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...

INTRODUCTION Massive rotator cuff tears may be present in patients with minimal pain and good function, or in patients with significant pain and disability.5,6,14,26 In the latter case, arthroscopic repair, either partial or complete, has been demonstrated to improve function.3,11,20,21 The mechanism of recovery is believed to be associated with an improved rotator cuff function due to at least...

INTRODUCTION: Pathologic changes in the long head of the biceps tendon are common clinically in conjunction with rotator cuff tears [1,2]. However, there is some debate regarding the role of the biceps at the shoulder following a cuff tear [3,4] and therefore, controversy exists regarding its treatment. A previous study in a rat model determined that the biceps tendon was detrimentally affected...

BACKGROUND Although rotator cuff disease is a common musculoskeletal problem in the United States, the impact of this condition on earnings, missed workdays, and disability payments is largely unknown. This study examines the value of surgical treatment for full-thickness rotator cuff tears from a societal perspective. METHODS A Markov decision model was constructed to estimate lifetime direc...

[Purpose] The purpose of this study was to examine the effects of humeral head compression taping (HHCT) on the strength of the shoulder external rotator muscle in patients with rotator cuff tendinitis. [Subjects and Methods] Twenty patients with rotator cuff tendinitis were recruited. The shoulder external rotator strength was measured using a Biodex isokinetic dynamometer system. A paired t-t...

The approach to management of a partial-thickness rotator cuff tear is best made with the understanding that this is not a singular condition. Rather, partial tears represent the common outcome of a variety of insults to the rotator cuff. Degenerative changes due to aging, anatomic impingement, and trauma may all be etiologic agents. Overhead athletes may develop tears due to repetitive microtr...

Rotator cuff tears are the most common musculoskeletal injury occurring in the shoulder. Current surgical repair fails to heal in 20% to 95% of patients, depending on age, size of the tear, smoking, time of repair, tendon quality, muscle quality, healing response, and surgical treatments. These problems are worsened by the limited healing potential of injured tendons attributed to the presence ...

Background Many patients with rotator cuff tears suffer from nocturnal shoulder pain, resulting in sleep disturbance. Purpose To determine whether rotator cuff tear size correlated with sleep disturbance in patients with full-thickness rotator cuff tears. Study Design Cross-sectional study; Level of evidence, 3. Methods Patients with a diagnosis of unilateral full-thickness rotator cuff t...