Traumatic rotator cuff tears - Current concepts in diagnosis and management.

Journal article


Abdelwahab, Ali, Ahuja, Neeraj, Iyengar, Karthikeyan P, Jain, Vijay Kumar, Bakti, Nik and Singh, Bijayendra 2021. Traumatic rotator cuff tears - Current concepts in diagnosis and management. Journal of Clinical Orthopaedics and Trauma. 18, pp. 51-55. https://doi.org/10.1016/j.jcot.2021.04.013
AuthorsAbdelwahab, Ali, Ahuja, Neeraj, Iyengar, Karthikeyan P, Jain, Vijay Kumar, Bakti, Nik and Singh, Bijayendra
AbstractRotator cuff tears represent one of common shoulder pathologies presenting over a wide spectrum of age groups and varying presentation. Typically, rotator cuff tears occur more frequently in elderly than in younger patients, following a chronic or acute-on-chronic course and usually secondary to due to tendon degeneration. Though there has been a considerable debate in the literature of the terms "acute" and "traumatic" used in the classification of rotator cuff tears, there appears to be consensus about the need for early diagnosis to facilitate prompt surgical treatment and the improve patient outcome. Significant differences in rotator cuff tears between those occurring in younger and older patients could be due to mechanism of injury, presentation, severity of the tear, biological healing potential and rehabilitation. Acute traumatic rotator cuff tears especially in younger age group represent a distinct entity from other patterns of rotator cuff tears. Consequently, a high index of suspicion, focused clinical examination, complementary imaging is a pre-requisite for an early diagnosis and effective management. We analyze the biomechanical consequences of acute rotator cuff tears along with characteristic mechanism of injury and spectrum of tendon involvement. The evolving concepts in the diagnosis and management of these distinct injuries are discussed with review of current literature. [Abstract copyright: Crown Copyright © 2021 All rights reserved.]
KeywordsPhysiotherapy; Rehabilitation; Rotator cuff; Rotator cuff injuries; Rupture; Shoulder; Surgery
Year2021
JournalJournal of Clinical Orthopaedics and Trauma
Journal citation18, pp. 51-55
PublisherElsevier
ISSN0976-5662
Digital Object Identifier (DOI)https://doi.org/10.1016/j.jcot.2021.04.013
https://doi.org/S0976-5662(21)00235-6
Official URLhttps://doi.org/10.1016/j.jcot.2021.04.013
Publication dates
Online16 Apr 2021
Publication process dates
Accepted05 Apr 2021
Deposited03 Jun 2021
Output statusPublished
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https://repository.canterbury.ac.uk/item/8xy50/traumatic-rotator-cuff-tears-current-concepts-in-diagnosis-and-management

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