Traumatic supraspinatus tears in patients younger than 25 years

Matthew Dilisio, Curtis R. Noel, Jeffrey S. Noble, Robert H. Bell

Research output: Contribution to journalArticle

2 Citations (Scopus)

Abstract

Traumatic rotator cuff tears in patients younger than 25 years are rare events, with few reports in the literature. When compared with the more mature shoulder, the young, healthy supraspinatus tendon is a robust tendon that is able to absorb a significant amount of energy before tendon failure. Therefore, the diagnosis of a rotator cuff tear can be often overlooked in this population due to the patient's age. This is a report of traumatic supraspinatus repairs in patients younger than 25 years. Nine patients younger than 25 years were identified with a posttraumatic supraspinatus tear as visualized during routine diagnostic shoulder arthroscopy. These 9 patients represented 0.33% of all rotator cuff repairs during a 9 year period. Average patient age was 19.1 years (±3.7 years; range, 13 to 25 years). Magnetic resonance imaging failed to diagnose a rotator cuff tear in 50% of the patients. Mean delay from injury to surgery was 6.6 months. All tears were arthroscopically repaired. Concomitant anterior instability pathology was demonstrated among 66.7% of the patients. No complications were reported. At latest follow-up, all patients reported minimal to no shoulder pain and were tolerating strenuous work, activities, and sports without significant complaints. Even with advanced imaging, the diagnosis of a rotator cuff tear can often be missed in this patient population. Although clinical outcomes can be good, care must be taken to broaden the diagnostic differential in young patients with posttraumatic shoulder pain.

Original languageEnglish
Pages (from-to)e631-e634
JournalOrthopedics
Volume38
Issue number7
DOIs
StatePublished - Jul 1 2015

Fingerprint

Rotator Cuff
Tendons
Shoulder Pain
Arthroscopy
Tears
Population
Sports
Magnetic Resonance Imaging
Pathology

All Science Journal Classification (ASJC) codes

  • Orthopedics and Sports Medicine
  • Medicine(all)

Cite this

Traumatic supraspinatus tears in patients younger than 25 years. / Dilisio, Matthew; Noel, Curtis R.; Noble, Jeffrey S.; Bell, Robert H.

In: Orthopedics, Vol. 38, No. 7, 01.07.2015, p. e631-e634.

Research output: Contribution to journalArticle

Dilisio, Matthew ; Noel, Curtis R. ; Noble, Jeffrey S. ; Bell, Robert H. / Traumatic supraspinatus tears in patients younger than 25 years. In: Orthopedics. 2015 ; Vol. 38, No. 7. pp. e631-e634.
@article{2b1a256b167646298a83bf7fa4b879ce,
title = "Traumatic supraspinatus tears in patients younger than 25 years",
abstract = "Traumatic rotator cuff tears in patients younger than 25 years are rare events, with few reports in the literature. When compared with the more mature shoulder, the young, healthy supraspinatus tendon is a robust tendon that is able to absorb a significant amount of energy before tendon failure. Therefore, the diagnosis of a rotator cuff tear can be often overlooked in this population due to the patient's age. This is a report of traumatic supraspinatus repairs in patients younger than 25 years. Nine patients younger than 25 years were identified with a posttraumatic supraspinatus tear as visualized during routine diagnostic shoulder arthroscopy. These 9 patients represented 0.33{\%} of all rotator cuff repairs during a 9 year period. Average patient age was 19.1 years (±3.7 years; range, 13 to 25 years). Magnetic resonance imaging failed to diagnose a rotator cuff tear in 50{\%} of the patients. Mean delay from injury to surgery was 6.6 months. All tears were arthroscopically repaired. Concomitant anterior instability pathology was demonstrated among 66.7{\%} of the patients. No complications were reported. At latest follow-up, all patients reported minimal to no shoulder pain and were tolerating strenuous work, activities, and sports without significant complaints. Even with advanced imaging, the diagnosis of a rotator cuff tear can often be missed in this patient population. Although clinical outcomes can be good, care must be taken to broaden the diagnostic differential in young patients with posttraumatic shoulder pain.",
author = "Matthew Dilisio and Noel, {Curtis R.} and Noble, {Jeffrey S.} and Bell, {Robert H.}",
year = "2015",
month = "7",
day = "1",
doi = "10.3928/01477447-20150701-63",
language = "English",
volume = "38",
pages = "e631--e634",
journal = "Orthopedics",
issn = "0147-7447",
publisher = "Slack Incorporated",
number = "7",

}

TY - JOUR

T1 - Traumatic supraspinatus tears in patients younger than 25 years

AU - Dilisio, Matthew

AU - Noel, Curtis R.

AU - Noble, Jeffrey S.

AU - Bell, Robert H.

PY - 2015/7/1

Y1 - 2015/7/1

N2 - Traumatic rotator cuff tears in patients younger than 25 years are rare events, with few reports in the literature. When compared with the more mature shoulder, the young, healthy supraspinatus tendon is a robust tendon that is able to absorb a significant amount of energy before tendon failure. Therefore, the diagnosis of a rotator cuff tear can be often overlooked in this population due to the patient's age. This is a report of traumatic supraspinatus repairs in patients younger than 25 years. Nine patients younger than 25 years were identified with a posttraumatic supraspinatus tear as visualized during routine diagnostic shoulder arthroscopy. These 9 patients represented 0.33% of all rotator cuff repairs during a 9 year period. Average patient age was 19.1 years (±3.7 years; range, 13 to 25 years). Magnetic resonance imaging failed to diagnose a rotator cuff tear in 50% of the patients. Mean delay from injury to surgery was 6.6 months. All tears were arthroscopically repaired. Concomitant anterior instability pathology was demonstrated among 66.7% of the patients. No complications were reported. At latest follow-up, all patients reported minimal to no shoulder pain and were tolerating strenuous work, activities, and sports without significant complaints. Even with advanced imaging, the diagnosis of a rotator cuff tear can often be missed in this patient population. Although clinical outcomes can be good, care must be taken to broaden the diagnostic differential in young patients with posttraumatic shoulder pain.

AB - Traumatic rotator cuff tears in patients younger than 25 years are rare events, with few reports in the literature. When compared with the more mature shoulder, the young, healthy supraspinatus tendon is a robust tendon that is able to absorb a significant amount of energy before tendon failure. Therefore, the diagnosis of a rotator cuff tear can be often overlooked in this population due to the patient's age. This is a report of traumatic supraspinatus repairs in patients younger than 25 years. Nine patients younger than 25 years were identified with a posttraumatic supraspinatus tear as visualized during routine diagnostic shoulder arthroscopy. These 9 patients represented 0.33% of all rotator cuff repairs during a 9 year period. Average patient age was 19.1 years (±3.7 years; range, 13 to 25 years). Magnetic resonance imaging failed to diagnose a rotator cuff tear in 50% of the patients. Mean delay from injury to surgery was 6.6 months. All tears were arthroscopically repaired. Concomitant anterior instability pathology was demonstrated among 66.7% of the patients. No complications were reported. At latest follow-up, all patients reported minimal to no shoulder pain and were tolerating strenuous work, activities, and sports without significant complaints. Even with advanced imaging, the diagnosis of a rotator cuff tear can often be missed in this patient population. Although clinical outcomes can be good, care must be taken to broaden the diagnostic differential in young patients with posttraumatic shoulder pain.

UR - http://www.scopus.com/inward/record.url?scp=84937687774&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84937687774&partnerID=8YFLogxK

U2 - 10.3928/01477447-20150701-63

DO - 10.3928/01477447-20150701-63

M3 - Article

C2 - 26186327

AN - SCOPUS:84937687774

VL - 38

SP - e631-e634

JO - Orthopedics

JF - Orthopedics

SN - 0147-7447

IS - 7

ER -