Description
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.
Chapter
Epidemiology, Genetics and Biological Factors of Rotator Cuff Tears
Biomechanics of the Rotator Cuff: European Perspective
Biomechanical Properties of the Rotator Cuff
Role of Mechanical Factors in Rotator Cuff Tears
Biomechanical Factors in Rotator Cuff Repair
Role of Biomechanics in Rotator Cuff Pathology: North American Perspective
Rotator Cuff Failure in Biomechanical Literature
Impingement: Biomechanical Considerations
Rotator Cuff Pathology: Age and Symptoms
The Scapula in Rotator Cuff Disease
The Scapula in Rotator Cuff Dysfunction and Disease
Causative Mechanisms for Scapular Dyskinesis
Evaluation of the Scapula
Treatment of Scapular Dyskinesis
Instability and Rotator Cuff Tear
Prevalence and Incidence: Reports from the Literature
Terrible Triad of the Shoulder
Growth Factors and Tendon Healing
Growth Factors in Tendon Healing
Autologous Blood Products in Rotator Cuff Repair
Action of Platelet- Rich Plasma
Preparation of Platelet- Rich Plasma
Practical Application in Shoulder Surgery
Current Evidence of the Efficacy of Platelet- Rich Plasma
Additional Management Points
Current Evidence for Platelet- Rich Plasma in the Shoulder
Tendinopathy of the Long Head of the Biceps
Physical Examination Findings
Postoperative Rehabilitation
Conservative Treatment and Rotator Cuff Tear Progression
Intra-Articular Injections
Operative Management of Partial- and Full- Thickness Rotator Cuff Tears
Definition and Classification
Single- and Double- Row Repair for Rotator Cuff Tears – Biology and Mechanics
Description of the Surgical Techniques
Arthroscopic Transosseous Rotator Cuff Repair
Roman Bridge Suture Anchor Repair
Low-Profile Roman Bridge Repair
Treatment Options for Chronic Retracted Degenerative Rotator Cuff Tears
Presentation and Diagnosis
Non- Operative Management
Synthetic Augmentation in Massive Rotator Cuff Tears
Synthetic Scaffolds for Massive Rotator Cuff Tear Augmentation
Understanding and Preventing Complications in Repairing Rotator Cuff Tears
Positioning and Anaesthesia
Neurological Complications
Surgically Related Complications