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Characteristics and Clinical Outcomes in Overhead Sports Athletes after Rotator Cuff Repair
Rotator cuff tears in young overhead sports athletes are rare. The pathomechanism causing rotator cuff tears in young overhead athletes is different from that in aged patients. The purpose of this study was to investigate rotator cuff tear characteristics in young overhead sports athletes to reveal...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Hindawi
2017
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5494057/ https://www.ncbi.nlm.nih.gov/pubmed/28702502 http://dx.doi.org/10.1155/2017/5476293 |
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author | Muto, Tomoyuki Inui, Hiroaki Ninomiya, Hiroki Tanaka, Hiroshi Nobuhara, Katsuya |
author_facet | Muto, Tomoyuki Inui, Hiroaki Ninomiya, Hiroki Tanaka, Hiroshi Nobuhara, Katsuya |
author_sort | Muto, Tomoyuki |
collection | PubMed |
description | Rotator cuff tears in young overhead sports athletes are rare. The pathomechanism causing rotator cuff tears in young overhead athletes is different from that in aged patients. The purpose of this study was to investigate rotator cuff tear characteristics in young overhead sports athletes to reveal the pathomechanism causing these injuries. This study included 25 overhead sports athletes less than 30 years old with atraumatic rotator cuff tears necessitating repair. Rotator cuff tear characteristics were evaluated intraoperatively, including rotator cuff tear shape and injured rotator cuff tendon. Clinical outcome measures were assessed before surgery and at the final follow-up. In this study, 22 patients reported minimal to no shoulder pain and returned to sports without significant complaints at last follow-up. The isolated infraspinatus tendon was most often injured; the incidence rate of the tear at this site was 32% (8 cases). In the deceleration phase of overhead motion, the eccentric contraction force of the ISP (infraspinatus) tendon peaks and the increased load leads to injury at the ISP tendon. The pathomechanism of rotator cuff injuries in young overhead athletes might be not only internal or subacromial impingement, but also these mechanisms. |
format | Online Article Text |
id | pubmed-5494057 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2017 |
publisher | Hindawi |
record_format | MEDLINE/PubMed |
spelling | pubmed-54940572017-07-12 Characteristics and Clinical Outcomes in Overhead Sports Athletes after Rotator Cuff Repair Muto, Tomoyuki Inui, Hiroaki Ninomiya, Hiroki Tanaka, Hiroshi Nobuhara, Katsuya J Sports Med (Hindawi Publ Corp) Research Article Rotator cuff tears in young overhead sports athletes are rare. The pathomechanism causing rotator cuff tears in young overhead athletes is different from that in aged patients. The purpose of this study was to investigate rotator cuff tear characteristics in young overhead sports athletes to reveal the pathomechanism causing these injuries. This study included 25 overhead sports athletes less than 30 years old with atraumatic rotator cuff tears necessitating repair. Rotator cuff tear characteristics were evaluated intraoperatively, including rotator cuff tear shape and injured rotator cuff tendon. Clinical outcome measures were assessed before surgery and at the final follow-up. In this study, 22 patients reported minimal to no shoulder pain and returned to sports without significant complaints at last follow-up. The isolated infraspinatus tendon was most often injured; the incidence rate of the tear at this site was 32% (8 cases). In the deceleration phase of overhead motion, the eccentric contraction force of the ISP (infraspinatus) tendon peaks and the increased load leads to injury at the ISP tendon. The pathomechanism of rotator cuff injuries in young overhead athletes might be not only internal or subacromial impingement, but also these mechanisms. Hindawi 2017 2017-06-15 /pmc/articles/PMC5494057/ /pubmed/28702502 http://dx.doi.org/10.1155/2017/5476293 Text en Copyright © 2017 Tomoyuki Muto et al. https://creativecommons.org/licenses/by/4.0/ This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Research Article Muto, Tomoyuki Inui, Hiroaki Ninomiya, Hiroki Tanaka, Hiroshi Nobuhara, Katsuya Characteristics and Clinical Outcomes in Overhead Sports Athletes after Rotator Cuff Repair |
title | Characteristics and Clinical Outcomes in Overhead Sports Athletes after Rotator Cuff Repair |
title_full | Characteristics and Clinical Outcomes in Overhead Sports Athletes after Rotator Cuff Repair |
title_fullStr | Characteristics and Clinical Outcomes in Overhead Sports Athletes after Rotator Cuff Repair |
title_full_unstemmed | Characteristics and Clinical Outcomes in Overhead Sports Athletes after Rotator Cuff Repair |
title_short | Characteristics and Clinical Outcomes in Overhead Sports Athletes after Rotator Cuff Repair |
title_sort | characteristics and clinical outcomes in overhead sports athletes after rotator cuff repair |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5494057/ https://www.ncbi.nlm.nih.gov/pubmed/28702502 http://dx.doi.org/10.1155/2017/5476293 |
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