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

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.

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THE DIAGNOSTIC VALUE OF MAGNETIC RESONANCE IMAGING IN SUBACROMIAL IMPINGEMENT SYNDROME

Tạp chí Y học Cộng đồng ◽

10.52163/vjcm.v62i6.171 ◽

2021 ◽

Vol 62 (6) ◽

Author(s):

Dang Bich Nguyet ◽

Nguyen Tien Long ◽

Bui Van Lenh ◽

Nguyen Quang Trung

Keyword(s):

Magnetic Resonance Imaging ◽

Magnetic Resonance ◽

Rotator Cuff ◽

Rotator Cuff Tear ◽

Predictive Value ◽

Impingement Syndrome ◽

Subacromial Impingement Syndrome ◽

Subacromial Impingement ◽

Resonance Imaging ◽

Cuff Tear

The retrospective study was performed on 45 patients with subacromial impingement syndrome who underwent magnetic resonance imaging (MRI) which then were compared with the results of their arthroscopy. Results: 95.2% out of the cases were found to have type II and III acromion morphology; 73.8% had subacromial enthesophyte spurs; 66.7% had subacromial bursitis; 97.6% showed lesions of supraspinatus tendons in which partial–thickness rotator cuff tear was the most commonly seen. MRI showed a sensitivity (Sn) of 91.6%, specificity (Sp) of 72.2%, positive predictive value (PPV) of 81.4%, negative predictive value (NPV) of 86.67% in diagnosing subacromial bursitis. For partial-thickness rotator cuff tear, it showed a Sn of 92.5%, Sp of 93.3%, PPV of 96.1%, NPV of 87.5%. In evaluation of full-thickness rotator cuff tear, MRI showed a Sn of 100% and Sp of 100%.

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Tests for diagnosing subacromial impingement syndrome and rotator cuff disease

Shoulder & Elbow ◽

10.1177/1758573214535368 ◽

2014 ◽

Vol 6 (3) ◽

pp. 215-221 ◽

Cited By ~ 5

Author(s):

Nick Phillips

Keyword(s):

Rotator Cuff ◽

Impingement Syndrome ◽

Subacromial Impingement Syndrome ◽

Subacromial Impingement ◽

Rotator Cuff Disease

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Subacromial impingement syndrome

Orthopedic Reviews ◽

10.4081/or.2012.e18 ◽

2012 ◽

Vol 4 (2) ◽

pp. 18 ◽

Cited By ~ 31

Author(s):

Masood Umer ◽

Irfan Qadir ◽

Mohsin Azam

Keyword(s):

Rotator Cuff ◽

Treatment Strategies ◽

Impingement Syndrome ◽

Rotator Cuff Tears ◽

Subacromial Impingement Syndrome ◽

Subacromial Impingement ◽

Rotator Cuff Disease ◽

High Quality ◽

The Relationship ◽

Rotator Cuff Tendinopathy

Subacromial impingement syndrome (SAIS) represents a spectrum of pathology ranging from subacromial bursitis to rotator cuff tendinopathy and full-thickness rotator cuff tears. The relationship between subacromial impingement and rotator cuff disease in the etiology of rotator cuff injury is a matter of debate. However the etiology is multi-factorial, and has been attributed to both extrinsic and intrinsic mechanisms. Management includes physical therapy, injections, and, for some patients, surgery. No high-quality RCTs are available so far to provide possible evidence for differences in outcome of different treatment strategies. There remains a need for high-quality clinical research on the diagnosis and treatment of SAIS.

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Impact of symptom bilaterality and hand dominance on patient-reported disability outcomes

SAGE Open Medicine ◽

10.1177/2050312118797566 ◽

2018 ◽

Vol 6 ◽

pp. 205031211879756

Author(s):

Helen Razmjou ◽

Tim Dwyer ◽

Richard Holtby

Keyword(s):

Risk Factors ◽

Rotator Cuff ◽

Outcome Measures ◽

Rotator Cuff Tear ◽

Glenohumeral Joint ◽

Impingement Syndrome ◽

Older Age ◽

Hand Dominance ◽

Cuff Tear ◽

Dominant Side

Objectives: It is not clear if using patients with bilateral symptoms would impact the level of disability reported in orthopaedic research. The purposes of this study were to (1) examine the prevalence of bilateral shoulder symptoms (significant pain, stiffness or weakness affecting function) in patients with rotator cuff impingement syndrome, rotator cuff tear and osteoarthritis of the glenohumeral joint, (2) explore risk factors associated with bilateral shoulder symptoms, and (3) examine the impact of symptom bilaterality and hand dominance on pre- and post-operative patient-oriented disability outcomes. Methods: This study involved secondary analysis of prospectively collected data of patients who had undergone shoulder surgery and had returned for their 1-year follow-up. Two outcome measures were collected prior to surgery and at 1-year following surgery: the American Shoulder and Elbow Surgeons and the Constant–Murley Score. Results: Data of 772 patients, 376 (49%) females, 396 males (51%); 288 (impingement syndrome), 332 (rotator cuff tear), and 152 (osteoarthritis) were included in the analysis. There was a statistically significant difference in the prevalence of bilateral symptoms being 44%, 28%, and 22% in the osteoarthritis, impingement syndrome, and rotator cuff tear groups, respectively (p < 0.0001). The prevalence of dominant side involvement was 71%, 67%, and 53% in the rotator cuff tear, impingement syndrome, and osteoarthritis groups (p < 0.0001). Older age and female sex were risk factors for development of bilateral symptoms only in patients with rotator cuff tear. Neither symptom bilaterality nor dominant arm involvement had a negative impact on patient-oriented disability outcome measures prior to or after surgery (p > 0.05). Conclusion: This study shows that patients with osteoarthritis of the glenohumeral joint have the highest prevalence of bilateral shoulder complaints. The older age and the female sex increased the risk of having bilateral symptoms in patients with rotator cuff tear. Having bilateral shoulder symptoms or dominant side involvement was not associated with higher level of disability prior or after surgery.

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Rotator cuff unloading versus loading exercise program in the conservative treatment of patients with rotator cuff tear: protocol of a randomised controlled trial

BMJ Open ◽

10.1136/bmjopen-2020-040820 ◽

2020 ◽

Vol 10 (12) ◽

pp. e040820

Author(s):

Larissa Pechincha Ribeiro ◽

Ann Cools ◽

Paula Rezende Camargo

Keyword(s):

Rotator Cuff ◽

Conservative Treatment ◽

Shoulder Pain ◽

Rotator Cuff Tear ◽

Social Life ◽

Rotator Cuff Tears ◽

Fear Avoidance ◽

Fear Avoidance Beliefs ◽

Cuff Tear ◽

Shoulder Range Of Motion

IntroductionAtraumatic and degenerative rotator cuff tears are common in individuals over 55 years of age. This condition can have a high impact on social life and is associated with chronic pain, weakness and dysfunction of the upper limb. There is evidence that conservative approaches should be the first treatment option. Conservative treatment usually addresses a variety of therapeutic behaviours without providing scientific arguments for the choice and progression of exercises.ObjectiveTo compare the effects of two different exercise programmes based on the load of the rotator cuff on a population with shoulder pain and rotator cuff tears.Methods and analysisThis is a controlled, randomised, blinded clinical trial. Seventy-eight individuals with shoulder pain and presence of atraumatic and degenerative rotator cuff tear will participate and will be randomly distributed between two groups. The primary outcome will be quality of life (The Western Ontario Rotator Cuff Index), and secondary outcomes will include pain, function (Disabilities of the Arm, Shoulder and Hand), fear avoidance beliefs (Fear Avoidance Beliefs Questionnaire-Brazil), kinesiophobia (Tampa Scale), Pain Catastrophizing Scale, muscle strength of abductors, external and internal rotators of the shoulder, range of motion of arm elevation and patient satisfaction. The treatment will be performed for 12 weeks (2 x/week) acording to the selected group (Rotator Cuff Unloading x Rotator Cuff Loading Exercise Programme).Ethics and disseminationThe study protocol was approved by the Institutional Review Board. The findings of the trial will be disseminated through peer-reviewed journals and scientific conferences.Trial registration numberNCT03962231.

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