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rotator cuff epidemiology

Joanne Y Zhang, Peter D Fabricant, Chad R Ishmael, Jeffrey C Wang, Frank A Petrigliano, Kristofer J Jones
BACKGROUND: Platelet-rich plasma (PRP) has emerged as a popular biologic treatment for musculoskeletal injuries and conditions. Despite numerous investigations on the efficacy of PRP therapy, current utilization of this treatment within the United States is not widely known. PURPOSE: To investigate the national utilization of PRP, including the incidence and conditions for which it is used in the clinical setting, and to determine the current charges associated with this treatment...
December 2016: Orthopaedic Journal of Sports Medicine
Takeshi Teratani
OBJECTIVE: The purpose of this study was to investigate the differences in the epidemiology and outcomes of traumatic and nontraumatic rotator cuff tears. METHODS: Thirty-three patients with traumatic and 46 with nontraumatic rotator cuff tears were included. RESULTS: The rate of injury to the long head of the biceps was significantly higher in the traumatic group. Preoperative active forward elevation was significantly lower in the traumatic group...
March 2017: Journal of Orthopaedics
Kimona Issa, Casey M Pierce, Todd P Pierce, Matthew R Boylan, Bashir A Zikria, Qais Naziri, Anthony Festa, Vincent K McInerney, Anthony J Scillia
INTRODUCTION: Total shoulder arthroplasty (TSA) has become a popular and successful surgery to treat advanced glenohumeral arthritis, rotator cuff arthropathy, and proximal humerus fractures. Historical data is available investigating the epidemiology of total shoulder arthroplasty with regard to patient characteristics, outcomes, and complications; however, there is a lack of studies investigating the most recent and up to date national trends related to shoulder replacement. The purpose of this study was to evaluate changes in the annual incidence, various demographics, and complications of TSA in America...
September 10, 2016: Surgical Technology International
David Ende, Rodney A Gabriel, Kamen V Vlassakov, Richard P Dutton, Richard D Urman
BACKGROUND: Despite a growing body of literature illustrating the benefits of regional anaesthesia in shoulder arthroscopy, data on actual use of the technique in the United States is lacking. This study analyses epidemiologic data to describe current trends in anaesthetic practice for these procedures in the United States and highlights key associations with patient and provider demographic variables that may provide further insight. METHODS: We analysed the large database from the National Anesthesia Clinical Outcomes Registry of the Anesthesia Quality Institute...
October 2016: International Orthopaedics
Alexandre Litchina Carvalho, Fabrício Martinelli, Lucas Tramujas, Marcelo Baggio, Marina Spricigo Crocetta, Rafael Olivio Martins
OBJECTIVE: To evaluate the prevalence of rotator cuff tears and describe the profile of reoperated patients, causes of repeated tendon tears, tear evolution and range of times between surgical procedures. METHOD: This was a cross-sectional study involving 604 surgical procedures performed at two regional referral hospitals between January 2006 and December 2012. After approval by the ethics committee, data describing the patients' epidemiological profile were gathered at a single time, using Cofield's classification to measure the extent of the tears, all of which underwent arthroscopic surgery...
May 2016: Revista Brasileira de Ortopedia
L Cherchi, J F Ciornohac, J Godet, P Clavert, J-F Kempf
BACKGROUND: Associations have been reported linking rotator cuff tears (RCTs) to both greater lateral extension of the acromion and greater inclination of the glenoid cavity. These two factors combined can be assessed using a recently introduced parameter, the critical shoulder angle (CSA). The primary objective of this study was to confirm the association linking a high CSA value to RCTs, and the secondary objective was to assess the reproducibility of CSA measurement using a goniometer...
September 2016: Orthopaedics & Traumatology, Surgery & Research: OTSR
Jeremy Lewis
INTRODUCTION: Rotator cuff related shoulder pain (RCRSP) is an over-arching term that encompasses a spectrum of shoulder conditions including; subacromial pain (impingement) syndrome, rotator cuff tendinopathy, and symptomatic partial and full thickness rotator cuff tears. For those diagnosed with RCRSP one aim of treatment is to achieve symptom free shoulder movement and function. Findings from published high quality research investigations suggest that a graduated and well-constructed exercise approach confers at least equivalent benefit as that derived from surgery for; subacromial pain (impingement) syndrome, rotator cuff tendinopathy, partial thickness rotator cuff (RC) tears and atraumatic full thickness rotator cuff tears...
June 2016: Manual Therapy
Pieter Bas de Witte, Raymond A van Adrichem, Jasmijn W Selten, Jochem Nagels, M Reijnierse, Rob G H H Nelissen
OBJECTIVES: Knowledge on the epidemiology and long-term course of rotator cuff calcific tendinitis (RCCT) is scarce. We assessed demographics, radiological characteristics, and their association with long-term outcomes in a large patient group. METHODS: Baseline demographics, radiological characteristics and treatment were recorded in 342 patients. Interobserver agreement of radiological measures was analyzed. Long-term outcome was evaluated with questionnaires (WORC, DASH)...
October 2016: European Radiology
R Papalia, A Tecame, G Torre, P Narbona, N Maffulli, V Denaro
Rugby is a popular contact sport worldwide. Collisions and tackles during matches and practices often lead to traumatic injuries of the shoulder. This review reports on the epidemiology of injuries, type of lesions and treatment of shoulder injuries, risk factors, such as player position, and return to sport activities. Electronic searches through PubMed (Medline), EMBASE, and Cochrane Library retrieved studies concerning shoulder injuries in rugby players. Data regarding incidence, type and mechanisms of lesion, risk factors and return to sport were extracted and analyzed...
May 2015: Translational Medicine @ UniSa
Cassiano Diniz Carvalho, Carina Cohen, Paulo Santoro Belangero, Eduardo Antônio Figueiredo, Gustavo Cará Monteiro, Alberto de Castro Pochini, Carlos Vicente Andreoli, Benno Ejnisman
UNLABELLED: A painful shoulder is a very common complaint among athletes, especially in the case of those in sports involving throwing. Partial lesions of the rotator cuff may be very painful and cause significant functional limitation to athletes' sports practice. The incidence of partial lesions of the cuff is variable (13-37%). It is difficult to make the clinical and radiological diagnosis, and this condition should be borne in mind in the cases of all athletes who present symptoms of rotator cuff syndrome, including in patients who are diagnosed only with tendinopathy...
July 2015: Revista Brasileira de Ortopedia
Alberto Naoki Miyazaki, Marcelo Fregoneze, Luciana Andrade da Silva, Guilherme do Val Sella, José Eduardo Rosseto Garotti, Sergio Luiz Checchia
OBJECTIVES: To evaluate the functional results from patients with arthrosis who underwent an arthroscopic procedure, in an attempt to correlate these results with the patients' epidemiological profile, surgical technique used, possible complications and postoperative protocol. METHODS: Between 1998 and 2011, 31 patients (32 shoulders) with shoulder arthrosis underwent arthroscopic treatment performed by the Shoulder and Elbow Group of the Department of Orthopedics and Traumatology of Santa Casa de São Paulo...
July 2015: Revista Brasileira de Ortopedia
Daniel B Gibbs, T Sean Lynch, Erika D Nuber, Gordon W Nuber
American football is a collision sport played by athletes at high speeds. Despite the padding and conditioning in these athletes, the shoulder is a vulnerable joint, and injuries to the shoulder girdle are common at all levels of competitive football. Some of the most common injuries in these athletes include anterior and posterior glenohumeral instability, acromioclavicular pathology (including separation, osteolysis, and osteoarthritis), rotator cuff pathology (including contusions, partial thickness, and full thickness tears), and pectoralis major and minor tears...
September 2015: Current Sports Medicine Reports
Valerio Sansone, Olmo Consonni, Emanuele Maiorano, Roberto Meroni, Alfredo Goddi
OBJECTIVE: To provide new epidemiological data regarding the prevalence, distribution and macroscopic features of shoulder rotator cuff calcific tendinopathy (calcific tendinopathy), and to identify the characteristics of calcific deposits associated with shoulder pain. MATERIALS AND METHODS: Three hundred and two female volunteers (604 shoulders) who had been referred to a gynaecological clinic participated in the study. The subjects underwent a high-resolution ultrasonography of both shoulders, and those with a diagnosis of calcific tendinopathy compiled a standardized questionnaire relating to shoulder symptoms...
January 2016: Skeletal Radiology
A Notarnicola, G Maccagnano, S Tafuri, A Fiore, C Margiotta, V Pesce, B Moretti
INTRODUCTION: Extracorporeal shock wave therapy is very widely used for the management of tendinopathies and plantar fasciitis. AIM: The aim of the study is to determine whether there are prognostic factors that may influence the outcome of extracorporeal shock wave therapy for these diseases. METHODS: Three hundred fifty-five patients were analyzed 2 months after shock wave treatment for rotator cuff tendinitis, epicondylitis, Achilles tendinopathy, trocanteritis, jumper's knee or plantar fasciitis...
April 2016: Musculoskeletal Surgery
Jan K G Louwerens, Inger N Sierevelt, Ruud P van Hove, Michel P J van den Bekerom, Arthur van Noort
BACKGROUND: Calcific tendinopathy is one of the most frequent causes of pain in the shoulder and is characterized by the presence of calcific deposits in the rotator cuff; however, calcific deposits have also been described in asymptomatic individuals. Only a few authors have reported epidemiologic data on the prevalence of calcific deposits in the rotator cuff. METHODS: This study analyzed clinical and radiological data of 1219 adults with and without subacromial pain syndrome (SAPS) to assess the prevalence of calcific deposits in the rotator cuff...
October 2015: Journal of Shoulder and Elbow Surgery
Knut Espen Aagaard, Fikri Abu-Zidan, Karl Lunsjo
BACKGROUND AND PURPOSE: Epidemiological studies of full-thickness rotator cuff tears (FTRCTs) have mainly investigated degenerative lesions. We estimated the population-based incidence of acute FTRCT using a new diagnostic model. PATIENTS AND METHODS: During the period November 2010 through October 2012, we prospectively studied all patients aged 18-75 years with acute onset of pain after shoulder trauma, with limited active abduction, and with normal conventional radiographs...
2015: Acta Orthopaedica
Joshua S Dines, Asheesh Bedi, Phillip N Williams, Christopher C Dodson, Todd S Ellenbecker, David W Altchek, Gary Windler, David M Dines
Tennis places high loads on the joints of players, with supraphysiologic forces being generated at the shoulder and elbow hundreds of times per match. Acute injuries tend to affect the lower extremity; chronic injuries usually involve the upper extremity. Commonly encountered upper extremity conditions include rotator cuff injury, internal impingement, superior labral tears, and epicondylitis of the elbow. Serving is the most strenuous stroke in tennis, with the highest peak muscle activity in the shoulder and forearm occurring during this stroke...
March 2015: Journal of the American Academy of Orthopaedic Surgeons
Nicolas Bonnevialle, Xavier Bayle, Fabrice Projetti, Matthieu Wargny, Anne Gomez-Brouchet, Pierre Mansat
PURPOSE: The aim of the study was to analyse greater tuberosity's (GT) micro-vascularization in the context of rotator cuff tear and to identify factors that could affect the rate and distribution of micro-vessels. METHODS: Eighty-seven patients with supraspinatus and/or infraspinatus tendon tears were included in a prospective study. Mean age at surgery was 58 years (41-78) and clinical symptoms were lasting from an average of 20 months before surgery. A bone core of 1-cm depth was obtained from the GT during rotator cuff repair at two localizations, medial and lateral within tuberosity...
February 2015: International Orthopaedics
Edward P Mulligan, Emily F Middleton, Meredith Brunette
Greater trochanteric pain syndrome is an enigmatic but common cause of lateral hip symptoms in middle-aged active women. The most common manifestation of this syndrome is a degenerative tendinopathy of the hip abductors similar to the intrinsic changes seen with rotator cuff pathology in the shoulder. There are no definitive tests to isolate the underlying pathology and palpation is a non-specific means by which to differentiate the source of the pain generator. The physical examination must comprehensively evaluate for a cluster of potential impairments and contributing factors that will need to be addressed to effectively manage the likely functional limitations and activity challenges the syndrome presents to the patient...
August 2015: Physical Therapy in Sport
Brian C Werner, Stephen F Brockmeier, F Winston Gwathmey
BACKGROUND: Tenodesis of the long head of the biceps tendon has become a popular surgical treatment option for patients with pain or instability attributed to a diseased or unstable biceps tendon. No previous studies have characterized the practice patterns of surgeons performing biceps tenodesis in the United States. PURPOSE: To investigate current trends in both arthroscopic and open biceps tenodesis across time, sex, age, and region of the United States as well as associated charges...
March 2015: American Journal of Sports Medicine
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