2023, Number 1
<< Back Next >>
Investigación en Discapacidad 2023; 9 (1)
Rotator cuff injuries: current state of the literature focusing on rehabilitation
Contreras-del TL, González-Damián J, Cruz-Medina E, Macías-Hernández SI
Language: Spanish
References: 51
Page: 13-23
PDF size: 216.78 Kb.
ABSTRACT
Rotator cuff injuries are the leading cause of shoulder pain in adults. The evidence and recommendations on its diagnosis, treatment and rehabilitation are updated rapidly. Patients clinically present shoulder pain, weakness, and functional limitation, it is necessary to carry out an adequate evaluation to have a precise diagnosis and decide on the request for complementary studies. The initial treatment is conservative and consists of a combination of medications, physiotherapy, and joint care recommendations. Rehabilitation is basic in conservative treatment, and pre and post-surgery. Exercise is the most effective intervention in treatment and the cornerstone of rehabilitation. Knowing the bases of the rehabilitation process allows the clinician to develop programs based on the patients' needs and their functional reintegration. This review article delves into the above points, providing an overview of the rotator cuff injuries rehabilitation.
REFERENCES
Snedeker JG, Foolen J. Tendon injury and repair - A perspective on the basic mechanisms of tendon disease and future clinical therapy. Acta Biomater. 2017; 63: 18-36. doi: 10.1016/j.actbio.2017.08.032.
Ackermann PW, Renström P. Tendinopathy in sport. Sports Health. 2012; 4 (3): 193-201. doi: 10.1177/1941738112440957.
HodgettsC, Walker B. Epidemiology, common diagnoses, treatments and prognosis of shoulder pain: a narrative review. International Journal of Osteopathic Medicine 2021; 42: 11-19.doi: https://doi.org/10.1016/j.ijosm.2021.10.006.
Gombera MM, Sekiya JK. Rotator cuff tear and glenohumeral instability: a systematic review. Clin Orthop Relat Res. 2014; 472 (8): 2448-2456. doi: 10.1007/s11999-013-3290-2. Erratum in: Clin Orthop Relat Res. 2015 Feb;473(2):751. Gomberawalla, M Mustafa [correctedtoGombera, MufaddalMustafa].
Whittle S, Buchbinder R. In the clinic. Rotator cuff disease. Ann Intern Med. 2015; 162 (1): ITC1-15. doi: 10.7326/AITC201501060.
Keough N, Lorke DE. The humeral head: a review of the blood supply and possible link to osteonecrosis following rotator cuff repair. J Anat. 2021; 239 (5): 973-982. doi: 10.1111/joa.13496.
Verhaegen F, Meynen A, Matthews H, Claes P, Debeer P, Scheys L. Determination of pre-arthropathy scapular anatomy with a statistical shape model: part I-rotator cuff tear arthropathy. J Shoulder Elbow Surg. 2021; 30 (5): 1095-1106. doi: 10.1016/j.jse.2020.07.043.
Teunis T, Lubberts B, Reilly BT, Ring D. A systematic review and pooled analysis of the prevalence of rotator cuff disease with increasing age. J Shoulder Elbow Surg. 2014; 23 (12): 1913-1921. doi: 10.1016/j.jse.2014.08.001.
Yamaguchi K, Ditsios K, Middleton WD, Hildebolt CF, Galatz LM, Teefey SA. The demographic and morphological features of rotator cuff disease. A comparison of asymptomatic and symptomatic shoulders. J Bone Joint Surg Am. 2006; 88 (8): 1699-704. doi: 10.2106/JBJS.E.00835.
Tempelhof S, Rupp S, Seil R. Age-related prevalence of rotator cuff tears in asymptomatic shoulders. J Shoulder Elbow Surg. 1999; 8 (4): 296-299. doi: 10.1016/s1058-2746(99)90148-9.
Yamamoto A, Takagishi K, Kobayashi T, Shitara H, Ichinose T, Takasawa E, Shimoyama D, Osawa T. The impact of faulty posture on rotator cuff tears with and without symptoms. J Shoulder Elbow Surg. 2015; 24 (3): 446-452. doi: 10.1016/j.jse.2014.07.012.
Reilly P, Macleod I, Macfarlane R, Windley J, Emery RJ. Dead men and radiologists don't lie: a review of cadaveric and radiological studies of rotator cuff tear prevalence. Ann R Coll Surg Engl. 2006; 88 (2): 116-121. doi: 10.1308/003588406X94968.
Nho SJ, Yadav H, Shindle MK, Macgillivray JD. Rotator cuff degeneration: etiology and pathogenesis. Am J Sports Med. 2008; 36 (5): 987-993. doi: 10.1177/0363546508317344.
Bishop JY, Santiago-Torres JE, Rimmke N, Flanigan DC. Smoking predisposes to rotator cuff pathology and shoulder dysfunction: a systematic review. Arthroscopy. 2015; 31 (8): 1598-605. doi: 10.1016/j.arthro.2015.01.026.
Baumgarten KM, Gerlach D, Galatz LM, Teefey SA, Middleton WD, Ditsios K, Yamaguchi K. Cigarette smoking increases the risk for rotator cuff tears. Clin OrthopRelat Res. 2010; 468 (6): 1534-1541. doi: 10.1007/s11999-009-0781-2.
Weber S, Chahal J. Management of rotator cuff injuries. J Am Acad Orthop Surg. 2020; 28 (5): e193-e201. doi: 10.5435/JAAOS-D-19-00463.
Walker-Bone K, van der Windt DA. Shoulder pain - where are we now? Curr Treat Options in Rheum. 2021;7: 285-306. doi:10.1007/s40674-021-00184-z.
Yoon TH, Choi CH, Kim SJ, Choi YR, Yoon SP, Chun YM. Attrition of rotator cuff without progression to tears during 2-5 years of conservative treatment for impingement syndrome. ArchOrthop Trauma Surg. 2019; 139 (3): 377-382. doi: 10.1007/s00402-018-3065-z.
Ueda Y, Sugaya H, Takahashi N, et al. Rotator cuff lesions in patients with stiff shoulders: a prospective analysis of 379 shoulders. J Bone Joint Surg Am. 2015; 97 (15): 1233-1237. doi: 10.2106/JBJS.N.00910.
Lewis J. Rotator cuff related shoulder pain: assessment, management and uncertainties. Man Ther. 2016; 23: 57-68. doi: 10.1016/j.math.2016.03.009.
White JJ, Titchener AG, Fakis A, Tambe AA, Hubbard RB, Clark DI. An epidemiological study of rotator cuff pathology using The Health Improvement Network database. Bone Joint J. 2014; 96-B (3): 350-353. doi: 10.1302/0301-620X.96B3.32336.
Hermans J, Luime JJ, Meuffels DE, Reijman M, Simel DL, Bierma-Zeinstra SM. Does this patient with shoulder pain have rotator cuff disease?: The Rational Clinical Examination systematic review. JAMA. 2013; 310 (8): 837-847. doi: 10.1001/jama.2013.276187.
Hanchard NC, Lenza M, Handoll HH, Takwoingi Y. Physical tests for shoulder impingements and local lesions of bursa, tendon or labrum that may accompany impingement. Cochrane Database Syst Rev. 2013; 2013 (4): CD007427. doi: 10.1002/14651858.CD007427.pub2.
Hanchard NC, Howe TE, Gilbert MM. Diagnosis of shoulder pain by history and selective tissue tension: agreement between assessors. J Orthop Sports Phys Ther. 2005; 35 (3): 147-153. doi: 10.2519/jospt.2005.35.3.147.
Weber S, Chahal J. Case Studies AAOS Clinical Practice Guideline: Management of Rotator Cuff Injuries. J Am Acad Orthop Surg. 2021; 29 (3): e104-e108. doi: 10.5435/JAAOS-D-20-00450.
Park HB, Yokota A, Gill HS et al. Diagnostic accuracy of clinical tests for the different degrees of subacromial impingement syndrome. J Bone Joint Surg Am. 2005; 87: 1446-1455.
Hertel R, Ballmer FT, Lombert SM et al. Lag signs in the diagnosis of rotator cuff rupture. J Shoulder Elbow Surg. 1996; 5: 307-313.
Gerber C, Krushell RJ. Isolated rupture of the tendon of the subscapularis muscle. Clinical features in 16 cases. J Bone Joint Surg Br. 1991; 73 (3): 389-394. doi: 10.1302/0301-620X.73B3.1670434.
Jobe FW, Kvitne RS, Giangarra CE. Shoulder pain in the overhand or throwing athlete. The relationship of anterior instability and rotator cuff impingement. Orthop Rev. 1989; 18 (9): 963-975. Erratum in: Orthop Rev. 1989; 18 (12): 1268. Giangarra, C E [added].
Leroux JL, Thomas E, Bonnel F, Blotman F. Diagnostic value of clinical tests for shoulder impingement syndrome. Rev Rhum Engl Ed. 1995; 62 (6): 423-428.
Barth JR, Burkhart SS, De Beer JF. The bear-hug test: a new and sensitive test for diagnosing a subscapularis tear. Arthroscopy. 2006; 22 (10): 1076-1084. doi: 10.1016/j.arthro.2006.05.005.
Maman E, Harris C, White L, Tomlinson G, Shashank M, Boynton E. Outcome of nonoperative treatment of symptomatic rotator cuff tears monitored by magnetic resonance imaging. J Bone Joint Surg Am. 2009; 91 (8): 1898-1906. doi: 10.2106/JBJS.G.01335.
Petersson CJ, Redlund-Johnell I. The subacromial space in normal shoulder radiographs. Acta Orthop Scand. 1984; 55 (1): 57-58. doi: 10.3109/17453678408992312.
Bartoszewski N, Parnes N. Rotator cuff injuries. JAAPA. 2018; 31 (4): 49-50. doi: 10.1097/01.JAA.0000531046.74384.c7.
Itoi E, Minagawa H, Yamamoto N, Seki N, Abe H. Are pain location and physical examinations useful in locating a tear site of the rotator cuff? Am J Sports Med. 2006; 34 (2): 256-264. doi: 10.1177/0363546505280430.
Kijima H, Minagawa H, Yamamoto N, et al. Three-dimensional ultrasonography of shoulders with rotator cuff tears. J Orthop Sci. 2008; 13 (6): 510-513. doi: 10.1007/s00776-008-1268-9.
Lee JC, Guy S, Connell D, Saifuddin A, Lambert S. MRI of the rotator interval of the shoulder. Clin Radiol. 2007; 62 (5): 416-423. doi: 10.1016/j.crad.2006.11.017.
Smith TO, Back T, Toms AP, Hing CB. Diagnostic accuracy of ultrasound for rotator cuff tears in adults: a systematic review and meta-analysis. Clin Radiol. 2011; 66 (11): 1036-1048. doi: 10.1016/j.crad.2011.05.007.
Okoroha KR, Fidai MS, Tramer JS, Davis KD, Kolowich PA. Diagnostic accuracy of ultrasound for rotator cuff tears. Ultrasonography. 2019; 38 (3): 215-220. doi: 10.14366/usg.18058.
McCrum E. MR Imaging of the rotator cuff. Magn Reson Imaging Clin N Am. 2020; 28 (2): 165-179. doi: 10.1016/j.mric.2019.12.002.
Ryosa A, Laimi K, Aarimaa V, Lehtimaki K, Kukkonen J, Saltychev M. Surgery or conservative treatment for rotator cuff tear: a meta-analysis. Disabil Rehabil. 2017; 39 (14): 1357-1363. doi: 10.1080/09638288.2016.1198431.
Doiron-Cadrin P, Lafrance S, et al. Shoulder rotator cuff disorders: a systematic review of clinical practice guidelines and semantic analyses of recommendations. Arch Phys Med Rehabil. 2020; 101 (7): 1233-1242. doi: 10.1016/j.apmr.2019.12.017.
Diercks R, Bron C, Dorrestijn O et al. Guideline for diagnosis and treatment of subacromial pain syndrome: a multidisciplinary review by the Dutch Orthopedic Association. Acta Orthop. 2014; 85: 314-322. doi: 10.3109/17453674.2014.920991.
Longo UG, Risi Ambrogioni L, Berton A, et al. Physical therapy and precision rehabilitation in shoulder rotator cuff disease. Int Orthop. 2020; 44 (5): 893-903. doi: 10.1007/s00264-020-04511-2.
Macías-Hernández SI, García-Morales JR, Hernández-Díaz C, Tapia-Ferrusco I, Velez-Gutiérrez OB, Nava-Bringas TI. Tolerance and effectiveness of eccentric vs. concentric muscle strengthening in rotator cuff partial tears and moderate to severe shoulder pain. A randomized pilot study. J Clin Orthop Trauma. 2020; 14: 106-112. doi: 10.1016/j.jcot.2020.07.031.
Ladermann A, Burkhart SS, Hoffmeyer P, Neyton L, Collin P, Yates E, Denard PJ. Classification of full-thickness rotator cuff lesions: a review. EFORT Open Rev. 2017; 1 (12): 420-430. doi: 10.1302/2058-5241.1.160005.
De la Rosa-Morillo F, Galloza-Otero JC, Micheo W. Rehabilitacion del hombro doloroso en el atleta joven [Shoulder pain rehabilitation in young athletes]. Rehabilitacion (Madr). 2019; 53 (2): 85-92. Spanish. doi: 10.1016/j.rh.2018.10.005.
Osborne JD, Gowda AL, Wiater B, Wiater JM. Rotator cuff rehabilitation: current theories and practice. PhysSportsmed. 2016; 44 (1): 85-92. doi: 10.1080/00913847.2016.1108883.
Schmidt CC, Jarrett CD, Brown BT. Management of rotator cuff tears. J Hand Surg Am. 2015; 40 (2): 399-408. doi: 10.1016/j.jhsa.2014.06.122.
Nikolaidou O, Migkou S, Karampalis C. Rehabilitation after rotator cuff repair. Open Orthop J. 2017; 11: 154-162. doi: 10.2174/1874325001711010154.
Gutman MJ, Joyce CD, Patel MS, et al. Early repair of traumatic rotator cuff tears improves functional outcomes. J Shoulder Elbow Surg. 2021; 30 (11): 2475-2483.