Rotator cuff disease is one of the most prevalent musculoskeletal disorders treated by orthopaedic surgeons. Despite its prevalence, the natural history of the disease is not completely understood, which is critical to consider when making decisions on surgical and nonsurgical treatment of rotator cuff tears. This article reviews the most recent studies on the natural history of rotator cuff di...

this presentation features, modalities: plain radiographs, ct, mri, and ultrasound; arthroplasty; hardware loosening; suture anchor migration; avn, collapse, arthritis; rotator cuff repair; labral repair.

HYPOTHESIS We hypothesized that the prevalence of rotator cuff tears would be higher among individuals with poor posture, regardless of the presence of symptoms. METHODS The study initially comprised 525 residents of a mountain village who participated in an annual health check. Participants completed a background questionnaire, and physical examinations were performed to evaluate shoulder fu...

OBJECTIVE The purpose of the present study was to compare self-report and interview administration methods using the Western Ontario Rotator Cuff Index (WORC) and Disabilities of the Arm, Shoulder and Hand Questionnaire (DASH) in patients with rotator cuff disorders. METHODS Thirty male and female patients over 18 years of age with rotator cuff disorders (tendinopathy or rotator cuff tear) an...

Background Limited literature exists regarding the influence of rotator cuff tear morphology on patient outcomes. Purpose To determine the effect of rotator cuff tear pattern (crescent, U-shape, L-shape) on patient-reported outcomes after rotator cuff repair. Study Design Cohort study; Level of evidence, 3. Methods Patients undergoing arthroscopic repair of known full-thickness rotator cu...

Rotator cuff repairs are the most common procedures in shoulder surgery, but still show long-term retear rates of up to 70%. Nonanatomic reconstruction is one possible cause of repair failure. The rotator cuff histologically consists of 5 separate layers of which 2 are macroscopically identifiable: the superior or tendinous layer and the inferior or capsule-ligamentous layer. In case of rotator...

INTRODUCTION: Rotator cuff tears are a very common source of pain and loss of function of the shoulder. As arthroscopic instrumentation and repair techniques have evolved, many studies have demonstrated success in repairing rotator cuff tears using these arthroscopic techniques alone compared with an open repair method. Despite these successful clinical outcomes, both open and arthroscopic rota...

book p.80. 4. Burkhart S. A unified biomechanical rationale for the treatment of rotator cuff tears : Debridement versus repair. In : Rotator Cuff Disorders. W. Z. Burkhead, ed. Williams & Wilkins, Baltimore, 1996, pp. 293-312. 5. Cofield R. H. Status of total shoulder arthroplasty. Arch. Surg., 1977, 112, 1088-1091. 6. Favard L., Nové Josserand L., Levigne C., Boileau P., Walch G. Anatomical a...

BACKGROUND Arthroscopic rotator cuff repair generally has a good clinical outcome but shoulder stiffness after surgery due to subacromial adhesion is one of the most common and clinically important complications. Sodium hyaluronate (HA) has been reported to be an anti-adhesive agent in a range of surgical procedures. However, there are few reports of the outcomes of arthroscopic rotator cuff re...

We prospectively evaluated the diagnostic value of sonography and magnetic resonance imaging (MRI) in 24 shoulders in 23 patients with suspected rotator cuff tears using arthrography as gold standard. Sonography demonstrated 14 of 15, MRI 10 of 15 rotator cuff tears, respectively. Sonography diagnosed seven of nine intact rotator cuffs correctly, MRI eight of nine. In a retrospective study we r...