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Adults over the age of 60 are more susceptible to a rotator cuff tear, with the overall frequency of tears increasing with age. [95] By the age of 50 10% of people with normal shoulders have a rotator cuff tear. [96] In an autopsy study of rotator cuff tears, the incidence of partial tears was 28%, and of complete rupture 30%.
The reverse total shoulder arthroplasty (RTSA) was developed in the 1980s as a treatment for rotator cuff tear arthropathy in the elderly. It has demonstrated excellent clinical outcomes and thus has become well-established as the treatment of choice for cuff tear arthropathy.
A torn rotator cuff can occur following trauma to the shoulder or it can occur through the "wear and tear" on tendons, most commonly the supraspinatus tendon found under the acromion. Rotator cuff injuries are commonly associated with motions that require repeated overhead motions or forceful pulling motions.
St. Louis Rams quarterback Sam Bradford tore his ACL, requiring season-ending surgery. Arian Foster, the Houston Texans runningback, broke his leg and tore his LCL, and prolific wide receiver ...
Medical history (the patient tells the doctor about an injury). For shoulder problems the medical history includes the patient's age, dominant hand, if injury affects normal work/activities as well as details on the actual shoulder problem including acute versus chronic and the presence of shoulder catching, instability, locking, pain, paresthesias (burning sensation), stiffness, swelling, and ...
The 70-year-old Steelers special teams coach will need surgery to repair a torn right rotator cuff he suffered in Sunday's win over the Packers.
If conservative measures are unsuccessful, surgery can be trialed. Surgery to cut the adhesions (capsular release) may be indicated in prolonged and severe cases; the procedure is usually performed by arthroscopy. Surgical evaluation of other problems with the shoulder, e.g., subacromial bursitis or rotator cuff tear, may be needed.
According to Nadarajah and Weikert, "[t]he term Milwaukee shoulder syndrome was first used in 1981 to describe four elderly women in Milwaukee... with recurrent bilateral shoulder effusions, radiographic evidence of severe destructive changes of the glenohumeral joints, and massive tears of the rotator cuff."
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