Rotator cuff tears in children and adolescents: experience at a large pediatric hospital

Zbojniewicz, Andrew M.; Maeder, Matthew E.; Emery, Kathleen H.; Salisbury, Shelia

doi:10.1007/s00247-014-2875-6

Cited by 29 publications

(32 citation statements)

References 20 publications

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“…Our small sample differed in that we found more intrasubstance tears than articular-side tears (4 compared with 2) and no bursal-side tears were observed. The majority of our partial-thickness tears were at the insertion which is similar to the findings reported from a recent study of 201 able-bodied pediatric participants [16]. Tendon tears at the insertion site have been attributed to younger populations, and in the nonwheelchair adult population, the critical zone has been found to be the most common site of tears [19–21].…”

Section: Discussionsupporting

confidence: 85%

“…Our finding that supraspinatus tears were more common than tears in the infraspinatus, subscapularis or long head of the biceps tendon was similar to shoulder imaging findings from able-bodied adult and pediatric populations [16, 17]. This is interesting as it implies that while wheelchair use increases the frequency of rotator cuff symptoms and tearing, it may not be a different location or tear type from nonwheelchair users.…”

Section: Discussionsupporting

confidence: 79%

“…This is interesting as it implies that while wheelchair use increases the frequency of rotator cuff symptoms and tearing, it may not be a different location or tear type from nonwheelchair users. Studies on able-bodied populations report more articular-side partial-thickness tears than bursal or interstitial tears [16]. Articular side tears are reported to be 2-3 times more common than bursal-sided tears, and intrasubstance tears are the least common [17, 18].…”

Section: Discussionmentioning

confidence: 99%

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Detailed Shoulder MRI Findings in Manual Wheelchair Users with Shoulder Pain

Morrow

Straaten

Murthy

et al. 2014

BioMed Research International

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Shoulder pain and pathology are common in manual wheelchair (MWC) users with paraplegia, and the biomechanical mechanism of injury is largely unknown. Establishing patterns of MRI characteristics in MWC users would help advance understanding of the mechanical etiology of rotator cuff disease, thus improving the logic for prescribed interventions. The purpose of this study was to report detailed shoulder MRI findings in a sample of 10 MWC users with anterolateral shoulder pain. The imaging assessments were performed using our standardized MRI Assessment of the Shoulder (MAS) guide. The tendon most commonly torn was the supraspinatus at the insertion site in the anterior portion in either the intrasubstance or articular region. Additionally, widespread tendinopathy, CA ligament thickening, subacromial bursitis, labral tears, and AC joint degenerative arthrosis and edema were common. Further reporting of detailed shoulder imaging findings is needed to confirm patterns of tears in MWC users regarding probable tendon tear zone, region, and portion. This investigation was a small sample observational study and did not yield data that can define patterns of pathology. However, synthesis of detailed findings from multiple studies could define patterns of pathological MRI findings allowing for associations of imaging findings to risk factors including specific activities.

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Section: Discussionsupporting

confidence: 85%

Section: Discussionsupporting

confidence: 79%

Section: Discussionmentioning

confidence: 99%

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Detailed Shoulder MRI Findings in Manual Wheelchair Users with Shoulder Pain

Morrow

Straaten

Murthy

et al. 2014

BioMed Research International

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“…Sixteen studies (53%) were conducted prospectively; one study did not mention time of enrollment. Ten studies reported abnormalities in asymptomatic volunteers 1,11,16,18,21,23,24,33,39,47 ; 5 studies (4 of which were cadaver studies) reported prevalence in the general population 10,14,26,28,49 ; 8 included symptomatic patients 6,7,31,36,44,46,50,51 ; and 7 described patients with acute or chronic shoulder dislocations. 3,27,29,38,42,43,52 The majority of the studies used ultrasound to image the rotator cuff (43%; 13 of 30).…”

Section: Study Characteristicsmentioning

confidence: 98%

A systematic review and pooled analysis of the prevalence of rotator cuff disease with increasing age

Teunis

Lubberts

Reilly

et al. 2014

Journal of Shoulder and Elbow Surgery

411

234

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“…MR arthrography also has similar sensitivities and specificities for detecting such lesions in adolescent patients, in comparison with adults (21). Differences in chronic injuries for pediatric patients include the rare occurrence of rotator cuff pathologic conditions and the relatively high likelihood of finding labral pathologic conditions involving the posterior and superior labrum (four of every five injuries seen with shoulder arthroscopy) (22). Injury patterns that are exclusive to adolescent athletes are Little Leaguer's shoulder and acromial apophyseolysis.…”

Section: Shoulder Injuriesmentioning

confidence: 99%

Imaging the Injured Pediatric Athlete: Upper Extremity

Delgado¹,

Jaramillo²,

Chauvin³

2016

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Increased physical activity in childhood has resulted in a large number of sports-related injuries. Although there is overlap between the sports-related injuries seen in pediatric and adult patients, important differences exist in the injury patterns of pediatric patients. These differences are related to the continuous changes in the developing skeleton and its relationship with adjacent soft tissues. The imbalance in strength between the growing bones and the nearby tendons and ligaments makes the bones prone to acute and chronic injuries. Acute injuries are more common in contact sports such as football and wrestling, whereas chronic injuries are often seen in baseball pitchers and gymnasts. Acute injuries unique to pediatric athletes include physeal fractures of the proximal and distal portions of the clavicle (periosteal sleeve fracture), the proximal humeral physis, and the coracoid process, as well as supracondylar, lateral condylar, and medial condylar fractures around the elbow. Chronic injuries, most commonly caused by repetitive microtrauma, include acromial apophyseolysis, Little Leaguer's shoulder, the constellation of findings seen in Little Leaguer's elbow, and injuries to the medial, lateral, and posterior elbow compartments. In addition, trochlear osteochondral lesions, gymnast's wrist, and rock climber's finger are less-common injuries that may be seen in children. In this article, the normal osseous development of the upper extremity is reviewed, with emphasis on the structures that are most commonly injured. The pathophysiology, imaging appearance, and imaging findings of pediatric athletic injuries are described, along with the prognostic implications. RSNA, 2016.

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Rotator cuff tears in children and adolescents: experience at a large pediatric hospital

Cited by 29 publications

References 20 publications

Detailed Shoulder MRI Findings in Manual Wheelchair Users with Shoulder Pain

Detailed Shoulder MRI Findings in Manual Wheelchair Users with Shoulder Pain

A systematic review and pooled analysis of the prevalence of rotator cuff disease with increasing age

Imaging the Injured Pediatric Athlete: Upper Extremity

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