The aim of this study was to evaluate the long-term functional outcome of full thickness rotator cuff tears treated by open repair and acromioplasty and to determine various factors affecting the outcome. This is a prospective clinical study on 42 patients who underwent full thickness rotator-cuff repair by a single surgeon between 2000 and 2003. The mean follow-up was 26 months. In patients wi...

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

Subacromial impingement syndrome (SAIS) represents a spectrum of pathology ranging from subacromial bursitis to rotator cuff tendinopathy and full-thickness rotator cuff tears. The relationship between subacromial impingement and rotator cuff disease in the etiology of rotator cuff injury is a matter of debate. However, the etiology is multi-factorial, and it has been attributed to both extrins...

Damage to the biceps tendon is common clinically and is frequently seen in the presence of rotator cuff tears. However, there is some debate over the role of the biceps tendon at the shoulder following a rotator cuff tear with some believing the biceps to play a significant role as a humeral head depressor while others believe the biceps plays no role at all. Therefore, controversy exists regar...

HYPOTHESIS We hypothesized that patients with full-thickness rotator cuff tears would have greater synovial inflammation compared with those without rotator cuff tear pathology, with gene expression relating to histologic findings. METHODS Synovial sampling was performed in 19 patients with full-thickness rotator cuff tears (RTC group) and in 11 patients without rotator cuff pathology (contro...

Introduction Rotator cuff tendon tears are a common cause of pain and disability. An intact rotator cuff stabilizes the glenohumeral joint, allowing for concentric rotation of the humeral head on the glenoid. However, large tears involving the supraspinatus and infraspinatus tendons may disrupt the normal balance of forces, resulting in abnormal joint loading which can cause secondary damage to...

BACKGROUND Recent studies have confirmed the existence of neuropathic pain (NeP) components in patients with musculoskeletal disorders. However, the presence of NeP in patients with rotator cuff tears has not been investigated thus far. Therefore, we studied the prevalence of NeP and the prognostic factors for NeP in patients with rotator cuff tears. METHODS Data were collected from 110 patie...

Surgical management of massive rotator cuff tears remains challenging, with failure rates ranging from 20% to 90%. Multiple different arthroscopic and open techniques have been described, but there is no current gold standard. Failure after rotator cuff repair is typically multifactorial; however, failure of tendon-footprint healing is often implicated. Patch augmentation has been described as ...

OBJECTIVE To evaluate whether the good and excellent functional results from arthroscopic repair of massive rotator cuff tears are maintained over the long term. METHODS From the sample of the study conducted by our group in 2006, in which we evaluated the functional results from arthroscopic repair of massive rotator cuff tears, 35 patients were reassessed, 8 years after the first evaluation...