Primary anterior shoulder dislocation and rotator cuff tears.
In a prospective controlled study 167 patients with 167 primary traumatic anterior shoulder dislocations underwent early ultrasonograpic evaluation for rotator cuff tears. We found 53 (31.7%) full-thickness cuff tears in this group. Compared with a group of 93 healthy volunteers, we found with statistical significance more cuff tears in the patients aged < 60 years. Women ruptured the cuff more often than men. If the patient is not able to elevate the affected arm more than 90 degrees in the scapular plane 2 weeks after the dislocation, there should be a high suspicion of rotator cuff tear (76.7%). For early detection of relevant rotator cuff lesions, we recommend shoulder ultrasonographic examination and measurement of active elevation after each traumatic shoulder dislocation in the above mentioned age group.
Berbig
R
R
Sports Medicine Section, Department of Surgery, Triemli Hospital, Zürich, Switzerland.
Weishaupt
D
D
Prim
J
J
Shahin
O
O
D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D011446:Prospective Studies; D016059:Range of Motion, Articular; D017006:Rotator Cuff / Q000000981:diagnostic imaging / Q000473:pathology*; D012421:Rupture / Q000175:diagnosis; D012737:Sex Factors; D012783:Shoulder Dislocation / Q000150:complications* / Q000000981:diagnostic imaging; D014463:Ultrasonography