Keywords
rotator cuff arthropathy
supraspinatus tendon
shoulder joint
How to Cite
Abstract
Introduction. Rotator cuff arthropathy is a disease of the shoulder joint characterized by insufficient function of the rotator cuff, degenerative changes in the shoulder joint, and migration of the humeral head.
Objective. The aim of this study was to determine the nature of damage to the rotator cuff tendons and the long head of the biceps in patients with different grades of rotator cuff arthropathy.
Materials and Methods. The study included 91 patients aged 35 to 80 years with varying grades of rotator cuff arthropathy at the time of examination.
Results. The development of rotator cuff arthropathy requires a damage to the supraspinatus tendon in combination with injuries to other tendons of the shoulder.
Conclusions. Rotator cuff arthropathy Grade I requires injury to the supraspinatus tendon in combination with damage to the upper part of the tendon of the subscapularis muscle or in combination with damage to the tendon of the infraspinatus muscle, or in combination with damage to both the upper part of the tendon of the subscapularis muscle and the tendon of the infraspinatus muscle. In patients with rotator cuff arthropathy Grade II, in addition to the injury combinations characteristic of Grade I, damage to the lower part of the tendon of the subscapularis muscle and partial or complete ruptures of the tendon of the long head of the biceps are more common. In patients with rotator cuff arthropathy Grade III, damage to the tendon of the long head of the biceps occurs significantly more frequently than in patients with rotator cuff arthropathy Grade I or II (p ≤ 0.05).
References
Rockwood CA, Matsen FA. Rockwood and Matsen’s The Shoulder. 6th ed. Philadelphia: Elsevier; 2022. 1386 p. eBook ISBN: 9780323698368.
Kim YK, Jung KH, Kim JW, Kim US, Hwang DH. Factors af-fecting rotator cuff integrity after arthroscopic repair for me-dium-sized or larger cuff tears: a retrospective cohort study. J Shoulder Elbow Surg. 2018;27(6):1012–20. doi:10.1016/j. jse.2017.11.016.
Clifford AL, Hurley E, Anakwenze O, Klifto CS. Rotator cuff arthropathy: a comprehensive review. J Hand Surg Glob On-line. 2024;[published online ahead of print]. doi:10.1016/j. jhsg.2023.12.014.
Rugg CM, Gallo RA, Craig EV, Feeley BT. The pathogenesis and management of cuff tear arthropathy. J Shoulder Elbow Surg. 2018;27(12):2271–83. doi:10.1016/j.jse.2018.07.020.
Furuhata R, Tashiro Y, Hayashi S, Yokota Y, Hanei-shi H, Sato M. Risk factors for loss of active shoul-der range of motion in massive rotator cuff tears. Or-thop J Sports Med. 2022;10(1):23259671211071076. doi:10.1177/23259671211071077.
Craig RS, Goodier H, Singh JA, Hopewell S, Rees JL. Shoulder replacement surgery for osteoarthritis and rotator cuff tear ar-thropathy. Cochrane Database Syst Rev. 2020;4(4):CD012879. doi:10.1002/14651858.CD012879.pub2.
Ecklund KJ, Lee TQ, Tibone J, Gupta R. Rotator cuff tear arthropathy. J Am Acad Orthop Surg. 2007;15(6):340–49. doi:10.5435/00124635-200706000-00003.
Misir A, Uzun E, Kizkapan TB, Ozcamdalli M, Sekban H, Guney A. Factors associated with the development of early- to mid-term cuff-tear arthropathy following arthroscopic rota-tor cuff repair. J Shoulder Elbow Surg. 2021;30(7):1572–80. doi:10.1016/j.jse.2020.09.016.
Cvetanovich GL, Waterman BR, Verma NN, Romeo AA. Man-agement of the irreparable rotator cuff tear. J Am Acad Orthop Surg. 2019;27(24):909–17. doi:10.5435/JAAOS-D-18-00199.
Lu J, Patel M, Abboud JA, Horneff JG 3rd. The effect of critical shoulder angle on functional compensation in the setting of cuff tear arthropathy. JSES Int. 2020;4(3):601–05. doi:10.1016/j.jseint.2020.05.003.
Gumina S, Castagna A, Candela V, Venditto T, Giannicola G, Borroni M, et al. Aetiopathogenesis of cuff-tear arthrop-athy: could juvenile joint laxity be considered a predisposing factor? Int Orthop. 2018;42(5):1113–17. doi:10.1007/ s00264-017-3718-5.
Inoue K, Kenmoku T, Nakawaki M, Tazawa R, Matsumoto M, Takaso M. Arthroscopic superior capsule reconstruction for cuff tear arthropathy (Hamada grade 5): a case report. JBJS Case Connect. 2020;10(4):e20.00511. doi:10.2106/JBJS.CC.20.00511.
Singhal K, Rammohan R. Going forward with reverse shoulder arthroplasty. J Clin Orthop Trauma. 2018;9(1):87–93. doi:10.1016/j.jcot.2017.10.002.
Sanchez-Sotelo J, Athwal GS. How to optimize reverse shoulder arthroplasty for irreparable cuff tears. Curr Rev Musculoskelet Med. 2020;13(5):553–60. doi:10.1007/s12178-020-09655-7.
Larsen JB, Østergaard HK, Thillemann TM, Falstie-Jensen T, Reimer LCU, Noe S, et al. Are progressive shoulder exercises feasible in patients with glenohumeral osteoar-thritis or rotator cuff tear arthropathy? Pilot Feasibility Stud. 2022;8:146. doi:10.1186/s40814-022-01127-8.
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