Management of degenerative rotator cuff tears: a review and treatment strategy

Clement, Nicholas D.; Nie, Yuan; McBirnie, Julie

doi:10.1186/1758-2555-4-48

Cited by 59 publications

(46 citation statements)

References 47 publications

(46 reference statements)

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“…30 As individuals age, they continue to acquire degenerative changes over time, leading to distortion of the normal shoulder anatomy, as demonstrated by Clement et al in a 2012 review stating that up to 54% of people older than 65 years have partial or complete tears of the RTC seen on magnetic resonance imaging. 9 Although no comparable studies have been performed looking specifically at LHB disease, it is likely that an analogous trend exists. More important, our study demonstrates a statistically significant difference in the performance of arthroscopic vs. open tenodesis in 1-on-1 comparisons of different primary diagnoses (Table VII).…”

Section: Arthroscopic Tenodesismentioning

confidence: 94%

Demographic trends in arthroscopic and open biceps tenodesis across the United States

Vellios

Nazemi

Yeranosian

et al. 2015

Journal of Shoulder and Elbow Surgery

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Section: Arthroscopic Tenodesismentioning

confidence: 94%

Demographic trends in arthroscopic and open biceps tenodesis across the United States

Vellios

Nazemi

Yeranosian

et al. 2015

Journal of Shoulder and Elbow Surgery

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“…In this retrospective study, which included only patients with full-thickness tears (44 patients); an acute RCT was defined as when the clinical history revealed a distinct injury within 6 months of the time of the operation in a previously asymptomatic shoulder. It was found that SBEs were significantly more common among those patients with acute RCT tears than those with chronic tears (6). In another study, it was found that an SBE was more commonly associated with current or previous symptomatic tears compared to asymptomatic tears (8).…”

Section: Discussionmentioning

confidence: 85%

“…An RCT can be associated with limited shoulder movement in addition to pain, and the treatment can include several strategies, such as non-steroidal anti-inflammatory drugs, local corticosteroid injections, local hyaluronic acid injections, and/or surgery (6). The chronicity of shoulder pain is one of the most important factors in the success of any treatment (1).…”

Section: Introductionmentioning

confidence: 99%

Ultrasonographic clues for acuity/chronicity of rotator cuff tear

Artul

2017

Eur J Rheumatol

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Objective: To look prospectively for ultrasonographic clues for acuity/chronicity of rotator cuff tear (RCT) among patients with shoulder pain. Material and Methods: Patients with shoulder pain who were referred for musculoskeletal ultrasonography and diagnosed with RCT were asked to participate in our study. After consent, demographic, clinical, laboratory, and ultrasonographic findings, including age, gender, history of trauma, type of tendon with tear, tendon tear size, tendon effusion, bursal effusion, calcification, tendon thickness, and duration of shoulder pain were documented. Shoulder pain duration of ≤2 months was considered as an acute case. Patients were divided into group 1 (with acute shoulder pain) and group 2 (patients with chronic shoulder pain; pain duration of >2 months), and the various parameters of the two groups were compared to look for significant differences between the two groups. Student's unpaired t-test and the chi-square test were used for continuous and categorical parameters, respectively. Results: A total of 112 patients were diagnosed with RCT, and 132 tears were documented. Sixty-three patients (~56%) were male, and the mean age of all the patients was 54.2±15.2 years. A total of 44% of the patients belonged to group 1 (with acute pain). The existence of either a subdeltoid bursal effusion (SBE) or a biceps peritendon effusion (BPE) and thick tendon were observed significantly more among patients in group 1 compared to patients in group 2. Conclusion: The existence of either an SBE or a BPE and thick tendon were signs of an acute RCT.

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“…They can also include patient educational strategies in order to avoid progression or recurrence of the injury [101112]. Conventional rehabilitation programs have proven effective in a high proportion of patients with RC tears [1314].…”

Section: Introductionmentioning

confidence: 99%

Proposal and Evaluation of a Telerehabilitation Platform Designed for Patients With Partial Rotator Cuff Tears: A Preliminary Study

et al. 2016

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ObjectiveTo propose and evaluate the effectiveness of a telerehabilitation platform designed for patients with rotator cuff (RC) tears.MethodsDuring the first study phase, a virtual service platform that included information on RC tear pathology, joint care, and a series of instructions regarding therapeutic exercise was designed and created. Subsequently, in the clinical phase, a quasi-experimental study was performed. The platform was tested on patients and evaluated at baseline and at 1, 2, 3, and 6 months with respect to their pain levels and functionality on the Constant-Murley (CM) scale.ResultsEleven patients were included, 5 women and 6 men, with a median age of 55 years (range, 42–68 years). Pain diminished from a baseline value of 64 mm (range, 40–80 mm) to 16 mm (range, 0–30 mm) at 6 months (p<0.001). Points on the CM scale rose from a baseline value of 54 points (range, 51–66 points) to 85 points (range, 70–100 points) at 6 months (p=0.001). Functionality in daily living and work activities, movement, and strength exhibited significant changes at 6 months (p<0.05).ConclusionSignificant changes were observed in pain and functionality in this group of participants who used a telerehabilitation platform. To the best of our knowledge, this is the first study that included a specific program for RC tears.

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Management of degenerative rotator cuff tears: a review and treatment strategy

Cited by 59 publications

References 47 publications

Demographic trends in arthroscopic and open biceps tenodesis across the United States

Demographic trends in arthroscopic and open biceps tenodesis across the United States

Ultrasonographic clues for acuity/chronicity of rotator cuff tear

Proposal and Evaluation of a Telerehabilitation Platform Designed for Patients With Partial Rotator Cuff Tears: A Preliminary Study

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