Sports Medicine Roundtable: Management of a Chronic Retracted Rotator Cuff Tear in a Middle-Aged Woman with Intact Articular Cartilage

2017 ◽  
Vol 5 (1) ◽  
pp. e3
Author(s):  
Dagan Cloutier ◽  
Sean Hazzard ◽  
Charles Dowell ◽  
Brian Downie ◽  
Larry Collins
2005 ◽  
Vol 17 (1) ◽  
pp. 27
Author(s):  
RVP De Villiers ◽  
JF De Beer ◽  
K Van Rooyen ◽  
PE Huijsmans ◽  
CP Roberts ◽  
...  

A 24-year-old rugby player presented to an orthopaedic surgeon with a history of dislocation of the left shoulder. It reduced spontaneously and dislocated again later during the same match. On examination there was no residual instability, but the apprehension test for anterior instability was positive. Speed s test as well as O Brien s test for SLAP (Superior Labrum Anterior to Posterior tear) lesions were negative. There were no signs of rotator cuff tear or impingement. South African Sports Medicine Vol.17(1) 2005: 27-28


2007 ◽  
Vol 19 (1) ◽  
pp. 23 ◽  
Author(s):  
Z Oschman ◽  
C Janse van Rensburg ◽  
NGJ Maritz ◽  
H Borain ◽  
R Owen

Objective. To document the incidence of asymptomatic rotator cuff tears in patients with a confirmed symptomatic tear in the opposite shoulder, and to identify ultrasound findings that may distinguish symptomatic from asymptomatic tears. Design. When patients are referred for an ultrasound examination for the confirmation of symptomatic rotator cuff tear the opposite shoulder is often used for comparison. However, patients often have a similar tear on the asymptomatic side. Fifty patients with a confirmed symptomatic rotator cuff tear and an asymptomatic shoulder on the opposite side were chosen for inclusion. The patients were examined using a Siemens Sonoline Elegra 7.5 MHz linear multi-frequency probe. The appearance of the rotator cuff, long head of the biceps and the subacromial-subdeltoid bursa (SASD bursa) were documented. The antero-posterior (AP) dimension of the supraspinatus muscle and fat between the trapezius and supraspinatus muscles were measured, which indicated if a tear was acute or chronic. The width and length of the rotator cuff tear were measured. Setting. Division of Sports Medicine, University of Pretoria. Results. Fifty-four per cent of the asymptomatic shoulders had tears. We found that the symptomatic tears were larger, appeared more chronic and had an associated biceps tendinopathy and glenohumeral joint effusion. Conclusion. As other authors have found, the high incidence of asymptomatic tears indicates that rotator cuff tears can be regarded as a natural correlate of aging and that bilateral tears are common. Initial treatment should be conservative, but larger tears may benefit from early surgery before becoming chronic and causing glenohumeral dysfunction. South African Journal of Sports Medicine Vol. 19 (1) 2007: pp. 23-28


2010 ◽  
Vol 13 (1) ◽  
pp. 20-26 ◽  
Author(s):  
Jong-Hun Ji ◽  
Sang-Eun Park ◽  
Young-Yul Kim ◽  
Eun-Su Shin ◽  
Bo-Youn Park ◽  
...  

2005 ◽  
Vol 17 (1) ◽  
pp. 27
Author(s):  
RVP De Villiers ◽  
JF De Beer ◽  
K Van Rooyen ◽  
PE Huijsmans ◽  
CP Roberts ◽  
...  

A 24-year-old rugby player presented to an orthopaedic surgeon with a history of dislocation of the left shoulder. It reduced spontaneously and dislocated again later during the same match. On examination there was no residual instability, but the apprehension test for anterior instability was positive. Speed s test as well as O Brien s test for SLAP (Superior Labrum Anterior to Posterior tear) lesions were negative. There were no signs of rotator cuff tear or impingement. South African Sports Medicine Vol.17(1) 2005: 27-28


2000 ◽  
Vol 136 (7) ◽  
pp. 925-930 ◽  
Author(s):  
K. L. Carlson-Sweet

2014 ◽  
Author(s):  
Michelle Mangual ◽  
Jose Hernan-Martinez ◽  
Monica Santiago ◽  
Carlos Figueroa ◽  
Rafael Trinidad ◽  
...  

2018 ◽  
Vol 1 ◽  
pp. 9
Author(s):  
Harshad Arvind Vanjare ◽  
Jyoti Panwar

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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