Imaging Factors Related to Rotator Cuff Tear in Patients with Deltoid Contracture
Bony deformity and muscular malfunction around the shoulder induced by deltoid contracture may influence rotator cuff function and lead to subsequent tearing. The purpose of this study was to investigate the imaging and clinical factors related to rotator cuff tear in patients with deltoid contractu...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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Elsevier
2006-01-01
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| Series: | Journal of the Formosan Medical Association |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S092966460960334X |
| _version_ | 1828765197225951232 |
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| author | Chung-Cheng Huang Sheung-Fat Ko Yung-Liang Wan Yu-Fan Cheng Ching-Jen Wang |
| author_facet | Chung-Cheng Huang Sheung-Fat Ko Yung-Liang Wan Yu-Fan Cheng Ching-Jen Wang |
| author_sort | Chung-Cheng Huang |
| collection | DOAJ |
| description | Bony deformity and muscular malfunction around the shoulder induced by deltoid contracture may influence rotator cuff function and lead to subsequent tearing. The purpose of this study was to investigate the imaging and clinical factors related to rotator cuff tear in patients with deltoid contracture.
Methods: We retrospectively reviewed 48 shoulders in 44 patients with magnetic resonance imaging diagnosis of deltoid contracture and surgically-proven rotator cuff tear. These shoulders were subdivided into partial-thickness and full-thickness tear groups. Another 17 shoulders in 17 patients with deltoid contracture but no evident rotator cuff tear were included as the control group. The characteristics, including age, gender and imaging features, of these three groups were compared.
Results: Two patients who underwent initial operations for cuff tears required secondary operations for distal release of deltoid contracture. The age of patients with full-thickness tear was significantly greater than that of patients with partial-thickness tear or without tear. The winging angle of the glenoid (WAG) in the full-thickness tear group was significantly greater than that in the partial-thickness tear group. Patients with partial-thickness tear also had greater WAG than those without tear. However, WAG was not significantly correlated with the fibrotic size or age of the patient.
Conclusion: In patients with deltoid contracture, age and WAG are associated with the development of rotator cuff tear. To prevent the occurrence of rotator cuff tear, early surgical release of deltoid contracture is highly recommended, especially in patients with greater WAG. |
| first_indexed | 2024-12-11T06:44:52Z |
| format | Article |
| id | doaj.art-fb58844ec807442f829e8f3143d23c0c |
| institution | Directory Open Access Journal |
| issn | 0929-6646 |
| language | English |
| last_indexed | 2024-12-11T06:44:52Z |
| publishDate | 2006-01-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Journal of the Formosan Medical Association |
| spelling | doaj.art-fb58844ec807442f829e8f3143d23c0c2022-12-22T01:17:07ZengElsevierJournal of the Formosan Medical Association0929-66462006-01-01105213213810.1016/S0929-6646(09)60334-XImaging Factors Related to Rotator Cuff Tear in Patients with Deltoid ContractureChung-Cheng HuangSheung-Fat KoYung-Liang WanYu-Fan ChengChing-Jen WangBony deformity and muscular malfunction around the shoulder induced by deltoid contracture may influence rotator cuff function and lead to subsequent tearing. The purpose of this study was to investigate the imaging and clinical factors related to rotator cuff tear in patients with deltoid contracture. Methods: We retrospectively reviewed 48 shoulders in 44 patients with magnetic resonance imaging diagnosis of deltoid contracture and surgically-proven rotator cuff tear. These shoulders were subdivided into partial-thickness and full-thickness tear groups. Another 17 shoulders in 17 patients with deltoid contracture but no evident rotator cuff tear were included as the control group. The characteristics, including age, gender and imaging features, of these three groups were compared. Results: Two patients who underwent initial operations for cuff tears required secondary operations for distal release of deltoid contracture. The age of patients with full-thickness tear was significantly greater than that of patients with partial-thickness tear or without tear. The winging angle of the glenoid (WAG) in the full-thickness tear group was significantly greater than that in the partial-thickness tear group. Patients with partial-thickness tear also had greater WAG than those without tear. However, WAG was not significantly correlated with the fibrotic size or age of the patient. Conclusion: In patients with deltoid contracture, age and WAG are associated with the development of rotator cuff tear. To prevent the occurrence of rotator cuff tear, early surgical release of deltoid contracture is highly recommended, especially in patients with greater WAG.http://www.sciencedirect.com/science/article/pii/S092966460960334Xdeltoid contracturemagnetic resonance imagingrotator cuff tear |
| spellingShingle | Chung-Cheng Huang Sheung-Fat Ko Yung-Liang Wan Yu-Fan Cheng Ching-Jen Wang Imaging Factors Related to Rotator Cuff Tear in Patients with Deltoid Contracture Journal of the Formosan Medical Association deltoid contracture magnetic resonance imaging rotator cuff tear |
| title | Imaging Factors Related to Rotator Cuff Tear in Patients with Deltoid Contracture |
| title_full | Imaging Factors Related to Rotator Cuff Tear in Patients with Deltoid Contracture |
| title_fullStr | Imaging Factors Related to Rotator Cuff Tear in Patients with Deltoid Contracture |
| title_full_unstemmed | Imaging Factors Related to Rotator Cuff Tear in Patients with Deltoid Contracture |
| title_short | Imaging Factors Related to Rotator Cuff Tear in Patients with Deltoid Contracture |
| title_sort | imaging factors related to rotator cuff tear in patients with deltoid contracture |
| topic | deltoid contracture magnetic resonance imaging rotator cuff tear |
| url | http://www.sciencedirect.com/science/article/pii/S092966460960334X |
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