine articles were assessed to have moderate quality and risk of bias, 24,[27][28][29]31,32,35,37,39 and 11 were assessed to have low quality and, therefore, high risk of bias. 5,21,22,25,26,30,33,34,36,38,40…”
To systematically review the literature to determine the injury mechanisms, presentation, and timing of diagnosis for pediatric patients with intratendinous rotator cuff tears and to determine the efficacy of surgical intervention for affected patients. Methods: PubMed, Cumulative Index to Nursing and Allied Health Literature (CINAHL), and Scopus were searched. Studies were included if they involved only pediatric patients, soft-tissue rotator cuff injuries managed surgically, and reported outcomes. Patient characteristics, injury mechanisms, physical examination and imaging findings, time to diagnosis, surgical technique, and treatment outcomes were extracted. Findings were descriptively analyzed with weighted means and proportions. Results: Twenty-one studies comprising 78 patients were included. The age range was 8 to 17 years and 57 were male. The supraspinatus (n ¼ 56) was the most injured tendon. American football was the most reported sport played at the time of injury. Most patients were diagnosed within 6 months of injury via magnetic resonance imaging. Arthroscopic management was undertaken in 68 patients. Forty-six of 51 patients for whom data were available returned to sports at a range of 2.5 to 12 months postoperatively. Repair failure occurred in three patients. Conclusion: The extant literature regarding rotator cuff tears in pediatric patients is limited to reports of low methodological quality. Qualitative synthesis of this low-level literature reveals that rotator cuff tears are mostly reported in male collision sport athletes but may also occur in female athletes and/or throwing athletes. These injuries are often successfully managed via arthroscopic repair, and patients and their families can be reassured that the majority of patients return to sports following surgery.
“…This left 21 studies published in English between 1993 and 2020 that were included for analysis. 5,[21][22][23][24][25][26][27][28][29][30][31][32][33][34][35][36][37][38][39][40]…”
Section: Prisma Search Resultsmentioning
confidence: 99%
“…This left 21 studies published in English between 1993 and 2020 that were included for analysis. 5 , 21 , 22 , 23 , 24 , 25 , 26 , 27 , 28 , 29 , 30 , 31 , 32 , 33 , 34 , 35 , 36 , 37 , 38 , 39 , 40 Fig 1 Flowchart of study screening and selection in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analysis statement. …”
Section: Resultsmentioning
confidence: 99%
“… 23 Nine articles were assessed to have moderate quality and risk of bias, 24 , 27 , 28 , 29 , 31 , 32 , 35 , 37 , 39 and 11 were assessed to have low quality and, therefore, high risk of bias. 5 , 21 , 22 , 25 , 26 , 30 , 33 , 34 , 36 , 38 , 40 …”
Section: Resultsmentioning
confidence: 99%
“…2009 27 12 months (no range) RTP, ROM, strength 2 (100%) 12 months (no range) Same Eisner et al., 2013 28 16.4 months (range 7-30 months) SANE, QuickDASH, QuickDASH Sports 9 (69%) NR Same Gibson et al., 2013 29 19 months RTP, ROM, strength 1 3 months Same Gouron et al., 2013 30 2 months ROM NR n/a n/a Itoi and Tabata, 1993 5 12 months ROM, strength NR n/a n/a Muto et al. 2015 31 12 months RTP 1 12 months Same Rubio et al., 2017 32 12 months ROM, RTP, SSV 1 4 months Same Sanghera et al., 2010 33 7 months RTP, ROM 1 7 months Same Schwartz and Karas, 2018 34 6 months ROM, strength NR n/a n/a Smith and Funk, 2012 35 14 months RTP, ROM, strength 1 2.5 Same Tarkin et al., 2005 36 16.5 months (range 6-24 months) RTP, ROM, strength 4 (100%) 7.25 months (range 5-12 months) Same (1 patient had to stop playing baseball but continued other sports) Turman et al., 2010 37 …”
Section: Resultsmentioning
confidence: 99%
“…Only one included study was assessed to have good quality and, therefore, low risk of bias as per the Methodological Quality and Synthesis of Case Series and Case Reports framework proposed by Murad et al 23 Nine articles were assessed to have moderate quality and risk of bias, 24,[27][28][29]31,32,35,37,39 and 11 were assessed to have low quality and, therefore, high risk of bias. 5,21,22,25,26,30,33,34,36,38,40…”
To systematically review the literature to determine the injury mechanisms, presentation, and timing of diagnosis for pediatric patients with intratendinous rotator cuff tears and to determine the efficacy of surgical intervention for affected patients. Methods: PubMed, Cumulative Index to Nursing and Allied Health Literature (CINAHL), and Scopus were searched. Studies were included if they involved only pediatric patients, soft-tissue rotator cuff injuries managed surgically, and reported outcomes. Patient characteristics, injury mechanisms, physical examination and imaging findings, time to diagnosis, surgical technique, and treatment outcomes were extracted. Findings were descriptively analyzed with weighted means and proportions. Results: Twenty-one studies comprising 78 patients were included. The age range was 8 to 17 years and 57 were male. The supraspinatus (n ¼ 56) was the most injured tendon. American football was the most reported sport played at the time of injury. Most patients were diagnosed within 6 months of injury via magnetic resonance imaging. Arthroscopic management was undertaken in 68 patients. Forty-six of 51 patients for whom data were available returned to sports at a range of 2.5 to 12 months postoperatively. Repair failure occurred in three patients. Conclusion: The extant literature regarding rotator cuff tears in pediatric patients is limited to reports of low methodological quality. Qualitative synthesis of this low-level literature reveals that rotator cuff tears are mostly reported in male collision sport athletes but may also occur in female athletes and/or throwing athletes. These injuries are often successfully managed via arthroscopic repair, and patients and their families can be reassured that the majority of patients return to sports following surgery.
Case:We present the case of a 21-year-old male, collegiate division I wide receiver, with a humeral avulsion of the posterior glenohumeral ligament (RHAGL) and near-full-thickness supraspinatus tear after falling on his outstretched arm. He returned to full collegiate participation with symptom resolution after arthroscopic repair of each tear.Conclusion:This case report emphasizes the importance of imaging studies in the diagnosis of RHAGL and details a treatment approach that provided an excellent result in a young, active patient. This information will bring attention to these rare injuries and provides reference for providers who encounter patients with similar symptoms or pathology.
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