BACKGROUND Many studies have compared the diagnostic capabilities of low-field magnetic resonance imaging (MRI) scanners to high-field MRI scanners; however, few have evaluated the low-field MRI diagnoses compared with intraoperative findings. PURPOSE To determine the accuracy and sensitivity of low-field MRI scanners in diagnosing lesions of the rotator cuff and glenoid labrum. STUDY DESIG...

BACKGROUND AND PURPOSE Few authors have considered the outcome after acute traumatic rotator cuff tears in previously asymptomatic patients. We investigated whether delay of surgery, age at repair, and the number of cuff tendons involved affect the structural and clinical outcome. PATIENTS AND METHODS 42 patients with pseudoparalysis after trauma and no previous history of shoulder symptoms w...

The management of irreparable rotator cuff tears remains challenging. Since its introduction by Mihata in 2012, superiorcapsule reconstruction (SCR) has grown in popularity at an astonishingly rapid rate. The aim of this article is to providea comprehensive review of the available literature, in order to highlight what has so far been published on SCR,covering all aspects including biomechanica...

BACKGROUND Rotator cuff tears are rare injuries in adolescents but cause significant morbidity if unrecognized. Previous literature on rotator cuff repairs in adolescents is limited to small case series, with few data to guide treatment. HYPOTHESIS Adolescent patients would have excellent functional outcome scores and return to the same level of sports participation after rotator cuff repair ...

BACKGROUND A familial predisposition to the development of rotator cuff tearing has been previously reported. Very little information exists on the development of global tendon dysfunction in patients with rotator cuff tears. The purpose of the current study was to determine the incidence of global tendon dysfunction as well as the need for surgery for tendon dysfunction in patients with rotato...

We assessed the predictive value of the macroscopic and detailed microscopic appearance of the coracoacromial ligament, subacromial bursa and rotator-cuff tendon in 20 patients undergoing subacromial decompression for impingement in the absence of full-thickness tears of the rotator cuff. Histologically, all specimens had features of degenerative change and oedema in the extracellular matrix. I...

Massive irreparable rotator cuff tears are difficult to treat. Although several treatment options exist, none provides superior long-term results. There is no consensus on optimal surgical technique. Superior capsular reconstruction is an operative treatment option aimed at restoring native biomechanics of the glenohumeral joint by providing a restraint to superior subluxation. Partial rotator ...

Rotator cuff disease can be related to a number of factors that include degenerative, vascular, traumatic and mechanical causes. The most common cause of rotator cuff pathology is primary degeneration of the rotator cuff tendons with wear and aging. External and internal impingement, microinstability of the shoulder, trauma, overuse associated with athletic and occupational activities, underlyi...

Rotator cuff injuries are among the most common shoulder injuries seen in athletes. They occur mostly in baseball players and other athletes who frequently use the arm in overhead or throwing positions. Although juvenile and adolescent baseball players are also prone to shoulder injuries, tears of the rotator cuff are extremely uncommon in this age group. A review of the orthopaedic and sports ...

BACKGROUND The use of platelet-rich plasma (PRP) is an innovative clinical therapy, especially in arthroscopic rotator cuff repair. The purpose of this study was to compare the clinical improvement and tendon-to-bone healing with and without PRP therapy in arthroscopic rotator cuff repair. METHODS A systematic search was done in the major medical databases to evaluate the studies using PRP th...