Abstract
Background: Rotator cuff tendon tear is very common problem and its frequency is found to be increasing. It is characterized by immense pain, weakness, stiffness which is the outcome of tendon tears. It’s also known as tendinopathy. Various data’s are available on RCT which can help to understand the tendinopathies and associated pathologies.
Aim: Purpose of this descriptive study is to study the Clinical presentation and spectrum of involvement of rotator cuff tendon and its associated pathologies
Material and Method: Patients referred to the Department of Radio diagnosis, Rural medical college, Pravara Institute of Medical Sciences, Loni, for MRI shoulder with suspected shoulder pathology were examined. 70 patients aged above 18 years with Rotator cuff lesions were detected on magnetic resonance imaging of the shoulder joint and were selected for the study.
Result: The most frequent presenting complaint in patients with rotator cuff disease was pain in 57% cases followed by stiffness resulting in reduced range of movement across the shoulder joint. The most commonly affected tendon is the supraspinatus tendon in 81% cases .The least frequently affected tendon being the teres minor.
Conclusion: Rotator cuff disorders occur both in male and female with no gender predisposition. It is a common contributing factor of shoulder pain. A detailed knowledge on the same can help to reduce the discomfort caused.
Keywords: Rotatory cuff, tendon, tear, shoulder joint, pain.
References
- Urwin M Symmons D Allison T, et al Estimating the burden of musculoskeletal disorders in the community: the comparative prevalence of symptoms at different anatomical sites, and the relation to social deprivation. Annals of the rheumatic diseases. Nov 1998;57(11):649‐655
- Shin KM Partial‐thickness rotator cuff tears. The Korean journal of pain. Jun 2011;24(2):69‐73
- Cadogan A, Laslett M, Hing W, McNair P, Coates M. A prospective study of shoulder pain in primary care: Prevalence of imaged pathology and response to guided diagnostic blocks.BMC Musculoskelet Disord. 2011;12:119.
- Gartsman GM, Brinker MR, Khan M. Early effectiveness of arthroscopic repair for full-thickness tears of the rotator cuff. An outcome analysis.J Bone Joint Surg Am. 1998;80(1):33–40 [PubMed]
- Ostor AJK, Richards CA, Prevost AT, Speed CA, Hazleman BL. Diagnosis and relation to general health of shoulder disorders presenting to primary care. 2005;44:800–5
- Codman EA Complete rupture of the supraspinatus tendon. Operative treatment with report of two successful cases. 1911. Journal of shoulder and elbow surgery / American Shoulder and Elbow Surgeons … [et al.]. Apr 2011;20(3):347‐349 [PubMed]
- Jozsa L Kannus P Histopathological findings in spontaneous tendon rupturesScand J Med Sci Sports. Apr 1997;7(2):113‐118
- Milgrom C, Schaffler M, Gilbert S, van Holsbeeck M. Rotator-cuff changes in asymptomatic adults. The effect of age, hand dominance and gender. J Bone Joint Surg [Br]1995; 77: 296–8
- Bartolozzi A, Andreychik D, Ahmad S. Determinants of outcome in the treatment of rotator cuff disease. Clin OrthopRel Res.1994;308:90–7
- Andres BM Murrell GA Treatment of tendinopathy: what works, what does not, and what is on the horizon. Clinical orthopaedics and related research. Jul 2008;466(7):1539‐1554
- Obaid H Connell D Cell therapy in tendon disorders: what is the current evidence?Am J Sports Med. Oct 2010;38 (10):2123‐2132
- Bateman JE. The diagnosis and treatment of ruptures of the rotator cuff. SurgClin North Am.1963;43:1523–30
- Gerber C, Fuchs B, Hodler J. The results of repair of massive tears of the rotator cuff.J Bone Joint Surg Am. 2000;82 (4):505–15
- Snyder SJ. Evaluation and treatment of the rotator cuff.Orthop Clin North Am. 1993;24 (1):173–92
- Jobe FW, Moynes DR. Delineation of diagnostic criteria and a rehabilitation program for rotator cuff injuries. Am J Sports Med1982; 10: 336–9.
- Safran O, Schroeder J, Bloom R, Weil Y, Milgrom C. Natural history of non operatively treated symptomatic rotator cuff tears in patients 60 years old or younger. Am J Sports Med. Apr 2011; 39:710–4.
- Walz DM, Miller TT, Chen S, Hofman J. MR imaging of delamination tears of the rotator cuff tendons. Skeletal Radiol. 2007; 36:411-16
- Pagnani MJ, Deng XH, Warren RF, Torzilli PA, O’Brien SJ. Role of the long head of the biceps brachii in glenohumeral stability: a biomechanical study in cadavera. J Shoulder Elbow Surg1996; 5: 255–6.
- Zanetti M, Weishaupt D, Gerber C, Hodler J. Tendinopathy and rupture of the long head of the biceps brachii muscle: evaluation with MR arthrography. AJR Am J Roentgenol 1998; 170(6):1557–61
- Beall DP, Williamson EE, Ly JQ, Adkins MC, Emery RL, Jones TP. Association of Biceps Tendon Tears with Rotator Cuff Abnormalities: Degree of Correlation with Tears of the Anterior and Superior Portions of the Rotator Cuff: AJR Am J Roentgenol 2003; 180(3):633-39.
Corresponding Author
Dr Vishwas Chakra V
Assistant Professor, Department of Radiodiagnosis,
Ananta Institute of Medical Sciences & Research Centre