Laxity Testing of the Shoulder

Bahk, Michael S.; Keyurapan, Ekavit; Tasaki, Atsushi; Sauers, Eric L.; McFarland, Edward G.

doi:10.1177/0363546506294570

Cited by 102 publications

(56 citation statements)

References 94 publications

(248 reference statements)

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“…The shoulder is the most mobile and least constrained joint in the human body [2]. A complex combination of static and dynamic stabilizers about the glenohumeral joint balances this inherent mobility with functional stability.…”

Section: Introductionmentioning

confidence: 99%

Rotator Cuff Tear and Glenohumeral Instability

Gomberawalla

Sekiya

2014

Clinical Orthopaedics &Amp; Related Research

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Background The rotator cuff plays a significant role in the static and dynamic stability of the glenohumeral joint. Rotator cuff tears may occur after shoulder dislocations, whether in younger athletes or older patients with agerelated tendon degeneration. Untreated tears may cause persistent pain, dysfunction, instability, and degenerative changes. A thorough understanding of when to look for rotator cuff tears after shoulder dislocations and how best to manage them may decrease patients' pain and improve function. Questions/purposes We systematically reviewed the available literature to better understand (1) when a rotator cuff tear should be suspected after a dislocation, (2) whether surgical or nonsurgical approaches result in better scores for pain and satisfaction in patients with rotator cuff tears resulting from shoulder dislocations, and (3) whether intraarticular lesions, rotator cuff tears, or both should be addressed when surgery is performed. Methods We systematically searched MEDLINE 1 , CI-NAHL, and EMBASE for studies published from 1950 to 2012. We included studies reporting outcomes after treatment in patients with rotator cuff tears and shoulder dislocations. We excluded case reports, studies without any treatment, and studies about patients treated with arthroplasty. Five Level III and six Level IV studies were ultimately selected for review. Results Patients with persistent pain or dysfunction after a shoulder dislocation often had a concomitant rotator cuff tear. Surgical repair resulted in improved pain relief and patient satisfaction compared to nonoperative management. Repair of the rotator cuff, along with concomitant capsulolabral lesions, helped restore shoulder stability. While these findings are based on Level III and IV evidence, better long-term studies with larger cohorts are needed to strengthen evidence-based recommendations. Conclusions Persistent pain and dysfunction after a shoulder dislocation should prompt evaluation of the rotator cuff, especially in contact or overhead athletes, patients older than 40 years, or those with nerve injury. Surgery should be considered in the appropriately active patient with a rotator cuff tear after dislocation. While the current literature suggests improved stability and function after surgical repair of the rotator cuff, higher-quality prospective studies are necessary to make definitive conclusions.

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Section: Introductionmentioning

confidence: 99%

Rotator Cuff Tear and Glenohumeral Instability

Gomberawalla

Sekiya

2014

Clinical Orthopaedics &Amp; Related Research

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“…Joint and muscle problems are common in humans, and the shoulder is the joint of greater mobility and instability of the human body; therefore, the shoulder is prone to dislocations 14 . Muscle mass changes and degeneration processes can lead to tendon rupture, loss of movement, and much pain.…”

Section: ■ Discussionmentioning

confidence: 99%

Muscle regeneration through therapy with estromal stem cells in injury of infraespinhosus muscle of sheep

et al. 2018

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“…1 Functional stability is balanced by a complex combination of static and dynamic stabilizers about the glenohumeral joint. For those above the age of 60 years, rotator cuff injuries are common and hence overall health status and quality of life of patients with shoulder function is affected.…”

Section: Introductionmentioning

confidence: 99%

Assessment of functional outcome of mini-open rotator cuff repair: a hospital based prospective study

et al. 2018

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Background: The mini-open repair is considered to be the gold standard for rotator cuff repair. This study was aimed to assess functional outcome of mini-open rotator cuff repair of shoulder joint in adult patients.Methods: This was a one year hospital based prospective study conducted from January 2016 to December 2016. A total of 20 patients diagnosed to have rotator cuff tear of shoulder joint undergoing rotator cuff repair in the department of Orthopaedics, KLES Dr. Prabhakar Kore Hospital and Medical Research Centre, and KLES Dr. Prabhakar Kore Charitable Hospital, Belagavi were studied.Results: Majority of the patients (85%) of the patients was male and male to female ratio was 5.6:1. Most of the patients were aged between 31 to 40 years (30%). The mean age was 41.90±13.98 years. Most of patients had degenerative rotator cuff tear (45%) and (70%) presented with features of swelling. At enrollment all the patients (100%) had poor constant score (>30) and fair/poor UCLA score (<27) suggestive of severe pain functional restriction. There were gradual but steady increase in scores from enrollment to each follow up till six month follow up with respect to mean flexion (6.25±5.35 to 163.50±7.63),abduction (5.50±5.10 to 112.0±5.94),external rotation (3.00±4.7 to 82.50±2.56 ),internal rotation (2.50±4.44 to 67.25±3.43 ) and UCLA score (5.35±1.63 to 29.60±0.82 ) (p<0.001) also there was gradual but steady decrease in mean VAS score from enrolment (7.70±0.47 ) to six months follow up (0.00±0.00) and constant score ( from 85.70±1.98 to 7.85±1.46 respectively) (p<0.001). The constant score and UCLA score at six month follow up revealed excellent functional outcome. Conclusions: The mini-open rotator cuff repair of shoulder joint results in excellent functional outcome among adult patients with rotator cuff tear of shoulder joint especially after six month with no complications and complete pain relief.

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Laxity Testing of the Shoulder

Cited by 102 publications

References 94 publications

Rotator Cuff Tear and Glenohumeral Instability

Rotator Cuff Tear and Glenohumeral Instability

Muscle regeneration through therapy with estromal stem cells in injury of infraespinhosus muscle of sheep

Assessment of functional outcome of mini-open rotator cuff repair: a hospital based prospective study

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