1,871 results match your criteria Rotator Cuff Disease


The Relationship of Aging and Smoking with Rotator Cuff Disease: A Systematic Review and Meta-Analysis.

Am J Phys Med Rehabil 2021 Jun 12. Epub 2021 Jun 12.

Vanderbilt University School of Medicine, Nashville, TN Division of Epidemiology, Department of Medicine, Vanderbilt University Medical Center, Nashville, TN Division of Quantitative Sciences, Department of Obstetrics and Gynecology, Vanderbilt University Medical Center, Nashville, TN University of Rochester School of Medicine, Rochester, NY Department of Physical Medicine and Rehabilitation, Vanderbilt University Medical Center, Nashville, TN Department of Orthopaedics and Rehabilitation, Vanderbilt University Medical Center, Nashville, TN Departments of Physical Medicine and Rehabilitation, Orthopaedics, and Population & Data Sciences, University of Texas Southwestern.

Objective: Despite rotator cuff disease being one of the most common causes of shoulder pain, its pathogenesis and biology are poorly understood. In this study, we synthesized evidence from studies reporting associations for aging and smoking status in relation to rotator cuff disease.

Design: A systematic review was performed using multiple databases (PubMed, Embase, Cochrane, CINAHL, and Science Direct). Read More

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Use of biologics in rotator cuff disorders: Current concept review.

J Clin Orthop Trauma 2021 Aug 15;19:81-88. Epub 2021 May 15.

The Royal Orthopaedic Hospital, Birmingham, United Kingdom.

Poor tendon to bone healing following rotator cuff repair has led to the continued interest and investigation into biological augmentation. The biology of tendinopathy is not fully understood and consequently the availability of disease modifying therapeutic targets is limited. A ceiling of benefit has been reached by mechanical optimisation of rotator cuff repair and thus, in order to improve healing rates, a biological solution is required. Read More

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The role of loading in murine models of rotator cuff disease.

J Orthop Res 2021 Jun 3. Epub 2021 Jun 3.

Department of Orthopaedic Surgery, Columbia University Irving Medical Center, New York, New York, USA.

Rotator cuff disease pathogenesis is associated with intrinsic (e.g., age, joint laxity, muscle weakness) and extrinsic (e. Read More

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Factors Associated With Lateral Epicondylitis of the Elbow.

Orthop J Sports Med 2021 May 13;9(5):23259671211007734. Epub 2021 May 13.

Department of Radiology, School of Medicine, Gyeongsang National University, and Gyeongsang National University Hospital, Jinju, Republic of Korea.

Background: Metabolic factors have been linked to tendinopathies, yet few studies have investigated the association between metabolic factors and lateral epicondylitis.

Purpose: To evaluate risk factors for lateral epicondylitis, including several metabolic factors.

Study Design: Case-control study; Level of evidence, 3. Read More

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Prevalence of Prescription Opioids for Nonoperative Treatment of Rotator Cuff Disease Is High.

Arthrosc Sports Med Rehabil 2021 Apr 3;3(2):e373-e379. Epub 2021 Feb 3.

Department Orthopaedic Surgery, Atrium Health Musculoskeletal Institute, Charlotte, North Carolina, U.S.A.

Purpose: To quantify the prevalence of opioid and benzodiazepine prescriptions for patients with rotator cuff disease across a large health care system and to describe evidence-based risk factors for opioid use within this population.

Methods: We conducted a retrospective cohort study at a major health care system of all patients with qualifying diagnostic codes. Emergency department, urgent care, and outpatient encounters between January and December 2016 for an acute rotator cuff tear, listed as the primary diagnosis, were included. Read More

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The biomechanics of the rotator cuff in health and disease - A narrative review.

J Clin Orthop Trauma 2021 Jul 26;18:150-156. Epub 2021 Apr 26.

Upper Limb Unit, Wrightington Hospital, Hall Lane, Appley Bridge, Wigan, WN6 9EP, UK.

The rotator cuff has an important role in the stability and function of the glenohumeral joint. It is a complex anatomic structure commonly affected by injury such as tendinopathy and cuff tears. The rotator cuff helps to provide a stabilising effect to the shoulder joint by compressing the humeral head against the glenoid cavity via the concavity compression mechanism. Read More

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Physiotherapy after ultrasound-guided percutaneous irrigation in rotator cuff calcific tendinopathy.

J Back Musculoskelet Rehabil 2021 Apr 28. Epub 2021 Apr 28.

Azienda Ospedaliera Universitaria Careggi, Firenze, Italy.

Background: Rotator cuff calcific tendinopathy (RCCT) is a very frequent and debilitating disease often treated with Ultrasound-guided percutaneous irrigation (UGPI) followed by physiotherapy.

Objective: A multicenter observational clinical study was designed to assess the effects of physiotherapy after UGPI on the functional recovery of the shoulders of patients suffering from RCCT.

Method: One hundred sixty-six patients (mean age 50. Read More

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Rotator cuff assessment on imaging.

J Clin Orthop Trauma 2021 Jul 21;18:121-135. Epub 2021 Apr 21.

Wrightington, Wigan and Leigh Teaching Hospital NHS Foundation Trust, Hall Ln, Appley Bridge, Wigan, WN6 9EP, United Kingdom.

The rotator cuff is a group of four muscles and tendons surrounding the shoulder joint providing it strength and stability. The rotator cuff consists of the subscapularis, supraspinatus, infraspinatus and teres minor. Many shoulder complaints are caused by rotator cuff pathology such as impingement syndrome, tendon tears and other diseases e. Read More

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Association of TNF-α -308G > A polymorphism with susceptibility to tendinopathy in athletes: a case-control study.

BMC Sports Sci Med Rehabil 2021 May 13;13(1):51. Epub 2021 May 13.

Divisão de Pesquisa, Instituto Nacional de Traumatologia e Ortopedia (INTO), Avenida Brasil, 500, RJ, zip code 20940-070, Rio de Janeiro, Brazil.

Background: High levels of the tumor necrosis factor alpha (TNF-α) induce apoptosis and pro-inflammatory effects for primary degeneration of tendon and development of tendinopathy. The aim of this study was to investigate the association between the TNF-α polymorphisms and tendinopathy in athletes.

Methods: Two hundred and seventy athletes (135 tendinopathy cases and 135 controls) were included and genotyped (TNF-α -1031T > C; -857 C > T; -308G > A) using TaqMan validated assays. Read More

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Identification of a Novel Genetic Marker for Risk of Degenerative Rotator Cuff Disease Surgery in the UK Biobank.

J Bone Joint Surg Am 2021 May 12. Epub 2021 May 12.

Departments of Orthopaedic Surgery (E.L.Y., J.D.K., and R.W.W.), Surgery (E.L.Y. and G.A.C.), Genetics (S.J.L. and N.L.S.), and General Medical Studies (B.A.E.), Washington University School of Medicine, St. Louis, Missouri.

Background: While evidence indicates that familial predisposition influences the risk of developing degenerative rotator cuff disease (RCD), knowledge of specific genetic markers is limited. We conducted a genome-wide association study of RCD surgery using the UK Biobank, a prospective cohort of 500,000 people (40 to 69 years of age at enrollment) with genotype data.

Methods: Cases with surgery for degenerative RCD were identified using linked hospital records. Read More

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Power-assisted Pedicle Screw Technique Protects Against Risk of Surgeon Overuse Injury: A Comparative Electromyography Study of the Neck and Upper Extremity Muscle Groups in a Simulated Surgical Environment.

Spine (Phila Pa 1976) 2021 May 10. Epub 2021 May 10.

Zimmer Biomet Spine, Westminster, CO Hospital for Special Surgery, New York, NY Children's Hospital Los Angeles, Los Angeles, CA.

Study Design: Cadaveric.

Objective: The aim of this study was to quantify the amplitude and duration of surgeons' muscle exertion from pedicle cannulation to screw placement using both manual and power-assisted tools in a simulated surgical environment using surface electromyography (EMG).

Summary Of Background Data: A survey of Scoliosis Research Society members reported rates of neck pain, rotator cuff disease, lateral epicondylitis, and cervical radiculopathy at 3×, 5×, 10×, and 100× greater than the general population. Read More

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Animal models for study on rotator cuff injury.

Zhong Nan Da Xue Xue Bao Yi Xue Ban 2021 Apr;46(4):426-431

Department of Orthopaedics, Second Xiangya Hospital, Central South University, Changsha 410011, China.

Rotator cuff injuries are the most common cause of shoulder pain and dysfunction. Ideal animal shoulder models should have similar shoulder anatomy and function as human, and are able to replicate the microenvironment change after tendon injury. At present, a variety of animal models including rat, mouse, rabbit, sheep, canine, bovine, and primate have been used to study the mechanism of rotator cuff injury, effects of different repair techniques, and factors affecting tendon to bone healing. Read More

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Predictors of clinical outcomes after non-operative management of symptomatic full-thickness rotator cuff tears.

World J Orthop 2021 Apr 18;12(4):223-233. Epub 2021 Apr 18.

Department of Orthopaedic Surgery, University of Michigan, Ann Arbor, MI 48106, United States.

Background: Previous studies have shown that non-surgical management can be an effective treatment strategy for many patients with rotator cuff tears. Despite the prevalence of rotator cuff disease, few studies have examined the patient and tear related factors that predict outcomes of nonsurgical management in this cohort of patients.

Aim: To identify factors that are associated with changes in patient reported outcomes over time in individuals with full-thickness rotator cuff tears treated without surgery. Read More

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Glenohumeral Arthrodesis Using Pelvic Reconstruction Plates: a Series of 15 Patients.

Ortop Traumatol Rehabil 2021 Apr;23(2):59-64

Artemis Hospital, Gurgaon, Haryana, India.

Background: Glenohumeral joint arthrodesis has become a rare entity due to the introduction of shoulder arthroplasty. It is an excellent salvage procedure for patients with severe shoulder dysfunction, with limited treatment options, indicated for brachial plexus injury, tumour resection, chronic infection, failed prosthetic arthroplasty, or pseudoparalysis of the shoulder due to combined rotator cuff and deltoid deficiency. Shoulder arthrodesis relieves the patient of pain and gives a decent amount of function. Read More

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Bilateral coracohumeral distance discrepancy is associated with subscapularis tear in rotator cuff rupture patients.

Knee Surg Sports Traumatol Arthrosc 2021 May 6. Epub 2021 May 6.

Department of Orthopedics, The First Affiliated Hospital of Chongqing Medical University, 1 Youyi Road, Yuanjiagang, Yuzhong District, Chongqing, 400016, China.

Purpose: To describe the bilateral coracohumeral morphological discrepancy in rotator cuff rupture patients with and without subscapularis (SSC) involvement and to investigate its association with SSC tears.

Methods: Two hundred and thirteen consecutive patients who were scheduled to have arthroscopic rotator cuff repair were prospectively enrolled in the current study. Patients with acute traumatic rotator cuff rupture, glenohumeral osteoarthritis, bilateral rotator cuff rupture, recurrent shoulder instability, systemic inflammatory disease, and previous shoulder surgery history were excluded. Read More

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Post-surgery rehabilitation following rotator cuff repair. A survey of current (2020) Italian clinical practice.

Disabil Rehabil 2021 May 4:1-11. Epub 2021 May 4.

Department of Physiotherapy, Royal Liverpool and Broadgreen Hospitals NHS Trust, Liverpool, UK.

Aims: To analyse the clinical practice of Italian physiotherapists within the framework of postoperative rehabilitation of rotator cuff (RC) surgery patients, and to compare it with similar studies carried out in other countries.

Methods: A web-based, voluntary, cross-sectional survey with 27 closed multiple-choice questions was developed and submitted to Italian-based physiotherapists in order to assess their clinical practice.

Results: Data from 1160 questionnaires were then analysed. Read More

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Humeral greater tuberosity osteolysis as a complication of intraosseous calcification migration: natural history depicted by imaging.

Acta Biomed 2021 04 30;92(S1):e2021052. Epub 2021 Apr 30.

Department of Interventional and Diagnostic Radiology Azienda Ospedaliero-Universitaria Pisana.

Migration of calcification within the bone leading to greater tuberosity osteolysis is a peculiar complication of the calcifying tendinitis of the rotator cuff. The case of a 38-year-old woman complaining of right shoulder pain, which had been going on for one year, is hereby described. The evolution of the infraspinatus tendon calcifying tendinitis leading to osteolysis of the greater tuberosity of the humerus is depicted by imaging and, particularly, by the MR and CT features changing over time. Read More

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The associations of emotional health with pain, disability, and health-related quality of life in patients with rotator cuff disease.

Musculoskeletal Care 2021 May 1. Epub 2021 May 1.

University of Health Sciences, İzmir Bozyaka Education and Research Hospital, İzmir, Turkey.

Background: Psychosocial factors have been associated with poor outcomes in patients with rotator cuff disease. Emotional health is one of these factors, and relationships between emotional health and outcome measures evaluated before and after physical therapy have not been reported.

Aim: To investigate the associations of baseline emotional health status with pre-treatment, post-treatment, and pre-to-post changes in pain, disability and health-related quality of life in patients with rotator cuff disease. Read More

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Pro-inflammatory effects of human apatite crystals extracted from patients suffering from calcific tendinopathy.

Arthritis Res Ther 2021 04 29;23(1):131. Epub 2021 Apr 29.

INSERM UMR1238, Bone Sarcoma and Remodeling of Calcified Tissues, Faculté de Médecine de Nantes, 1 rue Gaston Veil, 44035, Nantes Cedex 1, France.

Background: Calcific tendonitis of the rotator cuff is due to carbonated apatite deposits in the shoulder tendons. During the evolution of the disease, an acute inflammatory episode may occur leading to the disappearance of the calcification. Although hydroxyapatite crystal-induced inflammation has been previously studied with synthetic crystals, no data are available with calcifications extracted from patients suffering from calcific tendinopathy. Read More

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Personalized, Predictive, Participatory, Precision, and Preventive (P5) Medicine in Rotator Cuff Tears.

J Pers Med 2021 Apr 1;11(4). Epub 2021 Apr 1.

Department of Orthopaedic and Trauma Surgery, Campus Bio-Medico University, Via Álvaro del Portillo, 00128 Rome, Italy.

Rotator cuff (RC) disease is a common musculoskeletal disorder of the shoulder entailing pain, with reduced functionality and quality of life. The main objective of this study was to present a perspective of the current scientific evidence about personalized, predictive, participatory, precision, and preventive approaches in the management of RC diseases. The personalized, predictive, participatory, precision and preventive (P5) medicine model is an interdisciplinary and multidisciplinary approach that will provide researchers and clinicians with a comprehensive patrimony of knowledge in the management of RC diseases. Read More

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Occupational hazards of orthopaedic surgery and adult reconstruction: A cross-sectional study.

J Orthop 2021 May-Jun;25:23-30. Epub 2021 Apr 2.

Department of Orthopaedics, The Ohio State University Wexner Medical Center, Columbus, OH, USA.

Background: Occupational injuries and hazards related to orthopaedic surgery are not well studied, and what is published on this topic is largely based on in vitro or in vivo animal studies.

Objectives: To evaluate the self-reported prevalence of musculoskeletal (MSK) overuse disorders and other conditions among orthopaedic surgeons, especially those performing total hip (THA) or total knee arthroplasty (TKA), and report the factors placing these surgeons at higher risk for occupational health hazards.

Methods: This was a cross-sectional study of 66 currently practicing orthopaedic surgeons in the Midwestern United States. Read More

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A pilot study to evaluate micro-fragmented adipose tissue injection under ultrasound guidance for the treatment of refractory rotator cuff disease in wheelchair users with spinal cord injury.

J Spinal Cord Med 2021 Apr 8:1-10. Epub 2021 Apr 8.

Kessler Foundation, West Orange, New Jersey, USA.

Context/objectives: Wheelchair users with chronic shoulder pain have few options after conservative treatments fail. This pilot study's purpose was to establish safety and treatment effects of micro-fragmented adipose tissue (MFAT) injections under ultrasound guidance for treatment of refractory shoulder pain caused by rotator cuff disease in wheelchair users with spinal cord injury (SCI) to prepare for a larger trial.

Design: Pilot clinical trial. Read More

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Early restoration of shoulder function in patients with the Grammont prosthesis compared to lateralized humeral design in reverse shoulder arthroplasty.

J Shoulder Elbow Surg 2021 Apr 1. Epub 2021 Apr 1.

Department of Orthopaedic Surgery, Ewha Shoulder Disease Center, Seoul Hospital, Ewha Womans University School of Medicine, Seoul, Republic of Korea. Electronic address:

Background: This study aimed to compare the clinical outcomes and radiographic parameters of patients after reverse shoulder arthroplasty (RSA) between the Grammont prosthesis and lateralized humeral design prosthesis.

Methods: A total of 114 patients who underwent RSA with a lateralized humeral design (group L; 71 shoulders) and medialized humeral design (group M; 43 shoulders) prosthesis for cuff tear arthropathy or irreparable rotator cuff tear were enrolled. Clinical outcomes including visual analog scale (VAS), American Shoulder and Elbow Surgeons Standardized Shoulder Assessment Form (ASES), and Constant scores and range of motion (ROM) were serially followed up at postoperative 3, 6, 12, and 24 months. Read More

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Diagnostic Labels for Rotator Cuff Disease Can Increase People's Perceived Need for Shoulder Surgery: An Online Randomized Controlled Experiment.

J Orthop Sports Phys Ther 2021 Mar 31:1-45. Epub 2021 Mar 31.

Institute for Musculoskeletal Health, The University of Sydney and Sydney Local Health District, Sydney, New South Wales, Australia.

Objective: To investigate whether different labels for rotator cuff disease influence people's perceived need for surgery.

Design: Randomized controlled experiment.

Methods: Participants with and without shoulder pain read a vignette describing a patient with rotator cuff disease, and were randomized to one of six labels: and . Read More

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Differences between Patient and Surgeon Interests in Musculoskeletal Research.

Arch Bone Jt Surg 2021 Jan;9(1):85-92

Department of Surgery and Perioperative Care, Dell Medical School, The University of Texas at Austin, Austin, TX, USA.

Background: There is a growing interest in engaging patients in research priorities and project design. This study compared topics patients and surgeons would like to address in upper extremity musculoskeletal research.

Methods: We invited patients on social media-based support groups for specific musculoskeletal illnesses and members of the Science Of Variation Group to indicate the three most important research topics by disease. Read More

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January 2021

The analgesic effect of joint mobilization and manipulation in tendinopathy: a narrative review.

J Man Manip Ther 2021 Mar 26:1-12. Epub 2021 Mar 26.

Department of Life and Health Sciences, University of Nicosia, Nicosia, Cyprus.

: To summarize the available literature with regards to the potential analgesic effect and mechanism of joint mobilization and manipulation in tendinopathy. : The effect of these techniques in rotator cuff tendinopathy and lateral elbow tendinopathy, applied alone, compared to a placebo intervention or along with other interventions has been reported in some randomized controlled trials which have been scrutinized in systematic reviews. Due to the small randomized controlled trials and other methodological limitations of the evidence base, including short-term follow-ups, small sample size and lack of homogenous samples further studies are needed. Read More

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Musculoskeletal ultrasound diagnosis of quadrilateral space syndrome: A case report.

Medicine (Baltimore) 2021 Mar;100(10):e24976

Department of Ultrasound, Baoji High-tech Hospital, Baoji, Shaanxi, China.

Introduction: Quadrilateral space syndrome (QSS) is a peripheral nerve entrapment disease, which can be misdiagnosed in clinic. In the past, QSS was mainly diagnosed by clinical symptoms combined with magnetic resonance imaging (MRI), electromyography (EMG), and arterial angiography. There are few reports on the diagnosis of QSS by musculoskeletal ultrasound (MSKUS) combined with clinical symptoms. Read More

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Elective shoulder surgery during the coronavirus disease 2019 pandemic in Germany: the patients' perspective.

JSES Int 2021 May 10;5(3):342-345. Epub 2021 Mar 10.

Department of Orthopaedics and Trauma Surgery, St. Josef Hospital, Ruhr University, Bochum, Germany.

Background: The coronavirus disease 2019 (COVID-19) pandemic has impeded the treatment of elective shoulder patients all over the world. Owing to the constraints in personnel and operation theater capacities, many patients who should undergo planned surgeries could not receive medical care. In our study, we examined the status quo of elective shoulder arthroscopy during the pandemic in Germany. Read More

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The Impact of State Level Public Policy, Prescriber Education, and Patient Factors on Opioid Prescribing in Elective Orthopedic Surgery: Findings From a Tertiary, Academic Setting.

Mayo Clin Proc Innov Qual Outcomes 2021 Feb 6;5(1):23-34. Epub 2020 Nov 6.

Department of Orthopaedic Surgery, Duke University Medical Center, Durham, NC.

Background: The United States is in the midst of an opioid misuse epidemic. There have been recent changes to North Carolina's public policy leading to institutional education attempting to reduce high-risk opioid prescribing. This study investigated whether state-level and institutional efforts were associated with provider-level changes in opioid prescriptions after common orthopedic surgeries. Read More

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February 2021

"One Health" in tendinopathy research: Current concepts.

J Orthop Res 2021 Mar 13. Epub 2021 Mar 13.

Department of Clinical Sciences, Orthopaedic Research Center, C. Wayne McIlwraith Translational Medicine Institute, College of Veterinary Medicine and Biomedical Sciences, Colorado State University, Fort Collins, Colorado, USA.

Tendinopathy remains one of the most common musculoskeletal disorders affecting both human and equine athletes and presents a considerable therapeutic challenge. The following workshop report comes from the third Dorothy Havemeyer Symposium of Tendinopathy which provided a unique overview of our current understanding of both the basic science and the clinical challenges for diagnosing and treating tendinopathy in both species. Pathologically, tendon demonstrates alterations in both cellular, molecular, structural, and biomechanical features, leading to a spectrum of pathological endotypes. Read More

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