A cross-sectional study of demographic and morphologic features of rotator cuff disease in paraplegic patients

• Verfasst von: Akbar, Michael [VerfasserIn]
• Verfasst von: Brunner, Manuela [VerfasserIn]
• Verfasst von: Balean, Gabriel [VerfasserIn]
• Verfasst von: Grieser, Thomas [VerfasserIn]
• Verfasst von: Bruckner, Thomas [VerfasserIn]
• Verfasst von: Loew, Markus [VerfasserIn]
• Verfasst von: Raiss, Patric [VerfasserIn]
• Titel: A cross-sectional study of demographic and morphologic features of rotator cuff disease in paraplegic patients
• Verf.angabe: Michael Akbar, Manuela Brunner, Gabriel Balean, Thomas Grieser, Thomas Bruckner, Markus Loew, Patric Raiss
• E-Jahr: 2011
• Jahr: 2 July 2011
• Umfang: 6 S.
• Fussnoten: Gesehen am 28.02.2022
• Titel Quelle: Enthalten in: Journal of shoulder and elbow surgery
• Ort Quelle: St. Louis, Mo. : Mosby, 1992
• Jahr Quelle: 2011
• Band/Heft Quelle: 20(2011), 7, Seite 1108-1113
• ISSN Quelle: 1532-6500
• DOI: doi:10.1016/j.jse.2011.03.021
• Datenträger: Online-Ressource
• Sprache: eng
• Sach-SW: pain
• Sach-SW: Paraplegia
• Sach-SW: rotator cuff
• Sach-SW: shoulder
• Sach-SW: spinal cord injury
• K10plus-PPN: 1794038590

Abstract

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.