Rotator cuff tears with cervical radiculopathy

Hattrup, Steven J.; Cofield, Robert H.

doi:10.1016/j.jse.2010.05.007

Cited by 16 publications

(12 citation statements)

References 66 publications

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“…The architecture and the high mobility of the shoulder complex predispose nerves to various dynamic or static compressive and/or traction injuries 147 . Cervical radiculopathy, brachial plexopathy and peripheral nerve trunk injuries are potential comorbidities of RC tendon tear 52; 135 . Motoneuron damage immediately reduces muscle activation and induces progressive muscle changes proportional to the severity of nerve injury 145 .…”

Section: Motor Nerves and Neuromuscular Junctionmentioning

confidence: 99%

The role of the peripheral and central nervous systems in rotator cuff disease

Bachasson

Singh

Shah

et al. 2015

Journal of Shoulder and Elbow Surgery

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Rotator cuff (RC) disease is an extremely common condition associated with shoulder pain, reduced functional capacities and impaired quality of life. It primarily involves alterations in tendon health and mechanical properties that can ultimately lead to tendon failure. RC tendon tears induce progressive muscular changes that negatively impact surgical reparability of the RC tendons and clinical outcomes. At the same time, a significant base of clinical data suggests a relatively weak relationship between RC integrity and clinical presentation, emphasizing the multifactorial aspects of RC disease. This review aims to summarize the potential contribution of peripheral, spinal and supraspinal neural factors that may: (i) exacerbate structural and functional muscle changes induced by tendon tear, (ii) compromise the reversal of these changes during surgery and rehabilitation, (iii) contribute to pain generation and persistence of pain, iv) impair shoulder function through reduced proprioception, kinematics and muscle recruitment, and iv) help to explain interindividual differences and response to treatment. Given the current clinical and scientific interest in peripheral nerve injury in the context of RC disease and surgery, we carefully reviewed this body of literature with a particular emphasis for suprascapular neuropathy that has generated a large number of studies in the past decade. Within this process, we highlight the gaps in current knowledge and suggest research avenues for scientists and clinicians.

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Section: Motor Nerves and Neuromuscular Junctionmentioning

confidence: 99%

The role of the peripheral and central nervous systems in rotator cuff disease

Bachasson

Singh

Shah

et al. 2015

Journal of Shoulder and Elbow Surgery

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“…They found that 7% of patients who have cervical spine pathology would develop new RCT pathology or will undergo shoulder surgery for RCT in five years, possibly due to worsening muscle atrophy and degeneration associated with denervation from a chronic cervical spine disease [10]. Hattrup et al performed a review on the association of RCT with cervical spine pathologies [1]. They proposed that biomechanical connections linking dual pathology can be mediated by the irritation or dysfunction of axillary and suprascapular nerves, both of which carry fibers from the C5 and C6 roots.…”

Section: Discussionmentioning

confidence: 99%

“…It may be difficult for the clinician to isolate the etiology of pain occurring either in the neck or shoulder because neck pain can refer to the shoulder and vice versa [1]. Furthermore, neck and shoulder pathology also coexist, creating a care issue to be tackled first [2].…”

Section: Introductionmentioning

confidence: 99%

Persistent Shoulder Pain After Anterior Cervical Discectomy and Fusion (ACDF): Another Dual Pathology

Khan

Hameed

Mazar

et al. 2021

Cureus

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It is often difficult for the clinician to isolate the etiology of pain occurring either in the neck or shoulder because of the reason that neck pain can refer to the shoulder and vice versa. Concordance research has found that around one in 10 patients who were referred for cervical radiculopathy had comorbid shoulder pathology. The goal of this research is to analyze and correlate risk factors for persistent shoulder pain (nondermatomal) following cervical spine surgery. Methods This was a single-center, retrospective study. The medical records of patients admitted for anterior cervical discectomy and fusion (ACDF) were reviewed from August 2018 to Feb 2021. Patients of both sexes and age more than 18 years who underwent ACDF (single/multiple levels) were included and the medical record was checked for whether they had persistent shoulder pain following ACDF. The proportion of patients undergoing shoulder surgery for associated rotator cuff tears and subacromial impingement were recorded. Results Seventy patients presenting with cervical prolapsed intervertebral disc (PID) were studied. A majority of our patients were females (n=48, 68.6%) and males (n=22, 31.4%) with an M:F ratio of 1:2 and the majority of patients were between the ages of 40 to 60 years (n=34, 48.6%). After surgical intervention (ACDF), 48 patients (68.6%) noted the cessation of shoulder symptoms (pain, weakness, and numbness) during their last visit. Rotator cuff tear (supraspinatus mainly) was the predominant finding in MRI in those who didn't improve after ACDF (n=18, 25.7%, p-value: 0.001). Twenty patients (28.6%) underwent acromioplasty and rotator cuff tendon repair and four patients responded well to subacromial injection. The C6-7 level was most commonly affected (n=48, 68.6%) followed by C5-6 level (n=19, 27.1%). No significant association was found between cervical levels with shoulder pathologies (p-0.171), though a significant association between a visual analog scale (VAS) score >7 after surgery with shoulder pathologies (p-0.001) was found. The C6-7 level was commonly affected in females (p=0.038) but no significant association between gender and shoulder pathologies was found (p=0.332). Conclusion Dual pathologies in patients with cervical PID are very common. It needs careful attention by doing thorough clinical examination and correlating patient symptoms with radiological investigations. A patient who presents with persistent shoulder pain after cervical spine surgery had a higher chance of having concurrent shoulder pathology, and they should be properly investigated and managed to alleviate the suffering of the patient.

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“…Hattrup et al proposed the presence of biomechanical connections which can mediated by irritation or dysfunction of the suprascapular or axillary nerves, both of which carry bers from the C5 and C6 nerve roots [21]. Zhang et al conducted a retrospective cohort study by reviewing the diagnoses in medical care records.…”

Section: Discussionmentioning

confidence: 99%

Neck-shoulder pain – is it possible to use commonly used provocative tests and functional scores for evaluation? Large scale prospective cohort study

Kalinsky

Slinyakov

Chernjaev

et al. 2020

Preprint

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Background. According to International Association for the Study of Pain (IASP), the prevalence of neck-shoulder pain in general population is the fourth leading cause of disability. Neck-shoulder pain is known to be caused by different conditions. The aim of this study was to determine and statistically justify the correlation between shoulder girdle injuries and development of neck-shoulder pain syndrome. Methods. The study enrolled 1402 patients with hospital-treated shoulder girdle injuries (with consequences of upper limb trauma). Detailed protocol and questionnaire for clinical examination after discharge from the hospital were conducted. The prevalence of neck-shoulder pain among patients was calculated. The diagnostic value (sensitivity and specificity) of tests used in the study was assessed. Results. The prevalence of neck-shoulder pain was 66,9%. According to questionnaire results (VAS, ODI, SF-36, UCLA, SPADI, DASH), the tendency of increasing pain intensity, progressive upper extremity functional loss and, therefore, quality of life impairment in patients with shoulder girdle injury was noticed. Conclusion. 3 types of neck-shoulder pain syndrome in patients with shoulder girdle injury can be determined: articular, vertebrogenic and mixed (myofascial), which correlate with anatomical localization of the injury.

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Rotator cuff tears with cervical radiculopathy

Cited by 16 publications

References 66 publications

The role of the peripheral and central nervous systems in rotator cuff disease

The role of the peripheral and central nervous systems in rotator cuff disease

Persistent Shoulder Pain After Anterior Cervical Discectomy and Fusion (ACDF): Another Dual Pathology

Neck-shoulder pain – is it possible to use commonly used provocative tests and functional scores for evaluation? Large scale prospective cohort study

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