BACKGROUND Restoration of shoulder function is a primary goal when treating patients with traumatic brachial plexus injury. A concomitant rotator cuff tear may alter the treatment approach and prognosis for these individuals. The purpose of this study was to define the prevalence of rotator cuff tears in patients with traumatic brachial plexus injuries. METHODS This is a retrospective review ...

BACKGROUND It is unknown which combination of patient information and clinical tests might be optimal for the diagnosis of rotator cuff tears. This study aimed to determine the diagnostic value of nine individual clinical tests for evaluating rotator cuff tear and to develop a prediction model for diagnosing rotator cuff tear. METHODS This prospective cohort study included 169 patients with s...

Xanthomatous infiltration may rarely affect the rotator cuff muscles and long head of the biceps tendon. It is the deposition of cholesterol within the rotator cuff muscles and long head of the biceps tendon resulting from hyperlipidemia, specifically high triglyceride and total cholesterol levels. As more commonly seen with xanthomatous infiltration and tear of the Achilles tendon, there may a...

Rotator cuff tear has been a known entity for orthopaedic surgeons for more than two hundred years. Although the exact pathogenesis is controversial, a combination of intrinsic factors proposed by Codman and extrinsic factors theorized by Neer is likely responsible for most rotator cuff tears. Magnetic resonance imaging remains the gold standard for the diagnosis of rotator cuff tears, but the ...

The management of both rotator cuff tears and symptoms related to rotator cuff disease has historically demonstrated good results with surgical treatment when conservative measures fail. In cases of persistent pain and/or disability after rotator cuff surgery, reasons for failure include misdiagnosis, post-operative complications, errors in surgical execution, and problems related to post-opera...

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 it has been attributed to both extrins...

Strangulation around cuff tissue is a possible cause of retear after rotator cuff repair. Therefore, tendon healing ideally requires changes in suture tension over the cuff tissue in accord with rotator cuff muscle activity. The authors present a type of fixation that mimics the mechanism of the Chinese finger trap. The devised knot-free tendon trap technique resembles the double-pulley-suture ...

BACKGROUND It has been indicated that rotator cuff tears, especially large or massive ones, can cause suprascapular neuropathy. When such a diagnosis has been established, it is still unknown whether an arthroscopic release of the superior transverse scapular ligament during cuff repair can change the course of this neuropathy. METHODS/DESIGN This is a single-center, double-blinded randomized...

The biomechanical properties of, and mechanical environment surrounding, the rotator cuff continue to be a research area of great interest as injury and failure of these tendons are among the most common of shoulder pathologies, with incidence increasing in older populations. Recent literature has refined our knowledge of the anatomy, the role of the various tendons in movement and shoulder sta...

INTRODUCTION: Rotator cuff tear is one of the common shoulder disorders and surgical repair is very effective for the improvement of shoulder functions. Current surgical technique for rotator cuff tear is an arthroscopical repair or a mini-open repair. Selection of surgical technique should be determined by the appropriate patient’s selection based on the pathology of the rotator cuff tear. Mag...