Reliability of Determining and Measuring Acromial Enthesophytes

Baumgarten, Keith M.; Carey, James L.; Abboud, Joseph A.; Jones, Grant L.; Kuhn, John E.; Wolf, Brian R.; Brophy, Robert H.; Cox, Charles L.; Wright, Rick W.; Vidal, Armando F.; Benjamin, C.; McCarty, Eric C.; Holloway, G. Brian; Spencer, Edwin E.; Dunn, Warren R.

doi:10.1007/s11420-011-9209-0

Cited by 5 publications

(3 citation statements)

References 38 publications

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“…From May 2004 through October 2006 the MOON Shoulder Group met regularly to formulate research questions of interest, develop and standardize radiographic and MR imaging protocols, assemble validated behavioral and patient-oriented outcome assessment forms for data collection, and conduct validation studies on: MRI classification of rotator cuff tears 31 ; rotator cuff tear classification based on arthroscopic videos 19 ; and radiographic findings associated with rotator cuff disease 2 .…”

Section: Methodsmentioning

confidence: 99%

Effectiveness of physical therapy in treating atraumatic full-thickness rotator cuff tears: a multicenter prospective cohort study

Kuhn¹,

Dunn²,

Sanders³

et al. 2013

Journal of Shoulder and Elbow Surgery

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286

198

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Purpose To assess the effectiveness of a specific non-operative physical therapy program in treating atraumatic full thickness rotator cuff tears using a multicenter prospective cohort study design. Methods Patients with atraumatic full thickness rotator cuff tears who consented to enroll provided data via questionnaire on demographics, symptom characteristics, co-morbidities, willingness to undergo surgery, and patient related outcome assessments (SF-12, ASES, WORC, SANE score, Shoulder Activity Scale). Physicians recorded physical examination and imaging data. Patients began a physical therapy program developed from a systematic review of the literature and returned for evaluation at 6 and 12 weeks. At those visits patients could chose one of three courses: 1.) Cured (no formal follow up scheduled), 2.) Improved (continue therapy with scheduled reassessment in 6 weeks), or 3.) No better (offered surgery). Patients were contacted by telephone at 1 and 2 years to determine if they had undergone surgery since their last visit. A Wilcoxon signed rank test with continuity correction was used to compare initial, 6 week, and 12 week outcome scores. Results The cohort consists of 452 patients. Patient reported outcomes improved significantly at 6 and 12 weeks. Patients elected to undergo surgery less than 25% of the time. Patients who decided to have surgery generally did so between 6 and 12 weeks, and few had surgery between 3 and 24 months. Conclusion Non-operative treatment using this physical therapy protocol is effective for treating atraumatic full thickness rotator cuff tears in approximately 75% of patients followed for two years. Level of evidence Level IV, Case Series, Treatment Study

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Section: Methodsmentioning

confidence: 99%

Effectiveness of physical therapy in treating atraumatic full-thickness rotator cuff tears: a multicenter prospective cohort study

Kuhn¹,

Dunn²,

Sanders³

et al. 2013

Journal of Shoulder and Elbow Surgery

Self Cite

286

198

View full text Add to dashboard Cite

show abstract

“…This group met repeatedly over two years to develop research questions and align practice behaviors, by conducting systematic reviews of the literature, performing agreement studies, and developing consensus when no data was available 3, 4, 16, 17, 29, 34 . The first clinical study conducted by the group was a prospective cohort study evaluating physical therapy for patients with atraumatic full thickness rotator cuff tears 18 .…”

Section: Methodsmentioning

confidence: 99%

The duration of symptoms does not correlate with rotator cuff tear severity or other patient-related features: a cross-sectional study of patients with atraumatic, full-thickness rotator cuff tears

Unruh

Kuhn

Sanders

et al. 2014

Journal of Shoulder and Elbow Surgery

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Introduction The purpose of this cross-sectional study is to determine if the duration of symptoms influences the features seen in patients with atraumatic full thickness rotator cuff tears. Our hypothesis is that increasing duration of symptoms will correlate with more advanced findings of rotator cuff tear severity on MRI, worse shoulder outcome scores, more pain, decreased range of motion, and less strength. Methods 450 patients with full thickness rotator cuff tears were enrolled in a prospective cohort study to assess the effectiveness of nonoperative treatment and factors predictive of success. Duration of patient symptoms were divided into four groups: ≤3 months, 4–6 months, 7–12 months, and >12 months. Data collected at patient entry into the study included: 1.) Demographic data, 2.) History and physical exam data, 3.) Radiographic imaging data, and 4.) Validated patient reported measures of shoulder status. Statistical analysis included a univariate analysis with Kruskal-Wallis test and Pearson tests to identify statistically significant differences in these features for different durations of symptoms Results Longer duration of symptoms does not correlate with more severe rotator cuff disease. Duration of symptoms was not related to weakness; limited range of motion; tear size; fatty atrophy; or validated patient reported outcome measures. Conclusions There is only a weak relationship between the duration of symptoms and features associated with rotator cuff disease. Level of Evidence Level III, Cross Sectional Study

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“…From May 2004 through October 2006, the MOON Shoulder Group met regularly to formulate research questions of interest; develop and standardize radiographic and MRI protocols; assemble validated behavioral and patient-oriented outcome assessment forms for data collection; and conduct validation studies on MRI classification of rotator cuff tears 16 , classification of rotator cuff tears based on arthroscopic videos 17 , and radiographic findings associated with rotator cuff disease 18 . In addition, the group performed systematic reviews of the literature to evaluate rehabilitation following rotator cuff repairs 19 , summarize the literature regarding indications for surgical treatment of rotator cuff tears 20 , and determine the effectiveness of physical therapy in treating rotator cuff disease while developing an evidence-based protocol 21 .…”

Section: T He Moon (Multicenter Orthopaedic Outcomes Network) Shouldermentioning

confidence: 99%

Symptoms of Pain Do Not Correlate with Rotator Cuff Tear Severity

Dunn

Kuhn

Sanders

et al. 2014

Journal of Bone and Joint Surgery

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185

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Reliability of Determining and Measuring Acromial Enthesophytes

Cited by 5 publications

References 38 publications

Effectiveness of physical therapy in treating atraumatic full-thickness rotator cuff tears: a multicenter prospective cohort study

Effectiveness of physical therapy in treating atraumatic full-thickness rotator cuff tears: a multicenter prospective cohort study

The duration of symptoms does not correlate with rotator cuff tear severity or other patient-related features: a cross-sectional study of patients with atraumatic, full-thickness rotator cuff tears

Symptoms of Pain Do Not Correlate with Rotator Cuff Tear Severity

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