Impingement is not impingement: the case for calling it "Rotator Cuff Disease".
Edward G. McFarland,Nicola Maffulli,Angelo Del Buono,George A.C. Murrell,Juan Garzon-Muvdi,Steve A. Petersen +5 more
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TLDR
It is proposed that the overwhelming evidence favors factors other than "impingement" as the major cause of rotator cuff disease and that a paradigm shift in the way the development of rotators cuff pathology is conceptualized allows for a more comprehensive approach to the care of the patient with rotator tendon disease.Abstract:
Historically, many causes have been proposed for rotator cuff conditions. The most prevalent theory is that the rotator cuff tendons, especially the supraspinatus, make contact with the acromion and coracoacromial ligament, resulting in pain and eventual tearing of the tendon. However, more recent evidence suggests that this concept does not explain the changes in rotator cuff tendons with age. The role of acromioplasty and coracoacromial ligament release in the treatment of rotator cuff disease has become questioned. Evidence now suggests that tendinopathy associated with aging may be a predominant factor in the development of rotator cuff degeneration. We propose that the overwhelming evidence favors factors other than "impingement" as the major cause of rotator cuff disease and that a paradigm shift in the way the development of rotator cuff pathology is conceptualized allows for a more comprehensive approach to the care of the patient with rotator cuff disease.read more
Citations
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Obesity as a Risk Factor for Tendinopathy: A Systematic Review
Francesco Franceschi,Rocco Papalia,Michele Paciotti,Edoardo Franceschetti,Alberto Di Martino,Nicola Maffulli,Vincenzo Denaro +6 more
TL;DR: The best evidence available to date indicates that obesity is a risk factor for tendinopathy, and further studies should be performed to establish the real strength of the association for each type of tendinopathic conditions.
Journal ArticleDOI
Effectiveness of physical therapy treatment of clearly defined subacromial pain: a systematic review of randomised controlled trials
Melina N. Haik,Francisco Alburquerque-Sendín,Roberta de Fátima Carreira Moreira,E D Pires,Paula R. Camargo +4 more
TL;DR: Exercise therapy should be the first-line treatment to improve pain, function and range of motion in individuals with subacromial pain syndrome.
Journal ArticleDOI
Rotator Cuff Biology and Biomechanics: a Review of Normal and Pathological Conditions
TL;DR: This review presents an up-to-date overview of research on tendon biology and structure, shoulder joint motion and stability, tendon healing, and current and potential future repair strategies.
Journal ArticleDOI
Arthroscopic decompression not recommended in the treatment of rotator cuff tendinopathy: a final review of a randomised controlled trial at a minimum follow-up of ten years
S. Ketola,J Lehtinen,I. Arnala +2 more
TL;DR: The natural history of rotator cuff tendinopathy probably plays a significant role in the results in the long‐term, and an optimum exercise regime should be searched for, as the most clinically and cost‐effective conservative treatment forRotator cuff Tendinopathy.
Journal ArticleDOI
Tenodesis is not superior to tenotomy in the treatment of the long head of biceps tendon lesions.
Roberto Castricini,Filippo Familiari,Marco De Gori,Daria Anna Riccelli,Massimo De Benedetto,Nicola Orlando,Olimpio Galasso,Giorgio Gasparini +7 more
TL;DR: Although tenotomy is affected by a higher incidence of cosmetic deformity, there is no superiority of arthroscopic tenodesis over tenotomy in the treatment of LHBT lesion in terms of functional outcomes, quality of life, pain, and strength measured 6 and 24 months post-operatively.
References
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Journal ArticleDOI
Anterior acromioplasty for the chronic impingement syndrome in the shoulder: a preliminary report.
TL;DR: Impingement on the tendinous portion of the rotator cuff by the coraco-acromial ligament and the anterior third of the acromion is responsible for a characteristic syndrome of disability of the shoulder.
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Alterations in Shoulder Kinematics and Associated Muscle Activity in People With Symptoms of Shoulder Impingement
Paula M. Ludewig,Thomas M. Cook +1 more
TL;DR: Scapular tipping and serratus anterior muscle function are important to consider in the rehabilitation of patients with symptoms of shoulder impingement related to occupational exposure to overhead work.
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Repairs of the rotator cuff. Correlation of functional results with integrity of the cuff.
Douglas T. Harryman,Laurence A. Mack,K Y Wang,Sarah E. Jackins,Michael L. Richardson,Frederick A. Matsen +5 more
TL;DR: The shoulders in which the repaired cuff was intact at the time of follow-up had better function during activities of daily living and a better range of active flexion compared with the shoulders that had a large recurrent defect.
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Arthroscopic repair of full-thickness tears of the supraspinatus : does the tendon really heal?
Pascal Boileau,Nicolas Brassart,Duncan J. Watkinson,Michel Carles,Armodios M. Hatzidakis,Sumant G. Krishnan +5 more
TL;DR: The hypothesis was that arthroscopic repair of full-thickness supraspinatus tears achieves a rate of complete tendon healing equivalent to those reported in the literature with open or mini-open techniques.
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Tendon injury and tendinopathy: healing and repair.
Pankaj Sharma,Nicola Maffulli +1 more
TL;DR: There is limited and mixed high-level evidence to support the, albeit common, clinical use of these modalities and further research and scientific evaluation are required before biological solutions become realistic options.