Prevalence of rotator cuff diseases in adults older than 40 years in or near Chuncheon city, Korea

Abstract

Background: To determine the prevalence of rotator cuff diseases in a population older than 40 years in or nearby Chuncheon city, Republic of Korea.Methods: Sixty shoulders of 30 people older than 40 years who participated in a health lecture were examined for free by an orthopedic surgeon. Visual analog scale of pain and American Shoulder and Elbow Surgeons scores were assigned, and routine physical examination was performed. Ultrasonography was performed on the shoulder. Results: On ultrasonographic examination, there were one shoulder with full thickness rotator cuff tear, 20 of 60 (33%) with partial thickness rotator cuff tear, five of 60 (8%) with calcific tendinitis, one of 60 (2%) with tear of the long head of the biceps, and five of 50 (8%) with tendinitis of the long head of the biceps. Participants older than 60 years showed significantly high proportions of lesion of the long head of the biceps and rotator cuff diseases (P=0.019 and P=0.015, respectively). Participants who performed physical labor had high proportions of rotator cuff tear and rotator cuff disease (P=0.001 and P<0.001, respectively). Conclusions: Rotator cuff diseases showed a high prevalence in elderly persons and resulted in a decrease in shoulder function.

Clinical Outcomes of Interposition Graft Versus Superior Capsular Reconstruction in Patients With Irreparable Rotator Cuff Tears: A Systematic Review and Meta-analysis

“…Recently, the techniques and instrumentation used for surgical repair of torn rotator cuffs have rapidly improved, and the clinical and functional outcomes of rotator cuff repair have been satisfactory. 2 , 25 Nevertheless, large to massive RCTs are still a formidable and challenging problem, 18 , 26 , 43 and in some large to massive RCTs, the direct repair of the native rotator cuff tendons to the footprint of the greater tuberosity is impossible, even after adequate release, because of retraction, attenuation, and inelasticity of tendons. 4 …”

“…Recently, the techniques and instrumentation used for surgical repair of torn rotator cuffs have rapidly improved, and the clinical and functional outcomes of rotator cuff repair have been satisfactory. 2,25 Nevertheless, large to massive RCTs are still a formidable and challenging problem, 18,26,43 and in some large to massive RCTs, the direct repair of the native rotator cuff tendons to the footprint of the greater tuberosity is impossible, even after adequate release, because of retraction, attenuation, and inelasticity of tendons. 4 Many surgical procedures have been introduced for the treatment of irreparable RCTs: arthroscopic debridement, 27 tuberoplasty, 16,54 partial repair, 3 interposition grafting (IG), 41,46 superior capsular reconstruction (SCR), 34 tendon transfers, 15,17 reverse total shoulder arthroplasty, 6,39,50 and arthrodesis.…”

Effect of a Porous Suture Containing Transforming Growth Factor Beta 1 on Healing After Rotator Cuff Repair in a Rat Model

“…Rotator cuff tear is a common disorder that causes severe pain and disability. 13,14,29 The goal of rotator cuff repair is to fix the ruptured tendon to the footprint, maintain mechanical stability during loading, and achieve secure biological tendon-to-bone healing. 26 Although surgical techniques and instrumentation have developed considerably in the past years, the failure rate of rotator cuff healing after repair is still high and an unsolved problem.…”

Prediction of Bilaterality in Patients With 1 Posterosuperior Rotator Cuff Tear

“…Posterosuperior rotator cuff tear (PSRCT)-composed of supraspinatus and infraspinatus tendon tears-is among the most common causes of shoulder disability involving pain and loss of function. 25,31,46 Numerous studies have investigated the pathophysiology, epidemiology, and risk factors for PSRCT; however, few have considered bilateral PSRCT. Studies have reported that a person diagnosed with unilateral PSRCT has a probability, ranging from 8.3% to 47.1%, of also having PSRCT in the other shoulder.…”

“…Studies have reported that a person diagnosed with unilateral PSRCT has a probability, ranging from 8.3% to 47.1%, of also having PSRCT in the other shoulder. 1,10,16,23,25,32,50,57 The natural prognosis for PSRCT involves increasing tear size, and spontaneous healing rarely occurs. 36,58 Untreated PSRCT induces irreversible degenerative changes to rotator cuff tendon tissue, delays rotator cuff repair, and leads to a decrease in healing capacity.…”