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Massive Rotator Cuff Tears and Rotator Cuff Arthropathy

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Abstract

Multiple etiologies have been implicated in the pathogenesis of rotator cuff tear mainly of two types: extrinsic, such as subacromial and internal impingement, tensile overload, repetitive stress; intrinsic, such as poor vascularity, alterations in material properties, matrix composition, and aging. The work of Yamamoto [1] statistically identified that the risk factors associated with rotator cuff tears in the general population were a history of trauma, the dominant arm, and age. In subjects who were under 49 years of age, rotator cuff tears were more strongly associated with the dominant arm and a history of trauma. These results indicated that extrinsic factors were more closely associated in the tears of the younger patients. The same study found 6.7 % of patients in their 40s with rotator cuff ruptures, 12.8 % in their 50s, 25.6 % in their 60s, 45.8 % in their 70s, and 50.0 % in their 80s, with the prevalence increasing with age. Despite these results, 16.9 % of the subjects without symptoms have also a rotator cuff rupture.

Chapter edited by A. Cartucho. © ESSKA

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    Antonio Cartucho

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  1. , Department of Orthopaedic Surgery, University Hospital of Geneva, Rue Gabrielle Perret Gentil 4, Geneva, 1211, Switzerland

    Jacques Menetrey

  2. Clinica Ortopedica Traumatologica III, Istituti Ortopedico Rizzoli, Via Pupilli 1, Bologna, 40136, Italy

    Stefano Zaffagnini

  3. , Department of Orthopaedic Surgery, University Hospital of Geneva, Rue Gabrielle Perret Gentil 4, Geneva, 1211, Switzerland

    Daniel Fritschy

  4. Academic Medical Centre, Orthopedic Surgery, University of Amsterdam, Meibergdreef 9, Amsterdam, 1105 AZ, Netherlands

    Niek van Dijk

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© 2012 ESSKA

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Cartucho, A. et al. (2012). Massive Rotator Cuff Tears and Rotator Cuff Arthropathy. In: Menetrey, J., Zaffagnini, S., Fritschy, D., van Dijk, N. (eds) ESSKA Instructional Course Lecture Book. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-29446-4_8

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