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The history of rotator cuff tendinopathy started more than 150 years ago, when some types of shoulder pain were attributed to ‘rupture of the rotator cuff tendon’. In the third millennium, the pathogenetic mechanisms leading to rotator cuff problems are still debated. Although conservative measures are the first-line therapy, poor spontaneous tendon healing and progression from partial-thickness to full-thickness tears may mandate surgery. Biological, biomechanical and clinical studies have been conducted to establish the superiority of one technique over the other, but no clinical differences have been found. Although we know more about the pathogenesis, diagnosis and management of rotator cuff pathology, our efforts should be directed at trying to find the treatment that best fits the specific needs of each patient.This book collects current reviews on rotator cuff problems, with regard to both biological and clinical aspects, and provides practical hints on management and rehabilitation for sports physicians, surgeons, physiotherapists and athletic trainers.

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Publié par	S. Karger AG
Date de parution	07 octobre 2011
Nombre de lectures	0
EAN13	9783805598156
Langue	English
Poids de l'ouvrage	1 Mo

Informations légales : prix de location à la page 0,0705€. Cette information est donnée uniquement à titre indicatif conformément à la législation en vigueur.

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Rotator Cuff Tear
Medicine and Sport Science
Vol. 57
Series Editors
J. Borms     Brussels
M. Hebbelinck     Brussels
A.P. Hills     Brisbane
T. Noakes     Cape Town

Rotator Cuff Tear
Volume Editor
Nicola Maffulli     London
40 figures, 18 in color, and 5 tables, 2012
Medicine and Sport Science Founded 1968 by E. Jokl, Lexington, Ky.
_________________________ Prof. Nicola Maffulli Centre for Sports and Exercise Medicine Barts and The London School of Medicine and Dentistry Mile End Hospital, 275 Bancroft Road London E1 4DG (UK)
Library of Congress Cataloging-in-Publication Data
Rotator cuff tear / volume editor, Nicola Maffulli.
p.; cm. –– (Medicine and sport science, ISSN 0254-5020; v. 57)
Includes bibliographical references and index.
ISBN 978-3-8055-9814-9 (hard cover: alk. paper) –– ISBN 978-3-8055-9815-6 (e-ISBN)
1. Shoulder join-Rotator cuff-Wounds and injuries. 2. Shoulder join––Rotator cuff-Surgery. I. Maffulli, Nicola. II. Series: Medicine and sport science; v. 57.0254-5020
[DNLM: 1. Rotator Cuff-injuries. 2. Rotator Cuff-surgery. 3. Orthopedic Procedures. 4. Shoulder Joint-injuries. 5. Shoulder Joint-surgery. W1 ME649Q v.57 2011 /WE 810]
RD557.5.R685 2011
617.1'57-dc23
2011027927
Bibliographic Indices. This publication is listed in bibliographic services, including Current Contents®.
Disclaimer. The statements, opinions and data contained in this publication are solely those of the individual authors and contributors and not of the publisher and the editor(s). The appearance of advertisements in the book is not a warranty, endorsement, or approval of the products or services advertised or of their effectiveness, quality or safety. The publisher and the editor(s) disclaim responsibility for any injury to persons or property resulting from any ideas, methods, instructions or products referred to in the content or advertisements.
Drug Dosage. The authors and the publisher have exerted every effort to ensure that drug selection and dosage set forth in this text are in accord with current recommendations and practice at the time of publication. However, in view of ongoing research, changes in government regulations, and the constant flow of information relating to drug therapy and drug reactions, the reader is urged to check the package insert for each drug for any change in indications and dosage and for added warnings and precautions. This is particularly important when the recommended agent is a new and/or infrequently employed drug.
All rights reserved. No part of this publication may be translated into other languages, reproduced or utilized in any form or by any means electronic or mechanical, including photocopying, recording, microcopying, or by any information storage and retrieval system, without permission in writing from the publisher.
© Copyright 2012 by S. Karger AG, P.O. Box, CH-4009 Basel (Switzerland)
www.karger.com
Printed in Switzerland on acid-free and non-aging paper (ISO 9706) by Reinhardt Druck, Basel
ISSN 0254-5020
ISBN 978-3-8055-9814-9
e-ISBN 978-3-8055-9815-6

Contents
List of Contributors
Preface
Maffulli, N. (London)
Epidemiology, Genetics and Biological Factors of Rotator Cuff Tears
Longo, U.G.; Berton, A.; Papapietro, N. (Rome); Maffulli, N. (London); Denaro,V. (Rome)
Biomechanics of the Rotator Cuff: European Perspective
Longo, U.G.; Berton, A.; Papapietro, N. (Rome); Maffulli, N. (London); Denaro,V. (Rome)
Role of Biomechanics in Rotator Cuff Pathology: North American Perspective
Karas, V.; Cole, B.J.; Wang, V.M. (Chicago, III.)
The Scapula in Rotator Cuff Disease
Kibler,W.B. (Lexington, Ky.)
Instability and Rotator Cuff Tear
Porcellini, G. (Cattolica/Rimini); Caranzano, F. (Turin); Campi, F.; Paladini, P. (Cattolica/Rimini)
Growth Factors and Tendon Healing
Oliva, F. (Rome); Gatti, S. (Siena); Porcellini, G. (Cattolica/Rimini); Forsyth, N.R. (Stoke on Trent); Maffulli, N. (London)
Autologous Blood Products in Rotator Cuff Repair
Mei-Dan, O. (Kfar Saba); Carmont, M.R. (Telford)
Tendinopathy of the Long Head of the Biceps
Snyder, G.M.; Mair, S.D.; Lattermann, C. (Lexington, Ky.)
Conservative Treatment and Rotator Cuff Tear Progression
Longo, U.G.; Franceschi, F.; Berton, A. (Rome); Maffulli, N. (London); Denaro,V. (Rome)
Operative Management of Partial- and Full-Thickness Rotator Cuff Tears
Franceschi, F.; Papalia, R.; Palumbo, A.; Del Buono, A. (Rome); Maffulli, N. (London); Denaro,V. (Rome)
Subscapularis Tears
Longo, U.G. (Rome/London); Berton, A.; Marinozzi, A. (Rome); Maffulli, N. (London); Denaro,V. (Rome)
Single-and Double-Row Repair for Rotator Cuff Tears- Biology and Mechanics
Papalia, R.; Franceschi, F.;Vasta, S.;Zampogna, B. (Rome); Maffulli, N. (London); Denaro,V. (Rome)
Arthroscopic Transosseous Rotator Cuff Repair
Longo, U.G.; Franceschi, F.; Berton, A. (Rome); Maffulli, N. (London); Denaro, V. (Rome)
Treatment Options for Chronic Retracted Degenerative Rotator Cuff Tears
Deering, S.J.; Mair, S.D.; Lattermann, C. (Lexington, Ky.)
Synthetic Augmentation in Massive Rotator Cuff Tears
Longo, U.G.; Lamberti, A.; Rizzello, G. (Rome); Maffulli, N. (London); Denaro, V. (Rome)
Understanding and Preventing Complications in Repairing Rotator Cuff Tears
Osti, L. (Modena); Papalia, R.; Del Buono, A.; Denaro, V. (Rome); Maffulli, N. (London)
Subject Index

List of Contributors
W. Ben Kibler
Shoulder Center of Kentucky, Lexington, Ky., USA
Alessandra Berton
Campus Bio-Medico University, Rome, Italy
Fabrizio Campi
D. Cervesi Hospital, Cattolica/Rimini, Italy
Francesco Caranzano
Mauriziano Hospital, Turin, Italy
Michael R. Carmont
Princess Royal Hospital,Telford, UK
Brian J. Cole
Rush University Medical Center, Chicago, III., USA
Scott J. Deering
University of Kentucky, Lexington, Ky., USA
Angelo Del Buono
Campus Bio-Medico University, Rome, Italy
Vincenzo Denaro
Campus Bio-Medico University, Rome, Italy
Nicholas R. Forsyth
Keele University Medical School, Stoke on Trent, UK
Francesco Franceschi
Campus Bio-Medico University, Rome, Italy
Stefano Gatti
University of Siena School of Medicine, Siena, Italy
Vasili Karas
Rush University Medical Center, Chicago, III., USA
Christian Lattermann
University of Kentucky, Lexington, Ky., USA
Umile Giuseppe Longo
Campus Bio-Medico University, Rome, Italy
Nicola Maffulli
Centre for Sports and Exercise Medicine Barts and the London School of Medicine and Dentistry, London, UK
Scott D. Mair
University of Kentucky, Lexington, Ky., USA
Andrea Marinozzi
Campus Bio-Medico University, Rome, Italy
Omer Mei-Dan
Meir University Hospital, Kfar Saba, Israel
Francesco Oliva
University of Rome ‘Tor Vergata’ School of Medicine, Rome, Italy
Leonardo Osti
Campus Bio-Medico University, Rome, Italy
Paolo Paladini
D. Cervesi Hospital, Cattolica/Rimini, Italy
Alessio Palumbo
Campus Bio-Medico University, Rome, Italy
Rocco Papalia
Campus Bio-Medico University, Rome, Italy
Nicola Papapietro
Campus Bio-Medico University, Rome, Italy
Giuseppe Porcellini
D. Cervesi Hospital, Cattolica/Rimini, Italy
Garrett M. Snyder
University of Kentucky, Lexington, Ky., USA
Sebastiano Vasta
Campus Bio-Medico University, Rome, Italy
Vincent M. Wang
Rush University Medical Center, Chicago, III., USA
Biagio Zampogna
Campus Bio-Medico University, Rome, Italy

Preface
Basic Science and Rotator Cuff Repair: Where Have We Arrived?
The history of rotator cuff tendinopathy probably started in 1834 when Dr. Smith attributed shoulder pain to ‘rupture of the rotator cuff tendon’. One century later, in 1934, Dr. Codman showed that most lesions occur on the articular side of the cuff tendons, in agreement with the hypothesis that Dr. Charles S. Neer would develop in 1972, when he wrote that ‘the coraco-acromial ligament and the anterior third of the acromion are responsible for a characteristic syndrome of disability of the shoulder’. However, the pathogenetic mechanisms leading to rotator cuff tendinopathy are still debated. Intrinsic causes, such as changes in vascularity and cellular metabolisms related to ageing, and extrinsic causes, such as subacromial impingement or microtrauma in repetitive overhead movements, are currently considered as the main aetiological factors [ 1 - 3 ]. The rotator cuff tendons play an important role in stabilizing the humeral head. When a massive cuff tear is present, superior migration of the glenohumeral rotation centre occurs during abduction, and a decreased ability of glenohumeral elevation may occur, given the importance of the supraspinatus tendon in beginning the glenohumeral abduction [ 4 , 5 ]. The long head of the biceps brachii (LHB) stabilizes the glenohumeral joint limiting abnormal translations. LHB may be affected by a wide range of pathologies, from instability (with tendon subluxation) to tenosynovitis to tendon rupture [ 6 ]. Rotator cuff tears (RCTs) and tendinopathy of the LHB are the leading causes of shoulder pain with a prevalence for RCTs of 20% in the general population. This prevalence