PREVALENCE OF PARTIAL THICKNESS ROTATOR CUFF TEAR IN YOUNGER POPULATION (20 - 40 YEARS)- A CADAVERIC STUDY
Journal Title: Journal of Evolution of Medical and Dental Sciences - Year 2018, Vol 7, Issue 19
Abstract
BACKGROUND Most of the rotator cuff injuries are left unnoticed in the early period, because of lack of knowledge and evidence of its prevalence and later on they present in an inoperable state at younger age. There is a discrepancy between cadaver and clinical studies because intratendinous tears are more difficult to diagnose with arthroscopy, MRI or ultrasound than bursal or articular tears. MATERIALS AND METHODS We performed a cadaveric study in the Department of Orthopaedics, Madurai Medical College. Rotator cuff muscles (Supraspinatus and infraspinatus) were dissected from fresh cadavers of both sexes on both sides, excluding those with soft tissue or bony injuries regardless of the cause of death. 75 rotator cuff specimens, dissected from 40 cadavers in Mortuary, Government Rajaji Hospitals under guidance of Forensic Medicine Department, Madurai Medical College with age at death between 20 and 40 years (mean age29.22 years) were analysed for the prevalence of macroscopic and microscopic partial thickness tear (PTT) and in occupation requiring overhead activities. RESULTS In our study, overall prevalence of PTT in young cadaveric population (20 - 40 years) was found to be 10%. Bursal sided PTT (7.5%) are more common than articular (2.5%). All 4 subjects had tear bilaterally (100%). CONCLUSION The lower prevalence of PTT in younger age group suggests an age-related degeneration in the pathogenesis of rotator cuff tear. As there is a strong evidence of bilateral presence, it is important to screen asymptomatic contralateral shoulder in patients with RCT.
Authors and Affiliations
Vijayarahavan Pugalenthi, Rathinam Arivasan, Thangamuthu Saravanamuthu, Ganapathi Shankara Shanmuga Sethu
Keywords
Related Articles
- EP ID EP418249
- DOI 10.14260/jemds/2018/536
- Views 73
- Downloads 0
AN EVALUATION OF IMPACT ON QUALITY OF LIFE IN PATIENTS ON ANTIPSYCHOTIC THERAPY AT A TERTIARY CARE CENTRE
BACKGROUND Antipsychotic drugs utilisation is expanding step by step due to lifestyle changes and increased stress in day-to-day along with psychiatric disorders. Prevalence of Adverse Drug Reactions (ADRs) with antipsyc...
PREVALENCE OF GALLSTONES AMONG PREGNANT WOMEN IN A SOUTH INDIAN DISTRICT
BACKGROUND Gallstone disease is more common in women than men. Pregnancy is a known risk factor for developing gallstones.1 We wanted to assess the prevalence of biliary sludge and gallstone disease during pregnancy. MET...
EVALUATION OF THE EFFICACY OF THE THREE REGIMENS OF VAGINAL MISOPROSTOL IN THE TERMINATION OF FIRST TRIMESTER PREGNANCY- A RANDOMISED CONTROLLED STUDY
BACKGROUND An abortion is the removal or expulsion of an embryo or foetus from the uterus, resulting in or caused by its death. Abortion in the first trimester is safe compared to the second trimester and medical methods...
PREVALENCE OF THYROID DISORDERS IN THE COASTAL PLAINS OF ALAPPUZHA, KERALA
BACKGROUND Even in the post iodisation phase, thyroid diseases are prevalent. This is seen even in coastal areas. Factors other than iodine deficiency may be responsible for this. Keeping this in mind, a study was planne...
EFFECTS OF PREVIOUS UNSUCCESSFUL EXTRACORPOREAL SHOCKWAVE LITHOTRIPSY TREATMENT ON THE PERFORMANCE AND OUTCOME OF PERCUTANEOUS NEPHROLITHOTOMY
BACKGROUND Majority of renal stones diagnosed today are below 2 cm, perhaps due to easy and early accessibility to x-ray and ultrasonography. The preferred treatment of < 1 cm stone is extracorporeal shockwave lithotrips...