Impingement is not impingement: the case for calling it “Rotator Cuff Disease”

McFarland, Edward G. and Maffulli, Nicola and Del Buono, Angelo and Murrell, George A. C. and Garzon-Muvdi, Juan and Petersen, Steve A. (2013) Impingement is not impingement: the case for calling it “Rotator Cuff Disease”. M.L.T.J. Muscles, Ligaments and Tendons Journal, 3 (3). pp. 196-200. ISSN 2240-4554

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Historically, many causes have been proposed for rotator cuff conditions. The most prevalent theory is that the rotator cuff tendons, especially the supraspinatus, make contact with the acromion and coracoacromial ligament, resulting in pain and eventual tearing of the tendon. However, more recent evidence suggests that this concept does not explain the changes in rotator cuff tendons with age. The role of acromioplasty and coracoacromial ligament release in the treatment of rotator cuff disease has become questioned. Evidence now suggests that tendinopathy associated with aging may be a predominant factor in the development of rotator cuff degeneration. We propose that the overwhelming evidence favors factors other than “impingement” as the major cause of rotator cuff disease and that a paradigm shift in the way the development of rotator cuff pathology is conceptualized allows for a more comprehensive approach to the care of the patient with rotator cuff disease.

Item Type: Article
Uncontrolled Keywords: Acromioplasty, impingement, rotator cuff, shoulder
Subjects: 600 Tecnologia - Scienze applicate > 610 Medicina e salute (Classificare qui la tecnologia dei servizi medici) > 616 Malattie (classificare qui la Clinica medica, la medicina basata sull'evidenza, la Medicina interna, la Medicina sperimentale) > 616.7 Malattie del sistema muscoloscheletrico
Depositing User: Danilo Dezzi
Date Deposited: 17 Apr 2014 15:13
Last Modified: 17 Apr 2014 15:13

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