Observational Study of Incidence of Rotator Cuff Tear in Patients with Shoulder Pain and Stiffness (original) (raw)
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Rotator cuff tear —Relationship between clinical and anatomopathological findings
Archives of Orthopaedic and Traumatic Surgery, 1987
Rotator cuff tears (RCT) are frequent and increase with age Why do only a relatively small percentage cause a permanent severe handicap justifying surgery? Is there a relationship between size and site of the tear and the clinical symptoms? How do they influence the postoperative result? These questions were answered in a prospective study of 76 operated patients We adopted D Patte's classification of the RCT into four groups according to the site and size of the lesion Our figures were compared with those obtained by Patte in an analogous study of 256 cases. Of the tears in our series, 56 5 % belonged to groups I and II, which means that only the supraspinatous and occasionally also the subscapular muscles were involved In 100 % of the cases in group I we found only pain, whereas a pure symptomatology with pain alone was presented in only 51 % of group II, in 48 % of group III, and in O % of group IV Groups III ( 35 5 %) and IV ( 8 %) represent more extensive tears, involving not only the anterior part of the rotator cuff, e g , the supraspinatous tendon, but also to a more or less severe extent, the infraspinatous and sometimes even the teres minor In group IV the extensive tear is combined with osteoarthritic changes In both groups a mixed symptomatology (pain and pseudoparalysis) is the rule The result of operative treatment is satisfactory in all groups as far as pain relief is concerned The improvement of active ROM is not as evident and seems, as expected, to be related to the severity of the lesion Accordingly, the patient's assessment is positive in the great majority of cases.
Journal of orthopaedic surgery and research, 2017
Rotator cuff tears are very common and their incidence increases with age. Shoulder ultrasonography has recently gained popularity in detecting rotator cuff tears because of its efficiency, cost-effectiveness, time-saving, and real-time nature of the procedure. Well-trained orthopedic surgeons may utilize shoulder ultrasonography to diagnose rotator cuff tears. The wait time of patients planned to have shoulder MRI (magnetic resonance imaging) to rule in rotator cuff tears may decrease after orthopedic surgeon start doing shoulder ultrasonography as a screening tool for that. Patients with rotator cuff tears may be detected earlier by ultrasonography and have expedited surgical repair. The efficacy in determination of rotator cuff tears will also increase. Patients were retrospectively reviewed from January 2007 to December 2012. They were divided into 2 groups: Ultrasound (-) group and the Ultrasound (+) group. Age, gender, wait time from outpatient department (OPD) visit to MRI ex...
Comparative Study of Ultrasonography with MRI in Rotator Cuff Tears
2017
Background: Patients with shoulder disorders experience significant disability and reduced quality of life. For people over 65 years of age, shoulder pain is the most common musculoskeletal problem. MRI has been considered as the imaging modality of choice for evaluating the rotator cuff tears despite of its relatively high cost and limited availability. However, technical improvements such as 7.5 14 MHz transducers and better penetration of the ultrasound beam significantly improved ultrasonographic results. The reliability and reproducibility of shoulder ultrasonography makes it a more trustworthy diagnostic option. The present study aims to compare the accuracy of USG with MRI. Materials and Methods: Designed as diagnostic test evaluation, among 60 patients who underwent MR imaging of shoulder at Govt, medical college hospital, Thrissur with suspicion of rotator cuff tear.Later these patients were subjected to shoulder ultrasonography. After completing both studies, sonographic f...
Rotator cuff tears in asymptomatic individuals: a clinical and ultrasonographic screening study
European journal of …, 2004
Objective: To determine the prevalence and clinical impact of rotator cuff tears in asymptomatic volunteers. Materials and Methods: Sonographic examinations of the shoulder of 212 asymptomatic individuals between 18 and 85 years old were performed by a single experienced operator. The prevalence and location of complete rotator cuff tears were evaluated. The clinical assessment was based on the Constant Score. Magnetic resonance imaging (MRI) of the shoulder was obtained in those patients where US showed rotator cuff pathology. Results: Ultrasound showed a complete rupture of the supraspinatus tendon in 6% of 212 patients from 56 to 83 years of age (mean: 67 years). MRI confirmed a complete rupture of the supraspinatus tendon in 90%. All patients reported no functional deficits, although strength was significantly lower in the patient group with complete supraspinatus tendon tear (P<0.01). Conclusion: There is a higher prevalence in older individuals of rotator cuff tendon tears that cause no pain or decrease in activities of daily living.
Assessment of the shoulder in rotator cuff tears
1996
The rotator cuff consists of four muscles; the subscapularis, supraspinatus, infraspinatus, and teres minor. The long head of the biceps tendon is another important component of the complex. The subscapularis is a head depressor, and in certain positions an internal rotator. The infraspinatus and teres minor are external rotators. The conjoint tendon of these muscles, attached to the tuberosities, anatomically and functionally, works as a unit, to maintain dynamic glenohumeral stability centering the humeral head onto the glenoid articulation. The long head of the biceps attaches to the supraglenoid tubercle of the glenoid and has a stabilising and depressing action on the humeral head. The rotator cuff gives 50% of the abductor power and 80% of the external rotator power to the gleno-h umeral joint.
Ultrasonography of symptomatic rotator cuff tears compared with MR imaging and surgery
European Journal of Radiology, 2008
Purpose: To compare the accuracy of ultrasonography and magnetic resonance imaging in the detection of rotator cuff tears. Materials and methods: Ninety-six patients with clinically suspected rotator cuff pathology underwent ultrasonography and magnetic resonance imaging of the shoulder. The findings in 88 patients were compared with arthroscopy or open surgery. Results: Full-thickness tear was confirmed in 57 cases, partial-thickness tear in 30 cases and degenerative changes without tear in 1. In all 57 cases of full-thickness tear and in 28 out of 30 cases of partial-thickness tear the supraspinatus tendon was involved. The accuracy in the detection of full-thickness tears was 98 and 100% for ultrasonography and magnetic resonance imaging, respectively. The accuracy in the detection of bursal or articular partial-thickness tears was 87 and 90% for ultrasonography and magnetic resonance imaging, respectively. Conclusions: In experienced hands ultrasonography should be considered as an accurate modality for the initial investigation of rotator cuff, especially supraspinatus, tears.