Rotator cuff tears in asymptomatic individuals: a clinical and ultrasonographic screening study

Schibany, Nadja; Zehetgruber, Harald; Kainberger, Franz; Wurnig, Christian; Ba‐Ssalamah, Ahmed; Herneth, Andreas M.; Lang, Thomas; Gruber, Doris; Breitenseher, Martin

doi:10.1016/s0720-048x(03)00159-1

Cited by 112 publications

(81 citation statements)

References 26 publications

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“…We observed that the prevalence of asymptomatic rotator cuff tears increased with age as has been reported in previous studies [5][6][7][8][9]17 . The prevalence of rotator cuff tears in asymptomatic subjects in this study is slightly lower than that reported by some investigators.…”

supporting

confidence: 85%

“…No imaging modalities were used to exclude asymptomatic rotator cuff tears in these studies. Rotator cuff tears are often asymptomatic in elderly individuals [5][6][7][8][9] . The prevalence of rotator cuff tears has been reported to be as high as 50% in asymptomatic individuals older than sixty years and may increase to 80% in those older than eighty years 5 .…”

mentioning

confidence: 99%

See 1 more Smart Citation

Shoulder Strength in Asymptomatic Individuals with Intact Compared with Torn Rotator Cuffs

Kim

Teefey

Zelig

et al. 2009

The Journal of Bone and Joint Surgery-American Volume

139

117

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supporting

confidence: 85%

mentioning

confidence: 99%

Shoulder Strength in Asymptomatic Individuals with Intact Compared with Torn Rotator Cuffs

Kim

Teefey

Zelig

et al. 2009

The Journal of Bone and Joint Surgery-American Volume

139

117

View full text Add to dashboard Cite

“…In some clinical and ultrasonographic studies on asymptomatic volunteers [9,10], evidence of ultrasonographic rotator cuff tear in 23 % and 6 % of cases, respectively, with an increase of frequency with the age of patients was reported.…”

Section: Introductionmentioning

confidence: 99%

Humeral shaft fractures treated with antegrade intramedullary nailing: What are the consequences for the rotator cuff?

Verdano

Pellegrini

Schiavi

et al. 2013

International Orthopaedics (SICOT)

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Purpose The purpose of this study was to investigate the clinical and sonographic impact on the rotator cuff (RC) of the use of the anterolateral approach for nailing. Clinical assessment using the Constant score, simple shoulder test and through shoulder examination tests was carried out. The sonographic study investigated the integrity of the RC. Results Mean score on Constant's scale was 78.21 points, with most patients achieving a good result (79 % obtained more than 65 points). One patient had a limited functional outcome (Constant's score of 49 points). The sonographic findings described for supraspinatus tendon were a partial ruptures of less than 30 mm in three patients and a complete tendon rupture in one case.Conclusions The results of this study suggest that the use of the anterolateral approach for antegrade humeral nailing ensures a good functional result with no significant clinicalsonographic impact on the rotator cuff and a satisfactory long term clinical outcome.

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“…However, tear progression or failed rotator cuff repair may not be indicative of why the patients have more pain and less function, as studies have shown that large tears can be asymptomatic [45,46]. This uncertainty in the extent of RCTs in relation to the patient's clinical presentation may not be an accurate representation of the outcome of the patient's pain and function post intervention in this study.…”

Section: Effectiveness Of Physiotherapy Rehabilitationmentioning

confidence: 89%

Complete Rotator Cuff Tear: An Evidence-Based Conservative Management Approach

Abdulwahab¹,

Murrell²,

Jenio³

et al. 2018

Advances in Shoulder Surgery

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Rotator cuff disease accounts for 10% of all shoulder pain and major shoulder disability, with limited information concerning the natural history and treatment approaches for the disorder. Our objective is to assess the available evidence for the efficacy and morbidity of commonly used systemic medications, physiotherapy, and injections alongside evaluating any negative long-term effects. Although there is conflicting literature, there appears to be some consensus on the best indicators for choosing to treat a full-thickness tears (FTT) non-operatively to reduce pain and improve function. The risks associated with these tears include the potential of the progression of the tear, a diminished healing potential due to age or longer symptom duration, muscle atrophy, and fatty infiltration. The indications for surgery following conservative treatment are becoming more defined, and an outline regarding what scenarios warrant a transition from an initial conservative treatment plan has been developed. The developing benefits of using mesenchymal stem cells (MSCs) and other biologics have the potential to be disruptive to current treatment protocols in the approaches to healing rotator cuff tears (RCTs). With improved imaging modalities, diagnostic accuracy, and sensitivity, practitioners of the future will hopefully be able to intervene earlier in the disease pathogenesis cycle.

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Rotator cuff tears in asymptomatic individuals: a clinical and ultrasonographic screening study

Cited by 112 publications

References 26 publications

Shoulder Strength in Asymptomatic Individuals with Intact Compared with Torn Rotator Cuffs

Shoulder Strength in Asymptomatic Individuals with Intact Compared with Torn Rotator Cuffs

Humeral shaft fractures treated with antegrade intramedullary nailing: What are the consequences for the rotator cuff?

Complete Rotator Cuff Tear: An Evidence-Based Conservative Management Approach

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