Last updated: Tuesday, January 25 2005
Shoulder conditions do not exist in isolation. They affect the overall health status of the individual and conversely are affected by the individual's overall health. A practical method for documenting health status is the SF 36 self-assessment questionnaire. It contains standardized questions that are then reduced to eight health status scores.
Last updated: Wednesday, January 26, 2005
Eight clinical entities
The discussion of treatment will be divided in terms of eight clinical entities: asymptomatic cuff failure posterior capsular tightness subacromial abrasion failed acromioplasty partial thickness cuff lesions full thickness cuff tears failed cuff repair and cuff tear arthropathy.
Last updated: Thursday, February 10 2005
Last updated: Monday, February 4, 2013
Standard radiographs can provide limited assistance in evaluating shoulder weakness.
Plain radiographs
Last updated: January 26 2005
It is often difficult to tell where concepts actually begin. It is certainly not obvious who first used the term rotator or musculotendinous cuff. Credit for first describing ruptures of this structure is often given to J. G. Smith who in 1834 described the occurrence of tendon rupture after shoulder injury in the London Medical Gazette. (Smith 1834)
Development of surgical technique
Last updated: Tuesday, January 25, 2005
About rotator cuff failure
Last updated: Wednesday, January 26 2005
Traditionally it is stated that rotator cuff tears must be differentiated from cuff tendinitis and bursitis and that tests such as arthrography or ultrasonography are necessary to make this distinction. About rotator cuff tear diagnosis Rotator Cuff Clinical PresentationLast updated: Monday, February 4, 2013 The clinical manifestations of the various clinical forms of cuff disease include difficulties with shoulder stiffness weakness instability and roughness. (Matsen Lippitt 1994 Samilson and Binder 1975) Stiffness limits passive range of motion and frequently causes pain at the end point of motion as well as difficulty sleeping. Stiffness as limitation Reverse Total Shoulder or Delta Shoulder for Shoulder Arthritis Combined with Massive Rotator Cuff Tear and for Failed Conventional Total Shoulder ReplacementReverse Shoulder ReplacementReverse Shoulder Replacement for arthritis and massive rotator cuff tearsSurgery with a reverse prosthesis can lessen shoulder pain and improve function in shoulders with failed surgery or combined arthritis, rotator cuff tears and instability |