The aim of this study was to investigate genetic influences on the development and progression of tears of the rotator cuff. From a group of siblings of patients with a tear of the rotator cuff and of controls studied five years earlier, we determined the prevalence of tears of the rotator cuff with and without associated symptoms using ultrasound and the Oxford Shoulder Score. In the five year...

BACKGROUND Plantar plate tears could be the reason of forefoot pain, affecting foot function. Magnetic resonance imaging (MRI) and ultrasound (US) were commonly used for the diagnosis of plantar plate tears. The decision of whether to use MRI or US carried some controversy. Our study aimed to find out the diagnostic accuracy of MRI versus US for plantar plate tears. METHODS The database of th...

We have studied cellular and vascular changes in different stages of full thickness tears of the rotator cuff. We examined biopsies from the supraspinatus tendon in 40 patients with chronic rotator cuff tears who were undergoing surgery and compared them with biopsies from four uninjured subscapularis tendons. Morphological and immunocytochemical methods using monoclonal antibodies directed aga...

The aim of this study was to investigate the occurrence of tissue hypoxia and apoptosis at different stages of tendinopathy and tears of the rotator cuff. We studied tissue from 24 patients with eight graded stages of either impingement (mild, moderate and severe) or tears of the rotator cuff (partial, small, medium, large and massive) and three controls. Biopsies were analysed using three immu...

Various classifications of rotator cuff tears have been proposed. Many authors currently define a tear as massive if there is a detachment of at least 2 complete tendons. Whereas small tears can occur without symptoms, massive tears are always associated with weakness and, especially in young patients, often with painful disability. Massive tears are only rarely due to an acute injury; rather, ...

AIM To compare the functional outcomes of traumatic and non-traumatic rotator cuff tears after arthroscopic repair. METHODS Eighty-seven patients with rotator cuff tears following arthroscopic treatment were divided into traumatic and non-traumatic tear groups. Postoperative muscle strength and outcomes using the modified University of California, Los Angeles score were evaluated. Sex, age, a...

PURPOSE To evaluate the effects of acupuncture compared to a control group using artificial tears. METHODS SETTING & DESIGN multicenter randomised controlled trial (three local research hospitals of South Korea). STUDY POPULATION 150 patients with moderate to severe dry eye. INTERVENTION Participants were randomly allocated into four weeks of acupuncture treatment (bilateral BL2, GB14,...

The study by Mall et al. is an important, clinically relevant investigation that highlights the natural history of rotator cuff disease and specifically looks at the progression of asymptomatic tears and the factors associated with this progression. While rotator cuff disease is one of the most common orthopaedic conditions, little is known about its natural history. The purposes of this study ...

2 Steadman Philippon Research Institute, Vail, CO In the past decade, significant advances have been made in the diagnosis and treatment of non-arthritic intra-articular hip pathologies, including acetabular labral tears. Tears of the acetabular labrum have been identified as a source of hip pain and mechanical symptoms, and as a possible instigator of premature hip degeneration. Arthroscopic m...

The long head of biceps tendon (LHBT) is frequently involved in rotator cuff tears and can cause anterior shoulder pain. Tendon hypertrophy, hourglass contracture, delamination, tears, and tendon instability in the bicipital groove are common macroscopic pathologic findings affecting the LHBT in the presence of rotator cuff tears. Failure to address LHBT disorders in the setting of rotator cuff...