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supraspinatus tendinopathy

Sherman O Canapp, Debra A Canapp, Victor Ibrahim, Brittany Jean Carr, Catherine Cox, Jennifer G Barrett
OBJECTIVE: To report clinical findings and outcomes for 55 dogs with supraspinatus tendinopathy (ST) treated with adipose-derived progenitor cells and platelet-rich plasma (ADPC-PRP) therapy. METHODS: Medical records of client-owned dogs diagnosed with ST that were treated with ADPC-PRP combination therapy were reviewed from 2006 to 2013. Data collected included signalment, medical history, limb involvement, prior treatments, physical and orthopedic examination, objective temporospatial gait analysis findings, diagnostic imaging results (radiography, magnetic resonance imaging, musculoskeletal ultrasonography), arthroscopy findings, and outcome...
2016: Frontiers in Veterinary Science
Byung-Chun You, Won-Jae Lee, Seung-Hwa Lee, Sol Jang, Hyun-Seok Lee
OBJECTIVE: To investigate the shoulder disease patterns for the table-tennis (TT) and archery (AR) wheelchair athletes via ultrasonographic evaluations. METHODS: A total of 35 wheelchair athletes were enrolled, made up of groups of TT (n=19) and AR (n=16) athletes. They were all paraplegic patients and were investigated for their wheelchair usage duration, careers as sports players, weekly training times, the Wheelchair User's Shoulder Pain Index (WUSPI) scores and ultrasonographic evaluation...
August 2016: Annals of Rehabilitation Medicine
Scott A Rodeo, Joseph T Nguyen, John T Cavanaugh, Yashika Patel, Ronald S Adler
BACKGROUND: Shoulder pain is a common problem in competitive swimmers, but the structural alterations in elite-level competitive swimmers are not well known. HYPOTHESIS: Adaptive changes are common in the rotator cuff, bursa, labrum, and capsule in elite swimmers, and such abnormalities are related to factors concerning training and correlate with symptoms. STUDY DESIGN: Cross-sectional study; Level of evidence, 3. METHODS: The study population was the 2008 United States Olympic swimming team...
August 9, 2016: American Journal of Sports Medicine
Jae-Min Kim, Min-Wook Kim, Hyun-Jung Do
OBJECTIVE: To investigate the influence of hyperlipidemia on the treatment of supraspinatus tendinopathy, with or without tear. METHODS: We retrospectively reviewed the data of patients with shoulder pain and patients with supraspinatus tendinopathy, with or without tear, were included in the study. Exclusion criteria were prior shoulder surgery, prior steroid injection, neurological diseases that could lead to shoulder pain, and use of lipid-lowering medication...
June 2016: Annals of Rehabilitation Medicine
J J Leeman, K K Shaw, M B Mison, J A Perry, A Carr, R Shultz
Supraspinatus tendinopathy (ST) and biceps tendinopathy (BT) are common causes of forelimb lameness in large-breed dogs and have historically been treated with conservative management or surgery. Extracorporeal shockwave therapy (ESWT) and therapeutic exercise (TE) are thought to be treatment options for these conditions. The objectives of this study were to report the clinical presentations of dogs treated with ESWT for shoulder tendinopathies, to determine the association between shoulder lesion severity identified on ultrasonography or MRI and outcome, and to compare the outcomes of dogs treated with ESWT with and without TE...
October 15, 2016: Veterinary Record
Christine Tempelaere, Jérome Pierrart, Marie-Martine Lefèvre-Colau, Valérie Vuillemin, Charles-André Cuénod, Ulrich Hansen, Olivier Mir, Wafa Skalli, Thomas Gregory
BACKGROUND: MRI is the standard methodology in diagnosis of rotator cuff diseases. However, many patients continue to have pain despite treatment, and MRI of a static unloaded shoulder seems insufficient for best diagnosis and treatment. This study evaluated if Dynamic MRI provides novel kinematic data that can be used to improve the understanding, diagnosis and best treatment of rotator cuff diseases. METHODS: Dynamic MRI provided real-time 3D image series and was used to measure changes in the width of subacromial space, superior-inferior translation and anterior-posterior translation of the humeral head relative to the glenoid during active abduction...
2016: PloS One
Amélie Fournier Belley, Dany H Gagnon, François Routhier, Jean-Sébastien Roy
OBJECTIVE: 1) To evaluate the reliability of ultrasonographic (US) measures of acromiohumeral distance (AHD) in shoulder positions linked to wheelchair propulsion in manual wheelchair users (MWU) with spinal cord injury (SCI) and able-bodies; 2) to compare US measures of AHD, supraspinatus tendon thickness and occupation ratio between MWU with SCI with and without shoulder pain (rotator cuff [RC] tendinopathy); and 3) to compare these US measures between MWU with SCI and able-bodies. DESIGN: Cross-sectional SETTING: Two rehabilitation centers (Quebec City and Montreal) PARTICIPANTS: Objective 1: 16 MWU with SCI and 16 able-bodies; Objectives 2 and 3: 37 MWU with SCI (17 with/20 without RC tendinopathy) and 26 able-bodies...
July 15, 2016: Archives of Physical Medicine and Rehabilitation
Benny Storheil, Elise Klouman, Stian Holmvik, Nina Emaus, Nils Fleten
OBJECTIVE: Shoulder complaints are frequently encountered in general practice, but precise diagnosing is challenging. This study investigated agreement of shoulder complaints diagnoses between clinicians in a primary health care setting. DESIGN: Cross-sectional study. SETTING: Four primary health care clinicians used patients' history and functional examination of the shoulder by selective tissue tension techniques (STTs), to diagnose shoulder complaints...
September 2016: Scandinavian Journal of Primary Health Care
M Etancelin-Jamet, L Bouilleau, A Martin, P Bertrand
PURPOSE: The goal of this study was to evaluate the added value of sagittal T2-weighted magnetic resonance imaging (MRI) of the supraspinatus tendon by comparison with a standard MRI protocol for the evaluation of the rotator cuff. MATERIALS AND METHODS: This retrospective single center study included 100 patients referred for MRI for suspected rotator cuff injuries. Two observers compared sagittal T2-weighted fat-suppressed orthogonal images of the distal portion of the supraspinatus muscle ("cuff" protocol) to those acquired according to the standard MRI protocol, which focuses on the glenoid...
June 2, 2016: Diagnostic and Interventional Imaging
Neal L Millar, Moeed Akbar, Abigail L Campbell, James H Reilly, Shauna C Kerr, Michael McLean, Marina Frleta-Gilchrist, Umberto G Fazzi, William J Leach, Brian P Rooney, Lindsay A N Crowe, George A C Murrell, Iain B McInnes
Increasingly, inflammatory mediators are considered crucial to the onset and perpetuation of tendinopathy. We sought evidence of interleukin 17A (IL-17A) expression in early human tendinopathy and thereafter, explored mechanisms whereby IL-17A mediated inflammation and tissue remodeling in human tenocytes. Torn supraspinatus tendon (established pathology) and matched intact subscapularis tendon (representing 'early pathology') along with control biopsies were collected from patients undergoing shoulder surgery...
2016: Scientific Reports
Kim Gordon Ingwersen, John Hjarbaek, Henrik Eshoej, Camilla Marie Larsen, Jette Vobbe, Birgit Juul-Kristensen
AIM: To evaluate the inter-rater reliability of measuring structural changes in the tendon of patients, clinically diagnosed with supraspinatus tendinopathy (cases) and healthy participants (controls), on ultrasound (US) images captured by standardised procedures. METHODS: A total of 40 participants (24 patients) were included for assessing inter-rater reliability of measurements of fibrillar disruption, neovascularity, as well as the number and total length of calcifications and tendon thickness...
2016: BMJ Open
Lori A Michener, Kornelia Kulig
The majority of muscles have distinct tendinous attachments to bones; however, only a few tendons develop painful conditions. That simple observation prompts us to ask a few questions. Are there commonalities in morphology and pathology among the painful tendons? What contributes to the propensity for pathology in some, but not all, tendons? And, consequently, should all tendinopathies be managed equally? Two common tendinopathies are those affecting the Achilles and supraspinatus, which are presented in this special issue and serve as excellent models to discuss similarities and contrasts...
November 2015: Journal of Orthopaedic and Sports Physical Therapy
Nathan S Hogaboom, Bernice L Huang, Lynn A Worobey, Alicia M Koontz, Michael L Boninger
OBJECTIVE: The objectives of this work were to investigate how wheelchair transfers influence acute changes in ultrasound markers for biceps and supraspinatus tendon degeneration and to determine how such changes correlate with transfer technique and demographic characteristics. DESIGN: Participants underwent quantitative ultrasound examinations for markers of biceps and supraspinatus tendon degeneration (tendon width, echogenicity, variance, and contrast) before and after a stressful repeated-transfers protocol...
November 2016: American Journal of Physical Medicine & Rehabilitation
Benjamin F Spall, Boel A Fransson, Steve A Martinez, Thomas E Wilkinson
OBJECTIVE: To determine the supraspinatus tendon volume using magnetic resonance imaging (MRI) in dogs with non-calcified supraspinatus tendinopathy (NCST), in dogs with orthopedic disease other than NCST, and in healthy dogs. STUDY DESIGN: Case series. ANIMALS: Twenty-two dogs (18 client-owned dogs; 4 purpose-bred dogs). METHODS: Dogs undergoing shoulder MRI were categorized as NCST if they were diagnosed with NCST only, had histologic confirmed diagnosis, underwent surgical treatment, and were available for follow-up longer than 4 months...
April 2016: Veterinary Surgery: VS
Bo-Sung Kang, Seung Hak Lee, Yung Cho, Sun Gun Chung
Ultrasound-guided percutaneous barbotage is an effective treatment for rotator cuff calcific tendinopathy, providing rapid and substantial pain relief. We present the case of a 49-year-old woman with aggravated pain early after ultrasound-guided barbotage of a large calcific deposit in the supraspinatus tendon. Subsequent examination revealed a thick calcification spreading along the subacromial-subdeltoid bursa space, suggesting acute calcific bursitis complicated by barbotage. Additional barbotage alleviated her pain completely...
August 2016: PM & R: the Journal of Injury, Function, and Rehabilitation
Marni Wesner, Terry Defreitas, Heather Bredy, Louisa Pothier, Ziling Qin, Ashley B McKillop, Douglas P Gross
OBJECTIVE: This pilot study aimed to inform future research evaluating the effectiveness of Platelet Rich Plasma (PRP) injection for tendinopathy. DESIGN: Randomized control trial (RCT) and synchronous observational cohort studies. For the RCT, consecutive consenting patients treated at an academic sports medicine clinic were randomly assigned to either a PRP or placebo control group. SETTING: The Glen Sather Sport Medicine Clinic, Edmonton, Canada...
2016: PloS One
Lisa Hackett, Neal L Millar, Patrick Lam, George A C Murrell
BACKGROUND: Calcific tendinitis can be a substantial cause of pain and dysfunction in the shoulder, and the pathophysiology is unclear. Recent studies have shown a link among nerve ingrowth, neovascularization, and pain in tendinopathy. The aim of this study was to determine whether there is evidence of neoinnervation and/or neovascularization in calcific tendinitis lesions of the shoulder. METHODS: At arthroscopy, ultrasound was used to identify calcium within the tendon...
February 3, 2016: Journal of Bone and Joint Surgery. American Volume
Chen-Yu Hung, Ke-Vin Chang, Levent Özçakar, Tyng-Guey Wang, Wen-Shiang Chen
OBJECTIVE: The purposes of this study were to determine the best cutoff value for bicipital peritendinous effusion (BPE) and to test its diagnostic performance as regards shoulders with and without rotator cuff pathology. DESIGN: We reviewed the sonographic reports of 1352 patients with suspected shoulder disorders between January 2011 and June 2012. The associations between BPE and rotator cuff abnormalities were explored by logistic regression and adjusted for age, sex, affected side, and clinical diagnosis of frozen shoulder...
March 2016: American Journal of Physical Medicine & Rehabilitation
Sang-Uk Lee, Sun Young Joo, Sun Ki Kim, Sang-Ho Lee, Sung-Ryeoll Park, Changhoon Jeong
BACKGROUND: Real-time sonoelastography can be used to assess tissue elasticity. The present study evaluated the relationship between tendon stiffness on sonoelastography and the magnetic resonance imaging (MRI) tendinosis grade in patients with rotator cuff tendinopathy. METHODS: The study included 39 patients with chronic pain and no history of trauma or rotator cuff tear. The supraspinatus tendons were graded according to MRI findings (grade 0, normal; grade 1, mild tendinosis; grade 2, moderate tendinosis; grade 3, marked tendinosis), and the subcutaneous fat-to-tendon (Fat/T) and gel pad-to-tendon (Pad/T) strain ratios were assessed...
May 2016: Journal of Shoulder and Elbow Surgery
Filippo Del Grande, Michael Aro, Sahar Jalali Farahani, Andrew Cosgarea, John Wilckens, John A Carrino
OBJECTIVES: To retrospectively assess the qualitative and quantitative high-resolution 3-T magnetic resonance imaging (MRI) findings in nonsymptomatic baseball pitcher draft picks. METHODS: Institutional review board-approved and HIPAA compliant study. Three-Tesla MRI of the dominant shoulder of 19 asymptomatic baseball pitcher draft picks and detailed clinical examination was performed before contract signing. Two radiologists performed independently qualitative and quantitative evaluation of shoulder structures...
January 2016: Journal of Computer Assisted Tomography
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