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Rev Bras Ortop (Sao Paulo) 2020 Jun 27;55(3):329-338. Epub 2020 Feb 27.

Departamento de Ortopedia e Traumatologia, Centro de Traumatologia do Esporte (CETE), Escola Paulista de Medicina, Universidade Federal de São Paulo (Unifesp), São Paulo, SP, Brasil.

 To identify the clinical, radiological, and arthroscopic correlation of long head of the biceps tendon injuries and their influence on pain when associated with rotator cuff injuries.  Between April and December 2013, 50 patients were evaluated, including 38 (76%) women and 12 (24%) men, with a mean age of 65.1 years old. Read More

G Ital Med Lav Ergon 2020 Jun;42(2):82-86

Medico legale, Patronato INCA CGIL Veneto.

Summary: Objectives. Musculoskeletal disorders (MSD) represent one of the most relevant occupational problems. School teachers and particularly nursery school teachers (NST) are reported to have a high prevalence of MSD. Read More

Biomed Res Int 2020 10;2020:3086395. Epub 2020 Jun 10.

IRCCS Istituto Ortopedico Galeazzi, 20161 Milano, Italy.

Purpose: To assess patients' experience of ultrasound-guided percutaneous irrigation of rotator cuff calcific tendinopathy (US-PICT).

Methods: Ninety-one patients (58 females; mean age: 50.5 ± 8. Read More

Clin Rehabil 2020 Jun 22:269215520934147. Epub 2020 Jun 22.

Physiotherapy Department, School of Primary and Allied Health Care, Faculty of Medicine Nursing and Health Science, Monash University, Victoria, Australia.

Objective: Synthesize evidence regarding effectiveness of progressive and resisted or non-progressive and non-resisted exercise compared with placebo or no treatment, in rotator cuff related pain.

Data Sources: English articles, searched in Cochrane CENTRAL, MEDLINE, EMBASE and CINAHL databases up until May 19, 2020.

Methods: Randomized controlled trials in people with rotator cuff related pain comparing either progressive and resisted exercise or non-progressive and non-resisted exercise, with placebo or no treatment were included. Read More

J Clin Med 2020 Jun 12;9(6). Epub 2020 Jun 12.

Department of Health Sciences, University of Jaén, Campus las Lagunillas, 23071 Jaen, Spain.

Supraspinatus tendinopathy is one of the most common causes of shoulder pain. Many studies support conservative treatments such as exercise, trigger point dry needling or corticosteroid injections. Otherwise, a minimally invasive approach with percutaneous electrolysis (PE) has also been used successfully in shoulder pain, although evidence about its long-term effects is scarce. Read More

Eur J Radiol 2020 Jun 3;129:109113. Epub 2020 Jun 3.

Department of Medical Imaging, University Hospital, Voutes, 71110, Heraklion, Crete, Greece; Department of Radiology, Medical School, University of Crete, Voutes, 71110, Heraklion, Greece.

Purpose: Limited data exist on the efficacy of high- compared to low-volume US-guided corticosteroid injections (CI) in the subacromial-subdeltoid (SA-SD) bursa. Our purpose was to compare the short- and long-term efficacy of low- and high-volume injections, by using a capacity reference of SA-SD bursa volume, as assessed on cadaveric specimens.

Method: Within two years, 136 patients (63 males, 73 females; mean age: 46. Read More

Hip Int 2020 Jun 8:1120700020922522. Epub 2020 Jun 8.

The University of Auckland, Auckland, New Zealand.

Hip abductor tendon tear is a difficult problem to manage. The hip abductor mechanism is made up of the gluteus medius and minimus muscles, both of which contribute to stabilising the pelvis through the gait cycle. Tears of these tendons are likely due to iatrogenic injury during arthroplasty and chronic degenerative tendinopathy. Read More

Arthroscopy 2020 06;36(6):1492-1493

OLVG, Amsterdam, the Netherlands; LUMC, Leiden, the Netherlands.

JSES Int 2020 Jun 24;4(2):310-317. Epub 2020 Feb 24.

Department of Sports Science and Clinical Biomechanics, University of Southern Denmark, Odense, Denmark.

Background: We aimed to explore the discriminative validity of ultrasound strain elastography (SEL) between patients with painful supraspinatus tendinopathy and healthy control shoulders, as well as the associations between SEL and magnetic resonance imaging (MRI), conventional ultrasound (tendon thickness), and the Disabilities of the Arm, Shoulder and Hand questionnaire (DASH).

Methods: Thirty patients with shoulder pain and MRI-verified supraspinatus tendinopathy and 30 healthy control shoulders (no pain) were examined using SEL, MRI, and conventional ultrasound of the supraspinatus tendon. SEL variables included raw data, ratios between the deltoid muscle and supraspinatus tendon (deltoid ratio), color rating, and presence of red/yellow lesions (middle, worst part, and total tendon). Read More

Arthrosc Tech 2020 May 10;9(5):e611-e615. Epub 2020 Apr 10.

Department of Orthopaedics, Faculty of Medicine, Thammasat University, Pathumthani, Thailand.

Proximal tendinopathy of the long head of the biceps (LHB) is a common shoulder problem that requires surgical intervention, especially in patients with concomitant rotator cuff tears. The comparative results of biceps tenotomy and biceps tenodesis are still doubtful; both techniques show good to excellent results in terms of postoperative pain and functional outcomes. The described technique-all-arthroscopic LHB transfer-is an optional biceps tenodesis technique using all-arthroscopic soft-tissue tenodesis and arthroscopic suturing of the LHB to the short head of the biceps and coracoacromial ligament combined with release of the LHB from the bicipital groove. Read More

Ortop Traumatol Rehabil 2020 Apr;22(2):107-119

Katedra i Zakład Farmakologii Doświadczalnej i Klinicznej, Warszawski Uniwersytet Medyczny, Warszawa, Polska.

Background: Osteoarthritis is a global health problem. Approaches to symptomatic treatment of its consequences in-clude biological methods, including autologous serum. The aim of the study was to evaluate the effectiveness of Orthokine therapy in our experience. Read More

Musculoskelet Sci Pract 2020 Jun 29;47:102173. Epub 2020 Apr 29.

Department of Orthopaedics and Traumatology, The Chinese University of Hong Kong, Hong Kong. Electronic address:

Background: Psychological factors may affect the pain level, shoulder function and quality of life in patients with rotator cuff tendinopathy.

Objective: To systematically review the prevalence of psychological factors reported in patients with rotator cuff tendinopathy; and to determine the association between psychological factors and pain, function and quality of life in patients with rotator cuff tendinopathy.

Study Design: Systematic review METHODS: Pubmed, Embase, CINAHL and Web of Science were systematically searched from inception to June 2019. Read More

Radiol Med 2020 May 25. Epub 2020 May 25.

IRCCS Istituto Ortopedico Galeazzi, Milan, Italy.

Objectives: To compare the outcome of US-guided percutaneous irrigation of calcific tendinopathy (US-PICT) of the rotator cuff in patients with or without previous external shockwave therapy (ESWT).

Methods: We analyzed all patients treated with US-PICT from March 1, 2016, to October 1, 2019, with shoulder pain refractory to conservative management for rotator cuff calcific tendinopathy, diagnosed with ultrasound. Each patient was examined using the Constant-Murley Score (CMS) questionnaire (score 0-100) before and after treatment. Read More

Orthop J Sports Med 2020 Apr 30;8(4):2325967120915857. Epub 2020 Apr 30.

The Sports Physician Group, Department of Sports Medicine, OLVG West, Amsterdam, the Netherlands.

Background: Stem cell therapy is an emerging treatment for tendon disorders.

Purpose: To systematically review the efficacy of stem cell therapy for patients with tendon disorders.

Study Design: Systematic review; Level of evidence, 4. Read More

Radiol Case Rep 2020 Jul 7;15(7):975-977. Epub 2020 May 7.

Nanavati Super-Speciality Hospital, Mumbai, India.

Calcific Tendinitis is a condition characterized by abnormal deposition of hydroxyapatite crystals in the tendons with secondary inflammation. However, complication like intraosseous migration is rare. Hereby we present a case of 58-year-old female patient who presented with pain in the right shoulder along with restricted movements. Read More

Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi 2020 May;34(5):608-614

Department of Orthopeadics/Sports Medicine Center, the First Affiliated Hospital of the Army Medical University, Chongqing, 400038, P.R.China.

Objective: To detect the differentially expressed circular RNA (circRNA) in rotator cuff tendinopathy and analyze the potential molecular mechanism of these parental genes.

Methods: Ten supraspinatus tendons donated from patients who underwent tendon repair surgery between June 2018 and June 2019 were used for RNA-sequence. All rotator cuff tendinopathy and normal tendon samples were confirmed by MRI, histological staining, and observation by arthroscopy. Read More

Skeletal Radiol 2020 May 8. Epub 2020 May 8.

IRCCS Istituto Ortopedico Galeazzi, Via R. Galeazzi 4, 20161, Milan, Italy.

Calcific tendinopathy typically affects the shoulder rotator cuff tendons. Its management includes shock wave therapy and US-guided percutaneous irrigation, with surgery being less and less used. Extra-shoulder calcific tendinopathy is relatively infrequent and typically affects the hip. Read More

J Spinal Cord Med 2020 May 7:1-7. Epub 2020 May 7.

Department of Physical Medicine and Rehabilitation, Rutgers New Jersey Medical School, Newark, New Jersey, USA.

Wheelchair users with spinal cord injury (SCI) have a high risk of developing shoulder pain, caused by rotator cuff disease. Platelet-rich plasma (PRP) is a potential treatment after conservative treatments fail and prior to surgical intervention; however, it has not been tested in wheelchair users who have recalcitrant shoulder pain associated with rotator cuff disease. The objective of this pilot project was to test the safety and potential treatment effect of an ultrasound-guided PRP injection for shoulder pain in the aforementioned population. Read More

Ann Transl Med 2020 Mar;8(6):335

Department of Orthopedics/Sports Medicine Center, State Key Laboratory of Trauma, Burn and Combined Injury, Southwest Hospital, Third Military Medical University (Army Medical University), Chongqing 400038, China.

Background: Rotator cuff tendinopathy (RCT) is a common musculoskeletal disorder in the shoulder, whose underlying mechanism is unknown. Long non-coding RNAs (lncRNAs) are involved in the development of various diseases, but little is known about their potential roles in RCT.

Methods: In this study, we profiled lncRNAs and mRNAs involved in RCT in comparison with the normal tendon (NT) by RNA sequencing (RNA-Seq), to identify potential therapeutic targets. Read More

Int J Neurosci 2020 Apr 30:1-8. Epub 2020 Apr 30.

Department of Psychology, Payame Noor University, Tehran, Iran.

: Shoulder pain is one of the common musculoskeletal complaints of the patients with spinal cord injury. Corticosteroid injection to the subacromial bursa is one of the confirmed therapies which can be guided by anatomic landmarks or ultrasound. This study is aimed to compare these two methods to find the one with the highest therapeutic impact. Read More

Folia Med (Plovdiv) 2019 12;61(4):612-619

University of Peloponnese, Tripoli, Greece.

Introduction: People suffering from rotator cuff tendinopathy exhibit reduced mobility due to pain. The pain and the limited functionality affect negatively the overall quality of life.

Aim: The present study aimed to investigate the intensity of pain, the functionality of the upper limbs and the quality of life of patients with rotator cuff tendinopathy by using two different therapeutic modalities, shockwave and ultrasound, whose outcomes were assessed pre-treatment and post-treatment as well as after a 4-week follow-up. Read More

FP Essent 2020 Apr;491:11-16

WellSpan York Hospital Sports Medicine Fellowship, 1001 S George St, York, PA 17403.

Subacromial impingement/pain syndrome is a common cause of shoulder pain that encompasses a spectrum of pathology of the subacromial bursa and rotator cuff tendons. Pathology of the rotator cuff tendons can range from inflammation to fibrotic changes to partial- and full-thickness tears. Biomechanical dysfunction of the rotator cuff and glenohumeral complex contributes to the pathophysiology and progression of subacromial impingement/pain syndrome. Read More

Shoulder Elbow 2020 Apr 14;12(2):91-98. Epub 2018 Nov 14.

Bristol Royal Infirmary, Bristol, UK.

Background: We report functional outcomes at six years in patients with varying degrees of fatty infiltration and atrophy of the rotator cuff muscles who have undergone anatomic total shoulder replacement.

Methods: A retrospective analysis of case notes and magnetic resonance imaging scans of patients undergoing total shoulder replacement for primary glenohumeral arthritis was performed. Patients were grouped based upon their pre-operative magnetic resonance imaging findings for fatty infiltration, muscle area and tendinopathy. Read More

BMC Med Genet 2020 04 17;21(1):82. Epub 2020 Apr 17.

Department of Orthopaedics and Trauma Surgery, Campus Bio-Medico University of Rome, Rome, Italy.

Background: Investigations in genetics have provided valuable information about the correlation between gene variants and tendinopathy. Single Nucleotide Polymorphisms of COL5A1 gene are reported to be involved in Achilles tendinopathy, chronic degenerative tendon changes at the elbow, and other tendinopathies. The influence of Single Nucleotide Polymorphisms of COL5A1 was previously analyzed in rotator cuff disease with confounding results. Read More

Clin Orthop Relat Res 2020 Apr 14. Epub 2020 Apr 14.

M. Macchi, S. Elli, University of Milan, Milan, Italy M. Spezia, University of Padua, Padua, Italy G. Schiaffini, Università Roma "La Sapienza," Rome, Italy E. Chisari, University of Catania, Catania, Italy.

Background: Inflammation and mechanical demands play a role in the development of tendon conditions and the dysregulation of tendon healing. In patients with obesity, high levels of pro-inflammatory cytokines and a high mechanical demand promote chronic low-grade inflammation. Although controversial results have been reported, we aimed to summarize current evidence while highlighting the role of obesity in tendinopathy. Read More

J Orthop Res 2020 Apr 14. Epub 2020 Apr 14.

Orthopedic Soft Tissue Research Program, Hospital for Special Surgery, New York, New York.

The aim of this study was to investigate the presence of alarmins in a novel murine rotator cuff tendinopathy model. Alarmins have been described as essential early activators of an immune response to tissue damage. Subacromial impingement was induced in both shoulders of 37 male C57Bl/6 mice by placement of a small metal clip in the subacromial space. Read More

Arthroscopy 2020 04;36(4):991-992

Houston, Texas.

Calcific tendinopathy of the rotator cuff is a common pathology that often presents with clinical symptoms simulating a rotator cuff tear. The reported incidence of rotator cuff tear in the setting of calcific tendinopathy varies widely; however, the reported incidence of full-thickness rotator cuff tear on imaging in calcific tendinopathy is consistently low (<5%). In patients with symptomatic calcific tendinopathy, initial conservative management followed by minimally invasive treatments should be employed prior to performing shoulder magnetic resonance imaging to assess for a rotator cuff tear. Read More

Clin Exp Rheumatol 2020 Mar 28. Epub 2020 Mar 28.

Department of Internal Medicine, Tomakomai City Hospital, Tomakomai, Japan.

Objectives: We aimed to evaluate whether gadolinium-enhanced magnetic resonance imaging (MRI) in shoulders can contribute to more accurate diagnosis and prediction of recurrence in patients with polymyalgia rheumatica (PMR).

Methods: Gadolinium-enhanced MRI and ultrasonography (US) in shoulders were performed in the patients who had bilateral shoulders pain and fulfilled the Bird's Classification Criteria between June 2012 and June 2018. PMR was clinically diagnosed by at least two rheumatologists. Read More

Vet Comp Orthop Traumatol 2020 May 31;33(3):212-219. Epub 2020 Mar 31.

Orthopaedic Bioengineering Research Laboratory, Colorado State University, Fort Collins, Colorado, United States.

Objective:  Rotator cuff tendon tears are the most common soft tissue injuries in the shoulder joint. Various animal models have been described for this condition, but all current translational animal models have inherent weaknesses in their ability to generate chronically degenerated rotator cuff tendons. The objective of this study was to evaluate a partial infraspinatus tendon transection model as a means of creating a chronically degenerated rotator cuff tendon in an ovine model and compare the injury characteristics of this model to those observed in human patients with severe chronic rotator cuff tendon injuries. Read More

Diagnostics (Basel) 2020 Mar 28;10(4). Epub 2020 Mar 28.

Department of Physical Medicine and Rehabilitation, National Taiwan University Hospital, College of Medicine, National Taiwan University, No.7, Zhongshan S. Rd., Zhongzheng Dist., Taipei 100, Taiwan.

Background: To investigate the effectiveness of platelet-rich plasma (PRP) injection among patients with rotator cuff tendinopathy in comparison with sham injection, no injection, or physiotherapy alone.

Methods: From the earliest records to November 1, 2018, all published or unpublished randomized controlled trial (RCTs) comparing PRP injection with a control group (sham injection, no injection, or physiotherapy alone) in patients with rotator cuff tendinopathy were included. Eligible trials were included from the search results of electronic databases including PubMed, EMBASE, Scopus, The Cochrane Library, as well as the bibliographies of relevant trials. Read More

Radiol Case Rep 2020 May 14;15(5):552-555. Epub 2020 Mar 14.

Bodor Clinic, 3421 Villa Lane Suite 2B, Napa, CA 94558, USA.

Shoulder injury related to vaccine administration is a relatively rare disorder, which occurs as a result of vaccine being inadvertently injected into the subdeltoid/subacromial bursa, rotator cuff, and or underlying bone. We present 2 cases of shoulder injury related to vaccine administration in 2 women of ages 38 and 42 with injury to the teres minor tendon insertions on magnetic resonance imaging, a location not previously described. When faced with a patient with chronic shoulder pain following a vaccination, the possibility of vaccine deposition or injury to the teres minor tendon insertion should be considered. Read More

J Orthop 2020 Mar-Apr;18:16-22. Epub 2019 Oct 31.

2nd Orthopaedic Department. National and Kapodistrian University of Athens, School of Medicine, Athens, Greece.

Objectives: The therapeutic value of corticosteroid bursal injection after ultrasound-guided irrigation and lavage for the treatment of shoulder calcific tendinosis has not been established yet in the long term.

Methods: 41 patients suffering from chronic symptomatic rotator cuff calcific tendinopathy were recruited for this study. Group A (20 patients) received a double needle ultrasound-guided irrigation and lavage of the calcification with xylocaine injection, while group B (21 patients) underwent a double needle ultrasound-guided irrigation and lavage of the calcification with a xylocaine and betamethazone bursal injection. Read More

Pol J Radiol 2020 8;85:e8-e13. Epub 2020 Jan 8.

Department of Radiology, Private Nisa Hospital, Istanbul, Turkey.

Purpose: To determine the frequency of rotator cuff tear on the shoulder magnetic resonance imaging (MRI) of patients with rotator cuff calcific tendinopathy and the relationship between rotator cuff tear and calcific tendinopathy.

Material And Methods: In this retrospective case control study, 137 patients with calcific tendinopathy and 137 control group patients without calcific tendinopathy with shoulder pain, whose age, sex, and shoulder laterality values were matched, were compared in terms of rotator cuff tears on their shoulder MRI images.

Results: The frequency of rotator cuff tear was found to be significantly higher in the control group (37. Read More

Musculoskelet Sci Pract 2020 Jun 25;47:102132. Epub 2020 Feb 25.

School of Primary and Allied Health Care, Monash University, Frankston, 3199, Australia.

Background: Rotator cuff tendinopathy is a common and disabling cause of shoulder pain. While conservative treatment is recommended as initial management, recent findings suggest that general practitioners and rheumatologists do not consistently align with recommended care. This study aimed to survey Australian physiotherapists to explore the extent to which recommended management is being applied. Read More

Clin Orthop Relat Res 2020 Mar 2. Epub 2020 Mar 2.

A. I. Gonzalez, J. T. P. Kortlever, M. G. Moore, D. C. Ring, Department of Surgery and Perioperative Care, Dell Medical School - The University of Texas at Austin, Austin, TX, USA.

Background: Shoulder injury from vaccination was approved for automatic compensation from the Vaccine Injury Compensation Program (VICP)-a federal government program started in 1988 to shield the manufacturers of childhood vaccines from liability. The approval was made on the basis of case reports rather than experimental evidence. This, combined with the addition of influenza vaccination to the VICP in 2005 (which broadened coverage to include adults) and other social factors, was associated with a rapid rise in the number of claims of shoulder injury from vaccination over the last decade, which now account for more than half of all claims to the VICP. Read More

Eur Radiol 2020 Jul 5;30(7):4082-4090. Epub 2020 Mar 5.

Centre for Orthopaedic Surgery OCON, Geerdinksweg 141, P.O. Box 546, 7550 AM, Hengelo, The Netherlands.

Objective: To identify prognostic factors for the effectiveness of needle aspiration of calcific deposits (NACD) for rotator cuff calcific tendinitis (RCCT) METHODS: One hundred forty-nine patients with symptomatic RCCT were included in a prospective cohort study. Pain (VAS), shoulder function (SST and DASH), and quality of life (EQ-5D) were assessed at baseline and at 3, 6, and 12 months post-NACD. Univariate analyses (independent t tests or Mann-Whitney U tests depending on the distribution of data) were performed to build a multivariable linear regression model. Read More

Arthroscopy 2020 03;36(3):625-626

Department of Orthopaedic Surgery, Spaarne Gasthuis, Hoofddorp, the Netherlands Department of Orthopaedic Surgery, Onze Lieve Vrouwe Gasthuis, Amsterdam, the Netherlands.

J Magn Reson Imaging 2020 Mar 4. Epub 2020 Mar 4.

Department of Radiology, University of California, San Diego, California, USA.

Background: Relatively weak correlations between patient symptoms and rotator cuff tendon (RCT) tearing have been reported; however, the relationship between symptoms and tendinosis has been less well-studied.

Purpose/hypothesis: To use quantitative MRI to assess the bilateral RCTs in shoulders of both patients with unilateral symptomatic tendinopathy and control subjects. We hypothesized that quantitative MRI measures would differ between symptomatic patients and controls. Read More

Clin Case Rep 2020 Feb 20;8(2):327-332. Epub 2020 Jan 20.

Department of Internal Medicine Reno School of Medicine University of Nevada Reno NV USA.

Diffuse large B-cell lymphoma often presents with extranodal manifestations involving the musculoskeletal system. Shoulder pain is particularly worrisome for malignancy. Individuals presenting with refractory upper extremity complaints should undergo a prompt and thorough evaluation for cancer, as a delay in diagnosis can result in an unfavorable outcome. Read More

Rev Bras Ortop (Sao Paulo) 2020 Feb 19;55(1):95-99. Epub 2019 Dec 19.

Centro de Traumatologia do Esporte, Departamento de Ortopedia e Traumatologia, Universidade Federal de São Paulo, São Paulo, SP, Brasil.

 To assess how shoulder specialists have used infiltration in their daily practice.  A survey study in which shoulder and elbow specialists answered a questionnaire on the use of infiltration in painful shoulders.  Most of the doctors (45. Read More

J Orthop Sports Phys Ther 2020 Mar;50(3):142

Shoulder pain is common, especially as we age. Pain that limits your ability to raise your arm above your head or rotate your shoulder is called "subacromial shoulder pain." The good news is that most people with subacromial shoulder pain improve with physical therapy. Read More

Skeletal Radiol 2020 Jun;49(6):995-1003

Radiology, UT Southwestern Medical Center, Dallas, TX, USA.

Purpose Glenoid bone stock and morphology and rotator cuff muscle quality and tendon integrity affect the outcome of total shoulder arthroplasty. We hypothesized that glenoid bone loss correlates with rotator cuff muscle fatty infiltration (FI), tendinopathy, and atrophy.Design Forty-three 3-D CT scans and MRIs of 43 patients (mean age 62 years; SD 13 years; range 22-77 years) referred for primary shoulder pain were evaluated. Read More

J Orthop Translat 2020 Mar 24;21:24-34. Epub 2019 Dec 24.

Department of Orthopaedics and Traumatology, Faculty of Medicine, Prince of Wales Hospital, The Chinese University of Hong Kong, Hong Kong Special Administrative Region, China.

Background: The role of macrophages (Mφs) in tendon injury healing is controversy. The aims of this study were to determine whether there is a shift in Mφs polarisation after an acute and chronic tendon injury ​and to assess whether the Mφs polarisation between the partial and complete rupture is different.

Methods: This systematic review of the scientific literature was based on the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) and Cochrane guidelines. Read More

Musculoskelet Sci Pract 2020 Feb 12;45:102103. Epub 2019 Dec 12.

Department of Physiotherapy, School of Primary and Allied Health, Monash University, Australia.

Background: Clinical practice guidelines recommend non-surgical care in the management of rotator cuff tendinopathy prior to considering imaging or surgery. However, this requires effective education to promote adherence to treatment.

Objectives: To explore expert shoulder clinician's experiences with managing rotator cuff tendinopathy including practice beliefs towards providing education. Read More

J Clin Med 2020 Feb 6;9(2). Epub 2020 Feb 6.

Department of General Surgery and Medical Surgical Specialties, Section of Orthopedics and Traumatology, A.O.U. Policlinico-Vittorio Emanuele, University of Catania, 95123 Catania, Italy.

Background Rotator cuff tendinopathy (RCT), subacromial impingement (SAIS), and medial (MEP) and lateral (LEP) epicondylitis are the most common causes of upper limb pain caused by microtrauma and degeneration. There are several therapeutic choices to manage these disorders: extracorporeal shockwave therapy (ESWT) has become a valuable option.

Methods: A systematic review of two electronic medical databases was performed by two independent authors, using the following inclusion criteria: RCT, SAIS, MEP, and LEP, ESWT therapy without surgical treatment, with symptoms duration more than 2 months, and at least 6 months of follow-up. Read More

Eur Radiol Exp 2020 Feb 7;4(1):10. Epub 2020 Feb 7.

Department of Diagnostic and Interventional Radiology and Neuroradiology, University Hospital Essen, University Duisburg-Essen, Hufelandstr. 55, 45147, Essen, Germany.

Background: To evaluate feasibility and diagnostic performance of clinical 7-T magnetic resonance imaging (MRI) of the shoulder.

Methods: Eight patients with suspected lesions of the rotator cuff underwent 7-T MRI before arthroscopy. Image quality was scored for artifacts, B inhomogeneities, and assessability of anatomical structures. Read More

J Orthop 2020 Jul-Aug;20:195-197. Epub 2019 Dec 18.

Groupe ELSAN Department of Radiology, Clinique Les Fleurs, Avenue Frédéric Mistral, 83190, Ollioules, France.

Arch Phys Med Rehabil 2020 Jul 31;101(7):1233-1242. Epub 2020 Jan 31.

Maisonneuve-Rosemont Hospital Research Center, University of Montréal Affiliated Research Center, Montréal, Québec, Canada; School of Rehabilitation, Faculty of Medicine, University of Montréal, Montréal, Québec, Canada. Electronic address:

Objectives: To perform a systematic review of clinical practice guidelines (CPGs) and semantic analysis of specific clinical recommendations for the management of rotator cuff disorders in adults.

Data Sources: A systematic bibliographic search was conducted up until May 2018 in Medline, Embase, and Physiotherapy Evidence Database, or PEDro, databases, in addition to 12 clinical guidelines search engines listed on the Appraisal of Guidelines for Research and Evaluation (AGREE) website.

Study Selection: Nine CPGs on the management of rotator cuff disorders in adults or workers, available in English or French, and published from January 2008 onward, were included and screened by 2 independent reviewers. Read More

Skeletal Radiol 2020 Jun 18;49(6):985-993. Epub 2020 Jan 18.

Radiology, UT Southwestern Medical Center, Dallas, TX, USA.

Purpose: Glenoid bone stock and morphology and rotator cuff muscle quality and tendon integrity affect the outcome of total shoulder arthroplasty. We hypothesized that glenoid bone loss correlates with rotator cuff muscle fatty infiltration (FI), tendinopathy, and atrophy.

Design: Forty-three 3D CT scans and MRIs of 43 patients (mean age 62 years; SD 13 years; range 22-77 years) referred for primary shoulder pain were evaluated. Read More

Curr Rev Musculoskelet Med 2020 Feb;13(1):133-140

Department of Physical Therapy, Recanati School for Community Health Professions, Faculty of Health Sciences, Ben-Gurion University of the Negev, Beer Sheva, Israel.

Purpose Of Review: Tendinopathy describes a combination of pain, swelling, and impaired performance of the tendon and around structures. There are various treatment options for tendinopathy with unclear efficacy. Dry needling involves inserting needles into the affected tendon, and it is thought to disrupt the chronic degenerative process and encourage localized bleeding and fibroblastic proliferation. Read More