Prevalence and risk factors for development of subscapularis and biceps pathology in shoulders with degenerative rotator cuff disease: a prospective cohort evaluation

Mehta, Siddhant K.; Teefey, Sharlene A.; Middleton, William; Steger-May, Karen; Sefko, Julianne A.; Keener, Jay D.

doi:10.1016/j.jse.2019.11.012

Cited by 24 publications

(44 citation statements)

References 38 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Some studies have showed that SS tears are risk factors, and could progress to a SubS tear. This progression was particularly evident with full thickness SS tears, larger SS tears, and SS tears that included the anterior cable (4,10). Recently a few papers also re-established the previous notion that a rotator cuff tear would lead to the superior escape of the humeral head, because of the unopposed pull from the deltoid (10)(11)(12).…”

Section: Introductionmentioning

confidence: 92%

“…Although the understanding of degenerative rotator cuff pathology has evolved over the past decades, most of these studies focused on the more frequent posterosuperior cuff tears, including the infraspinatus and supraspinatus (SS) (3,4). However, in recent years, there has been an increasing interest regarding anatomical risk factors for SubS tears, with the coracoacromial arch and the coracoid process being recognized as major players in anterior cuff tears (2,(5)(6)(7).…”

Section: Introductionmentioning

confidence: 99%

“…Many papers have recently showed that subcoracoid impingement can lead to SubS tears, and that smaller coraco-humeral distances (CHD) and greater coracoid overlaps (CO) are associated with greater risk of anterior cuff pathology (2,7). Despite the fact that many of SubS tears occur in the context of progression of a previous SS tear, there are relatively few studies focusing on the progression of anterosuperior tears, as described by Warner et al (8), affecting the SS and SubS (4,9). Some studies have showed that SS tears are risk factors, and could progress to a SubS tear.…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Can Supraspinatus Tears Contribute to Acquired Subcoracoid Impingement? A Radiological Study of Anterosuperior Cuff Tears

Leite

Pinho

Sá³

et al. 2021

Muscle Ligaments and Tendons J

View full text Add to dashboard Cite

Backgroud. Many subscapularis (SubS) lesions represent the result of the progression of anterosuperior cuff tears, although their pathophysiology is still relatively unknown. The goal of this paper was to determine the influence of supraspinatus tears in the development of subcoracoid impingement and therefore SubS tears. Methods. This is a retrospective, controlled and single-blinded study. We analyzed 301 patients with rotator cuff pathology and an MRI study. The coraco-humeral distance and coracoid overlap were measured. The presence of supraspinatus and subscapularis lesions were also evaluated. Results. Supraspinatus tears were found to be associated with the presence of subscapularis tears (p = 0.003). A significant relationship (p = 0.002) was achieved between supraspinatus tears and inferior coraco-humeral distance, with average values of 8.4 ± 2.9 mm and 10.2 ± 3.2 mm in shoulders with and without supraspinatus tears respectively. On the opposite side, there wasn't a significant association between supraspinatus tears and the coracoid overlap. Conclusions. This paper is, to our knowledge, the first to study the influence of supraspinatus tears in different parameters implied in subscapularis tears pathology, representing also the largest published sample on this theme, including 301 patients. Finally, this study offers an explanation for anterosuperior cuff progression pathophysiology, confirming that supraspinatus full thickness tears can lead to a secondary subcoracoid impingement and thus subscapularis tears.

show abstract

Section: Introductionmentioning

confidence: 92%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Can Supraspinatus Tears Contribute to Acquired Subcoracoid Impingement? A Radiological Study of Anterosuperior Cuff Tears

Leite

Pinho

Sá³

et al. 2021

Muscle Ligaments and Tendons J

View full text Add to dashboard Cite

show abstract

“…24 Surgeons often observe concomitant subscapularis and biceps tendon pathology at the time of treatment for supraspinatus and infraspinatus tears. 24 Mehta and colleagues recently found that the prevalence of biceps disease was significantly related to the size of posterior/superior rotator cuff tears, thus highlighting the importance of reporting concomitant biceps disease with rotator cuff data. 24 In spite of high prevalence of shoulder pathologies in MWC users with SCI and its negative effects on their quality of life, there are a limited number of studies describing a detailed investigation of the prevalence of disease in all rotator cuff tendons and the associated demographic factors in this population.…”

Section: Introductionmentioning

confidence: 99%

“…24 Mehta and colleagues recently found that the prevalence of biceps disease was significantly related to the size of posterior/superior rotator cuff tears, thus highlighting the importance of reporting concomitant biceps disease with rotator cuff data. 24 In spite of high prevalence of shoulder pathologies in MWC users with SCI and its negative effects on their quality of life, there are a limited number of studies describing a detailed investigation of the prevalence of disease in all rotator cuff tendons and the associated demographic factors in this population. The risk factors that significantly contribute to the incidence of rotator cuff pathologies have been studied extensively for able-bodied individuals, with far less data on patients with SCI.…”

Section: Introductionmentioning

confidence: 99%

Shoulder magnetic resonance imaging findings in manual wheelchair users with spinal cord injury

Jahanian

Straaten

Goodwin

et al. 2020

The Journal of Spinal Cord Medicine

View full text Add to dashboard Cite

Objective: To investigate the prevalence of rotator cuff and long head of the biceps pathologies in manual wheelchair (MWC) users with spinal cord injury (SCI). Design: Cross-sectional study. Setting: Outpatient clinic at a tertiary medical center. Participants: Forty-four adult MWC users with SCI (36 men and 8 women) with an average age (SD) of 42 (13) years. SCI levels ranged from C6 to L1; complete and incomplete SCI. Outcome Measures: Participants’ demographic and anthropometric information, presence of shoulder pain, Wheelchair User’s Pain Index (WUSPI) scores, and magnetic resonance imaging findings of shoulder pathologies including tendinopathy, tendon tears, and muscle atrophy. Results: Fifty-nine percent of the participants reported some shoulder pain. The prevalence of any tendinopathy across the rotator cuff and the long head of biceps tendon was 98%. The prevalence of tendinopathy in the supraspinatus was 86%, infraspinatus was 91%, subscapularis was 75%, and biceps was 57%. The majority of tendinopathies had mild or moderate severity. The prevalence of any tears was 68% . The prevalence of tendon tears in the supraspinatus was 48%, infraspinatus was 36%, subscapularis was 43%, and biceps was 12%. The majority of the tears were partial-thickness tears. Participants without tendon tears were significantly younger (P < 0.001) and had been wheelchair user for a significantly shorter time (P = 0.005) than those with tendon tears. Conclusion: Mild and moderate shoulder tendinopathy and partial-thickness tendon tears were highly prevalent in MWC users with SCI. Additionally, the findings of this study suggest that strategies for monitoring shoulder pathologies in this population should not be overly reliant on patient-reported pain, but perhaps more concerned with years of wheelchair use and age.

show abstract

Prediction of the anterior shoulder pain source by detecting indirect signs for partial articular subscapularis tendon tears through conventional magnetic resonance imaging

Lee

Rhyou

Ahn

2020

Knee Surg Sports Traumatol Arthrosc

View full text Add to dashboard Cite

PurposeTo evaluate the diagnostic efficacy of indirect signs for proximal articular‐positioned, partial (< 50%), subscapularis tendon tears (facet 1 tears) via conventional magnetic resonance imaging (MRI). MethodsA retrospective study was conducted on 67 patients of Yoo’s type 1 or 2A tears. Forty‐five arthroscopic subacromial decompression and acromioclavicular resection cases served as controls. Indirect signs indicating a facet 1 tear included small defects, superior subscapularis recess (SSR), long head of the biceps (LHBT) configurations, bone edema or cyst formation on lesser tuberosity (LTBEC), and fatty infiltration of subscapularis muscle. The sensitivity, specificity, positive predictive value (PPV), negative predictive value (NPV), and accuracy were checked. ResultsSSR was the most sensitive sign (90%). The sensitivities and NPV of LHBT configurations and LTBEC were low (sensitivity: 42.9% and 17.9%, NPV: 56.4% and 44.4%, respectively). The specificities of all indirect signs were relatively high (> 90%). The Chi‐squared test and multinomial logistic regression confirmed the significance of small defects, SSRs, and fatty infiltrations for facet 1 tears (p ≤ 0.014). The combined sensitivity and specificity were up to 97.7% and 92.3%, respectively, in the presence of either a small defect or an SSR. ConclusionsConventional MRI alone can detect facet 1 tears through indirect signs (small defects, SSR, and fatty infiltrations of the subscapularis muscle), predicting unspecified anterior shoulder pain due to concealed biceps instability, and facilitating preoperative diagnosis for a facet 1 tear. Level of evidenceIII.

show abstract

Prevalence and risk factors for development of subscapularis and biceps pathology in shoulders with degenerative rotator cuff disease: a prospective cohort evaluation

Cited by 24 publications

References 38 publications

Can Supraspinatus Tears Contribute to Acquired Subcoracoid Impingement? A Radiological Study of Anterosuperior Cuff Tears

Can Supraspinatus Tears Contribute to Acquired Subcoracoid Impingement? A Radiological Study of Anterosuperior Cuff Tears

Shoulder magnetic resonance imaging findings in manual wheelchair users with spinal cord injury

Prediction of the anterior shoulder pain source by detecting indirect signs for partial articular subscapularis tendon tears through conventional magnetic resonance imaging

Contact Info

Product

Resources

About