| Supraspinatus rupture at the musclotendinous junction: an uncommonly recognized phenomenon. | |
| | |
MedLine Citation:
|
PMID: 21398147 Owner: NLM Status: Publisher |
Abstract/OtherAbstract:
|
BACKGROUND: The majority of rotator cuff lesions involving the supraspinatus occur at or near the level of bone-tendon interface. We present a series of supraspinatus injuries at the musculotendinous junction. METHODS: Between October 2002 and December 2009, we prospectively evaluated all patients presenting with an injury of the supraspinatus at the musculotendinous junction. RESULTS: Five patients (1 female and 4 males) were identified. Three patients had a clear history of trauma. All patients presented acutely with pain and muscular edema on T2 magnetic resonance imaging (MRI) sequences. Lesions were characterized as stretch injuries in 2 cases and complete rupture at the level of the musculotendinous junction in 3 cases. Electrodiagnostic studies were normal in all cases. All patients were treated nonoperatively. On clinical and radiological examination at an average of 24 ± 10 months (range, 10-38), 1 patient had complete clinical and radiological resolution, 1 improved, and 3 who complained of loss of function demonstrated severe fatty infiltration on MRI. CONCLUSION: Musculotendinous rupture of the supraspinatus is an unusual lesion of the rotator cuff. With incomplete injuries, recovery can be anticipated with nonsurgical management. However, in the case of a complete rupture with muscle retraction, nonoperative management leads to unsatisfactory outcomes. |
| | |
Authors:
|
Alexandre Lädermann; Frank Kolo Christophe; Patrick J Denard; Gilles Walch |
Related Documents
:
|
7464147 - Arterial embolus as a complication of staging laparotomy. 3922897 - Epidemic outbreak of non-a, non-b hepatitis in a plasmapheresis center. ii: clinical ob... 17261137 - Non-alcoholic fatty liver disease in malaysia: a demographic, anthropometric, metabolic... 8101797 - Hepatopulmonary syndrome. clinical observations and lack of therapeutic response to som... 2310227 - A novel assay for neutrophil clustering activity of human sera: relation to disease act... 9686717 - Impact of gowning on visit length and physical examinations. |
Publication Detail:
|
Type: JOURNAL ARTICLE Date: 2011-3-12 |
Journal Detail:
|
Title: Journal of shoulder and elbow surgery / American Shoulder and Elbow Surgeons ... [et al.] Volume: - ISSN: 1532-6500 ISO Abbreviation: - Publication Date: 2011 Mar |
Date Detail:
|
Created Date: 2011-3-14 Completed Date: - Revised Date: - |
Medline Journal Info:
|
Nlm Unique ID: 9206499 Medline TA: J Shoulder Elbow Surg Country: - |
Other Details:
|
Languages: ENG Pagination: - Citation Subset: - |
Copyright Information:
|
Copyright © 2011 Journal of Shoulder and Elbow Surgery Board of Trustees. Published by Mosby, Inc. All rights reserved. |
Affiliation:
|
Department of Surgery, Division of Orthopaedics and Trauma Surgery, Geneva University Hospitals, Geneva, Switzerland. |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
|
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Relationship between visual binding, reentry and awareness.
Next Document: Long-term survivorship and outcomes after surgical repair of full-thickness rotator cuff tears.