An Evidenced-Based Examination of the Epidemiology and Outcomes of Traumatic Rotator Cuff Tears
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Rotator cuff tears are a source of significant 1 morbidity for patients. A study examining 200 patients regardless of symptoms discovered that those with ultrasound-proven rotator cuff tears had worse Simple Shoulder Test (SST) and Constant scores than those with an intact cuff. Another recent study of the natural history of rotator cuff tears found that outcome scores were significantly lower for symptomatic tears than asymptomatic tears.
When rotator cuff tears occur in the younger, working population, these injuries can cause significant lost wages or time lost from work. Recently, information regarding the morphology and natural history of chronic or atraumatic rotator cuff tears has been reported. Several studies have revealed that the prevalence of these injuries increases with age. Also, tears appear to begin in an area posterior to the biceps and propagate in both directions. Although many of these tears begin asymptomatically, at least 20% progress to symptomatic tears in only a few years. Unfortunately, very little has been published on the epidemiology, prevalence, or natural history of traumatic, acute rotator cuff tears.
The purpose of this study was to systematically review the literature to better define the epidemiology, mechanism of injury, tear characteristics, outcomes, and healing of traumatic rotator cuff tears. A secondary goal was to determine if sufficient evidence exists to recommend early surgical repair in traumatic rotator cuff tears.
Full Article: An Evidenced-Based Examination of the Epidemiology and Outcomes of Traumatic Rotator Cuff Tears
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