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Incidence of rotator cuff tears in shoulder dislocations and results of therapy in older patients

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Abstract

Introduction: In older patients we documented the incidence of additional injuries in shoulder dislocations in a non-randomised, prospective study and compared the results of conservative and of operative therapy of rotator cuff tears. Material and methods: Between 1993 and 1999 a total of 87 patients were prospectively enrolled. In the case of documented tears of the rotator cuff in combination with symptoms persisting after conservative therapy patients were free to decide between surgical and conservative treatment. Patients were monitored for function, subjective stability, and satisfaction over a minimum follow-up period of 1 year. Results: In 54% of the patients enrolled a cuff tear was documented; the frequency increased with advancing age to 100% in patients over the age of 70. Surgical treatment of the cuff tears resulted in better function and satisfaction. There were three recurrences in the conservative treatment group, while no recurrences were documented in surgically treated patients. The significant benefit of cuff repair was confirmed by regression analysis. Conclusion: In this selected patient group, we believe surgical repair of the symptomatic rotator cuff tear should be discussed with the patient.

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References

  1. Bassett RW, Cofield RH (1983) Acute tears of the rotator cuff. The timing of surgical repair. Clin Orthop 175:18–24

    PubMed  Google Scholar 

  2. Groh GI, Rockwood CA (1995) The terrible triad: anterior dislocation of the shoulder associated with rupture of the rotator cuff and injury to the brachial plexus. J Shoulder Elbow Surg 4(1 Pt 1):51–53

    PubMed  CAS  Google Scholar 

  3. Gumina S, Postacchini R (1997) Anterior dislocation of the shoulder in elderly patients. J Bone Joint Surg Br 79(4):540–543

    Article  PubMed  CAS  Google Scholar 

  4. Hawkins RJ, Bell RH, Hawkins RH, Koppert GJ (1986) Anterior dislocation of the shoulder in the older patient.Clin Orthop 206:192–195

    PubMed  Google Scholar 

  5. Keyl W (1992) Schultergürtel. In: Jäger M, Wirth CJ (eds) Praxis der Orthopädie, 2nd edn. Thieme, Stuttgart New York, pp 773

    Google Scholar 

  6. Loew M, Thomsen M, Rickert M, Simank HG (2001) Verletzungsmuster bei der Schulterluxation des älteren Patienten. Unfallchirurg 104:115–118

    Article  PubMed  CAS  Google Scholar 

  7. McLaughlin MC (1960) Trauma. Saunders, Philadelphia, pp 233–296

    Google Scholar 

  8. Milgrom C, Schaffler M, Gilbert S, van Holsbeeck M (1995) Rotator-cuff changes in asymptomatic adults. The effect of age, hand dominance and gender. J Bone Joint Surg Br 77(2):296–298

    PubMed  CAS  Google Scholar 

  9. Neviaser JS (1956) Injuries in and about the shoulder joint. (Instructional Course Lectures of The American Academy of Orthopedic Surgeons, vol 13), pp 187–216 Ann Arborm: JW Edwards, pp 187–216

  10. Neviaser RJ, Neviaser TJ, Neviaser JS (1993) Anterior dislocation of the shoulder and rotator cuff rupture. Clin Orthop 291:103–106

    PubMed  Google Scholar 

  11. Neviaser RJ, Neviaser TJ, Neviaser JS (1988) Concurrent rupture of the rotator cuff and anterior dislocation of the shoulder in the older patient. J Bone Joint Surg Am 70(9):1308–1311

    PubMed  CAS  Google Scholar 

  12. Noel B, Walch G, Tebib JG (1990) Luxation recidivante antéerieur de l′éepaule (LRAE) survievant aprèes 40 ans et la rupture de la coiffe des rotateurs. Rev Rheumatisme 57:189–191

    CAS  Google Scholar 

  13. Pevny T, Hunter RE, Freeman JR (1998) Primary traumatic anterior shoulder dislocation in patients 40 years of age and older. Arthroscopy 14(3):289–294

    Article  PubMed  CAS  Google Scholar 

  14. Ribbans WJ, Mitchell R, Taylor GJ (1990) Computerised arthrotomography of primary anterior dislocation of the shoulder. J Bone Joint Surg Br 72(2):181–185

    PubMed  CAS  Google Scholar 

  15. Samilson RL, Prieto V (1983) Dislocation arthropathy of the shoulder. J Bone Joint Surg Am 65(4):456–460

    PubMed  CAS  Google Scholar 

  16. Sonnabend DH (1994) Treatment of primary anterior shoulder dislocation in patients older than 40 years of age Conservative versus operative. Clin Orthop 304:74–77

    PubMed  Google Scholar 

  17. Stevens JH (1926) Dislocation of the shoulder. Ann Surg 83:84–103

    PubMed  CAS  Google Scholar 

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Authors and Affiliations

  1. Department of Orthopaedics, University of Heidelberg, Schlierbacher Landstrasse 200, 69118, Heidelberg, Germany

    G. Dauer, S. Schneider & M. Loew

  2. Orthopädische Gemeinschaftspraxis, Orthopädisches Centrum Nordbayern, Eppenreuther Strasse 28, 95032, Hof, Germany

    H.-G. Simank

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  1. H.-G. Simank
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  2. G. Dauer
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  3. S. Schneider
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  4. M. Loew
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Correspondence to H.-G. Simank.

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Simank, HG., Dauer, G., Schneider, S. et al. Incidence of rotator cuff tears in shoulder dislocations and results of therapy in older patients. Arch Orthop Trauma Surg 126, 235–240 (2006). https://doi.org/10.1007/s00402-005-0034-0

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  • DOI: https://doi.org/10.1007/s00402-005-0034-0

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