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Partial rotator cuff injury in athletes: bursal or articular?

Carvalho CD, Cohen C, Belangero PS, Figueiredo EA, Monteiro GC, de Castro Pochini A, Andreoli CV, Ejnisman B - Rev Bras Ortop (2015)

Bottom Line: We applied the binomial test to compare the proportions found.Intra-articular lesions are more frequent than bursal lesions and they occur predominantly in athletes in sports involving throwing, while bursal lesions were more prevalent in athletes who did muscle building.Abstract available from the publisher.

View Article: PubMed Central - PubMed

Affiliation: Centro de Traumatologia do Esporte (CETE), Department of Orthopedics and Traumatology, Universidade Federal de São Paulo, São Paulo, SP, Brazil.

ABSTRACT

Unlabelled: A painful shoulder is a very common complaint among athletes, especially in the case of those in sports involving throwing. Partial lesions of the rotator cuff may be very painful and cause significant functional limitation to athletes' sports practice. The incidence of partial lesions of the cuff is variable (13-37%). It is difficult to make the clinical and radiological diagnosis, and this condition should be borne in mind in the cases of all athletes who present symptoms of rotator cuff syndrome, including in patients who are diagnosed only with tendinopathy.

Objective: To evaluate the epidemiological behavior of partial lesions of the rotator cuff in both amateur and professional athletes in different types of sports.

Methods: We evaluated 720 medical files on athletes attended at the shoulder service of the Discipline of Sports Medicine at the Sports Traumatology Center, Federal University of São Paulo. The majority of them were men (65%). Among all the patients, 83 of them were diagnosed with partial lesions of the rotator cuff, by means of ultrasonography or magnetic resonance, or in some cases using both. We applied the binomial test to compare the proportions found.

Result: It was observed that intra-articular lesions predominated (67.6%) and that these occurred more frequently in athletes in sports involving throwing (66%). Bursal lesions occurred in 32.4% of the athletes, predominantly in those who did muscle building (75%).

Conclusion: Intra-articular lesions are more frequent than bursal lesions and they occur predominantly in athletes in sports involving throwing, while bursal lesions were more prevalent in athletes who did muscle building.

No MeSH data available.


Related in: MedlinePlus

Prevalence of intra-articular lesions.
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fig0015: Prevalence of intra-articular lesions.

Mentions: We found an incidence of intra-articular lesions of 67.6%. Of these, 66% were in athletes involved in ball-throwing sports. On the other hand, the incidence of bursal lesions was 32.4% and 75% of these occurred in athletes who practiced muscle-building (Fig. 1, Fig. 2, Fig. 3).


Partial rotator cuff injury in athletes: bursal or articular?

Carvalho CD, Cohen C, Belangero PS, Figueiredo EA, Monteiro GC, de Castro Pochini A, Andreoli CV, Ejnisman B - Rev Bras Ortop (2015)

Prevalence of intra-articular lesions.
© Copyright Policy - CC BY-NC-ND
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4563071&req=5

fig0015: Prevalence of intra-articular lesions.
Mentions: We found an incidence of intra-articular lesions of 67.6%. Of these, 66% were in athletes involved in ball-throwing sports. On the other hand, the incidence of bursal lesions was 32.4% and 75% of these occurred in athletes who practiced muscle-building (Fig. 1, Fig. 2, Fig. 3).

Bottom Line: We applied the binomial test to compare the proportions found.Intra-articular lesions are more frequent than bursal lesions and they occur predominantly in athletes in sports involving throwing, while bursal lesions were more prevalent in athletes who did muscle building.Abstract available from the publisher.

View Article: PubMed Central - PubMed

Affiliation: Centro de Traumatologia do Esporte (CETE), Department of Orthopedics and Traumatology, Universidade Federal de São Paulo, São Paulo, SP, Brazil.

ABSTRACT

Unlabelled: A painful shoulder is a very common complaint among athletes, especially in the case of those in sports involving throwing. Partial lesions of the rotator cuff may be very painful and cause significant functional limitation to athletes' sports practice. The incidence of partial lesions of the cuff is variable (13-37%). It is difficult to make the clinical and radiological diagnosis, and this condition should be borne in mind in the cases of all athletes who present symptoms of rotator cuff syndrome, including in patients who are diagnosed only with tendinopathy.

Objective: To evaluate the epidemiological behavior of partial lesions of the rotator cuff in both amateur and professional athletes in different types of sports.

Methods: We evaluated 720 medical files on athletes attended at the shoulder service of the Discipline of Sports Medicine at the Sports Traumatology Center, Federal University of São Paulo. The majority of them were men (65%). Among all the patients, 83 of them were diagnosed with partial lesions of the rotator cuff, by means of ultrasonography or magnetic resonance, or in some cases using both. We applied the binomial test to compare the proportions found.

Result: It was observed that intra-articular lesions predominated (67.6%) and that these occurred more frequently in athletes in sports involving throwing (66%). Bursal lesions occurred in 32.4% of the athletes, predominantly in those who did muscle building (75%).

Conclusion: Intra-articular lesions are more frequent than bursal lesions and they occur predominantly in athletes in sports involving throwing, while bursal lesions were more prevalent in athletes who did muscle building.

No MeSH data available.


Related in: MedlinePlus