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 Comparison of Different Fixation Techniques of the Long Head of the Biceps Tendon in Superior Capsule Reconstruction for Irreparable Posterosuperior Rotator Cuff Tears: A Dynamic Biomechanical Evaluation

2021 ◽  
Vol 49 (2) ◽  
pp. 305-313
Author(s):  
Daniel P. Berthold ◽  
Lukas N. Muench ◽  
Felix Dyrna ◽  
Bastian Scheiderer ◽  
Elifho Obopilwe ◽  
...  
Keyword(s):  
Rotator Cuff ◽  
Rotator Cuff Tear ◽  
Biceps Tendon ◽  
Young Patients ◽  
Shoulder Function ◽  
Rotator Cuff Tears ◽  
Cuff Tear Arthropathy ◽  
Cuff Tear ◽  
Fixation Techniques ◽  
Long Head

Background: In the past decade, superior capsular reconstruction has emerged as a potential surgical approach in young patients with irreparable posterosuperior rotator cuff tears (RCT) and absence of severe degenerative changes. Recently, the use of locally available and biological viable autografts, such as the long head of the biceps tendon (LHBT) for SCR has emerged, with promising early results. Purpose/Hypothesis: The purpose of this study was to investigate the effect of using the LHBT for reconstruction of the superior capsule on shoulder kinematics, along with different fixation constructs in a dynamic biomechanical model. The authors hypothesized that each of the 3 proposed fixation techniques would restore native joint kinematics, including glenohumeral superior translation (ghST), maximum abduction angle (MAA), maximum cumulative deltoid force (cDF), and subacromial peak contact pressure (sCP). Study Design: Controlled laboratory study. Methods: Eight fresh-frozen cadaveric shoulders (mean age, 53.4 ± 14.2 years) were tested using a dynamic shoulder simulator. Each specimen underwent the following 5 conditions: (1) intact, (2) irreparable posterosuperior rotator cuff tear (psRCT), (3) V-shaped LHBT reconstruction, (4) box-shaped LHBT reconstruction, and (5) single-stranded LHBT reconstruction. MAA, ghST, cDF and sCP were assessed in each tested condition. Results: Each of the 3 LHBT techniques for reconstruction of the superior capsule significantly increased MAA while significantly decreasing ghST and cDF compared with the psRCT ( P < .001 and P < .001, respectively). Additionally, the V-shaped and box-shaped techniques significantly decreased sCP ( P = .009 and P = .016, respectively) compared with the psRCT. The V-shaped technique further showed a significantly increased MAA ( P < .001, respectively) and decreased cDF ( P = .042 and P = .039, respectively) when compared with the box-shaped and single-stranded techniques, as well as a significantly decreased ghST ( P = .027) when compared with the box-shaped technique. Conclusion: In a dynamic biomechanical cadaveric model, using the LHBT for reconstruction of the superior capsule improved shoulder function by preventing superior humeral migration, decreasing deltoid forces and sCP. As such, the development of rotator cuff tear arthropathy in patients with irreparable psRCTs could potentially be delayed. Clinical Relevance: Using a biologically viable and locally available LHBT autograft is a cost-effective, potentially time-saving, and technically feasible alternative for reconstruction of the superior capsule, which may result in favorable outcomes in irreparable psRCTs. Moreover, each of the 3 techniques restored native shoulder biomechanics, which may help improve shoulder function by preventing superior humeral head migration and the development of rotator cuff tear arthropathy in young patients with irreparable rotator cuff tears.

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

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

scholarly journals How do people perceive different labels for rotator cuff disease? A content analysis of data collected in a randomised controlled experiment

BMJ Open ◽  
2021 ◽  
Vol 11 (12) ◽  
pp. e052092
Author(s):  
Joshua R Zadro ◽  
Zoe A Michaleff ◽  
Mary O'Keeffe ◽  
Giovanni E Ferreira ◽  
Romi Haas ◽  
...  
Keyword(s):  
Rotator Cuff ◽  
Shoulder Pain ◽  
Rotator Cuff Tear ◽  
Poor Prognosis ◽  
Impingement Syndrome ◽  
Subacromial Impingement Syndrome ◽  
Subacromial Impingement ◽  
Rotator Cuff Disease ◽  
Cuff Tear ◽  
Randomised Controlled

ObjectivesExplore how people perceive different labels for rotator cuff disease in terms of words or feelings evoked by the label and treatments they feel are needed.SettingWe performed a content analysis of qualitative data collected in a six-arm, online randomised controlled experiment.Participants1308 people with and without shoulder pain read a vignette describing a patient with rotator cuff disease and were randomised to one of six labels: subacromial impingement syndrome, rotator cuff tear, bursitis, rotator-cuff-related shoulder pain, shoulder sprain and episode of shoulder pain.Primary and secondary outcomesParticipants answered two questions (free-text response) about: (1) words or feelings evoked by the label; (2) what treatments they feel are needed. Two researchers iteratively developed coding frameworks to analyse responses.Results1308/1626 (80%) complete responses for each question were analysed. Psychological distress (21%), uncertainty (22%), serious condition (15%) and poor prognosis (9%) were most often expressed by those labelled with subacromial impingement syndrome. For those labelled with a rotator cuff tear, psychological distress (13%), serious condition (9%) and poor prognosis (8%) were relatively common, while minor issue was expressed least often compared with the other labels (5%). Treatment/investigation and surgery were common among those labelled with a rotator cuff tear (11% and 19%, respectively) and subacromial impingement syndrome (9% and 10%) compared with bursitis (7% and 5%).ConclusionsWords or feelings evoked by certain labels for rotator cuff disease and perceived treatment needs may explain why some labels drive management preferences towards surgery and imaging more than others.

Changes in the long head of the biceps tendon in rotator cuff tear shoulders

2005 ◽  
Vol 20 (2) ◽  
pp. 162-165 ◽  
Author(s):  
James E. Carpenter ◽  
Jason D. Wening ◽  
Amy G. Mell ◽  
Joseph E. Langenderfer ◽  
John E. Kuhn ◽  
...  
Keyword(s):  
Rotator Cuff ◽  
Rotator Cuff Tear ◽  
Biceps Tendon ◽  
Cuff Tear ◽  
Long Head

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

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