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The effects of rotator cuff tears, including shoulders without pain, on activities of daily living in the general population

  • Original Article
  • Published:
Journal of Orthopaedic Science

Abstract

Background

Few reports have so far evaluated the possible restrictions of activities of daily living (ADL) in patients with asymptomatic rotator cuff tears (RCTs). The purpose of this study was to examine the effects of RCTs, including shoulders without pain, on ADL in the general population.

Methods

We performed medical checkups on 462 individuals (924 shoulders). All participants completed a questionnaire regarding their background and medical history. We then assessed their shoulder functions with the Simple Shoulder Test (SST) and performed US (US) examinations of both shoulders to diagnose RCTs. We divided participants into tear and nontear groups and performed statistical analysis to compare total SST scores and each SST item between groups. Furthermore, we performed the same examinations for participants identified as having shoulders without pain.

Results

Among participants, those in the tear group showed significantly lower total SST scores than those in the nontear group. After examining each SST item, a significant difference was observed regarding the ability to sleep comfortably and to lift 3.6 kg to shoulder level. In shoulders without pain, the tear group showed significantly lower total SST scores than the nontear group. A significant difference was observed only regarding the ability to lift 3.6 kg to shoulder level.

Conclusions

In the general population, ADL were restricted in participants with RCTs; they experienced night pain in the shoulder and muscle weakness during shoulder elevation. Furthermore, participants with RCTs, even if the condition itself did not induce any pain, tended to experience muscle weakness during shoulder elevation, thus resulting in restrictions of ADL.

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References

  1. Kim HM, Teefey SA, Zelig A, Galatz LM, Keener JD, Yamaguchi K. Shoulder strength in asymptomatic individuals with intact compared with torn rotator cuffs. J Bone Joint Surg Am. 2009;91(2):289–96.

    Article  PubMed  Google Scholar 

  2. Mall NA, Kim HM, Keener JD, Steger-May K, Teefey SA, Middleton WD, Stobbs G, Yamaguchi K. Symptomatic progression of asymptomatic rotator cuff tears: a prospective study of clinical, sonographic variables. J Bone Joint Surg Am. 2010;92(16):2623–33.

    Article  PubMed  Google Scholar 

  3. Milgrom C, Schaffler M, Gilbert S, van Holsbeeck M. Rotator-cuff changes in asymptomatic adults. The effect of age, hand dominance, gender. J Bone Joint Surg Br. 1995;77(2):296–8.

    PubMed  CAS  Google Scholar 

  4. Moosmayer S, Smith HJ, Tariq R, Larmo A. Prevalence characteristics of asymptomatic tears of the rotator cuff: an ultrasonographic, clinical study. J Bone Joint Surg Br. 2009;91(2):196–200.

    Article  PubMed  CAS  Google Scholar 

  5. Schibany N, Zehetgruber H, Kainberger F, Wurnig C, Ba-Ssalamah A, Herneth AM, Lang T, Gruber D, Breitenseher MJ. Rotator cuff tears in asymptomatic individuals: a clinical, ultrasonographic screening study. Eur J Radiol. 2004;51(3):263–8.

    Article  PubMed  CAS  Google Scholar 

  6. Sher JS, Uribe JW, Posada A, Murphy BJ, Zlatkin MB. Abnormal findings on magnetic resonance images of asymptomatic shoulders. J Bone Joint Surg Am. 1995;77(1):10–5.

    PubMed  CAS  Google Scholar 

  7. Tempelhof S, Rupp S, Seil R. Age-related prevalence of rotator cuff tears in asymptomatic shoulders. J Shoulder Elbow Surg. 1999;8(4):296–9.

    Article  PubMed  CAS  Google Scholar 

  8. Yamaguchi K, Tetro AM, Blam O, Evanoff BA, Teefey SA, Middleton WD. Natural history of asymptomatic rotator cuff tears: a longitudinal analysis of asymptomatic tears detected sonographically. J Shoulder Elbow Surg. 2001;10(3):199–203.

    Article  PubMed  CAS  Google Scholar 

  9. 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.

    Article  PubMed  Google Scholar 

  10. Yamamoto A, Takagishi K, Osawa T, Yanagawa T, Nakajima D, Shitara H, Kobayashi T. Prevalence and risk factors of a rotator cuff tear in the general population. J Shoulder Elbow Surg. 2010;19(1):116–20.

    Article  PubMed  Google Scholar 

  11. Lippitt SB, Harryman DT 2nd, Matsen FA 3rd. A practical tool for evaluating function: the Simple Shoulder Test. In: Matsen FA 3rd, Fu FH, Hawkins RJ, editors. The shoulder: a balance of mobility and stability. Rosemont: American Academy of Orthopaedic Surgeons; 1993. p. 501–18.

  12. Fehringer EV, Sun J, VanOeveren LS, Keller BK, Matsen FA 3rd. Full-thickness rotator cuff tear prevalence and correlation with function and co-morbidities in patients sixty-five years and older. J Shoulder Elbow Surg. 2008;17(6):881–5.

    Article  PubMed  Google Scholar 

  13. Fehringer EV, Sun J, Cotton J, Carlson MJ, Burns EM. Healed cuff repairs impart normal shoulder scores in those 65 years of age and older. Clin Orthop Relat Res. 2010;468(6):1521–5.

    Article  PubMed  Google Scholar 

  14. Godfrey J, Hamman R, Lowenstein S, Briggs K, Kocher M. Reliability, validity, and responsiveness of the simple shoulder test: psychometric properties by age and injury type. J Shoulder Elbow Surg. 2007;16(3):260–7.

    Article  PubMed  Google Scholar 

  15. Keener JD, Steger-May K, Stobbs G, Yamaguchi K. Asymptomatic rotator cuff tears: patient demographics and baseline shoulder function. J Shoulder Elbow Surg. 2010;19(8):1191–8.

    Article  PubMed  Google Scholar 

  16. Matsen FA 3rd, Smith KL, DeBartolo SE, Von Oesen G. A comparison of patients with late-stage rheumatoid arthritis and osteoarthritis of the shoulder using self-assessed shoulder function and health status. Arthritis Care Res. 1997;10(1):43–7.

    Article  PubMed  Google Scholar 

  17. Matsen FA 3rd. Early effectiveness of shoulder arthroplasty for patients who have primary glenohumeral degenerative joint disease. J Bone Joint Surg Am. 1996;78(2):260–4.

    PubMed  Google Scholar 

  18. Matsen FA 3rd, Smith KL. Effectiveness evaluation and the shoulder. In: Rockwood CA Jr, Matsen FA 3rd, editors. The shoulder. 2nd ed. Philadelphia: WB Saunders; 1998. p. 1313–40.

  19. Matsen FA 3rd, Ziegler DW, DeBartolo SE. Patient self-assessment of health status and function in glenohumeral degenerative joint disease. J Shoulder Elbow Surg. 1995;4(5):345–51.

    Article  PubMed  Google Scholar 

  20. Roddey TS, Olson SL, Cook KF, Gartsman GM, Hanten W. Comparison of the University of California-Los Angeles Shoulder Scale and the Simple Shoulder Test with the shoulder pain and disability index: single-administration reliability and validity. Phys Ther. 2000;80(8):759–68.

    PubMed  CAS  Google Scholar 

  21. Tashjian RZ, Deloach J, Green A, Porucznik CA, Powell AP. Minimal clinically important differences in ASES and simple shoulder test scores after nonoperative treatment of rotator cuff disease. J Bone Joint Surg Am. 2010;92(2):296–303.

    Article  PubMed  Google Scholar 

  22. Middleton WD, Reinus WR, Totty WG, Melson CL, Murphy WA. Ultrasonographic evaluation of the rotator cuff and biceps tendon. J Bone Joint Surg Am. 1986;68(3):440–50.

    PubMed  CAS  Google Scholar 

  23. Takagishi K, Makino K, Takahira N, Ikeda T, Tsuruno K, Itoman M. Ultrasonography for diagnosis of rotator cuff tear. Skeletal Radiol. 1996;25(3):221–4.

    Article  PubMed  CAS  Google Scholar 

  24. Bunker TD, Anthony PP. The pathology of frozen shoulder. A Dupuytren-like disease. J Bone Joint Surg Br. 1995;77(5):677–83.

    PubMed  CAS  Google Scholar 

  25. Zuckerman JD, Cuomo F, Rokito S. Definition and classification of frozen shoulder: a consensus approach. J Shoulder Elbow Surg. 1994;3(1):S72.

    Google Scholar 

  26. Duckworth DG, Smith KL, Campbell B, Matsen FA 3rd. Self-assessment questionnaires document substantial variability in the clinical expression of rotator cuff tears. J Shoulder Elbow Surg. 1999;8(4):330–3.

    Article  PubMed  CAS  Google Scholar 

  27. Harryman DT 2nd, Hettrich CM, Smith KL, Campbell B, Sidles JA, Matsen FA 3rd. A prospective multipractice investigation of patients with full-thickness rotator cuff tears: the importance of comorbidities, practice, and other covariables on self-assessed shoulder function and health status. J Bone Joint Surg Am. 2003;85-A(4):690–6.

    Google Scholar 

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Conflict of interest

The authors did not receive and will not receive any benefits or funding from any commercial party related directly or indirectly to the subject of this article.

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Authors and Affiliations

  1. Department of Orthopaedic Surgery, Gunma University Graduate School of Medicine, 3-39-22, Showa-machi, Maebashi, Gunma, 371-8511, Japan

    Daisuke Nakajima, Atsushi Yamamoto, Tsutomu Kobayashi, Hitoshi Shitara, Tsuyoshi Ichinose, Eiji Takasawa & Kenji Takagishi

  2. Department of Orthopaedic Surgery, National Hospital Organization Takasaki Hospital, 36, Takamatsu-machi, Takasaki, Gunma, 370-8537, Japan

    Toshihisa Osawa

Authors
  1. Daisuke Nakajima
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  2. Atsushi Yamamoto
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  3. Tsutomu Kobayashi
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  4. Toshihisa Osawa
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  5. Hitoshi Shitara
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  6. Tsuyoshi Ichinose
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  7. Eiji Takasawa
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  8. Kenji Takagishi
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Correspondence to Daisuke Nakajima.

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Nakajima, D., Yamamoto, A., Kobayashi, T. et al. The effects of rotator cuff tears, including shoulders without pain, on activities of daily living in the general population. J Orthop Sci 17, 136–140 (2012). https://doi.org/10.1007/s00776-011-0186-4

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  • DOI: https://doi.org/10.1007/s00776-011-0186-4

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