Diagnosis and treatment of rotator cuff tears

A rotator cuff tear is a highly prevalent disorder, occurring in 25% of people over 60 years of age. In two thirds of patients the tear is small and asymptomatic. Acute, symptomatic cuff tears may occur in active sportsmen and women aged 30-50. There is often a considerable delay in diagnosis in thi...

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Bibliographic Details
Published inNederlands tijdschrift voor geneeskunde Vol. 155; no. 34; p. A3163
Main Authors van der Zwaal, Peer, Pekelharing, Janneke F, Thomassen, Bregje J W, Swen, Jan-Willem A, van Arkel, Ewoud R A
Format Journal Article
LanguageDutch
Published Netherlands 2011
Subjects
Arthroscopy
Humans
Rotator Cuff - surgery
Rotator Cuff Injuries
Rupture
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Summary:A rotator cuff tear is a highly prevalent disorder, occurring in 25% of people over 60 years of age. In two thirds of patients the tear is small and asymptomatic. Acute, symptomatic cuff tears may occur in active sportsmen and women aged 30-50. There is often a considerable delay in diagnosis in this group, due to a lack of recognition by either the patient or the doctor. Recently identified risk factors for the development of cuff tear are nicotine abuse, hypercholesterolaemia, contralateral cuff tear and genetic predisposition. Conservative treatment can be very successful and consists of physical therapy and effective analgesics. Repeated steroid injections are harmful to the tendinous tissue and should be avoided. The aim of surgery is anatomical reinsertion of the ruptured tendon using an open or arthroscopic procedure. The arthroscopic procedure enables the surgeon to perform a more extensive evaluation and treatment of the joint. The arthroscopic procedure is technically more demanding than the open procedure, but seems to have a shorter rehabilitation period.
ISSN:0028-2162
1876-8784