Abstract
Large rotator cuff tears are extremely uncommon in young people and when they occur they may be associated with shoulder instability. This paper reports on a series of six elite rugby union and rugby league footballers who presented with shoulder instability and large rotator cuff tears. They were treated with a two stage procedure: an open rotator cuff repair followed by an open shoulder stabilisation some 10 weeks later. All had successful outcomes. The paper also highlights the risk of tearing the rotator cuff when a patient continues to play contact sport with an untreated unstable shoulder.
Full Text
The Full Text of this article is available as a PDF (57.8 KB).
Selected References
These references are in PubMed. This may not be the complete list of references from this article.
- Bacilla P., Field L. D., Savoie F. H., 3rd Arthroscopic Bankart repair in a high demand patient population. Arthroscopy. 1997 Feb;13(1):51–60. doi: 10.1016/s0749-8063(97)90209-7. [DOI] [PubMed] [Google Scholar]
- Berbig R., Weishaupt D., Prim J., Shahin O. Primary anterior shoulder dislocation and rotator cuff tears. J Shoulder Elbow Surg. 1999 May-Jun;8(3):220–225. doi: 10.1016/s1058-2746(99)90132-5. [DOI] [PubMed] [Google Scholar]
- Blevins F. T. Rotator cuff pathology in athletes. Sports Med. 1997 Sep;24(3):205–220. doi: 10.2165/00007256-199724030-00009. [DOI] [PubMed] [Google Scholar]
- Codman E. A. Rupture of the supraspinatus tendon. 1911. Clin Orthop Relat Res. 1990 May;(254):3–26. [PubMed] [Google Scholar]
- Gartsman G. M., Hammerman S. M. Full-thickness tears: arthroscopic repair. Orthop Clin North Am. 1997 Jan;28(1):83–98. doi: 10.1016/s0030-5898(05)70267-4. [DOI] [PubMed] [Google Scholar]
- Jobe F. W., Kvitne R. S., Giangarra C. E. Shoulder pain in the overhand or throwing athlete. The relationship of anterior instability and rotator cuff impingement. Orthop Rev. 1989 Sep;18(9):963–975. [PubMed] [Google Scholar]
- Jobe F. W., Pink M. Classification and treatment of shoulder dysfunction in the overhead athlete. J Orthop Sports Phys Ther. 1993 Aug;18(2):427–432. doi: 10.2519/jospt.1993.18.2.427. [DOI] [PubMed] [Google Scholar]
- Meister K., Andrews J. R. Classification and treatment of rotator cuff injuries in the overhand athlete. J Orthop Sports Phys Ther. 1993 Aug;18(2):413–421. doi: 10.2519/jospt.1993.18.2.413. [DOI] [PubMed] [Google Scholar]
- Neviaser R. J., Neviaser T. J., Neviaser J. S. Concurrent rupture of the rotator cuff and anterior dislocation of the shoulder in the older patient. J Bone Joint Surg Am. 1988 Oct;70(9):1308–1311. [PubMed] [Google Scholar]
- Roberts S. N., Taylor D. E., Brown J. N., Hayes M. G., Saies A. Open and arthroscopic techniques for the treatment of traumatic anterior shoulder instability in Australian rules football players. J Shoulder Elbow Surg. 1999 Sep-Oct;8(5):403–409. doi: 10.1016/s1058-2746(99)90067-8. [DOI] [PubMed] [Google Scholar]
- Warner J. J., Goitz R. J., Irrgang J. J., Groff Y. J. Arthroscopic-assisted rotator cuff repair: patient selection and treatment outcome. J Shoulder Elbow Surg. 1997 Sep-Oct;6(5):463–472. doi: 10.1016/s1058-2746(97)70054-5. [DOI] [PubMed] [Google Scholar]
