Journal article
Degenerative Rotator Cuff Tears: Refining Surgical Indications Based on Natural History Data
Journal of the American Academy of Orthopaedic Surgeons, Vol.27(5), pp.156-165
03/01/2019
DOI: 10.5435/JAAOS-D-17-00480
PMCID: PMC6389433
PMID: 30335631
Abstract
Degenerative rotator cuff tears are the most common cause of shoulder pain and have a strong association with advanced aging. There is considerable variation in surgeons’ perceptions regarding the recommended treatment for patients with painful rotator cuff tears. Natural history studies have better outlined the risks of tear enlargement, progression of muscle degeneration and decline in function over time. This information combined with known factors that potentially influence the rate of successful tendon healing such as age, tear size and severity of muscle degenerative changes can be used to better refine appropriate surgical indications. Although conservative treatment can be successful in the management of many of these tears, there are risks to nonoperative treatment as well. The application of natural history data can stratify atraumatic degenerative tears according to the risk of nonoperative treatment and better identify tears where early surgical intervention should be considered.
Details
- Title: Subtitle
- Degenerative Rotator Cuff Tears: Refining Surgical Indications Based on Natural History Data
- Creators
- Jay D Keener - Shoulder and Elbow Service, Department of Orthopaedic Surgery, Washington University – St. LouisBrendan M Patterson - Shoulder and Elbow Service, Department of Orthopaedic Surgery, Washington University – St. LouisNathan Orvets - Shoulder and Elbow Service, Department of Orthopaedic Surgery, Washington University – St. LouisAaron M Chamberlain - Shoulder and Elbow Service, Department of Orthopaedic Surgery, Washington University – St. Louis
- Resource Type
- Journal article
- Publication Details
- Journal of the American Academy of Orthopaedic Surgeons, Vol.27(5), pp.156-165
- DOI
- 10.5435/JAAOS-D-17-00480
- PMID
- 30335631
- PMCID
- PMC6389433
- ISSN
- 1067-151X
- eISSN
- 1940-5480
- Language
- English
- Date published
- 03/01/2019
- Academic Unit
- Orthopedics and Rehabilitation
- Record Identifier
- 9984040001202771
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