Question: What is the diagnostic accuracy of the physical examination in predicting arthroscopy findings in patients with suspected rotator cuff tear? Design: Cross-sectional study comparing the results of the clinical examination with presence of partial or complete rotator cuff tear on arthroscopy. Setting: Australian orthopaedic surgeon’s practice. Patients: Patients (400) with shoulder inju...

Rotator cuff tears in young overhead sports athletes are rare. The pathomechanism causing rotator cuff tears in young overhead athletes is different from that in aged patients. The purpose of this study was to investigate rotator cuff tear characteristics in young overhead sports athletes to reveal the pathomechanism causing these injuries. This study included 25 overhead sports athletes less t...

S capular winging typically results from serratus anterior dysfunction caused by injury to the long thoracic nerve or from trapezius dysfunction caused by injury to the spinal accessory nerve. The surgical treatment of choice for scapular winging caused by trapezius palsy is the Eden-Lange procedure. This procedure, as modified by Bigliani et al., includes transfer of the levator scapulae muscl...

Professor Grammont revolutionised shoulder surgery with his reverse shoulder arthroplasty design. Patients who had poor results from a conventional shoulder replacement because of cuff deficiency can now be treated effectively. Although designed for cuff tear arthropathy, indications continue to evolve and broaden. The initial results look very promising and the implant has gained much populari...

Although postarthroscopic glenohumeral chondrolysis has become a well-known disastrous complication of arthroscopic shoulder surgery, little is known about postarthroscopic humeral head osteonecrosis. This article describes 3 patients who were referred to the authors' practice with end-stage osteonecrosis after an arthroscopic rotator cuff repair or debridement.Three patients (average age, 63.3...

With a range of tear characteristics such as chronicity, degree of fatty atrophy, and number of tendons involved as well as varying patient-specific characteristics including age, injury mechanism, and expectations after treatment to consider, proper and successful treatment of a rotator cuff tear is multifactorial and, consequently, challenging. Although conservative management of a rotator cu...

Study Design Case-control study. Purpose The aim of the present study was to identify physical findings useful for differentiating between cervical spondylotic amyotrophy (CSA) and rotator cuff tears to prevent the misdiagnosis of CSA as a rotator cuff tear. Overview of Literature CSA and rotator cuff tears are often confused among patients presenting with difficulty in shoulder elevation. ...

The treatment of rotator cuff arthropathy is still a matter of debate. Up to now a hemiarthroplasty was usually used. We report the results obtained with a reversed shoulder prosthesis (Delta prosthesis, De Puy) in seven patients with severe rotator cuff arthropathy. The mean Constant score increased from 17.9/100 preoperatively to 56.7/100 postoperatively. The mean follow-up was 16 months. Loo...

BACKGROUND Rotator cuff pathology is a common source of shoulder pain with variable etiology and pathoanatomical characteristics. Pathological processes of fatty infiltration, muscle atrophy, and fibrosis have all been invoked as causes for poor outcomes after rotator cuff tear repair. The aims of this study were to measure the expression of key genes associated with adipogenesis, myogenesis, a...

The Medline database was searched using key words: 'rotator cuff', 'tear', and 'treatment'. 12 studies that involved (1) surgical treatment for rotator cuff tear, (2) measurement of pre- and post-operative pain score, functional score, and/or patient satisfaction, (3) patients that failed to improve functionally or had poor satisfaction, (4) preoperative examination of risk factors that could l...