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Related Concept Videos

Muscles that Move the Arm01:31

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Nine muscles are involved in arm movements. Two of these, the pectoralis major and latissimus dorsi, originate from the axial skeleton and are called axial muscles. The other seven originate from the scapula and are called the scapular muscles.
The pectoralis major has two origins. Its clavicular head originates on the medial half of the clavicle. In contrast, the sternocostal head originates on the costal cartilages of ribs 1-6, the sternum, and the aponeurosis of the external oblique of the...
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The muscles surrounding the shoulder girdle, including the clavicle and scapula, primarily stabilize the scapula. This stable base allows other muscles to move the humerus effectively. Scapular movements often mirror those of the humerus and extend its range of motion. For instance, raising the arm above the head would not be feasible without simultaneous upward rotation of the scapula.
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Single-row or Double-row Rotator Cuff Repair.

Andres Felipe Cobaleda-Aristizabal1, Michell Ruiz-Suarez1, F Alan Barber2

  • 1Traumatología Deportiva de Mexico- Hospital Ángeles Metropolitano.

Sports Medicine and Arthroscopy Review
|December 18, 2023
PubMed
Summary

Rotator cuff tears can impact athletes

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Area of Science:

  • Orthopedics
  • Sports Medicine
  • Biomechanical Engineering

Background:

  • Rotator cuff tears represent a significant injury for athletes, potentially impacting career longevity.
  • Accurate patient selection for surgical repair is crucial, considering various clinical and patient-specific factors.
  • Distinguishing between overuse and traumatic injuries is a key determinant in surgical decision-making.

Purpose of the Study:

  • To outline the critical factors influencing surgical repair decisions for rotator cuff tears in athletes.
  • To discuss the impact of sport type, injury mechanism, and athlete level on return-to-participation rates.
  • To provide guidance on surgical technique considerations, including single-row versus double-row repair.

Main Methods:

  • Review of clinical factors including patient age, sport, time since injury, and athlete's pre-injury level.
  • Analysis of injury etiology (overuse vs. traumatic) as an independent factor for surgical consideration.
  • Examination of sport-specific incidence rates and athlete-level-dependent return-to-participation (RTP) data.

Main Results:

  • Return-to-participation (RTP) rates vary significantly based on sport demands and athlete level (e.g., professional 61%, recreational 73%).
  • Incidence of rotator cuff tears differs across sports, with football at 12% and tennis at 4-17%.
  • Patient expectations and injury mechanism (overuse vs. trauma) are vital considerations alongside clinical factors.

Conclusions:

  • Surgical decisions for rotator cuff tears require a comprehensive assessment of patient factors, injury characteristics, and desired outcomes.
  • Understanding sport-specific injury patterns and RTP expectations is essential for optimizing treatment strategies.
  • The choice between single-row and double-row repair techniques should be individualized based on the overall treatment plan.