Scapular Kinematics and Patterns of Scapular Dyskinesis in Rotator Cuff Tears: A Prospective Cohort Study

Scapular dyskinesis (SD) is a condition of loss of normal mobility or function of the scapula. SD is frequently observed in patients with other shoulder disorders, such as rotator cuff (RC) tears. This study evaluates the different presentations in clinical outcomes and range of motions (ROMs) in pa...

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Main Authors: Umile Giuseppe Longo, Laura Risi Ambrogioni, Vincenzo Candela, Alessandra Berton, Daniela Lo Presti, Vincenzo Denaro
Format: Article
Language:English
Published: MDPI AG 2023-06-01
Series:Journal of Clinical Medicine
Subjects:
Online Access:https://www.mdpi.com/2077-0383/12/11/3841
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author Umile Giuseppe Longo
Laura Risi Ambrogioni
Vincenzo Candela
Alessandra Berton
Daniela Lo Presti
Vincenzo Denaro
author_facet Umile Giuseppe Longo
Laura Risi Ambrogioni
Vincenzo Candela
Alessandra Berton
Daniela Lo Presti
Vincenzo Denaro
author_sort Umile Giuseppe Longo
collection DOAJ
description Scapular dyskinesis (SD) is a condition of loss of normal mobility or function of the scapula. SD is frequently observed in patients with other shoulder disorders, such as rotator cuff (RC) tears. This study evaluates the different presentations in clinical outcomes and range of motions (ROMs) in patients suffering from RC tears with and without SD. A total of 52 patients were enrolled, of which 32 patients with RC tears and SD (group A) and 20 patients with RC tears without SD (group B). Statistically significant differences between the groups in terms of clinical outcomes were identified. There were statistically significant differences in terms of flexion (<i>p</i> = 0.019), extension (<i>p</i> = 0.015), abduction (<i>p</i> = 0.005), and external rotation at 90° (<i>p</i> = 0.003) and at 0° (<i>p</i> = 0.025). In conclusion, this prospective study demonstrated that SD influences the clinical presentation of patients with RC tears in terms of clinical outcomes and ROMs, apart from internal rotation. Further studies will need to show whether these differences occur regardless of SD type.
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spelling doaj.art-e723938165294b119ab2c35c9ac8a7272023-11-18T08:07:09ZengMDPI AGJournal of Clinical Medicine2077-03832023-06-011211384110.3390/jcm12113841Scapular Kinematics and Patterns of Scapular Dyskinesis in Rotator Cuff Tears: A Prospective Cohort StudyUmile Giuseppe Longo0Laura Risi Ambrogioni1Vincenzo Candela2Alessandra Berton3Daniela Lo Presti4Vincenzo Denaro5Research Unit of Orthopaedic and Trauma Surgery, Fondazione Policlinico Universitario Campus Bio-Medico, Via Alvaro del Portillo, 200, 00128 Roma, ItalyResearch Unit of Orthopaedic and Trauma Surgery, Fondazione Policlinico Universitario Campus Bio-Medico, Via Alvaro del Portillo, 200, 00128 Roma, ItalyResearch Unit of Orthopaedic and Trauma Surgery, Fondazione Policlinico Universitario Campus Bio-Medico, Via Alvaro del Portillo, 200, 00128 Roma, ItalyResearch Unit of Orthopaedic and Trauma Surgery, Fondazione Policlinico Universitario Campus Bio-Medico, Via Alvaro del Portillo, 200, 00128 Roma, ItalyUnit of Measurements and Biomedical Instrumentation, Campus Bio-Medico University, Via Alvaro del Portillo, 21, 00128, Rome, ItalyResearch Unit of Orthopaedic and Trauma Surgery, Fondazione Policlinico Universitario Campus Bio-Medico, Via Alvaro del Portillo, 200, 00128 Roma, ItalyScapular dyskinesis (SD) is a condition of loss of normal mobility or function of the scapula. SD is frequently observed in patients with other shoulder disorders, such as rotator cuff (RC) tears. This study evaluates the different presentations in clinical outcomes and range of motions (ROMs) in patients suffering from RC tears with and without SD. A total of 52 patients were enrolled, of which 32 patients with RC tears and SD (group A) and 20 patients with RC tears without SD (group B). Statistically significant differences between the groups in terms of clinical outcomes were identified. There were statistically significant differences in terms of flexion (<i>p</i> = 0.019), extension (<i>p</i> = 0.015), abduction (<i>p</i> = 0.005), and external rotation at 90° (<i>p</i> = 0.003) and at 0° (<i>p</i> = 0.025). In conclusion, this prospective study demonstrated that SD influences the clinical presentation of patients with RC tears in terms of clinical outcomes and ROMs, apart from internal rotation. Further studies will need to show whether these differences occur regardless of SD type.https://www.mdpi.com/2077-0383/12/11/3841scapulakinematicsscapular dyskinesisrotator cuff tearsrange of motions
spellingShingle Umile Giuseppe Longo
Laura Risi Ambrogioni
Vincenzo Candela
Alessandra Berton
Daniela Lo Presti
Vincenzo Denaro
Scapular Kinematics and Patterns of Scapular Dyskinesis in Rotator Cuff Tears: A Prospective Cohort Study
Journal of Clinical Medicine
scapula
kinematics
scapular dyskinesis
rotator cuff tears
range of motions
title Scapular Kinematics and Patterns of Scapular Dyskinesis in Rotator Cuff Tears: A Prospective Cohort Study
title_full Scapular Kinematics and Patterns of Scapular Dyskinesis in Rotator Cuff Tears: A Prospective Cohort Study
title_fullStr Scapular Kinematics and Patterns of Scapular Dyskinesis in Rotator Cuff Tears: A Prospective Cohort Study
title_full_unstemmed Scapular Kinematics and Patterns of Scapular Dyskinesis in Rotator Cuff Tears: A Prospective Cohort Study
title_short Scapular Kinematics and Patterns of Scapular Dyskinesis in Rotator Cuff Tears: A Prospective Cohort Study
title_sort scapular kinematics and patterns of scapular dyskinesis in rotator cuff tears a prospective cohort study
topic scapula
kinematics
scapular dyskinesis
rotator cuff tears
range of motions
url https://www.mdpi.com/2077-0383/12/11/3841
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