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Publisher: Peytchinski Publishing Ltd.
ISSN: 1312-773X (Online)
Issue: 2022, vol. 28, issue3
Subject Area: Medicine
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DOI: 10.5272/jimab.2022283.4517
Published online: 24 August 2022
Original article
J of IMAB. 2022 Jul-Sep;28(3):4517-4520
CONCOMITANCE OF ROTATOR CUFF DISEASE IN SYMPTOMATIC ANTERIOR SHOULDER INSTABILITY
Tsvetan Tsenkov
, Alexander Gerchev,
Department of Orthopedics and Traumatology, University Hospital of Orthopedics “Prof. B. Boichev” Sofia, Medical University – Sofia, Bulgaria.
ABSTRACT:
Purpose: To evaluate the concomitance of rotator cuff disease in patients with symptomatic anterior shoulder instability and its impact on the severity of lesions.
Materials and Methods: Retrospective data were collected from 326 patients from a single institution for a 16-year period. The demographic characteristics of the patients were selected randomly. The leading diagnosis was shoulder instability. Excluded from the study were patients with posterior (n=24) or mixed instability (n=5). Primary diagnosis was confirmed with clinical findings and MRI imaging studies. All patients from the group underwent arthroscopic surgery. A throughout analysis was performed of the collected materials.
Results: 297 patients with primary anterior instability underwent arthroscopic stabilization in the clinic. 25% (n=75) presented with different grade rotator cuff lesions, of which only 33% (n=25) were discovered on MRI preoperatively. In these patients, rotator cuff tenoplasty was performed. In 27% (n=79) of the patients, an evident subacromial space narrowing without rotator cuff lesions was found during arthroscopy. In these cases, a subacromial decompression was performed, and in some of the cases - acromioplasty. In 52% (n=154) of patients who underwent an arthroscopic stabilization for anterior shoulder instability, additional treatment was necessary.
Conclusions: The complex analysis of shoulder pathology can shield the surgeon from diagnostic misses and unsatisfactory results. Coexisting rotator cuff disease may have a role in symptomatic anterior shoulder instability as it is often neglected in clinical evaluations due to the main diagnosis of instability.
Keywords: rotator cuff disease, shoulder, anterior instability, arthroscopy, instability,
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Please cite this article as: Tsenkov T, Gerchev A. Concomitance of Rotator Cuff Disease in Symptomatic Anterior Shoulder Instability. J of IMAB. 2022 Jul-Sep;28(3):4517-4520.
DOI: 10.5272/jimab.2022283.4517
Correspondence to: TsvetanTsenkov, MD. University Hospital of Orthopedics “Prof. B. Boichev” Sofia, Department of Orthopedics and Traumatology, Medical University – Sofia; 56, Nikola Petkov Blvd., 1614 Sofia, Bulgaria; E-mail: tsvetan.tsenkov@icloud.com
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Received: 21 December 2021
Published online: 24 August 2022