A cross-sectional study of demographic and morphologic features of rotator cuff disease in paraplegic patients
Background - This study analyzed the demographic and morphologic features of rotator cuff disease in paraplegic patients who presented with or without shoulder pain. - Methods - Clinical and magnetic resonance imaging examinations of both shoulders were performed in 317 paraplegic patients. Mean age...
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| Main Authors: | , , , , , , |
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| Format: | Article (Journal) |
| Language: | English |
| Published: |
2 July 2011
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| In: |
Journal of shoulder and elbow surgery
Year: 2011, Volume: 20, Issue: 7, Pages: 1108-1113 |
| ISSN: | 1532-6500 |
| DOI: | 10.1016/j.jse.2011.03.021 |
| Online Access: | Verlag, lizenzpflichtig, Volltext: https://doi.org/10.1016/j.jse.2011.03.021 Verlag, lizenzpflichtig, Volltext: https://www.sciencedirect.com/science/article/pii/S1058274611001224 
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| Author Notes: | Michael Akbar, Manuela Brunner, Gabriel Balean, Thomas Grieser, Thomas Bruckner, Markus Loew, Patric Raiss |
| Summary: | Background - This study analyzed the demographic and morphologic features of rotator cuff disease in paraplegic patients who presented with or without shoulder pain. - Methods - Clinical and magnetic resonance imaging examinations of both shoulders were performed in 317 paraplegic patients. Mean age was 49 (range, 19-76) years. The level of spinal cord injury was between T2 and T7 In 54% of patients and between T8 and L3 in 46%. Constant scores were measured for all shoulders. Pain was analyzed using a visual analog scale. - Results - Rotator cuff tears were not present in 51%, were unilateral in 20%, and were bilateral in 29%. Age was older and duration of spinal cord injury was significantly longer in patients with bilateral tears than in patients without or with unilateral tears (P < .001). In patients with unilateral tears, a full-thickness rupture of the supraspinatus tendon was found in 67%, whereas a partial-rupture was detected in 33%. Of the patients with bilateral tears, 75% presented with a full-thickness rupture and 25% with a partial rupture. The mean Constant score was 76 (range, 37-98) in patients without cuff tears, 69 (range, 16-94) for patients with unilateral tears, and 64 (16-96) for patients with bilateral tears (P < .001). - Conclusions - Rotator cuff disease is common and correlates highly with age and duration of spinal cord injury, which underlines the theory of “wear and tear” in wheelchair-dependent patients. |
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| Item Description: | Gesehen am 28.02.2022 |
| Physical Description: | Online Resource |
| ISSN: | 1532-6500 |
| DOI: | 10.1016/j.jse.2011.03.021 |