Anatomy-Physiotherapy-logo

  • Italiano (Italia)
  • Français (France)
  • Portuguese (PT)
  • Deutsch (Deutschland)
  • Spanish (ES)
  • English (UK)
New english website, click here ->

           

  • Articles
    Evidence based articles
    • Musculoskeletal
      • Upper extremity
      • Lower extremity
      • Spine
    • Other
      • Nervous
      • Circulatory
      • Nutrition
      • Aging
      • Pain
      • Various
  • Art & Design
    Anatomy related art
  • Videos
    Webinars & more
  • Create account
    Personal pages & favourites
  • Login
    Login to A&P
Anatomy-Physiotherapy-logo
23 Sep2013

23 September 2013.

Written by Iliana Chatzifragkou
Posted in Shoulder

Written by Iliana Chatzifragkou23-09-2013 19:14:03. Posted in Shoulder

Vascularization supraspinatus
Image by: Unknown.

Clinical and biological aspects of rotator cuff tears.

Rotator cuff tears are common and are a frequent source of shoulder pain and disability. A wide variation in the prevalence of rotator cuff tears has been reported. The clinical diagnosis is not always easy. Painful conditions of the long head of the biceps or acromioclavicular joint may result in high false positive rate. Physical examination should include inspection, palpation, the evaluation of active and passive range of motion, the execution of strength and provocative tests. 

The etiology of rotator cuff tear remains multifactorial and attempts to unify intrinsic and extrinsic theories tried to explain the etiopathogenesis of rotator cuff tears. Knowledge of the etiopathogenesis of rotator cuff tears is important to improve therapies, surgical techniques and promote tendon repair. 

Several strategies have been proposed to enhance tendon healing and recently research has focused on regenerative therapies, such as Growth Factors (GFs) and Plasma Rich Platelet (PRP) but a little evidence to support the use of injections with PRP in the treatment of rotator cuff rupture can be found in literature. Further studies using a proper control group, randomization, blinding and validated disease-specific outcome measures for pain and function are needed. > From: Giai Via et al., Muscles, Ligaments and Tendons J 3 (2013) 70-79. All rights reserved to the Muscles, Ligaments and Tendons Journal.

The free full text article can be found here.

A very (!) good article related to this topic can be read here.

The supraspinatus tendon has a poorly vascularized zone, the critical zone (A), around the collum anatomicum.

Schermafbeelding 2013-09-23 om 19.15.56

At the site of the critical zone near the collum anatomicum most (partial) supraspinatus tendon tears do occur.

Schermafbeelding 2013-09-23 om 19.15.43

 

Tags: Shoulder, shoulder injuries, supraspinatus, rotator cuff tears, rotator cuff, vascularization

Please log in or create an account to place comments. It's free and takes only a minute.

About the Author
Iliana Chatzifragkou

Latest articles from this auhtor

  • Ultrasound in rheumatoid arthritis.
  • Epidemiology of injuries and prevention strategies in competitive swimmers.
  • Effects of kinesiotherapy, ultrasound and electrotherapy in management of bilateral knee osteoarthritis: prospective clinical trial.
  • Effects of aqua aerobic therapy exercise for older adults on muscular strength, agility and balance to prevent falling during gait.
  • Fractures of the scapula.
 

 

Login

  • Forgot your password?
  • Forgot your username?
  • Create an account
AP banner Sono 1

Related

  • Morphological study of the inferior transverse scapular ligament
  • A user's guide to performance of the best shoulder physical examination tests.
  • Diagnostic value of patient characteristics, history, and six clinical tests for traumatic anterior shoulder instability.
  • Rotator cuff muscles perform different functional roles during shoulder external rotation exercises.
  • Epidemiology of injuries and prevention strategies in competitive swimmers.

Sub Menu

  • Musculoskeletal
    • Upper extremity
      • Shoulder
      • Elbow
      • Wrist
      • Hand
    • Lower extremity
      • Hip
      • Knee
      • Ankle
      • Foot
    • Spine
      • Pelvis
      • Lumbar
      • Thoracic
      • Rib cage
      • Cervical
  • Other
    • Nervous
    • Circulatory
    • Nutrition
    • Aging
    • Pain
    • Various

Newsletter

Subscribe to our weekly newsletter to receive all articles of the week in your mailbox.

 

Partners

enraf nonius

apa

fontys

vpt

kiné care

ICMSU

  • Home
  • About
  • Team
  • Advertise
  • Contact
  • Terms of Service
  • Privacy Policy
  • Jobs
  • Newsletter archive
AP-SMALL-WHITECopyright 2010 - 2021 Anatomy & Physiotherapy. All Rights Reserved.

Privacy Policy

AdBlock detected

We want to keep offering top-notch content for free. In order to keep up with the additional costs that we incurr with scaling our website, we need your help! Please turn off your adblocker or consider donating a small amount.

http://www.anatomy-physiotherapy.com/donate

Close
You can also just close this popup. It shows only once.
isApp.it
  • Articles
    Evidence based articles
    • Musculoskeletal
      • Upper extremity
        • Shoulder
        • Elbow
        • Wrist
        • Hand
      • Lower extremity
        • Hip
        • Knee
        • Ankle
        • Foot
      • Spine
        • Pelvis
        • Lumbar
        • Thoracic
        • Rib cage
        • Cervical
    • Other
      • Nervous
      • Circulatory
      • Nutrition
      • Aging
      • Pain
      • Various
  • Art & Design
    Anatomy related art
  • Videos
    Webinars & more
  • Create account
    Personal pages & favourites
  • Login
    Login to A&P
You are now being logged in using your Facebook credentials