Rotator cuff tears: Review of epidemiology, clinical assessment and operative treatment

Wani, Zubair; Abdulla, Mohamed M.; Habeebullah, Awais; Kalogriantis, Socrates

doi:10.1177/1460408615596770

Cited by 34 publications

(39 citation statements)

References 154 publications

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“…The etiology of rotator cuff tears is multifactorial, and age-related tendon degeneration is the most important risk factor associated with these lesions. 3,7 In our study, we observed that the frequency of supraspinatus tears became higher with increasing age among the patients: 48.7% of the patients over 40 years of age presented lesions while only 6.2% of the patients aged 40 years or younger had these lesions.…”

Section: Discussionmentioning

confidence: 47%

“…These results are concordant with those from previous accuracy studies and epidemiological studies and thus demonstrate that the sample was representative. 3,4 Evaluation of the accuracy of shoulder ultrasonography for diagnosing these lesions allowed us to compare our results with those found in the worldwide literature. The present study assessed the sensitivity and specificity of ultrasonography for diagnosing supraspinatus tendon injuries, using magnetic resonance imaging as the reference method.…”

Section: Discussionmentioning

confidence: 95%

“…1,2 Studies have shown that the prevalence of RCTs ranges from 5% to 40% and that it is directly related to increasing age. 3 Clinical tests and imaging examinations are routinely performed to diagnose lesions of this tendon. 3 In a study conducted to elucidate the prevalence of rotator cuff tears in the general population, using ultrasonography as the reference standard, Yamamoto et al found that the prevalence of rotator cuff tears was 20.7%, through examining 683 patients (total of 1,366 shoulders).…”

Section: Introductionmentioning

confidence: 99%

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Sensitivity and specificity of ultrasonography in diagnosing supraspinatus lesions: a prospective accuracy diagnostic study

et al. 2018

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Section: Discussionmentioning

confidence: 47%

Section: Discussionmentioning

confidence: 95%

Section: Introductionmentioning

confidence: 99%

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Sensitivity and specificity of ultrasonography in diagnosing supraspinatus lesions: a prospective accuracy diagnostic study

et al. 2018

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“…These factors include exercise regimens, occupation, nutrition, medication, and smoking. 23,33,34 Chronic injuries are associated with repetitive mechanical strain and loading. 35 Acute injuries are associated with sudden eccentric movement that causes the tendon to tear or rupture from the bone.…”

Section: Pathogenesis Of Rotator Cuff Degeneration and Current Treamentioning

confidence: 99%

Targeting Inflammation in Rotator Cuff Tendon Degeneration and Repair

Abraham

Shah

Thomopoulos

2017

Techniques in Shoulder &Amp; Elbow Surgery

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Rotator cuff degeneration is a common affliction that results in pain and disability. Tendinopathy was historically classified with or without the involvement of the immune system. However, technological advancements in screening have shown that the immune system is both present and active in all forms of tendinopathy. During injury and healing, the coordinated effort of numerous immune cell populations work with the resident stromal cells to break down damaged tissues and stimulate remodeling. These cells deploy a wide array of tools, including phagocytosis, enzyme secretion, and chemotactic gradients to direct these processes. Yet, there remains a knowledge gap in our understanding of the sequence of critical events and regulatory factors that mediate this is process in injury and healing. Furthermore, current treatments do not specifically target inflammation at the molecular level. Typical regimens include non-steroidal anti-inflammatory drugs or corticosteroids; however, researchers have found irrevocable functional deficits following treatment, and have disputed their long-term efficacy. Therefore, developing therapeutics that specifically consider the nuances of the immune system are necessary to improve patient outcomes.

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“…This functional anatomical unit is critical for normal shoulder movement and stability [1][2][3]. Rotator cuff tendon (RCT) injuries are frequent, and often result in pain, substantial tissue morbidity and disability, affecting mainly athletes, active workers and the elder population [4,5]. As our society continues to age and remain active, these conditions not only have an impact on people's quality of life and activities of daily living, but also represent significant economic burden [4,6].…”

Section: Introductionmentioning

confidence: 99%

Fibrous structures in augmentation for rotator cuff repair: an experimental comparison

Peixoto

Pereira

Silva

et al. 2018

Biomed. Phys. Eng. Express

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Background and purpose: Rotator cuff tendon (RCT) injuries are difficult to manage as current strategies do not restore tissue functionality. Driven by this market demand, several devices have been developed during the last years, however, to develop a structure that properly mimics the mechanical performance of the native tissue remains a challenge. This way, in this work we study a set of design criteria for a synthetic graft development for RCT repair and reconstruction, in order to achieve a structure with an adequate mechanical performance to substitute the damaged tissue, and that can also act as a scaffold, allowing and guiding tissue ingrowth. Materials and Methods: Two three-dimensional (3D) and two planar (2D) warp-knitted structures were developed using polyethylene terephthalate (PET) yarn, and are characterized in terms of their morphology, absorption and wicking behavior, and mechanical properties. Results: The present warp-knitted structures mimic the non-linear mechanical behavior of the native tissue. A less porous planar structure was concluded to be the best to provide mechanical augmentation, as it demonstrated mechanical properties suitable for RCT repair. Pre-tensioning techniques were adequate to increase this type of textile's mechanical properties. Furthermore, the physical properties of this structure can allow and guide tissue ingrowth, demonstrating its potential to act also as a scaffold. Conclusions: As this is a relatively new field of application of knitting technologies, this work provides important information on how a warp-knitted structure should be tailored and treated post-production, in order to be used for RCT repair.

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Rotator cuff tears: Review of epidemiology, clinical assessment and operative treatment

Cited by 34 publications

References 154 publications

Sensitivity and specificity of ultrasonography in diagnosing supraspinatus lesions: a prospective accuracy diagnostic study

Sensitivity and specificity of ultrasonography in diagnosing supraspinatus lesions: a prospective accuracy diagnostic study

Targeting Inflammation in Rotator Cuff Tendon Degeneration and Repair

Fibrous structures in augmentation for rotator cuff repair: an experimental comparison

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