ArticleMusculoskeletal surgery2022
Comparison of tear characteristics, outcome parameters and healing in traumatic and non-traumatic rotator cuff tear: a prospective cohort study.
Article in Musculoskeletal surgery, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.
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15 citing papers in PubMed, 15 citations in OpenAlex.
- Posterosuperior and Anterior Rotator Cuff Repairs Yield Comparable 1-Year Constant Scores in Routine Clinical Practice: A Propensity Score-Matched Study From LaTour Group.Arthroscopy, sports medicine, and rehabilitation · 2026Article
- Can we use MRI for timing estimation of rotator cuff tears?La Radiologia medica · 2026Article
- Rotator Cuff Disorders: Practical Recommendations for Conservative Management Based on the Literature.Medicina (Kaunas, Lithuania) · 2026Review
- The Effect of Trauma History and Symptom Duration on Repair Integrity in 2335 Consecutive Arthroscopic Rotator Cuff Repairs.Orthopaedic journal of sports medicine · 2025Article
- Imaging of musculoskeletal injury: timing estimation and medico-legal issues.La Radiologia medica · 2025Review
- Article
- Characteristics of Traumatic Versus Atraumatic Rotator Cuff Tears in Patients Under 50 Years of Age.Cureus · 2024Article
- The relationship between the duration and the retraction and atrophy grades in traumatic isolated full-thickness supraspinatus tears in young patients.BMC musculoskeletal disorders · 2024Article
- Comparison of functional outcomes following early and delayed arthroscopic repair for traumatic and non-traumatic rotator cuff injuries.Journal of orthopaedic surgery and research · 2024Article
- Traumatic and Atraumatic Rotator Cuff Tears Have the Same Rates of Healing.Arthroscopy, sports medicine, and rehabilitation · 2024Article
- Functional and Radiologic Outcomes of Degenerative Versus Traumatic Full-Thickness Rotator Cuff Tears Involving the Supraspinatus Tendon.The American journal of sports medicine · 2024Article
- Isolated traumatic full-thickness supraspinatus tear with intact glenohumeral capsule: a case report.JSES reviews, reports, and techniques · 2024Article
- Time-sensitive injuries for the sports medicine surgeon - "Sports Medicine Trauma", Part 1: Upper Extremity.Orthopedic reviews · 2024Article
- Comparison of Early versus Traditional Rehabilitation Protocol after Rotator Cuff Repair: An Umbrella-Review.Journal of clinical medicine · 2023Review
- Magnetic resonance imaging evaluation of the correlation between calcific tendinitis and rotator cuff injury.BMC medical imaging · 2022Article
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Authors and funding
3 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeAcute traumatic and chronic non-traumatic rotator cuff tears are etiologically distinguishable entities. However, prospective studies comparing tear characteristics and outcomes between these two types of tears are lacking. The purpose of this study was to compare the tear characteristics, clinical and functional outcomes, and tendon healing as assessed on magnetic resonance imaging (MRI), between traumatic and non-traumatic rotator cuff tears.
methodsMRI proven rotator cuff tears were allocated into two groups according to the history of injury: Group 1 included 28 patients with traumatic tears and group 2 included 33 patients of non-traumatic cuff tears. Both the groups were compared for preoperative tear characteristics (tear size, muscle atrophy, fatty degeneration), range of motion, strength of shoulder abduction and external rotation, functional outcomes, and tendon integrity on MRI, 2 years after the surgery.
resultsPostoperative mean active range of abduction (p = 0.005), abduction strength (p = 0.013), external rotation strength (p = 0.027), University of California at Los Angeles score (p < 0.001), Constant score (p = 0.002), American Shoulder and Elbow Surgeons scores (p = 0.028) and visual analog scale for pain (p = 0.02) were significantly better in group 1 as compared to group 2. The postoperative structural integrity of the cuff on MRI was better in group 1 as compared to group 2, but the values did not reach statistical significance (p = 0.13).
conclusionFindings from this study suggest that traumatic tears affect younger patients and while having a larger tear size, they have lesser muscle atrophy, fatty degeneration, and tendon retraction. Functional outcomes are better after treatment of traumatic tears as compared to non-traumatic tears. Chronicity of the tear and tendon retraction negatively affected healing in traumatic cuff tears. Muscle atrophy was found to be associated with poorer healing in non-traumatic tears. However, tear size was not associated with healing. LEVEL OF EVIDENCE: II, Prospective cohort study.
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