Factors Affecting Satisfaction and Shoulder Function in Patients with a Recurrent Rotator Cuff Tear

2014 ◽  
Vol 96 (2) ◽  
pp. 106-112 ◽  
Author(s):  
H Mike Kim ◽  
Jon-Michael E Caldwell ◽  
John A Buza ◽  
Leslie A Fink ◽  
Christopher S Ahmad ◽  
...  
Keyword(s):  
Rotator Cuff ◽  
Rotator Cuff Tear ◽  
Shoulder Function ◽  
Factors Affecting ◽  
Cuff Tear

The factors affecting stiffness occurring with rotator cuff tear

2012 ◽  
Vol 21 (3) ◽  
pp. 304-309 ◽  
Author(s):  
Seung-Suk Seo ◽  
Jang-Seuk Choi ◽  
Ki-Chan An ◽  
Jung-Han Kim ◽  
Sang-Bum Kim
Keyword(s):  
Rotator Cuff ◽  
Rotator Cuff Tear ◽  
Factors Affecting ◽  
Cuff Tear

scholarly journals MicroRNA-29a Mitigates Subacromial Bursa Fibrosis in Rotator Cuff Lesion with Shoulder Stiffness

2019 ◽  
Vol 20 (22) ◽  
pp. 5742 ◽  
Author(s):  
Jih-Yang Ko ◽  
Wei-Shiung Lian ◽  
Tsai-Chen Tsai ◽  
Yu-Shan Chen ◽  
Chin-Kuei Hsieh ◽  
...  
Keyword(s):  
Rotator Cuff ◽  
Rotator Cuff Tear ◽  
Shoulder Function ◽  
Pathological Feature ◽  
Subacromial Bursa ◽  
Shoulder Disorder ◽  
Shoulder Stiffness ◽  
Cuff Tear ◽  
Rotator Cuff Lesion

Rotator cuff lesion with shoulder stiffness is a major cause of shoulder pain and motionlessness. Subacromial bursa fibrosis is a prominent pathological feature of the shoulder disorder. MicroRNA-29a (miR-29a) regulates fibrosis in various tissues; however, the miR-29a action to subacromial bursa fibrosis remains elusive. Here, we reveal that subacromial synovium in patients with rotator cuff tear with shoulder stiffness showed severe fibrosis, hypertrophy, and hyperangiogenesis histopathology along with significant increases in fibrotic matrices collagen (COL) 1A1, 3A1, and 4A1 and inflammatory cytokines, whereas miR-29a expression was downregulated. Supraspinatus and infraspinatus tenotomy-injured shoulders in transgenic mice overexpressing miR-29a showed mild swelling, vascularization, fibrosis, and regular gait profiles as compared to severe rotator cuff damage in wild-type mice. Treatment with miR-29a precursor compromised COL3A1 production and hypervascularization in injured shoulders. In vitro, gain of miR-29a function attenuated COL3A1 expression through binding to the 3’-untranslated region (3′-UTR) of COL3A1 in inflamed tenocytes, whereas silencing miR-29a increased the matrix expression. Taken together, miR-29a loss is correlated with subacromial bursa inflammation and fibrosis in rotator cuff tear with shoulder stiffness. miR-29a repressed subacromial bursa fibrosis through directly targeting COL3A1 mRNA, improving rotator cuff integrity and shoulder function. Collective analysis offers a new insight into the molecular mechanism underlying rotator cuff tear with shoulder stiffness. This study also highlights the remedial potential of miR-29a precursor for alleviating the shoulder disorder.

scholarly journals Evaluation of animal models and methods for assessing shoulder function after rotator cuff tear: A systematic review

2021 ◽  
Vol 26 ◽  
pp. 31-38
Author(s):  
Yang Liu ◽  
Sai C. Fu ◽  
Hio T. Leong ◽  
Samuel Ka-Kin Ling ◽  
Joo H. Oh ◽  
...  
Keyword(s):  
Systematic Review ◽  
Rotator Cuff ◽  
Animal Models ◽  
Rotator Cuff Tear ◽  
Shoulder Function ◽  
Cuff Tear

Shoulder Instability in Patients Over 40 Years Old: Is Concomitant Rotator Cuff Tear Determinant for Shoulder Function and Quality of Life?

2021 ◽  
Vol 30 (7) ◽  
pp. e452
Author(s):  
Fernando Garcia Seisdedos ◽  
Ivan Rodrigo Diaz ◽  
Antonio M. Foruria ◽  
Diana Morcillo ◽  
Maria Valencia ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Rotator Cuff ◽  
Rotator Cuff Tear ◽  
Shoulder Instability ◽  
Shoulder Function ◽  
Cuff Tear ◽  
Over 40 Years

scholarly journals The role of scapular dyskinesis on rotator cuff tears: a narrative review of the current knowledge

2021 ◽  
Vol 6 (10) ◽  
pp. 932-940
Author(s):  
Diana Cabral Teixeira ◽  
Luís Alves ◽  
Manuel Gutierres
Keyword(s):  
Physical Therapy ◽  
Rotator Cuff ◽  
Rotator Cuff Tear ◽  
Current Knowledge ◽  
Clinical Intervention ◽  
Shoulder Function ◽  
Rotator Cuff Tears ◽  
Scapular Dyskinesis ◽  
Cuff Tear ◽  
Scapular Dyskinesia

Scapular dyskinesis can be present in healthy individuals as in patients with shoulder pathology. Altered patterns of scapular kinematics can cause or exacerbate rotator cuff tear pathology. However, more research is needed. Regardless of the cause or the consequence of rotator cuff tear, scapular dyskinesis impairs shoulder function, worsens the symptoms, and compromises the success of clinical intervention. The available literature suggests physical therapy as the first treatment for degenerative cuff tears, and scapular dyskinesis should be addressed if present. Non-responsive cases or traumatic tears may require surgery. Postsurgical physical therapy protocols after rotator cuff repair must consider scapular dyskinesia to improve the outcomes. Cite this article: EFORT Open Rev 2021;6:932-940. DOI: 10.1302/2058-5241.6.210043

scholarly journals Prevalence of rotator cuff diseases in adults older than 40 years in or near Chuncheon city, Korea

2020 ◽  
Vol 23 (3) ◽  
pp. 125-130
Author(s):  
Do-Young Kim ◽  
Jung-Taek Hwang ◽  
Sang-Soo Lee ◽  
Jun-Hyuck Lee ◽  
Min-Soo Cho
Keyword(s):  
Rotator Cuff ◽  
Rotator Cuff Tear ◽  
Shoulder Function ◽  
Elderly Persons ◽  
Rotator Cuff Disease ◽  
Analog Scale ◽  
Cuff Tear ◽  
High Prevalence ◽  
Routine Physical Examination ◽  
Long Head

Background: To determine the prevalence of rotator cuff diseases in a population older than 40 years in or nearby Chuncheon city, Republic of Korea.Methods: Sixty shoulders of 30 people older than 40 years who participated in a health lecture were examined for free by an orthopedic surgeon. Visual analog scale of pain and American Shoulder and Elbow Surgeons scores were assigned, and routine physical examination was performed. Ultrasonography was performed on the shoulder. Results: On ultrasonographic examination, there were one shoulder with full thickness rotator cuff tear, 20 of 60 (33%) with partial thickness rotator cuff tear, five of 60 (8%) with calcific tendinitis, one of 60 (2%) with tear of the long head of the biceps, and five of 50 (8%) with tendinitis of the long head of the biceps. Participants older than 60 years showed significantly high proportions of lesion of the long head of the biceps and rotator cuff diseases (P=0.019 and P=0.015, respectively). Participants who performed physical labor had high proportions of rotator cuff tear and rotator cuff disease (P=0.001 and P<0.001, respectively). Conclusions: Rotator cuff diseases showed a high prevalence in elderly persons and resulted in a decrease in shoulder function.

scholarly journals Shoulder Function and Fatty Infiltration on MRI in Older Adults During Rehabilitation for Rotator Cuff Tear

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 960-960
Author(s):  
Derik Davis ◽  
Ranyah Almardawi ◽  
Omer Awan ◽  
Lawrence Lo ◽  
Sagheer Ahmed ◽  
...  
Keyword(s):  
Older Adults ◽  
Rotator Cuff ◽  
Rotator Cuff Tear ◽  
Fatty Infiltration ◽  
Shoulder Function ◽  
Control Cohort ◽  
Cuff Tear ◽  
Supraspinatus Tear ◽  
Cohort Groups ◽  
Over Time

Abstract Rotator cuff tear is highly prevalent in older adults, with supraspinatus tendon tear (STT) the most common. Shoulder rehabilitation is a major treatment strategy, but supraspinatus-muscle-fatty infiltration (FI) and shoulder function in older adults with rotator cuff tear primarily managed by physical therapy (PT) is inadequately documented. We tested the hypothesis that older adults receiving usual-care PT when stratified by supraspinatus tear-status differ in supraspinatus FI [by quantitative Dixon fat fraction (FF) and semi-quantitative Goutallier grade (GG) on MRI] and shoulder function [by the American Shoulder and Elbow Surgeons score (ASES-score)] over time. Longitudinal cohort study (pilot): adults 60-85 years, PT-cohort (n=15) and control-cohort (n=25). Participants completed both shoulder MRI and ASES survey at baseline and follow-up visits. Kruskal-Wallis test compared within cohort among 3 groups: no tear (no-STT), partial-thickness tear (pt-STT), full-thickness tear (ft-STT). Mann-Whitney U test compared equivalent groups between cohorts. Baseline PT-cohort groups differed for GG (p=0.033) [no tear, 0.50±0.50;pt-STT, 1.11±0.22;ft-STT, 1.50±0.50] without difference in age, BMI, comorbidity, or ASES-score. Baseline control-cohort groups differed for FF (p=0.034) [no-tear, 5.77%±1.16%;pt-STT, 7.14%±6.26%;ft-STT, 21.44%±10.44%], without difference in age, BMI, comorbidity, or ASES-score. Baseline no-tear groups for ASES-score (p=0.049) differed between cohorts: PT-cohort (58.87±8.21) versus control-cohort (83.98±21.89). Both cohorts showed no difference in Δ-FF or Δ-GG over time. PT-cohort groups differed for Δ-ASES-score over time (p=0.042)[no-tear, 16.65±4.69;pt-STT, -7.24±0.94;ft-STT, 4.48±3.45], but control-cohort groups did not (p&gt;0.050). Our results suggest differences exist for supraspinatus FI and self-reported shoulder function among older adults receiving PT for rotator cuff tear when stratified by supraspinatus tear-status.

scholarly journals Can self-report instruments of shoulder function capture functional differences in older adults with and without a rotator cuff tear?

2016 ◽  
Vol 29 ◽  
pp. 90-99 ◽  
Author(s):  
Meghan E. Vidt ◽  
Anthony C. Santago ◽  
Eric J. Hegedus ◽  
Anthony P. Marsh ◽  
Christopher J. Tuohy ◽  
...  
Keyword(s):  
Older Adults ◽  
Rotator Cuff ◽  
Rotator Cuff Tear ◽  
Shoulder Function ◽  
Self Report ◽  
Cuff Tear ◽  
Functional Differences

scholarly journals Morphologic and radiologic parameters correlating to shoulder function at diagnosis for patients with rotator cuff tear

2020 ◽  
Vol 29 (11) ◽  
pp. 2272-2281
Author(s):  
Anne-Marie Cauchon ◽  
Patrice Tétreault ◽  
Clarisse Bascans ◽  
Wafa Skalli ◽  
Nicola Hagemeister
Keyword(s):  
Rotator Cuff ◽  
Rotator Cuff Tear ◽  
Shoulder Function ◽  
Cuff Tear

RELIABILITY OF A SIMPLE SHOULDER ENDURANCE TEST

1999 ◽  
Vol 03 (03) ◽  
pp. 195-200 ◽  
Author(s):  
Richard E. Hughes ◽  
Marjorie E. Johnson ◽  
Anne Skow ◽  
Kai-Nan An ◽  
Shawn W. O'Driscoll
Keyword(s):  
Rotator Cuff ◽  
Healthy Volunteers ◽  
Rotator Cuff Tear ◽  
Correlation Coefficients ◽  
Shoulder Function ◽  
Endurance Test ◽  
Test Protocol ◽  
Cuff Tear ◽  
History Of ◽  
Test Retest Reliability

Reduced shoulder endurance in rotator cuff tear patients has been observed clinically. A simple and inexpensive shoulder endurance test protocol was developed. This study reports the test-retest reliability of the protocol. Twenty healthy volunteers without a history of shoulder pathology participated in the study. Each subject was tested twice, each on a separate day. Test-retest correlation coefficients of the arm endurance times were 0.59 and 0.60 for the dominant and nondominant sides, respectively. The protocol appears promising for assessing shoulder function.

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