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ROTURA DEL MANGUITO ROTADOR- ¿Qué dice la CIENCIA?

¿Qué son las roturas del manguito rotador? ¿Qué tipos de roturas hay? ¿Importa el tamaño de la rotura? ¿Necesitan todas repararse mediante cirugía? ¿Crecen de tamaño? BIBLIOGRAFIA ¿Dónde se producen las roturas? 1. Favard L Bacle G Berhouet J. Rotator cuff repair. Joint Bone Spine. 2007;74(6):551–557 2. 2. Kim HM Dahiya N Teefey SA, et al. Location and initiation of degenerative rotator cuff tears: an analysis of three hundred and sixty shoulders. J Bone Joint Surg Am. 2010;92(5):1088–1096 ¿Importa el tamaño? 1. Dunn WR, Kuhn JE, Sanders RS, et al. Symptoms of pain do not correlate with rotator cuff severity. J Bone Joint Surg Am. 2014;96(10):793-800. 2. Unruh KP, Kuhn, JE, Sanders R, et al. The duration of symptoms does not correlate with rotator cuff severity or other patient-related features: a cross-sectional study of patients with atraumatic, full-thickness rotator cuff tears. J Shoulder Elbow Surg. 2014;23(7):1052-1058. ¿Crecen las roturas? 1. Tear Progression of Symptomatic Full-Thickness and Partial-Thickness Rotator Cuff Tears as Measured by Repeated MRI. Kim 2017 2. Eljabu, W, Klinger, HM, von Knoch, M. The natural history of rotator cuff tears: a systematic review. Arch Orthop Trauma Surg. 2015;135(8):1055–1061. 3. Safran O, Schroeder J, Bloom R, Weil Y, Milgrom C. Natural history of nonoperatively treated symptomatic rotator cuff tears in patients 60 years old or younger. Am J Sports Med. 2011;39:710–714. doi: 10.1177/0363546510393944. 4. Mall NA, Kim HM, Keener JD, Steger-May K, Teefey SA, Middleton WD, Stobbs G, Yamaguchi K. Symptomatic progression of asymptomatic rotator cuff tears: a prospective study of clinical and sonographic variables. J Bone Joint Surg Am. 2010;92:2623–2633. doi: 10.2106/JBJS.I.00506. Exploración física: 1. Cadogan A McNair P Laslett M Hing W Taylor S. Diagnostic accuracy of clinical examination features for identifying large rotator cuff tears in primary health care. J Man Manip Ther. 2013;21(3):148–159 2. Hertel R Ballmer FT Lombert SM Gerber C. Lag signs in the diagnosis of rotator cuff rupture. J Shoulder Elbow Surg. 1996;5(4):307–313 3. Longo UG Berton A Marinozzi A Maffulli N Denaro V. Subscapularis tears. Med Sport Sci. 2012;57:114–121 ¿Cuánto tiempo tenemos para optar por el tratamiento quirúrgico? 1. Björnsson HC Norlin R Johansson K Adolfsson LE. The influence of age, delay of repair, and tendon involvement in acute rotator cuff tears: structural and clinical outcomes after repair of 42 shoulders. Acta Orthop. 2011;82(2):187–192 2. Seida JC LeBlanc C Schouten JR, et al. Systematic review: nonoperative and operative treatments for rotator cuff tears. Ann Intern Med. 2010;153(4):246–255. Roturas no traumáticas: 1. Pedowitz RA Yamaguchi K Ahmad CS, et al. American Academy of Orthopaedic Surgeons Clinical Practice Guideline on: optimizing the management of rotator cuff problems. J Bone Joint Surg Am. 2012;94(2):163–167 2. Kuhn JE, Dunn WR, Sanders R, et al. Effectiveness of physical therapy in treating atraumatic full-thickness rotator cuff tears: a multicenter prospective cohort study. J Shoulder Elbow Surg. 2013;22(10):1391-1379. 3. Oh LS, Wolf BR, Hall MP, Levy BA, Marx RG. Indications for rotator cuff repair: a systematic review. Clin Orthop Relat Res. 2007;455:52-63.