Types Of Cuff Tears Research Articles

Can coracoacromial ligament degeneration be evaluated with preoperative MRI?

Subacromial impingement syndrome is one of the most common causes of painful shoulder in the middle-aged and elderly population. Coracoacromial ligament (CAL) degeneration is a well-known indicator for subacromial impingement. To examine the relationship between CAL thickness on preoperative magnetic resonance imaging (MRI), arthroscopic CAL degeneration and types of rotator cuff tears. Video records of patients who underwent arthroscopic shoulder surgery between 2015 and 2021 were retrospectively scanned through the hospital information record system. In total, 560 patients were included in this study. Video records of the surgery were used to evaluate the grade of coracoacromial ligament degeneration and the type of cuff tear. Preoperative MRI was used to measure CAL thickness, acromiohumeral distance, critical shoulder angle, acromial index, and acromion angulation. Significant differences were observed between grades of CAL degeneration in terms of CAL thickness (P < 0.001). As CAL degeneration increases, the mean of CAL thickness decreases. According to the results of post-hoc analysis, the mean CAL thickness of normal patients was significantly higher than those of patients with full-thickness tears (P = 0.024) and massive tears (P <0.001). Patients with articular-side, bursal-side, and full-thickness tears had significantly higher CAL thickness averages than patients with massive tears. This study showed that the CAL thickness decreases on MRI as arthroscopic CAL degeneration increases. High-grade CAL degeneration and therefore subacromial impingement syndrome can be predicted by looking at the CAL thickness in MRI, which is a non-invasive method.

Three-dimensional glenohumeral relationship in cuff tear arthropathy and its correlation with the type of cuff tear

Three-dimensional glenohumeral relationship in cuff tear arthropathy and its correlation with the type of cuff tear

Factors aff5cting outcomes of conservative management for pseudoparalysis of the shoulder

This study aimed to analyze factors aff5cting the outcome of conservative management of pseudoparalysis of the shoulder. This study included 27 patients with pseudoparalysis of the shoulder, including 18 women and 9 men, with a mean age of 80.1 years. The type of cuff tear was massive tear in all the patients. All patients were treated conservatively for a mean duration of 3.9 months. Satisfactory results were achieved in 19 patients. Eight patients with unsatisfactory results eventually required surgery. The factors that caused nonresponse to treatment in 8 patients were compared with the contributing factors to treatment response in 19 patients. The factors were as follows: patient characteristics, degree of osteoarthritis change, and associated tear of the subscapularis tendon. All data were statistically analyzed. The identified factors that had a significant difference between the 2 groups were as follows: degree of osteoarthritis change and associated tear of the subscapularis tendon. Tear of the subscapularis tendon and changes in osteoarthritis were suggested to be factors that aff5cted the outcomes of conservative management. In the patients with osteoarthritis, satisfactory pain relief was difficult to attain. In patients with tears of the subscapularis tendon, decreased centripetal force due to collapse of the force couple was considered the cause of the poor outcomes. Surgical treatment should be considered positively for patients with factors that cause poor outcomes of conservative management of pseudoparalysis of the shoulder.

How Important Is the Anterior Rotator Cuff Cable?

There is a growing body of clinical evidence that indicates that patients can maintain relatively normal shoulder function despite a tear in the rotator cuff. This has been proven with magnetic resonance imaging studies of asymptomatic patients1 as well as clinical studies revealing unsuspected disruptions following rotator cuff repair2. Indeed, clinical series in which only partial rotator cuff repairs were performed have yielded good results despite the fact that there was a known deficiency in the rotator cuff following surgery3,4. In all of these scenarios, patients are often minimally symptomatic and maintain good shoulder function with minimal pain. There is poor correlation between cuff tear size and the degree of either pain or functional restrictions noted by the patient. This would tend to indicate that there are factors intrinsic to different types of cuff tears that lead to varying degrees of symptoms. Burkhart et al. were the first to propose a theoretical basis for this phenomenon with the “suspension bridge” model5. They postulated that, if intact portions of the cuff anteriorly and …

PABST: What Does It Stand For? A Whole New Type of Cuff Tear!

PABST: What Does It Stand For? A Whole New Type of Cuff Tear!