Document Detail


The role of fatty infiltration in the pathophysiology and outcomes of rotator cuff tears: A review article.
MedLine Citation:
PMID:  21770040     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
Rotator cuff pathology is a common and challenging musculoskeletal condition to manage. While rotator cuff repair is an effective procedure for relieving pain and improving function, relatively high retear and/or failure-to-heal rates persist despite technical improvements. Rotator cuff tendon research has primarily focused on changes at the tendon-bone interface. However, muscle physiology may require greater understanding, as the presence of fatty infiltration of the muscle following tears is also likely to influence the mechanics and biological milieu of the rotator cuff tendons, and may predict and/or affect the results of rotator cuff repair. Fatty infiltration of muscle influences several clinical parameters, as it is associated with higher failure rates and loss of muscle strength. Pre-operative assessment of fatty infiltration of any of the rotator cuff muscles, in addition to tear size and degree of retraction may play an increasing role in planning surgical management and for counseling patient expectation. This review explores the pathophysiology, imaging and prevalence of fatty changes of the rotator cuff muscles and considers their clinical implications. © 2011 by the American College of Rheumatology.
Authors:
Salma Chaudhury; Joshua S Dines; Demetris Delos; Russell F Warren; Clifford Voigt; Scott A Rodeo
Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2011-7-18
Journal Detail:
Title:  Arthritis care & research     Volume:  -     ISSN:  2151-4658     ISO Abbreviation:  -     Publication Date:  2011 Jul 
Date Detail:
Created Date:  2011-7-19     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101518086     Medline TA:  Arthritis Care Res (Hoboken)     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Copyright Information:
Copyright © 2011 by the American College of Rheumatology.
Affiliation:
Hospital For Special Surgery. salmachaudhury@doctors.org.uk.
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