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European Journal of Orthopaedic Surgery & Traumatology

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01-04-2020 | Osteoarthrosis | Original Article • SHOULDER - ARTHROSCOPY

High prevalence of rotator cuff tears in a population who never sought for shoulder problems: a clinical, ultrasonographic and radiographic screening study

Authors: Shwan Khoschnau, Jugoslav Milosavjevic, Bo Sahlstedt, Rebecca Rylance, Hans Rahme, Bakir Kadum

Published in: European Journal of Orthopaedic Surgery & Traumatology | Issue 3/2020

Abstract

Background

This study was designed to investigate the prevalence of rotator cuff tears in a population who had never sought for symptoms from their shoulders. The aim was to see whether there is a correlation between dysfunction and the presence of cuff tears seen with ultrasonography or radiology.

Materials and methods

Clinical assessment with constant score, ultrasound and radiographic examination was done on 106 voluntary subjects (212 shoulders). There were 52 men and 54 women with a median age of 66 years. The correlations between complaints, cuff tears, constant score, ultrasound and radiological findings were calculated.

Results

Of 106 subjects, 64 (60%) had shoulder problems. The prevalence of full-thickness cuff tears was 30% (21% of all the 212 shoulders). 61% of the shoulders with full-thickness tears had symptoms compared to 33% of the shoulders without tears. The constant score was lower in shoulders with full-thickness tears. Partial tears or acromioclavicular degeneration had no impact on shoulder complaints or constant score. The subacromial index was lower for shoulders with full-thickness tears. Patients with primary osteoarthritis had a lower acromion index than patients with full-thickness tears.

Conclusion

The prevalence of shoulder complaints and/or cuff tears was high in this population, which had never sought medical care for shoulder problems. Only full-thickness tears had an impact on shoulder function and constant score. Partial-thickness tears and degenerative changes in the acromioclavicular joint may be considered as age-related changes. The subacromial index can be used as a predictor for full-thickness cuff tears.

Level of evidence

Level III, cross-sectional study, prevalence study.

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Title: High prevalence of rotator cuff tears in a population who never sought for shoulder problems: a clinical, ultrasonographic and radiographic screening study
Authors: Shwan Khoschnau
Jugoslav Milosavjevic
Bo Sahlstedt
Rebecca Rylance
Hans Rahme
Bakir Kadum
Publication date: 01-04-2020
Publisher: Springer Paris
Keywords: Osteoarthrosis
Ultrasound
Painful Arc
Osteoarthrosis
Ultrasound
Published in: European Journal of Orthopaedic Surgery & Traumatology / Issue 3/2020
Print ISSN: 1633-8065
Electronic ISSN: 1432-1068
DOI: https://doi.org/10.1007/s00590-019-02593-2

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

High prevalence of rotator cuff tears in a population who never sought for shoulder problems: a clinical, ultrasonographic and radiographic screening study

Abstract

Background

Materials and methods

Results

Conclusion

Level of evidence

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Abstract

Background

Materials and methods

Results

Conclusion

Level of evidence

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