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Unfallchirurg. 2000 May;103(5):417-26.

[Recommendations for diagnosis and expert assessment of traumatic rotator cuff lesions].

[Article in German]

Author information

1
Sektion für Orthopädie der Schulter und des Ellbogens, Stiftung Orthopädische Universitätsklinik Heidelberg. markus.loew@ok.uni-heidelberg-de

Abstract

Traumatic rotator cuff lesions are a very rare condition. However, this article represents a comprehensive survey according to current knowledge on anatomy, biomechanics, and pathogenesis of rotator cuff pathology. Because of the relatively high prevalence of degenerative changes with increasing age, including partial and complete rotator cuff tears, it may be difficult to demonstrate the causality of an acute traumatic rotator cuff tear. Therefore, a catalogue of potential adequate and inadequate trauma mechanisms is proposed. Emphasis is also placed on posttraumatic diagnostic steps following persistent rotator cuff deficient shoulder function (e.g., ultrasound, MRI). From a legal aspect (e.g., private accident insurance, workers compensation claim), different minor and major criteria are defined, which could help experts to judge the causality of posttraumatic rotator cuff deficiency. These criteria mainly refer to distinct details concerning patients' history, trauma mechanism, primary clinical appearance, and diagnostic findings.

PMID:
10883604
DOI:
10.1007/s001130050560
[Indexed for MEDLINE]

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