Academic literature on the topic 'Rotator cuff tear'

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Journal articles on the topic "Rotator cuff tear"

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Mihata, Teruhisa, Rei Morikura, Akihiko Hasegawa, Kunimoto Fukunishi, Takeshi Kawakami, Yukitaka Fujisawa, Mutsumi Ohue, and Masashi Neo. "Partial-Thickness Rotator Cuff Tear by Itself Does Not Cause Shoulder Pain or Muscle Weakness in Baseball Players." American Journal of Sports Medicine 47, no. 14 (October 14, 2019): 3476–82. http://dx.doi.org/10.1177/0363546519878141.

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Background: Partial-thickness rotator cuff tears are common shoulder injuries in baseball players. For some tears, the symptoms can be relieved through physical therapy or debridement without rotator cuff repair. Purpose: To assess whether partial-thickness rotator cuff tear by itself causes shoulder pain and muscle weakness in baseball players. Study Design: Cross-sectional study; Level of evidence, 3. Methods: We studied 87 university baseball players (age, 19.5 ± 0.8 years; baseball career, 11.5 ± 1.6 years). All data were obtained during a full-participation annual medical check in 1 team. Rotator cuff tendons were examined ultrasonographically and allocated to 4 groups: (1) no tear, (2) supraspinatus tendon tear, (3) infraspinatus tendon tear, and (4) both supraspinatus and infraspinatus tendon tears. Current shoulder pain and shoulder muscle strength (dominant/nondominant) in abduction, external rotation, and internal rotation were compared by using chi-square and t tests. All players could play baseball with or without shoulder pain in this study. Results: Of the 87 players, 41 (47%) had articular-sided partial-thickness rotator cuff tears diagnosed on ultrasonography; the remaining 46 athletes were tear-free. Of the 41 affected patients, 19 had tears in the supraspinatus, 13 in the infraspinatus, and 9 in both the supraspinatus and infraspinatus tendons. Tear depth (mean ± SD) was 4.6 ± 2.3 mm in the supraspinatus and 6.2 ± 3.6 mm in the infraspinatus. Neither the rate of shoulder pain nor muscle strength differed significantly among the 4 groups ( P = .96 and P = .15-.70, respectively). Conclusion: Articular-sided partial-thickness rotator cuff tear—by itself—did not cause shoulder pain and muscle weakness in university baseball players. Most so-called articular-sided partial-thickness rotator cuff tears may not be pathologic tendon tears.
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Mihata, Teruhisa, Rei Morikura, Kunimoto Fukunishi, Yukitaka Fujisawa, Takeshi Kawakami, Akihiko Hasegawa, and Masashi Neo. "Partial-thickness Rotator Cuff Tear Itself Did Not Cause Shoulder Pain Or Muscle Weakness In Baseball Players." Orthopaedic Journal of Sports Medicine 7, no. 7_suppl5 (July 2019): 2325967119S0043. http://dx.doi.org/10.1177/2325967119s00430.

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Objectives: Rotator cuff tears are common shoulder injuries in baseball players. In some severe tears (i.e. through more than 50% of the cuff’s thickness), conservative treatment does not work well, and surgical treatment is sometimes chosen in an effort to ensure return to play. In contrast, some partial thickness rotator cuff tears do not cause shoulder symptoms, even during throwing motion. The objective of this study was to assess whether partial thickness rotator cuff tears cause shoulder pain and muscle weakness in baseball players. Methods: We studied 87 university baseball players (age: 19.5±0.8 years; baseball career: 11.5±1.6 years). Rotator cuff tendons were ultrasonographically examined (Fig 1), then divided into 4 groups; (1) no tear, (2) supraspinatus tendon tear, (3) infraspinatus tendon tear, (4) both supraspinatus and infraspinatus tendons tear. Current shoulder pain and shoulder muscle strength (Dominant/Non-dominant) in abduction, external rotation, and internal rotation were compared using Chi square test and t-test. Results: Forty-one (47%) players were diagnosed with articular-sided partial-thickness rotator cuff tears using ultrasonography. Nineteen tears were in the supraspinatus, 13 in the infraspinatus, and 9 in both the supraspinatus and the infraspinatus. Tear depth was 4.6±2.3 mm in the supraspinatus and 6.2±3.6 mm in the infraspinatus. There was no significant difference in rate of shoulder pain (p=0.96) and muscle strength among four groups (p=0.15 - 0.70). Conclusion: In this study, articular-sided partial-thickness rotator cuff tears did not cause shoulder pain and muscle weakness in university baseball players. Most of articular-sided partial-thickness rotator cuff tears are tears of the superior capsule but not the rotator cuff tendons, because the superior capsule is attached in the articular half of the greater tuberosity. Therefore, most so-called articular-sided partial-thickness rotator cuff tears may not be pathological tendon tear.
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Ly, Amanda, Yashas Reddy, Nitin Jain, Lichen Du, Folefac Atem, and Michael Khazzam. "Poster 174: The Role of Familial Predisposition in Imaging-Confirmed Atraumatic Rotator Cuff Tears." Orthopaedic Journal of Sports Medicine 10, no. 7_suppl5 (July 1, 2022): 2325967121S0073. http://dx.doi.org/10.1177/2325967121s00735.

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Objectives: The etiology of rotator cuff tears is not completely understood. Several studies have identified age, smoking, hypercholesterolemia, diabetes, and hypertension as potential risk factors of rotator cuff tears. Limited data suggests the role of genetic and familial predisposition in the etiology of rotator cuff tears. Our objective was to assess whether there is an increased likelihood of rotator cuff tears in family members of patients with rotator cuff tears versus those without tears. This would provide evidence for whether there is a familial predisposition to rotator cuff tears. Methods: Patients presenting to a shoulder clinic with pain, stiffness, or instability were recruited in this study. Patients that completed a shoulder outcomes questionnaire, were age 18 years or older, and had an available MRI or CT arthrogram of the symptomatic shoulder were included in the study. Any individuals with acute traumatic rotator cuff tears were excluded from analysis. On the questionnaire, patients provided information on demographics, personal medical history, shoulder symptoms, and family history of rotator cuff tears. The diagnosis of rotator cuff tears was based on imaging (MRI or CT arthrogram) confirmation of a structural defect in the rotator cuff. The association between family history of rotator cuff problems and the likelihood of an imaging-confirmed rotator cuff tear diagnosis was evaluated using multivariate logistic regression, adjusting for age, sex, race and ethnicity, smoking, hypertension, diabetes, and depression. Results: In our cohort of 2,337 patients, 52.7% (n=1,231) of patients had an imaging-confirmed atraumatic rotator cuff tear. Among patients with tears, 18.0% (n=221) of patients reported a family history of rotator cuff issues versus 11% (n=123) in patients without tears. A family history of rotator cuff problems was significantly associated with the diagnosis of an imaging-confirmed rotator cuff tear (Odds Ratio=2.27, 95% CI = 1.72, 3.01). Increasing age (Odds Ratio=1.06, 95% CI = 1.05, 1.07) and Hispanic race and ethnicity (Odds Ratio=1.49, 95% CI = 1.06, 2.11 in Hispanic patients versus those of Non-Hispanic White ancestry) were also significantly associated with a rotator cuff tear diagnosis. Sex, smoking, hypertension, diabetes, and depression were not significantly associated with rotator cuff tears. Conclusions: Our study shows that individuals with rotator cuff tears were over two times as likely to have a family member with a rotator cuff tear as compared with patients without tears. These results support previous studies which have suggested a genetic component in the development of tendinopathies1.In a similar study by Assunção et al., individuals with familial history of treatment for rotator cuff tears were 3.3 times as likely to experience a cuff tear2. In another study by Harvie et al, siblings of patients with a full-thickness tear were 2.42 times more likely to experience a tear
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Iwashita, Satoshi, Hiroshi Hashiguchi, Atsushi Okubo, Minoru Yoneda, and Shinro Takai. "Characteristics of the patients with delaminated rotator cuff tear." SICOT-J 4 (2018): 28. http://dx.doi.org/10.1051/sicotj/2018022.

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Purpose: The purpose of this study was to analyze factors relating to delamination in full-thickness rotator cuff tears. Methods: 126 patients with full-thickness rotator cuff tears treated by arthroscopic rotator cuff repair were the subjects of this study. There were 52 females and 74 males whose average age was 64.2 years. Fifty-three patients had history of trauma. The average duration of disorder was 29.5 weeks. Nineteen patients were diagnosed with diabetes. On types of the tears, small tear was observed in 59 patients, medium tear in 47 patients, large tear in 6 patients, and massive tear in 14 patients. The average size of tear was 1.98 cm. Delamination of the torn cuff was observed in 45 patients. Factors compared between the patients without delamination and those with delamination were as follows: gender and age of the patients, history of trauma, duration of disorder, diabetes, smoking, size and number of rotator cuff tears. Results: The delamination rate of the smoking patients was significantly higher than non-smoking patients. The delamination rate of patients with more than two tendon tears was significantly higher than those with only one tendon tear. The average size of tear with delamination was significantly larger than that of tear without delamination. The other factors were not related to delamination. Conclusions: This study suggests that smoking, size of tear and number of torn cuffs are associated with delamination. The progression of torn cuff, anatomical features and nicotine of smoking affect the causes of delaminated tear of rotator cuff.
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Lungren, Matthew P., David Smith, James E. Carpenter, and Richard E. Hughes. "FALL-RELATED ROTATOR CUFF TEARS." Journal of Musculoskeletal Research 10, no. 02 (June 2006): 75–81. http://dx.doi.org/10.1142/s0218957706001728.

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Tears of the rotator cuff tendons may occur as a result of tendon degeneration or from a single traumatic event but commonly a combination of these factors are in play. Rotator cuff tendon degeneration and accidental falls are both known to increase in incidence with increasing age. No study to date has sought to investigate the characteristic of accidental falls as a significant cause of injury in the rotator cuff tear population. We developed a 25 multi-step item questionnaire to investigate the source of injury in sixty rotator cuff tear patients. The majority, 32/60 (53.3%), reported a fall associated with their rotator cuff tear. The tears nearly always occurred on the same side as the fall. Most falls resulting in cuff tears were to the side and front rather than backwards. Our findings highlight that falls are the leading cause of injury in the rotator cuff tear patient population and describe characteristics of the previously under-recognized fall-related rotator cuff tear population.
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Deveci, Alper, Hakan Dur, and Erkan Alkan. "Is the Nomenclature of Massive Rotator Cuff Tear Used Correctly? Systematic Review." Trauma International 8, no. 1 (2022): 6–10. http://dx.doi.org/10.13107/ti.2022.v08i01.022.

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Background: The term massive refers to a quantitative measure of the rotator cuff tears. Irreparable rotator cuff tear is indicated by ratings that qualitatively evaluate the repairability of the tendon. These two terms should be considered separately. Methods: Between 2016 and 2022, publications in the last about 5 years were searched from Pubmed and MEDLINE online databases. The search terms (irreparable OR massive) AND (rotator cuff tear), (repairable OR massive) AND (rotator cuff tear), (massive OR retracted) AND (rotator cuff tear), (irreparable OR retracted) AND (rotator cuff tear) ”were used. For each search term, it was checked whether the title of the search term was mentioned in the title of the article, and whether the title and the content were compatible in the studies in which the searched term was mentioned in the title. Results: Of the 934 scanned articles, 69 of them were evaluated in terms of study title and material-method compatibility. 22 articles with the term “massive rotator cuff tear” in the title were identified. It was seen that in 11 of these 22 articles (50%), the title and the material method were compatible and in 11 of them (50%) the title and the content were incompatible, and the term “massive” was used instead of the term “irreparable”. Conclusions: We see that most of the studies on massive tears were actually done to emphasize irreparable tears. Since most of the massive tears are repairable, the quality feature of massive tears, which are in the group that poses a problem, as irreparable rotator cuff tear or massive irreparable rotator cuff tear should be emphasized. Keywords: Rotator cuff tears, Shoulder, Arthroscopy, Ireparable, Massive
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Itankar, Dr Akshay, Dr Pratik Bhujbal, Dr Manish Chatte, Dr Sriniwas Ugale, Dr Mahendrakumar Bendale, and Dr Sagar Shamrao Chaudhari. "Prevalence of Symptomatic and Asymptomatic Rotator Cuff Tears in General Population Attending Health Care Camps at Tertiary Care Hospital." Scholars Journal of Applied Medical Sciences 11, no. 03 (March 22, 2023): 629–32. http://dx.doi.org/10.36347/sjams.2023.v11i03.025.

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Background: With the aging society, musculoskeletal degenerative diseases are becoming a burden on Society, and rotator cuff disease is one of these degenerative diseases. The purpose of this study was to examine the incidence of Rotator cuff tear is the most common shoulder disease in patients with shoulder problems, at tertiary care hospital. Material and methods: A total of 700 patients examined. Ultrasonography on bilateral shoulders was performed in all the participants. Results: 165 subjects out of 700 participants (23.5%) had full-thickness rotator cuff tears. The prevalence of rotator cuff tear in each decade was 0% in the 20s to 40s, 14.7% in the 50s, 21.5% in the 60s, 31.2% in the 70s, and 32.6% in the 80s. Symptomatic rotator cuff tears accounted for 32.2% of all tears and asymptomatic tears for 67.8%. The prevalence of asymptomatic rotator cuff tears was one-half of all tears in the 50s, whereas it accounted for two-thirds of those over the age of 60. The prevalence of tear was significantly greater in male than in female in the 50s and 60s, but not in the 70s and 80s. Conclusion: The prevalence of rotator cuff tear in the general population was 21%, which increased with age. Asymptomatic tear was twice as common as symptomatic tear.
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Goutam, Satpathy, Kumar Panda Sambit, Patra Gopabandhu, Nayak Sidhartha, Dash Amlan, and Subramanian Aravind. "Role of Ultrasound in the Detection of Rotator-Cuff Syndrome: An Observational Study." International Journal of Pharmaceutical and Clinical Research 14, no. 6 (June 30, 2022): 790–97. https://doi.org/10.5281/zenodo.13626654.

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The purpose of this study was to determine the accuracy of sonography in rotator cuff tears, clinical tests are used to determine rotator-cuff syndrome but are insufficient to predict the morphology and size of the rotator-cuff tear. A total of 50 patients with shoulder pain with rotator- cuff tear, as diagnosed by orthopods, were subjected to ultrasonography. Real-time ultrasonography was done for the acromioclavicular joint, biceps, infraspinatus, posterior labrum, subscapularis, supraspinatus, teres minor tendon, and the sub-acromial-subdeltoid bursa. The USG criteria indicative of rotator cuff tear were, 1) discontinuity in the normal homoechogenicity of rotator cuff 2) focal hypoechoeic defect reaching up to either bursal or articular surface of tendon.3) Focal neovascularization of rotator cuff or a focal defect. Ultrasonography is a vital diagnostic procedure used by orthopaedic surgeons for diagnosis of the rotator-cuff tears in patients with shoulder pain.      
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Urata, Setsuo, Hiroyuki Yonemitsu, Nobutake Nakane, Hidechika Nakashima, Shuichiro Takahashi, Tadashi Matsuda, Etsuo Nishikido, and Yasuhiro Araki. "Rotator cuff tear." Orthopedics & Traumatology 36, no. 4 (1988): 1109–13. http://dx.doi.org/10.5035/nishiseisai.36.1109.

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Auethavekiat, Paranee, and Clement J. Michet. "Rotator-Cuff Tear." New England Journal of Medicine 354, no. 19 (May 11, 2006): e20. http://dx.doi.org/10.1056/nejmicm040011.

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Dissertations / Theses on the topic "Rotator cuff tear"

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Björnsson, Hallgren Hanna Cecilia. "Treatment of subacromial pain and rotator cuff tears." Doctoral thesis, Linköpings universitet, Ortopedi, 2012. http://urn.kb.se/resolve?urn=urn:nbn:se:liu:diva-82094.

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Shoulder pain is very common, affecting 14-21 % of the population at some time during their lifetime. The aims of this thesis were to improve the understanding of various aspects concerning the pathogenesis and treatment of subacromial pain and rotator cuff tears. Patients and healthy individuals were examined and compared in five studies: Study I) Seventy patients were retrospectively examined, clinically and with ultrasound, 15 years after arthroscopic subacromial decompression. All patients had an intact rotator cuff at surgery. Ultrasound showed significantly fewer rotator cuff tears compared to the prevalence of asymptomatic tears reported in the literature for the same age group. This indicates that arthroscopic subacromial decompression might protect the rotator cuff. Study II) Forty-two patients were retrospectively examined, clinically and with ultrasound, 39 months (mean) after an acute rotator cuff repair. All patients had pseudoparalysis after trauma, a full thickness tear and no previous history of shoulder symptoms. A delay in surgical treatment of three months and the number of tendons injured did not affect the outcome. Age affected outcome negatively. Study III) Plasma samples from 17 patients with cuff tears and 16 plasma samples from healthy age- and gender-matched controls were collected and analysed regarding the levels of matrix metalloproteinases and their inhibitors, TIMP1-4. Elevated levels of TIMP-1 were found in the patients with cuff tears compared to controls. Higher levels of TIMP-1, TIMP-3 and MMP-9 were found in patients with full-thickness tears compared to patients with partial-thickness tears. Study IV) Ninety-seven patients with longstanding subacromial pain, on the waiting-list for arthroscopic subacromial decompression, were prospectively randomised to specific shoulder exercises or control exercises for three months. Thereafter they were clinically examined and asked if they still wanted surgery. The specific shoulder exercises focusing on eccentric exercise for the rotator cuff and scapula stabilisers were found to be effective in reducing subacromial pain and improving shoulder function, thereby reducing the need for surgery. Study V) All patients including those operated, in Study IV were re-examined after one year using clinical assessment scores. The option of surgery was continuously available up to the one-year follow-up. Ultrasound and radiological examinations performed at inclusion were analysed in relation to the choice of surgery. The positive effects of the specific exercise programme were maintained after one year and significantly fewer patients in this group chose surgery. Surgery was significantly more often chosen by patients who had a low baseline shoulder score, and/or a full thickness rotator cuff tear.  All patients showed significant improvement in the clinical scores one year after inclusion or one year after surgery. These results support the concept that subacromial pain has a multifactorial aetiology and that the first line of treatment should be specific shoulder exercises. When conservative treatment fails, an acceptable result can be achieved with arthroscopic subacromial decompression. The rotator cuff status is important to consider when treating and studying these patients.
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Meyer, Dominik. "Changes in the muscles of the rotator cuff following tendon tear /." Zürich, 2005. http://opac.nebis.ch/cgi-bin/showAbstract.pl?sys=000254621.

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Braun, Cordula. "Predicting the outcome of physiotherapy in adults with painful partial-thickness rotator cuff tears." Thesis, Teesside University, 2016. http://hdl.handle.net/10149/621790.

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Rotator cuff disorders encompass a range of impairments from tendinopathy to partialor full-thickness rotator cuff tears, and represent the largest subgroup of shoulder pain. Rotator cuff tears, most of which are atraumatic, are common in adults with shoulder pain and are strongly associated with increasing age. Conservative treatment including physiotherapy is the first-line treatment, but some patients do not respond, and ultimately require surgery. Early predictions of response could allow individuals’ care pathways to be optimised, preventing unnecessary delays and suffering and benefiting patients and healthcare providers alike. My primary aim was to develop a prognostic model for the outcome of physiotherapy in adults with painful atraumatic partial-thickness tears (PTTs) of the rotator cuff. This was addressed by a prospective prognostic model study. The study was underpinned by a systematic review of prognostic models in adults undergoing physiotherapy for painful rotator cuff disorders and was further informed and complemented by the following work: the development and validation of the physiotherapy protocol for the prognostic study; the identification, selection and definition of the candidate prognostic factors for the prognostic study; the estimation of the Minimal Important Difference (MID) of the study’s primary outcome measure (the Western Ontario Rotator Cuff Index, WORC); and an exploratory responder analysis of the WORC outcome scores. The prognostic systematic review, prognostic study, MID analysis and responder analysis are original contributions to knowledge. The prognostic systematic review revealed important methodological deficiencies in the five included studies, and no clinically usable model. No study addressed a distinct PTT population. The process of identifying factors for my own prognostic model study revealed a lack of knowledge about the prognostic relevance of factors. All of the candidate models I explored in my prognostic study (n sample = 65, n analysed = 61) had low performance and precision. The estimated MID of the WORC was -300. The responder analysis resulted in different proportions of responders to treatment depending on the responder definition. My results highlight the difficulties involved in predicting outcomes in the field of shoulder pain and rotator cuff disorders, and the need for methodologically sound prognosis research.
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MacIntyre-Newell, Meaghan. "Vascular Changes in the Supraspinatus Muscle and Association with Intramuscular Fat Accumulation: An Experimental Study in Rabbits." Thesis, Université d'Ottawa / University of Ottawa, 2018. http://hdl.handle.net/10393/37835.

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Supraspinatus (SSP) tendon tear leads to intramuscular fat accumulation in the SSP muscle and the mechanisms are currently unknown. The purpose of this study was to investigate changes in vascularization of the SSP muscle and the relationship to intramuscular fat accumulation following SSP tendon detachment with or without reattachment. One hundred and six rabbits underwent SSP tendon detachment. In groups of ten, thirty rabbits were sacrificed 4, 8, and 12 weeks following detachment. Forty rabbits underwent detachment and immediate reattachment and were sacrificed in groups of ten following 0, 1, 2, and 6 weeks of healing. In groups of twelve, the remaining thirty-six rabbits underwent SSP tendon reattachment 4, 8, and 12 weeks after detachment and were sacrificed 12 weeks later. Vascularization was quantified in each specimen using CD31 immunohistochemistry. Four weeks after SSP tendon detachment, there was an increase in vascularization of the distal SSP muscle that reached significance after 12 weeks of detachment (p=0.024). We found that vascularization was positively correlated with intramuscular fat accumulation after detachment only (r=0.29; p=0.008). After SSP tendon reattachment, immediate or delayed, the correlation between vascularization and intramuscular fat accumulation was not observed. Microscopically, some SSP muscle vascular structures in the reattachment group had thicker vascular walls which were further quantified using αSMA immunohistochemistry. The delayed reattachment group showed an increase in vascular wall thickness in the distal portion of the SSP muscle at 4+12 (p=0.012) and 12+12 (p=0.012) weeks and in the proximal portion at 4+12 (p=0.024) weeks. Further investigation is required to demonstrate a cause/effect relationship between increased vascularization and intramuscular fat accumulation in the context of rotator cuff tear and success of surgical repair.
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Canducci, Martina. "Gestione Chirurgica e Gestione Conservativa a confronto nella Lesione di Cuffia dei Rotatori: Revisione Sistematica della Letteratura." Bachelor's thesis, Alma Mater Studiorum - Università di Bologna, 2020. http://amslaurea.unibo.it/21907/.

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Background: la lesione di cuffia dei rotatori è la seconda patologia muscoloscheletrica più comune dopo la lombalgia ed è il disturbo di spalla più comune per il quale i pazienti necessitano di terapia. Per lesione o rottura di cuffia si intende lo strappo del tessuto tendineo con la parziale o totale disinserzione dalla superficie ossea che causa dolore alla spalla, perdita di movimento, debolezza e limitazioni nello svolgimento delle ADL. Il trattamento include la riparazione chirurgica e la fisioterapia, ma non è ancora presente un’opinione dominante su quale sia il trattamento più efficace per la risoluzione di questo quadro patologico. Obiettivo: analizzare studi di ricerca primaria che comparano l'efficacia della gestione chirurgica rispetto alla conservativa nel trattamento delle lesioni di cuffia degenerative, efficacia valutata in termini di miglioramento della sintomatologia dolorosa e disabilità (CMS). Disegno dello Studio: Revisione Sistematica costruita seguendo la traduzione italiana del PRISMA Statement (Fondazione GIMBE). Criteri di Eleggibilità: Studi Controllati Randomizzati (RCTs) con partecipanti affetti da lesione di cuffia degenerativa che indagano il miglioramento di dolore e disabilità rispettivamente nelle due tipologie di intervento. Fonti di ricerca: Gli studi primari sono stati reperiti nelle seguenti banche dati: PubMed, PEDro e Cochrane Library, cercando dall'incipit fino ad aprile 2020. Risultati: sono stati inclusi 3 studi. A tutti è stata applicata la PEDro Scale per la valutazione della validità interna. Tutti gli studi hanno riportato un punteggio ≥ 6, che riflette un’alta qualità metodologica. Conclusioni: gli studi inclusi non hanno dimostrato un chiaro beneficio in favore della chirurgia soprattutto nel breve termine dove si riscontrano minime differenze fra i due tipi di intervento. Sono dunque necessari ulteriori studi che determinino l’efficacia comparativa dei due interventi principalmente nel lungo termine.
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Kisieliūtė, Eglė. "Peties sąnario mobilizacijos ir pratimų efektyvumas gydant peties sąnario sukamosios manžetės plyšimus." Bachelor's thesis, Lithuanian Academic Libraries Network (LABT), 2013. http://vddb.laba.lt/obj/LT-eLABa-0001:E.02~2013~D_20130910_083134-69331.

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Tyrimo objektas: Peties sąnario judesių amplitudės, raumenų jėgos, skausmo ir funkcinio pajėgumo pokyčiai taikant pratimus ir peties sąnario mobilizaciją po peties sąnario sukamosios manžetės plyšimo operacijos. Temos aktualumas. Peties sąnario sukamosios manžetės plyšimai dažnai lemia peties sąnario skausmus ir įvairaus pobūdžio negalią vyresniame amžiuje (Khair & Gulotta, 2011). Šią traumą patiria apie 25,0 proc. vyresnių nei 60 m žmonių ir apie 20,0 proc. vyresnių nei 20 m žmonių (Itoj, 2013). Lietuvoje yra atlikta nedaug tyrimų apie peties sąnario sukamosios manžetės plyšimus. Užsienio autoriai daugiau tyrinėja peties sąnario mobilizacijos ir pasyvių techninkų efektyvumą sergant peties ankšumo sindromu, artritu, artroze ir kitomis ligomis. Ypač trūksta informacijos apie gydymą, kuris leistų pacientams išvengti operacijos. Daugelis autorių nurodo, jog reikalingi išsamesni tyrimai šioje srityje. Tyrimo tikslas: įvertinti peties sąnario mobilizacijos ir pratimų efektyvumą gydant peties sąnario sukamosios manžetės plyšimus. Tyrimo uždaviniai: 1. Įvertinti pacientų po sukamosios manžetės plyšimo operacijos paties sąnario judesių amplitudę, raumenų jėgą, skausmą ir funkcinį pajėgumą prieš kineziterapiją. 2. Įvertinti peties sąnario mobilizacijos ir gydomųjų pratimų poveikį pacientų peties sąnario judesių amplitudei, raumenų jėgai, skausmui ir funkciniam pajėgumui po sukamosios manžetės plyšimo operacijos. 3. Įvertinti pacientų po sukamosios manžetės plyšimo operacijos judesių... [toliau žr. visą tekstą]<br>Object: The change of shoulder range of motion, muscle strength, pain and functional capacity after taking exercises and shoulder joint mobilization for patients after rotator cuff tear reconstruction surgery. Relevance of the topic. In elder age shoulder pain and various disabilities often occur because of the rotator cuff tears (Khair & Gulotta, 2011). 25,0 percent of population over 60 years and 20,0 percent of population over 20 years suffer from this injury (Itoj, 2013). Foreigner scientists more often make studies about the effectiveness of shoulder joint mobilization and other passive physical therapy techniques in curing other shoulder illnesses such as impingement syndrome, arthritis and ect. Especially there is lack of information about treatment that would prevent patients from surgery. Many scientists indicate that more studies are necessary about this topic. Task. The aim of this study was to evaluate the effectiveness of shoulder joint mobilization and therapeutic exercises curing rotator cuff tears. The main goals of this study were: 1. To evaluate range of motion, muscle strength, pain and functional capacity of operated shoulder for patients after rotator cuff tear arthroscopic reconstruction surgery. 2. To evaluate effectiveness of shoulder joint mobilization and therapeutic exercises for range of motion, muscle strength, pain and functional capacity of operated shoulder for patients after rotator cuff tear reconstruction surgery. 3. To evaluate how shoulder... [to full text]
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Simon, Dominic William Neil. "A comparison of the behaviour of cultured osteoblastic cells derived from the humeral tuberosity and the acromion after chronic rotator cuff tear." Thesis, Imperial College London, 2008. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.504977.

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Khoschnau, Shwan. "Soft Tissue Aspects of the Shoulder Joint." Doctoral thesis, Uppsala universitet, Ortopedi, 2012. http://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-168236.

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The aim of this thesis was to study different aspects of the soft tissues of the shoulder joint. The variation in the quality of the tendons and ligaments can be explained by genetic factors. To test the hypothesis that collagen 1 α1 Sp1 polymorphism is related to the occurrence of cruciate ligament ruptures and shoulder dislocations, a total of 358 patients (233 patients with cruciate ligament ruptures and 126 with shoulder dislocations) were included in the study. We found a decreased risk of these injuries associated with collagen type 1 α1 Sp1 polymorphism. To study the mechanical properties of a better type of fixation of soft tissue to bone, 10 skeletally mature New Zealand white rabbits were operated bilaterally on the knees. The medial collateral ligaments were fixed by two types of plates one with a flat undersurface and the other with a pegged undersurface. After 4 weeks the force at failure, stiffness and energy uptake was almost double in the knees operated with the pegged plates. The prevalence and dysfunction of rotator cuff tears was investigated in 106 subjects who had never sought for their shoulder complaints, using Constant score, ultrasound and plain x-ray. The prevalence of full-thickness cuff tears was 30% (21% of all shoulders). The Constant score was lower in subjects with full-thickness tears. Partial-thickness tears and acromioclavicular joint osteoarthritis had no impact on shoulder complaints or Constant score. The subacromial index was lower for shoulders with full-thickness tears. Forty-eight patients with median age 56 years underwent subacromial decompression with or without acromioclavicular joint resection, investigated with MRI pre- and 3 months postoperatively. The Constant score and subjective shoulder value were measured preoperatively and at 3 and 6 months after surgery and even 2 years for subjective shoulder value. Two raters investigated the MRI. The results showed poor inter-rater reliability for MRI. However, both Constant score and subjective shoulder value improved over time. MRI is not a reliable method to study the capsular reaction after subacromial decompression due to high subjectivity of the radiologists.
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Wang, Fang St George Clinical school UNSW. "Oxidative stress induced C-Jun N-terminal Kinase (JNK) activation in tendon cells upregulates MMP1 mRNA and protein expression." Awarded by:University of New South Wales. St George Clinical school, 2006. http://handle.unsw.edu.au/1959.4/28815.

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To explore the potential mechanisms of tendon degeneration, we investigated the role of c-Jun N-terminal Kinase (JNK) activation and the regulation of matrix metalloproteinase 1 (MMP1) in tendon matrix degradation under oxidative stress. JNK and MMP1 activity in samples from normal and ruptured human supraspinatus tendons were evaluated by immunohistochemistry. Real-time quantitative PCR was utilized to evaluate MMP1 mRNA expression and western blotting for MMP1 and JNK protein detection. JNK activation and increased MMP1 activity were found in the torn human supraspinatus tendon tissue, as well as in human tendon cells under in vitro oxidative stress. Inhibition of JNK prevented MMP1 over-expression in oxidative stressed human tendon cells. Results from the current study indicated that stress activated JNK plays an important role in tendon matrix degradation, possibly through upregulating of MMP1.
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Popp, Ariane Gerber. "Management of irreparable subscapularis tendon tears." Doctoral thesis, Humboldt-Universität zu Berlin, Medizinische Fakultät - Universitätsklinikum Charité, 2005. http://dx.doi.org/10.18452/13956.

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Zur Zeit gibt es keinen optimalen Sehnentransfer zur Behandlung von irreparablen Ruptur der Subscapularissehne. Obwohl der Pectoralis major Transfer als Therapie der Wahl gilt, bleibt der Kraftvektor der verlagerten Sehne-Muskeleinheit sehr unterschiedlich zum Kraftvektor des Subscapularismuskels. Das Ziel dieser Arbeit war, ein neues Konzept zur Behandlung von irreparablen Subscapularisrupturen zu definieren, bei dem die Subscapulariseinheit selektiv mittels Teres major(TM) und Pectoralis major (PM) wiederhergestellt wird. In den Kadaverstudien dieser Arbeit konnte gezeigt werden, dass sich der M. Teres major anatomisch-chirurgisch als Sehnentransfer zur Rekonstruktion der unteren Hälfte des M. Subscapularis eignet. Darüberhinaus wurde in einer dreidimensionalen Vektoranalyse gezeigt, dass der Kraftvektoren vom verlagerten Teres major sich nicht signifikant vom Kraftvektoir des unteren Anteils des Musculus subscapularis unterscheidet. Es wurde weiterhin gezeigt, dass Modifikationen des Pectoralis major transfer durch Reroutingmassnahmen zu einer deutlichen Verbesserung seines Kraftvektors im Vergleich zum oberen Amteil des Musculussubscapularis führt. Basierend auf den neuen anatomischen und biomechanischen Erkenntnissen wurde im letzten Teil dieser Schrift das neue Konzept klinisch angewandt. Dabei wurde bei 7 Patienten mit einer irreparablen Subscapularisruptur nach multiplen Voreingriffen eine selektive Rekonstruktion mittels kombinierten TM-PM Transfer durchgeführt. Es traten keine Komplikationen auf und alle Patienten hatten eine deutliche Linderung Ihrer Schmerzen und eine Verbesserung der Funktion. Somit erscheint diese neue Transferoperation eine sichere und effiziente Option zur Behandlung irreparabler Subscapularisrupturen darzustellen.<br>Currently there is no optimal tendon transfer procedure for the management of irreparable subscapularis lesions. Although the pectoralis major transfer is considered as the gold standard in the treatment of irreparable subscapularis tears, the force vector orientation of this transfer may not be optimal in comparision to the situation at the subscapularis muscle. Objective of this monograph was to establish the anatomical and biomechanical basis for a new concept of selective subscapularis reconstruction combining a teres major transfer to the pectoralis major transfer. In the cadaveric part of this work, it could be demonstrated that the teres major is a safe and biomechanically logical transfer for reconstruction of the lower part of the subscapularis. The analysis was carried on to define the optimal transfer for reconstruction of the upper part of the subscapularis. It was possible to determine the biomechanical effect of rerouting procedures of the pectoralis major transfer. Passing the tendon underneath the conjoined tendon appeared to be the most effective way to improve the direction of the pectoralis major transfer for subscapularis reconstruction. However this technique is demanding when the plane underneath the conjoined tendon is scarred and the pectoralis major is bulky. In such cases there is a risk to injure the musculocutaneous nerve. Therefore, rerouting the sternal part of the pectoralis major underneath its clavicular part (sPM tansfer) may be a safer option. Finally, based on the acquired anatomical and biomechanical data, early clinical experience in a series of 7 patients was reported. Although the clinical series was small, the combined TM-sPM transfer appeared to be a valuable and a safe alternative to treat irreparable subscapularis tears. An interesting observation in this study was that the transfer was able to recenter the statically subluxed humeral head in two cases. This could be attributed to the dynamic hammock built by the transferred teres major. The early promising subjective and objective results presented here encourage for further investigation.
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Books on the topic "Rotator cuff tear"

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Gumina, Stefano, ed. Rotator Cuff Tear. Cham: Springer International Publishing, 2017. http://dx.doi.org/10.1007/978-3-319-33355-7.

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Gulotta, Lawrence V., and Edward V. Craig, eds. Massive Rotator Cuff Tears. Boston, MA: Springer US, 2015. http://dx.doi.org/10.1007/978-1-4899-7494-5.

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Sampaio Gomes, Nuno, Ladislav Kovačič, Frank Martetschläger, and Giuseppe Milano, eds. Massive and Irreparable Rotator Cuff Tears. Berlin, Heidelberg: Springer Berlin Heidelberg, 2020. http://dx.doi.org/10.1007/978-3-662-61162-3.

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Hamil, Douglas P. Effectiveness of nonoperative and operative treatments for rotator cuff tears. Hauppauge, N.Y: Nova Science Publishers, 2011.

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Maffulli, N., ed. Rotator Cuff Tear. S. Karger AG, 2011. http://dx.doi.org/10.1159/isbn.978-3-8055-9815-6.

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Rotator cuff tear. Basel: Karger, 2011.

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Rotator Cuff Injury Explained. Including Rotator Cuff Tear, Rotator Cuff Bursitis, Rotator Cuff Tendonitis. Symptoms, Exercises, Stretches, Repair. IMB Publishing, 2013.

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Gutkowski, Evita. Rotator Cuff Tear Treatment : Clinical Practice Guidelines for the Management of Rotator Cuff Tear: Rotator Cuff Injury Treatment. Independently Published, 2021.

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Gumina, Stefano. Rotator Cuff Tear: Pathogenesis, Evaluation and Treatment. Springer London, Limited, 2016.

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Gumina, Stefano. Rotator Cuff Tear: Pathogenesis, Evaluation and Treatment. Springer, 2018.

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Book chapters on the topic "Rotator cuff tear"

1

Carbone, Stefano, and Stefano Gumina. "Rotator Cuff Biomechanics." In Rotator Cuff Tear, 45–51. Cham: Springer International Publishing, 2016. http://dx.doi.org/10.1007/978-3-319-33355-7_3.

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Longo, Umile Giuseppe, Alessandra Berton, Nicola Papapietro, Nicola Maffulli, and Vincenzo Denaro. "Epidemiology, Genetics and Biological Factors of Rotator Cuff Tears." In Rotator Cuff Tear, 1–9. Basel: KARGER, 2011. http://dx.doi.org/10.1159/000328868.

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Longo, Umile Giuseppe, Alessandra Berton, Nicola Papapietro, Nicola Maffulli, and Vincenzo Denaro. "Biomechanics of the Rotator Cuff: European Perspective." In Rotator Cuff Tear, 10–17. Basel: KARGER, 2011. http://dx.doi.org/10.1159/000328870.

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Karas, Vasili, Brian J. Cole, and Vincent M. Wang. "Role of Biomechanics in Rotator Cuff Pathology: North American Perspective." In Rotator Cuff Tear, 18–26. Basel: KARGER, 2011. http://dx.doi.org/10.1159/000328871.

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Porcellini, Giuseppe, Francesco Caranzano, Fabrizio Campi, and Paolo Paladini. "Instability and Rotator Cuff Tear." In Rotator Cuff Tear, 41–52. Basel: KARGER, 2011. http://dx.doi.org/10.1159/000328876.

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Kibler, W. Ben. "The Scapula in Rotator Cuff Disease." In Rotator Cuff Tear, 27–40. Basel: KARGER, 2011. http://dx.doi.org/10.1159/000328877.

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Oliva, Francesco, Stefano Gatti, Giuseppe Porcellini, Nicholas R. Forsyth, and Nicola Maffulli. "Growth Factors and Tendon Healing." In Rotator Cuff Tear, 53–64. Basel: KARGER, 2011. http://dx.doi.org/10.1159/000328878.

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Snyder, Garrett M., Scott D. Mair, and Christian Lattermann. "Tendinopathy of the Long Head of the Biceps." In Rotator Cuff Tear, 76–89. Basel: KARGER, 2011. http://dx.doi.org/10.1159/000328880.

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Longo, Umile Giuseppe, Alessandra Berton, Andrea Marinozzi, Nicola Maffulli, and Vincenzo Denaro. "Subscapularis Tears." In Rotator Cuff Tear, 114–21. Basel: KARGER, 2011. http://dx.doi.org/10.1159/000328886.

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Franceschi, Francesco, Rocco Papalia, Alessio Palumbo, Angelo Del Buono, Nicola Maffulli, and Vincenzo Denaro. "Operative Management of Partial- and Full-Thickness Rotator Cuff Tears." In Rotator Cuff Tear, 100–113. Basel: KARGER, 2011. http://dx.doi.org/10.1159/000328888.

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Conference papers on the topic "Rotator cuff tear"

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Ghosh, Shrimanti, Geetika Vadali, Ayush Singh, Yuyue Zhou, Banafshe Felfeliyan, Assefa Wahd, Jessica Knight, Mahesh R. Panicker, Jacob L. Jaremko, and Abhilash R. Hareendranathan. "Shoulder Rotator Cuff Tear Detection from Ultrasound Videos Using Deep Reinforcement Learning." In 2025 IEEE 22nd International Symposium on Biomedical Imaging (ISBI), 1–4. IEEE, 2025. https://doi.org/10.1109/isbi60581.2025.10981103.

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Teixeira, Rui, Luisa Martins, and Daniela dos Santos. "Enhanced post-arthroplasty shoulder rehabilitation following total rotator cuff tear: a study case with a synergistic approach using physiotherapy and multimodal photobiomodulation." In Mechanisms of Photobiomodulation Therapy XIX, edited by James D. Carroll, Ann Liebert, and Jeri-Anne Lyons, 14. SPIE, 2025. https://doi.org/10.1117/12.3040674.

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Ghosh, Shrimanti, Banafshe Felfeliyan, Yuyue Zhou, Jessica Knight, Natasha Akhlaq, Jessica Küpper, Abhilash R. Hareendranathan, and Jacob L. Jaremko. "Ultrasound for Automated Classification of Full-Thickness Rotator Cuff Tendon Tears using Deep Learning." In 2024 46th Annual International Conference of the IEEE Engineering in Medicine and Biology Society (EMBC), 1–4. IEEE, 2024. https://doi.org/10.1109/embc53108.2024.10782185.

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Ghosh, Shrimanti, Banafshe Felfeliyan, Yuyue Zhou, Shaobo Liu, Jessica Knight, Natasha Akhlaq, Jessica Küpper, Abhilash R. Hareendranathan, and Jacob Jaremko. "Automated Detection of Shoulder Rotator Cuff Tendon Tears from Ultrasound Images by CNN-Autoencoder." In 2024 IEEE International Symposium on Biomedical Imaging (ISBI), 1–4. IEEE, 2024. http://dx.doi.org/10.1109/isbi56570.2024.10635110.

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Oh, Joo Han, Bong-Jae Jun, Michelle H. McGarry, and Thay Q. Lee. "Biomechanical Evaluation of Rotator Cuff Tear Progression and the Influence of Parascapular Muscle Loading." In ASME 2009 4th Frontiers in Biomedical Devices Conference. ASMEDC, 2009. http://dx.doi.org/10.1115/biomed2009-83138.

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Rotator cuff tears (RCT) commonly start at the anterior insertion of the supraspinatus and have been shown to propagate posteriorly. Early detection and repair of small or medium size tears has been shown to result in better clinical outcome and structural integrity than that of large or massive tears. However, it is unknown at which stage of rotator cuff tear propagation the biomechanical environment becomes altered. Previous biomechanical studies have not considered rotator cuff propagation based on the footprint anatomy, rotational glenohumeral joint kinematics, and the influence of anatomy-based muscle loading including pectoralis major and latissmus dorsi. Therefore, the purpose of this study was to determine the relationship between progressive rotator cuff tear and glenohumeral joint biomechanics using a rotator cuff tear progression model and anatomically based muscle loading including the influence of the pectoralis major and latissmus dorsi. Our hypotheses were 1) cuff tear progression will lead to abnormal glenohumeral joint biomechanics, specifically in kinematics (rotational range of motion and the path of humeral head apex) and abduction capability and 2) the pectoralis major and latissmus dorsi muscles will act as a stabilizer of the humeral head in large or massive tear.
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McGarry, Michelle H., Jennifer L. Bissell, Bruce Y. Yang, Ranjan Gupta, and Thay Q. Lee. "Effects of Supraspinatus Tear and Repair on Glenohumeral Joint Biomechanics." In ASME 2002 International Mechanical Engineering Congress and Exposition. ASMEDC, 2002. http://dx.doi.org/10.1115/imece2002-33024.

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Rotator cuff tears are common injuries seen by orthopaedic surgeons. Management may vary depending on patient factors, size and location of tear, and severity of symptoms. Treatment for symptomatic rotator cuff tear often includes subacromial decompression, debridement, and/or repair. The objective of this study was to determine the change in glenohumeral joint (GHJ) forces after repair of pathologic supraspinatus tears.
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Reuther, Katherine E., Stephen J. Thomas, Joseph J. Sarver, Jennica J. Tucker, Chang-Soo Lee, Chancellor F. Gray, David L. Glaser, and Louis J. Soslowsky. "Massive Cuff Tears Alter Joint Function and Decrease Cartilage Mechanics Following Return to Overuse Activity in a Rat Model." In ASME 2012 Summer Bioengineering Conference. American Society of Mechanical Engineers, 2012. http://dx.doi.org/10.1115/sbc2012-80072.

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Rotator cuff tendon tears are common conditions which can alter shoulder joint function and over time, cause secondary damage to the surrounding tissues, including the cartilage and other remaining tendons. Glenohumeral joint stability is dependent on a dynamic balance between rotator cuff forces, in particular the subscapularis anteriorly and the infraspinatus posteriorly. An intact rotator cuff stabilizes the joint, allowing for concentric rotation of the humeral head on the glenoid. However, a massive rotator cuff tear involving the supraspinatus and infraspinatus may disrupt the normal balance of forces at the joint, resulting in abnormal joint loading. This is of particular concern in populations who perform activities requiring repeated overhead activity (e.g., laborers, athletes). Our lab has previously demonstrated that restoration of the subscapularis-infraspinatus anterior-posterior force balance improves shoulder function by providing a stable fulcrum for concentric rotation of the humeral head on the glenoid [1]. However, the long term consequences caused by disruption of the anterior-posterior force balance (supraspinatus and infraspinatus tear) on the glenoid cartilage and adjacent (intact) tendons, particularly in the case of an overuse population, remains unknown. Therefore, the objective of this study was to investigate the effect of disrupting the anterior-posterior force balance on joint function and joint damage using a clinically relevant overuse model system. We hypothesized that a disrupted anterior-posterior force balance (supraspinatus and infraspinatus tear) would result in H1) decreased joint function and H2) inferior adjacent tissue (glenoid cartilage, biceps and subscapularis tendon) properties compared to an intact anterior-posterior force balance (supraspinatus only tear).
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Derwin, Kathleen A., and Joseph P. Iannotti. "Augmentation Devices for Rotator Cuff Repair." In ASME 2011 Summer Bioengineering Conference. American Society of Mechanical Engineers, 2011. http://dx.doi.org/10.1115/sbc2011-53610.

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Rotator cuff tears affect 40% or more of those over age 60 and are a common cause of pain and disability. Surgical repairs have high failure rates that range from 20 to 90%. Currently, scaffolds derived from various natural and synthetic biomaterials are being marketed as augmentation devices for rotator cuff repairs at the time of surgery 1–3. The US Food and Drug Administration (FDA) has cleared these devices “to support soft tissues where weakness exists” but not “to provide the full mechanical strength for the tendon repair”. Based on the mechanical connotation of their intended use, it is commonly believed that when applied appropriately, these devices may provide some degree of load sharing of forces across the tendon repair site and thus decrease the likelihood of tendon re-tear.
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Jun, Bong Jae, Joo Han Oh, Michelle H. McGarry, Akash Gupta, Kyung Chil Chung, James Hwang, and Thay Q. Lee. "Restoration of Shoulder Biomechanics in the Massive Rotator Cuff Tear According to Degree of Repair Completion." In ASME 2010 5th Frontiers in Biomedical Devices Conference. American Society of Mechanical Engineers, 2010. http://dx.doi.org/10.1115/biomed2010-32049.

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The development of new instruments and surgical techniques has improved the outcome of rotator cuff repair even with massive tears. Based on cuff integrity or amount of retraction with massive cuff tears a complete repair may not be possible allowing for only partial repair. The ability to mobilize the cuff to the footprint can affect the degree of partial repair that can be performed. Partial repair may lead to abnormal biomechanics that may predispose patients to limited function and subsequent pathology following rotator cuff repair. Therefore, the purpose of this study is to compare the biomechanical characteristics of massive rotator cuff repair according to the degree of repair completion and to determine a minimum degree of repair required to restore normal biomechanics.
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Thomas, Stephen J., Joseph J. Sarver, Jennica Tucker, Katherine Reuther, Lena Edelstein, Sarah Ilkhani-Pour, Chancellor Gray, Chang Soo Lee, David L. Glaser, and Louis J. Soslowsky. "The Effect of Return to Overuse Activity After a Supraspinatus Tear on Joint Function and Biceps Mechanical Properties in a Rat Model." In ASME 2011 Summer Bioengineering Conference. American Society of Mechanical Engineers, 2011. http://dx.doi.org/10.1115/sbc2011-53660.

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Rotator cuff tendon tears are one of the most common shoulder injuries and are most prevalent in populations performing repetitive overhead activities [1]. In addition, long head of the biceps (LHB) tendon injuries occur secondary to cuff tears and may or may not lead to functional deficits [2]. Previous animal model studies have found that in the presence of a cuff tear, the biceps has decreased mechanical properties at 8 weeks [3]. Such studies, however, did not examine the effect of repetitive overhead activity on biceps properties and shoulder function in the presence of a cuff tear. Therefore, the objective of this study was to evaluate the effect of returning to overuse activity after a supraspinatus tendon tear on shoulder function and biceps structural and mechanical properties. We hypothesized that overuse activity following a supraspinatus tendon tear would not alter shoulder function, when compared to cage activity, but would decrease biceps structural and mechanical properties, particularly at the insertion site.
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Reports on the topic "Rotator cuff tear"

1

Xiang, Xiao-Na. Platelet-Rich Plasma as a conservative treatment for partial-thickness rotator cuff tear and tendinopathy: A Systematic Review and Meta-analysis. INPLASY - International Platform of Registered Systematic Review Protocols, April 2020. http://dx.doi.org/10.37766/inplasy2020.4.0144.

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Hao, Yue, Junqing Jia, Junjie Wang, and Dongsheng Hao. The effect of applying anti-osteoporosis drugs on the rehabilitation for patients with rotator cuff tears after arthroscopic rotator cuff repair: a meta-analysis. INPLASY - International Platform of Registered Systematic Review and Meta-analysis Protocols, March 2025. https://doi.org/10.37766/inplasy2025.3.0006.

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Rees, Jonathan, Andrew Carr, Jonathan Cook, Amar Rangan, Jean Millar, Danielle van der Windt, Alison Keele, et al. The clinical and cost effectiveness of surgical repair of partial rotator cuff tears in patients with subacromial shoulder pain: a comparison of surgical repair versus surgery with no repair. Partial Rotator Cuff Repair Trial (PRoCuRe Trial). National Institute for Health and Care Research, June 2023. http://dx.doi.org/10.3310/nihropenres.1115211.1.

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Little to choose between open and keyhole surgery as options for repairing shoulder rotator cuff tears. National Institute for Health Research, December 2015. http://dx.doi.org/10.3310/signal-000155.

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