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Rotator cuff injuries.

T P Goss1

  • 1University of Massachusetts Medical Center, Worcester.

Orthopaedic Review
|August 1, 1986
PubMed
Summary
This summary is machine-generated.

Rotator cuff injuries affect shoulder stability and motion, with full-thickness tears often requiring surgery. While initial surgeries yield good results, repeat procedures are significantly less successful.

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Area of Science:

  • Orthopedics
  • Sports Medicine
  • Anatomy

Background:

  • The rotator cuff is crucial for glenohumeral joint stability and active motion.
  • Rotator cuff disease is age-related, with injury severity influencing symptoms and treatment.
  • Full-thickness rotator cuff tears require surgical intervention.

Purpose of the Study:

  • To outline the clinical suspicion, diagnosis, and surgical management of full-thickness rotator cuff tears.
  • To describe the postoperative rehabilitation protocol for rotator cuff repair.
  • To compare the success rates of primary versus revision rotator cuff surgery.

Main Methods:

  • Clinical suspicion and arthrography for diagnosis.
  • Surgical decompression of the impingement interval and defect repair.

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  • Postoperative immobilization followed by physiotherapy.

    • Main Results:

    • First-time rotator cuff surgery demonstrates 70% to 90% good to excellent outcomes.
    • Revision rotator cuff surgery is associated with considerably lower success rates.

    Conclusions:

    • Surgical repair is effective for full-thickness rotator cuff tears, with favorable outcomes for primary procedures.
    • The success of rotator cuff repair decreases significantly with repeat surgeries, highlighting the importance of primary surgical success.