The duration of symptoms does not correlate with rotator cuff tear severity or other patient-related features: a cross-sectional study of patients with atraumatic, full-thickness rotator cuff tears

Background: To evaluate the demographics, clinical and radiographic features of calcific tendinitis of the shoulder in the Korean population, specifically focusing on the incidence of coexisting rotator cuff tear.Methods: Between October 2014 and January 2015, we performed a prospective multicenter study with 506 patients from 11 training hospitals in Korea. We collected data of demographics and radiographic analysis based on simple radiographs, clinical assessments based on visual analog scale (VAS) and the American Shoulder Elbow Surgeons (ASES) score, and treatment modalities that are used currently. We also evaluated coexisting rotator cuff tear by ultrasonography (US) or magnetic resonance imaging (MRI) images. Results: There were 402 female patients (79%) with mean age of 55 years (range, 31–87 years). Mean duration of symptoms was 15.5 months. Mean size of calcific materials was 11.4 mm (range, 0.9-35). Mean value of VAS and ASES scores were 6.5 (range, 1–10) and 47 (range, 8–95), respectively. Of 383 patients (76%), 59 (15%) had rotator cuff tear including 15 full-thickness tears on US or MRI. Patients with rotator cuff tears were significantly associated with older age, recurrent symptoms, menstrual disorders in females, and having undergone calcification removal surgery and rotator cuff repair (all P<0.05).Conclusions: This study reported demographic, radiographic, and clinical features of calcific tendinitis of the shoulder in Korean population, which were not different from those of Western population. Coexisting rotator cuff tear was found with 15% incidence in this large series, suggesting that further radiographic study to evaluate rotator cuff tear might be needed in some calcific tendinitis patients of older age and presenting with recurrent symptoms.

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Etiology of rotator cuff tears: A Cross Sectional Study

Journal of Medical Science And clinical Research ◽

10.18535/jmscr/v7i6.191 ◽

2019 ◽

Vol 7 (6) ◽

Author(s):

Yawar Haider

Keyword(s):

Rotator Cuff ◽

Cross Sectional Study ◽

Rotator Cuff Tears ◽

Sectional Study ◽

Cross Sectional

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Rotator Cuff Tear Pain and Tear Size and Scapulohumeral Rhythm

Journal of Athletic Training ◽

10.4085/1062-6050-44.2.148 ◽

2009 ◽

Vol 44 (2) ◽

pp. 148-159 ◽

Cited By ~ 26

Author(s):

Jason S. Scibek ◽

James E. Carpenter ◽

Richard E. Hughes

Keyword(s):

Rotator Cuff ◽

Rotator Cuff Tear ◽

The Body ◽

Rotator Cuff Tears ◽

Full Thickness ◽

Scapular Kinematics ◽

Cuff Tear ◽

Before And After ◽

Lidocaine Injection ◽

Tear Size

Abstract Context: The body of knowledge concerning shoulder kinematics in patients with rotator cuff tears is increasing. However, the level of understanding regarding how pain and tear size affect these kinematic patterns is minimal. Objective: To identify relationships between pain associated with a full-thickness rotator cuff tear, tear size, and scapulohumeral rhythm (SHR) and to determine whether pain and tear size serve as predictors of SHR. Design: A test-retest design was used to quantify pain and SHR before and after a subacromial lidocaine injection. Correlation and multivariate analyses were used to identify relationships among pain, tear size, and SHR. Setting: Orthopaedic biomechanics research laboratory. Patients or Other Participants: Fifteen patients (age range, 40–75 years) with diagnosed full-thickness rotator cuff tears participated. They were experiencing pain at the time of testing. Intervention(s): Shoulder kinematic data were collected with an electromagnetic tracking system before and after the patient received a lidocaine injection. Main Outcome Measure(s): Pain was rated using a visual analog scale. Three-dimensional scapular kinematics and glenohumeral elevation were assessed. Scapular kinematics included anterior-posterior tilt, medial-lateral tilt, and upward-downward rotation. A regression model was used to calculate SHR (scapular kinematics to glenohumeral elevation) for phases of humeral elevation and lowering. Results: Linear relationships were identified between initial pain scores and SHR and between tear size and SHR, representing an increased reliance on scapular motion with increasing pain and tear size. Pain was identified as an independent predictor of SHR, whereas significant findings for the effect of tear size on SHR and the interaction between pain and tear size were limited. Conclusions: We noted an increased reliance on scapular contributions to overall humeral elevation with increasing levels of pain and rotator cuff tear size. Pain associated with a rotator cuff tear serves as a primary contributor to the kinematic patterns exhibited in patients with rotator cuff tears.

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To Determine Preference of Shoulder Pain Management by General Physicians in Lahore

Journal of Medical Clinical Case Reports ◽

10.47485/2767-5416.1021 ◽

2021 ◽

Keyword(s):

Rotator Cuff ◽

Shoulder Pain ◽

Rotator Cuff Tear ◽

Sampling Technique ◽

Cross Sectional Study ◽

General Physician ◽

Cross Sectional ◽

Cuff Tear ◽

General Physicians ◽

Glenohumeral Osteoarthritis

Objective: To determine the preference of general practitioners how they diagnose and treat the shoulder pain. Methodology: Descriptive cross sectional study were carried out among general physicians of the Lahore. Total 268 physicians were enrolled in the study and only 221 physicians responded. Data was collected by convenient sampling technique and physician were inquired about different aspects (diagnosis, investigation, treatment and referral) of management of shoulder pain. Results: Total 221 physicians participated in the study that included 133 male and 88 female physicians. Result showed 68 and 83 physician were confident in the diagnosis of glenohumeral osteoarthritis and rotator cuff tear respectively. The most recommended investigation was radiographs of affected joint. Study revealed that 58 physicians also refer the patients to the physiotherapists for management. Conclusion: Results of this study showed the preference of general physician about the management of shoulder pain. They diagnosed the patients of rotator cuff tear and glenohumeral arthritis and as an investigation they mostly recommend the radiograph. Their patients were being improved with physiotherapy in addition to symptomatic treatments.

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Predicting the surgical reparability of large-to-massive rotator cuff tears by B-mode ultrasound: a cross-sectional study

ULTRASONOGRAPHY ◽

10.14366/usg.20192 ◽

2021 ◽

Author(s):

Po-Cheng Chen ◽

Kuan-Ting Wu ◽

Yi-Cun Chen ◽

Yu-Chi Huang ◽

Ching-Di Chang ◽

...

Keyword(s):

Rotator Cuff ◽

Cross Sectional Study ◽

Rotator Cuff Tears ◽

Sectional Study ◽

Cross Sectional ◽

Massive Rotator Cuff Tears

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Mini-Open Rotator Cuff Tear Repair: An Institutional Experience with a Midterm Follow-up

Ortopedia Traumatologia Rehabilitacja ◽

10.5604/01.3001.0012.8274 ◽

2018 ◽

Vol 20 (5) ◽

pp. 383-387 ◽

Cited By ~ 1

Author(s):

Adil Bashir ◽

Suleiman Seth ◽

Iftikhar H. Wani ◽

Munir Farooq ◽

Naseem ul Gani ◽

...

Keyword(s):

Rotator Cuff ◽

Rotator Cuff Tear ◽

Rotator Cuff Tears ◽

Fixation Method ◽

Full Thickness ◽

Open Procedure ◽

Cuff Tear ◽

Rotator Cuff Tear Repair ◽

Mini Open

Background. Rotator cuff tears have long been recognised as a cause of pain and disability. Over the past decades the treatment of rotator cuff tears has evolved from an open procedure to a mini-open procedure to an all-arthroscopic one. The indications and benefits of each of the procedures are still debated. The purpose of this study was to observe the results of “Mini-open repair rotator cuff tear”. Material and methods. This was a prospective study conducted in the postgraduate department of Orthopaedics Government Medical College, Srinagar, from March 2013 to January 2018 with cases followed up for a minimum of 3 years. This study included 50 patients of either sex with non-massive full thickness tears of rotator cuff. Results. The mean UCLA score improved from 10.96 preoperatively to 30.68 at final follow-up. Overall, 88% of the patients achieved excellent or good results and 92% were satisfied. No significant difference was noted in functional outcomes between traumatic and degenerative tears. Size of tear seems to be a determining factor in the functional outcome. Stiffness as a complication occurred in two patients. Conclusion. 1. Mini-open rotator cuff tear repair eliminated symptomatic full thickness rotator cuff tears with significant improvement in functional scores. 2. There were no major complications of the surgical procedure adopted or the fixation method used. 3. Mini-open rotator cuff repair remains a useful technique despite advances in arthroscopy.

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Accuracy of Rotator Cuff Tears and Tendinosis Diagnoses on Shoulder Ultrasound Performed by a Short-experienced Operator

American Journal of Sonography ◽

10.25259/ajs-22-2018 ◽

2018 ◽

Vol 1 ◽

pp. 9

Author(s):

Harshad Arvind Vanjare ◽

Jyoti Panwar

Keyword(s):

Rotator Cuff ◽

Negative Predictive Value ◽

Rotator Cuff Tear ◽

Predictive Value ◽

Rotator Cuff Tears ◽

Mri Findings ◽

Cuff Tear ◽

Experienced Operator ◽

Magnetic Resonance Imaging Mri ◽

Sensitivity Specificity

Objective The objective of the study was to assess the accuracy of ultrasound examination for the diagnosis of rotator cuff tear and tendinosis performed by a short experienced operator, compared to magnetic resonance imaging (MRI) results. Method A total of 70 subjects suspected to have rotator cuff tear or tendinosis and planned for shoulder MRI were included in the study. Shoulder ultrasound was performed either before or after the MRI scan on the same day. Ultrasound operator had a short experience in performing an ultrasound of the shoulder. Ultrasound findings were correlated to MRI findings. Results Sensitivity, specificity, positive predictive value, negative predictive value, and accuracy for the diagnosis of tendinosis were 58%, 84%, 63%, 80%, and 75%, respectively, and it was 68%, 91%, 73%, 88%, and 85%, respectively, for the diagnosis of rotator cuff tear. Conclusions Sensitivity for diagnosing rotator cuff tear or tendinosis was moderate but had a higher negative predictive value. Thus, the ultrasound operator with a short experience in performing shoulder ultrasound had moderate sensitivity in diagnosing tendinosis or tears; however, could exclude them with confidence.

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Full-thickness rotator cuff tear in rat results in distinct temporal expression of multiple proteases in tendon, muscle, and cartilage

Journal of Orthopaedic Research® ◽

10.1002/jor.24179 ◽

2018 ◽

Vol 37 (2) ◽

pp. 490-502 ◽

Cited By ~ 2

Author(s):

Elda A. Treviño ◽

Jennifer McFaline-Figueroa ◽

Robert E. Guldberg ◽

Manu O. Platt ◽

Johnna S. Temenoff

Keyword(s):

Rotator Cuff ◽

Rotator Cuff Tear ◽

Full Thickness ◽

Temporal Expression ◽

Cuff Tear ◽

And Cartilage

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DOES HYPERCHOLESTOLEMIA PREDISPOSE TO ROTATOR CUFF PATHOLOGIES?

Asian Journal of Pharmaceutical and Clinical Research ◽

10.22159/ajpcr.2017.v10i4.16883 ◽

2017 ◽

Vol 10 (4) ◽

pp. 373 ◽

Cited By ~ 1

Author(s):

Surendra Umesh Kamath ◽

Sunil Murthy

Keyword(s):

Rotator Cuff ◽

Total Cholesterol ◽

Rotator Cuff Tear ◽

Indian Population ◽

Statistical Significance ◽

Elevated Serum ◽

Density Lipoprotein ◽

Rotator Cuff Tears ◽

Control Group ◽

Cuff Tear

Background: Rotator cuff tear are one of most common orthopedic musculoskeletal problem gaining importance due to large health scale expenditure. Causes of rotator cuff tears are multifactorial and unclear. Previous studies have suggested relation between elevated serum lipid profile and rotator cuff tear in western population. We therefore undertook study in our Indian population to correlate association of hypercholesterolemia with rotator cuff tear.Objective: To find association of rotator cuff pathology with hypercholesterolemia in Indian patients.Materials and methods: After obtaining clearance from institutional ethics committee. We prospectively collected fasting lipid samples of population who came to our hospitals with complaints of shoulder pain during our study period. 50 patients had rupture of rotator cuff which was confirmed by ultrasound of involved shoulder. 50 were seen for non-cuff related complaints. We followed strict inclusion and exclusion criteria.Results: Total cholesterol, Triglycerides and low density lipoprotein concentration of patients with rotator cuff tendon tear were on higher side than control group. High density lipoprotein trend showed being lower than control group. 21 of 50 (42%) had high cholesterol (total cholesterol greater than 240mg/dl) than compared to 18 of 50 (36%) in control group. however P value=0.539 and showed no statistical significance between groups.Conclusion: In Indian population there was no correlation between hypercholesterolemia and rotator cuff tear which is statistically significant.Key words Rotator cuff tear, Hypercholesterolemia, Indian population.

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