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What do standard radiography and clinical examination tell about the shoulder with cuff tear arthropathy?

BART MIDDERNACHT UGent, PHILIP WINNOCK-DE GRAVE UGent, Georges Van Maele UGent, Luc Favard, Daniel Molé and Lieven De Wilde UGent (2011) JOURNAL OF ORTHOPAEDIC SURGERY AND RESEARCH. 6.
abstract
Background: This study evaluates the preoperative conventional anteroposterior radiography and clinical testing in non-operated patients with cuff tear arthropathy. It analyses the radiological findings in relation to the status of the rotator cuff and clinical status as also the clinical testing in relation to the rotator cuff quality. The aim of the study is to define the usefulness of radiography and clinical examination in cuff tear arthropathy. Methods: This study analyses the preoperative radiological (AP-view, (Artro-)CT-scan or MRI-scan) and clinical characteristics (Constant-Murley-score plus active and passive mobility testing) and the peroperative findings in a cohort of 307 patients. These patients were part of a multicenter, retrospective, consecutive study of the French Orthopaedic Society (SOFCOT-2006). All patients had no surgical antecedents and were all treated with prosthetic shoulder surgery for a painful irreparable cuff tear arthropathy (reverse-(84%) or hemi-(8%) or double cup-bipolar prosthesis (8%)). Results: A positive significancy could be found for the relationship between clinical testing and the rotator cuff quality; between acromiohumeral distance and posterior rotator cuff quality; between femoralization and posterior rotator cuff quality. Conclusion: A conventional antero-posterior radiograph can not provide any predictive information on the clinical status of the patient. The subscapular muscle can be well tested by the press belly test and the teres minor muscle can be well tested by the hornblower' sign and by the exorotation lag signs. The upward migration index and the presence of femoralization are good indicators for the evaluation of the posterior rotator cuff. An inferior coracoid tip positioning suggests rotator cuff disease.
Please use this url to cite or link to this publication:
author
organization
year
type
journalArticle (original)
publication status
published
subject
keyword
FATTY DEGENERATION, ROTATOR, MUSCLE, MRI
journal title
JOURNAL OF ORTHOPAEDIC SURGERY AND RESEARCH
J. Orthop. Surg. Res.
volume
6
article_number
1
pages
7 pages
Web of Science type
Article
Web of Science id
000306224000001
ISSN
1749-799X
DOI
10.1186/1749-799X-6-1
language
English
UGent publication?
yes
classification
A1
copyright statement
I have retained and own the full copyright for this publication
id
1142167
handle
http://hdl.handle.net/1854/LU-1142167
date created
2011-02-08 11:31:06
date last changed
2014-01-06 12:58:44
@article{1142167,
  abstract     = {Background: This study evaluates the preoperative conventional anteroposterior radiography and clinical testing in non-operated patients with cuff tear arthropathy. It analyses the radiological findings in relation to the status of the rotator cuff and clinical status as also the clinical testing in relation to the rotator cuff quality. The aim of the study is to define the usefulness of radiography and clinical examination in cuff tear arthropathy.
Methods: This study analyses the preoperative radiological (AP-view, (Artro-)CT-scan or MRI-scan) and clinical characteristics (Constant-Murley-score plus active and passive mobility testing) and the peroperative findings in a cohort of 307 patients. These patients were part of a multicenter, retrospective, consecutive study of the French Orthopaedic Society (SOFCOT-2006). All patients had no surgical antecedents and were all treated with prosthetic shoulder surgery for a painful irreparable cuff tear arthropathy (reverse-(84\%) or hemi-(8\%) or double cup-bipolar prosthesis (8\%)).
Results: A positive significancy could be found for the relationship between clinical testing and the rotator cuff quality; between acromiohumeral distance and posterior rotator cuff quality; between femoralization and posterior rotator cuff quality.
Conclusion: A conventional antero-posterior radiograph can not provide any predictive information on the clinical status of the patient. The subscapular muscle can be well tested by the press belly test and the teres minor muscle can be well tested by the hornblower' sign and by the exorotation lag signs.
The upward migration index and the presence of femoralization are good indicators for the evaluation of the posterior rotator cuff. An inferior coracoid tip positioning suggests rotator cuff disease.},
  articleno    = {1},
  author       = {MIDDERNACHT, BART and WINNOCK-DE GRAVE, PHILIP and Van Maele, Georges and Favard, Luc and Mol{\'e}, Daniel and De Wilde, Lieven},
  issn         = {1749-799X},
  journal      = {JOURNAL OF ORTHOPAEDIC SURGERY AND RESEARCH},
  keyword      = {FATTY DEGENERATION,ROTATOR,MUSCLE,MRI},
  language     = {eng},
  pages        = {7},
  title        = {What do standard radiography and clinical examination tell about the shoulder with cuff tear arthropathy?},
  url          = {http://dx.doi.org/10.1186/1749-799X-6-1},
  volume       = {6},
  year         = {2011},
}

Chicago
MIDDERNACHT, BART, PHILIP WINNOCK-DE GRAVE, Georges Van Maele, Luc Favard, Daniel Molé, and Lieven De Wilde. 2011. “What Do Standard Radiography and Clinical Examination Tell About the Shoulder with Cuff Tear Arthropathy?” Journal of Orthopaedic Surgery and Research 6.
APA
MIDDERNACHT, B., WINNOCK-DE GRAVE, P., Van Maele, G., Favard, L., Molé, D., & De Wilde, L. (2011). What do standard radiography and clinical examination tell about the shoulder with cuff tear arthropathy? JOURNAL OF ORTHOPAEDIC SURGERY AND RESEARCH, 6.
Vancouver
1.
MIDDERNACHT B, WINNOCK-DE GRAVE P, Van Maele G, Favard L, Molé D, De Wilde L. What do standard radiography and clinical examination tell about the shoulder with cuff tear arthropathy? JOURNAL OF ORTHOPAEDIC SURGERY AND RESEARCH. 2011;6.
MLA
MIDDERNACHT, BART, PHILIP WINNOCK-DE GRAVE, Georges Van Maele, et al. “What Do Standard Radiography and Clinical Examination Tell About the Shoulder with Cuff Tear Arthropathy?” JOURNAL OF ORTHOPAEDIC SURGERY AND RESEARCH 6 (2011): n. pag. Print.