Rotator cuff tendon connections with the rotator cable

Rahu, Madis; Kolts, Ivo; Põldoja, Elle; Kask, Kristo

doi:10.1007/s00167-016-4148-4

Cited by 33 publications

(30 citation statements)

References 8 publications

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“…Embryological studies report only that the development of the glenohumeral joint capsule occurs during Carnegie stages 22–23 (Aboul-Mahasen and Sadek 2002; Fealy et al 2000; Hita-Contreras et al 2017). However, as it has been reported in macroscopic (Burkhart et al 1993; Rahu et al 2016) and microscopic (Fallon et al 2002) studies, and as we confirmed in normal and pathological specimens, rotator cables form a functional complex with the supra- and infraspinatus muscles. Moreover, our dimensions of the cables were comparable with data from the recent MRI (Gyftopoulos et al 2013) and ultrasound (Orlandi et al 2012; Sconfienza et al 2012) studies where only the dimensions of the cable, not the complex with the spinatus tendons, were analysed.…”

Section: Discussionsupporting

confidence: 89%

“…Others have described it as the “circular fibres system” (Gohlke et al 1994 ) or the “transverse band” (Clark and Harryman 1992 ). Despite the varying nomenclature, it is uniformly known to be part of a functional complex with spinatus muscles (Rahu et al 2016 ) and plays a role similar to a cable of a suspension bridge. Thus, according to Burkhart et al ( 1993 ) it transfers the forces of supra- and infraspinatus muscles to the humerus in particular cases of rotator cuff tears.…”

Section: Introductionmentioning

confidence: 99%

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Rotator cable in pathological shoulders: comparison with normal anatomy in a cadaveric study

et al. 2018

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The rotator cable is a semicircular thickening of the glenohumeral joint capsule. It travels between tubercles of the humerus and interweaves with the supra- and infraspinatus muscle tendons. The rotator cable anchors these tendons to the tubercles, playing the role of a suspension bridge. However, little is known about the modifications of this cable that result from pathologies to the rotator cuff tendons. Thus, we aim to compare the morphology of the normal rotator cable with cables in specimens with rotator cuff injuries. The glenohumeral joint was dissected in 30 cadaveric shoulders. The supra-, infraspinatus and teres minor muscles were inspected for injuries and the rotator cable was visualised. The cables course was determined and the width, length and thickness were measured. The rotator cable was found present in all cadavers dissected. In three specimens there was a partial injury of the supraspinatus tendon (two from capsular side and one from bursal side). The rotator cable was thickened in the cases of capsular tears. In another two specimens the supraspinatus and infraspinatus muscles were torn completely and in these cases the rotator cable was blended with retracted stumps and elongated to the level of the glenoid rim. The rotator cable creates a functional complex with the supra- and infrasinatus muscles. The morphology of the cable differs in cases of rotator cuff injury.

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Section: Discussionsupporting

confidence: 89%

Section: Introductionmentioning

confidence: 99%

Rotator cable in pathological shoulders: comparison with normal anatomy in a cadaveric study

et al. 2018

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“…Arthroscopic studies as well as recent anatomic articles have provided detailed descriptions of the superior glenohumeral joint capsule. Burkhart et al 4 and Kolts et al 15 described the rotator cable in the superior part of the glenohumeral joint with the anatomic term “ligamentum semicirculare humeri.” In an anatomic study, Rahu et al 24 found that the superior capsuloligamentous structures were tightly connected to the supraspinatus tendon and could be considered the insertion area for this tendon. In the posterior insertion area, the rotator cable connects the teres minor, infraspinatus, and supraspinatus tendons.…”

Section: Discussionmentioning

confidence: 99%

Do Articular-Sided Partial-Thickness Rotator Cuff Tears After a First-Time Traumatic Anterior Shoulder Dislocation in Young Athletes Influence the Outcome of Surgical Stabilization?

Rahu

Kartus

Põldoja

et al. 2018

Orthopaedic Journal of Sports Medicine

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Background:Because of the high risk for redislocations after a first-time traumatic anterior shoulder dislocation with conservative treatment, recent publications have recommended early arthroscopic intervention, especially for young athletes. Concomitant rotator cuff tendon damage may occur when the shoulder dislocates; however, its presence and influence on clinical results have not been well described in this patient category.Hypothesis:In opposition to current opinion, a substantial number of articular-sided partial-thickness rotator cuff tears (APTRCTs) would be found at surgery after a first-time traumatic anterior shoulder dislocation in young athletes. However, the impact of these injuries on 2-year postoperative results would be negligible.Study Design:Cohort study; Level of evidence, 3.Methods:Sixteen male patients (mean age, 21 years [range, 16-25 years]) with a first-time traumatic anterior shoulder dislocation without bony Bankart lesions were included in this study. The indications for surgical treatment were age less than 25 years and being active in collision or contact sports at a competitive level. Arthroscopic surgery was performed at a mean 7.8 days (range, 2-14 days) after injury. Rowe and American Shoulder and Elbow Surgeons (ASES) scores as well as range of motion were evaluated at a minimum 2 years after an arthroscopic Bankart procedure, and a comparison of the clinical results between patients with and without APTRCTs was conducted.Results:An anterior-inferior capsulolabral injury was found in all patients. There were no bony Bankart lesions. An APTRCT was found in 9 of the 16 patients. At 2 years after surgical treatment, there were no significant differences between the patients with and without APTRCTs in terms of the Rowe score (90.0 and 87.1, respectively; P = .69) and ASES score (94.6 and 90.4, respectively; P = .67).Conclusion:APTRCTs were found in the superior part of the shoulder joint after a first-time traumatic anterior shoulder dislocation in a majority of young male athletes treated with surgical stabilization. There were no significant differences found between patients with and without APTRCTs in terms of the Rowe and ASES scores at 2 years after surgical treatment.

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“…Among such cases, the most commonly affected tendon is the supraspinatus tendon. 10,11,15,16 Typically, more than 80% of cases of total calcific tendinitis in the rotator cuff region occur in the supraspinatus tendon. These data are consistent with findings obtained by Louwerens et al for both asymptomatic and symptomatic groups, which indicated that only 10% of all calcification deposits were found in the infraspinatus tendon, and no cases of calcific tendonitis in the teres minor region have been reported in the PubMed.…”

Section: Discussionmentioning

confidence: 99%

Infraspinatus and Teres Minor Tendon Calcification with Severe Pain

2017

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Calcific tendinitis is an extremely common shoulder disorder which affects 2.7 to 10.3% of the adult population. However, clear details regarding the formation of calcific tendinitis have only been found recently, and its pathology still under debate. In this report, we present a case of calcific tendinitis affect both the infraspinatus and the teres minor tendon with both X-ray and ultrasound findings. Calcific tendinitis at the infraspinatus is rare (around 8.4% in all rotator cuff calcific tendinitis), and no separate case report on calcific tendinitis has been reported in the teres minor region in the preceding several years, therefore, the rarity of reporting this case was considered.4 We assume that additional case reports can help to further improve our understanding regarding infraspinatus and teres minor tendon calcification.

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Rotator cuff tendon connections with the rotator cable

Cited by 33 publications

References 8 publications

Rotator cable in pathological shoulders: comparison with normal anatomy in a cadaveric study

Rotator cable in pathological shoulders: comparison with normal anatomy in a cadaveric study

Do Articular-Sided Partial-Thickness Rotator Cuff Tears After a First-Time Traumatic Anterior Shoulder Dislocation in Young Athletes Influence the Outcome of Surgical Stabilization?

Infraspinatus and Teres Minor Tendon Calcification with Severe Pain

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