• Humans
• Patient Reported Outcome Measures
• Turkey
• Shoulder Pain/diagnosis
• Psychometrics
• Surveys and Questionnaires
• Cross-Cultural Comparison
• Reproducibility of Results
• Shoulder/physiopathology
• Checklist

• Humans
• Rotator Cuff Injuries/surgery
• Conservative Treatment
• Quality of Life
• Treatment Outcome
• Shoulder Pain
• Adrenal Cortex Hormones/therapeutic use
• Collagen
• Arthroscopy/methods

• kinematics
• range of motions
• rotator cuff tears
• scapula
• scapular dyskinesis

• Atrophy
• Fatty infiltration
• Histology
• Pain
• Rotator cuff

• Arthroscopic
• Mini-open
• Rotator cuff tear
• Surface electromyography
• Wearable sensors

Investigations in genetics have provided valuable information about the correlation between gene variants and tendinopathy. Single Nucleotide Polymorphisms of COL5A1 gene are reported to be involved in Achilles tendinopathy, chronic degenerative tendon changes at the elbow, and other tendinopathies. The influence of Single Nucleotide Polymorphisms of COL5A1 was previously analyzed in rotator cuff disease with confounding results. Moreover, the rs12722 polymorphism in COL5A1 gene has been implicated in the aetiology of musculoskeletal soft tissue injuries in several association studies. This study aims to analyse the possible influence of rs12722 polymorphism in COL5A1 in the outcomes of rotator cuff repair.

Seventy-nine patients were included in the study. DNA was extracted from 1.2 ml of venous blood and genotyped for COL5A1 SNPs rs12722. Rotator cuff muscle strength and range of motion (ROM) in anterior elevation, external and internal rotation of the shoulder were evaluated.

Patients presenting COL5A1 SNP rs12722 CC showed a ROM of passive external rotation statistically significantly higher compared to patients with CT genotype and TT genotype.

COL5A1 SNP rs12722 may influence the functional outcomes of RCRs, even though further studies are required to confirm these preliminary results.

• Arthroscopy
• COL5A1 polymorphism
• Outcomes
• Rotator cuff, genetic
• Shoulder

• Inertial sensors
• Shoulder kinematics
• Smart textile
• Upper limb
• Wearable system

• Adolescent
• Adult
• Aged
• Biomechanical Phenomena
• Equipment Design
• Female
• Humans
• Male
• Middle Aged
• Monitoring, Ambulatory/instrumentation
• Musculoskeletal Diseases/diagnosis
• Musculoskeletal Diseases/physiopathology
• Musculoskeletal Diseases/rehabilitation
• Nervous System Diseases/diagnosis
• Nervous System Diseases/physiopathology
• Nervous System Diseases/rehabilitation
• Predictive Value of Tests
• Prognosis
• Range of Motion, Articular
• Shoulder Joint/physiopathology
• Smart Materials
• Telemetry/instrumentation
• Wearable Electronic Devices
• Young Adult

• Arthroscopy
• Biodegradable
• Metal
• Rotator cuff
• Suture anchors

• Patient-reported outcome measures
• Psychometric
• Shoulder
• Shoulder pain
• Surveys and questionnaires

• Adult
• Female
• Humans
• Male
• Middle Aged
• Patient Reported Outcome Measures
• Psychometrics
• Quality of Life
• Reproducibility of Results
• Shoulder Impingement Syndrome/psychology
• Shoulder Pain
• Turkey

Background and Objectives: The all-arthroscopic Latarjet (aL) procedure was introduced to manage recurrent shoulder instability. Our study aimed to report the outcomes of aL procedures with the Rowe, University of California-Los Angeles (UCLA), simple shoulder test (SST) scores, and range of motion (ROM) in external rotation at a minimum follow-up of 2 years. Material and Methods: A total of 44 patients presenting recurrent shoulder instability were managed with aL procedure. Clinical outcomes were assessed at a mean follow-up of 29.6 ± 6.9 months. The postoperative active ROM was measured and compared with the contralateral shoulder. The Rowe, UCLA, and SST scores were administered preoperatively and postoperatively. Results: No patients experienced infections or neuro-vascular injuries. Seven (15%) patients required revision surgery. After surgery, the external rotation was statistically lower compared to the contralateral shoulder, but it improved; clinical outcomes also improved in a statistically significant fashion. Conclusions: The aL produced good results in the management of recurrent shoulder instability, but the complication rate was still high even in the hands of expert arthroscopist.

• anterior recurrent instability
• arthroscopic Latarjet
• arthroscopy
• shoulder instability
• trauma

• Adolescent
• Adult
• Arthroscopy/methods
• Female
• Humans
• Joint Instability/diagnostic imaging
• Joint Instability/surgery
• Male
• Middle Aged
• Radiography
• Range of Motion, Articular
• Recurrence
• Reoperation
• Shoulder Joint/diagnostic imaging
• Shoulder Joint/surgery
• Treatment Outcome
• Young Adult

Background and objectives: To compare the long term clinical outcomes, range of motion (ROM) and strength of two different postoperative rehabilitation protocols after arthroscopic rotator cuff repair (RCR) for full-thickness rotator cuff (RC) tears. Materials and Methods: Patients undergoing RCR were divided into two groups. In 51 patients (56 shoulders), rehabilitation was performed without passive external rotation, anterior elevation ROM, and active pendulum exercises in the first 2 weeks after surgery (Group A). In 49 patients (50 shoulders) aggressive rehabilitation was implemented, with early free passive external rotation, anterior elevation ROM, and active pendulum exercises were allowed from the day after surgery (Group A). Results: No statistically significant differences were found in clinical scores, muscle strength, passive forward flexion, passive and active internal/external rotation between the two groups. However, the mean active forward flexion was 167.3° ± 26° (range 90–180°) in group A and 156.5° ± 30.5° (range 90–180°) in group B (p = 0.04). Conclusions: A statistically significant difference between the 2 groups was found in active forward flexion ROM, which was better in patients of group A.

• accelerated protocol
• arthroscopy
• conservative protocol
• outcomes
• rehabilitation
• rotator cuff
• rotator cuff repair

• meta-analysis
• repair
• rotator cuff
• systematic review

Fractures of the greater tuberosity may result from a variety of mechanisms. Missed injury remains a persistent problem, both from a clinical and medico-legal point-of-view. Few studies on this topic are available in the literature. We present the clinical and radiological findings of a consecutive series of 17 patients who were diagnosed and managed with undisplaced greater tuberosity fractures.

A retrospective study of a consecutive series of 17 patients who sustained an occult greater tuberosity fracture were performed. Patients sustained a traumatic occult greater tuberosity fracture, underwent shoulder radiographs after trauma in 5 days and they were diagnosed as negative by a consultant radiologist. All patients received a standard assessment using MRI (Magnetic Resonance Imaging) scans Each patient was evaluated for arm dominance, trauma history, duration and type of symptoms and post-treatment Oxford Shoulder Score.

At the final follow up the mean OSS (Oxford Shoulder Score) was 38.3 (range 17–46; SD 9.11). Three patients required a glenohumeral joint injection for post-traumatic pain and stiffness and three patients required subacromial decompression for post-traumatic impingement.

Though undisplaced greater tuberosity fracture can be managed non-operatively with good results, patients with persistent post-traumatic shoulder pain, tenderness and limitation of shoulder function warrant investigation with MRI to identify occult fractures. Prompt identification of these fractures can facilitate patient treatment and counselling, avoiding a source of patient dissatisfaction and litigation.

• Fractures
• Greater tuberosity
• Management
• Occult
• Shoulder

• Clinical examination
• Clinical history
• Exercise progression
• Rotator cuff
• Shoulder

• Humans
• Rotator Cuff Injuries/complications
• Rotator Cuff Injuries/diagnosis
• Rotator Cuff Injuries/rehabilitation
• Shoulder Pain/diagnosis
• Shoulder Pain/etiology
• Shoulder Pain/rehabilitation

Lipid disorders could be associated with the prevalence and outcomes of rotator cuff diseases. This study aimed to learn how levels of various types of lipids influence the patient-reported outcomes of patients with rotator cuff tears (RCTs).

Data from a cohort study of 135 patients with RCTs were used. The outcome measures included Western Ontario Rotator Cuff (WORC) index, American Shoulder and Elbow Surgeons (ASES) standardized shoulder assessment form, Single Assessment Numeric Evaluation, visual analog scale for pain and satisfaction, and Veterans RAND 12-Item Health Survey (VR-12). Multivariable random-effects models were built to examine how total cholesterol, triglycerides, high-density lipoprotein (HDL), low-density lipoprotein, and ratio of total cholesterol to HDL influence each outcome, controlling for covariates.

After adjusting for age, gender, surgery, smoking, and baseline outcome values, patients with triglycerides >150 mg/dL had significantly higher pain visual analog scale (β = 5.86; P = .017) and lower VR-12 physical component summary (β = −2.71; P = .002) scores. Patients with low HDL had significantly worse WORC (β = 132.26; P = .020) and ASES (β = −7.05; P = .005) scores, more pain (β = 6.69; P = .024), and less satisfaction (β = −6.53; P = .008). The ratio of total cholesterol to HDL was associated with worse WORC (β = 58.46; P = .006) and ASES scores (β = −2.74; P = .002), more pain (β = 4.49; P < .001), and worse VR-12 physical component summary score (β = −1.03; P = .017).

Dyslipidemia may decrease the improvement of patient-reported outcomes in patients undergoing treatment for RCTs; high triglycerides and low HDL may have the most impact.

• Cholesterol
• Dyslipidemia
• Lipids
• Lipoproteins
• Outcomes
• Rotator cuff tear
• Shoulder
• Triglycerides

The selection of appropriate outcomes or domains is crucial when designing clinical trials, to appreciate the effects of different interventions, pool results, and make valid comparisons between trials. If the findings are to influence policy and practice, then the chosen outcomes need to be relevant and important to key stakeholders, including patients and the public, healthcare professionals and others making decisions about health care. There is a growing recognition that insufficient attention has been paid to the outcomes measured in clinical trials. Recent reviews of the measurement properties of patient-reported outcome measures for shoulder disorders revealed a large selection of diverse measures, many with questionable validity, reliability, and responsiveness. These issues could be addressed through the development and use of an agreed standardized collection of outcomes, known as a core outcome set (COS), which should be measured and reported in all trials of shoulder disorders. The purpose of the present project is to develop and disseminate a COS for clinical trials in shoulder disorders.

The methods for the COS development will include 3 phases: (1) a comprehensive review of the core domains used in shoulder disorder trials; (2) an international Delphi study involving relevant stakeholders (patients, clinicians, scientists) to define which domains should be core; and (3) an international focus group informed by the evidence identified in phases 1 and 2, to determine which measurement instruments best measure the core domains and identification of any evidence gaps that require further empiric evidence.

The aim of the current proposal is to convene several meetings of international experts and patients to develop a COS for clinical trials of shoulder disorders and to develop an implementation strategy to ensure rapid uptake of the core set of outcomes in clinical trials. There would be an expectation that the core set of outcomes would always be collected and reported, but it would not preclude use of additional outcomes in a particular trial.

The online version of this article (doi:10.1186/s13063-017-2054-9) contains supplementary material, which is available to authorized users.

• Adhesive capsulitis
• Clinical trials
• Core outcome set
• Osteoarthritis
• Outcome measures
• Pain
• Rotator cuff
• Shoulder

• Aged
• Female
• Follow-Up Studies
• Humans
• Male
• Middle Aged
• Paralysis/surgery
• Postoperative Period
• Range of Motion, Articular
• Rotation
• Rotator Cuff/surgery
• Rotator Cuff Injuries/surgery
• Rotator Cuff Injuries/therapy
• Severity of Illness Index
• Superficial Back Muscles/surgery
• Tendon Transfer/methods
• Treatment Outcome

• Gaming
• Motivation
• Rehabilitation
• Shoulder impingement syndrome
• Shoulder pain

• psychometric assessment
• quality of life
• reliability
• rotator cuff
• shoulder
• validity

• Arthroscopy
• Deltoid muscle
• Failure
• Outcomes
• Rotator cuff
• Shoulder

The Western Ontario Rotator Cuff Index (WORC) is a widely used instrument to measure quality of life in patients with subacromial pain or rotator cuff syndrome.

The purpose of this study was to evaluate the psychometric properties of the Swedish version of the WORC for assessment of subacromial disease including rotator cuff syndrome treated by surgery.

A total of 65 patients were included in this study, mean age 60 years (range 36–82), 42 % women, all were candidates for surgery for subacromial pain conditions at two orthopedic units during 2004–2006 and 2011–2012. Calculations of the validity of Pearson’s correlation coefficient, floor and ceiling effects, reliability and responsiveness have formed the basis of assessment of the WORC index properties. WORC has been tested against Western Ontario Osteoarthritis of the Shoulder (WOOS), Oxford Shoulder Score and EQ-5D.

An additional 49 patients, mean age 64 years (range 36–74) 20 % of whom were women, were analyzed in a WORC test-retest with ICC and also correlated to Constant-Murley Score.

The validity analysis of WORC showed high correlations with both the specific and the generic health measurement instrument. The reliability calculations of the WORC resulted in ICC = 0.97 and Cronbach’s alpha = 0.97. Responsiveness was also excellent for WORC with Effect size = 1.35 and Standardized Response mean = 1.01. We found that the WORC showed a strong correlation with the WOOS (0.97) and the Constant-Murley Score (0.85). A good correlation was found with the Oxford Shoulder Score (0.74) and the EQ-5D (0.71).

The Swedish version of WORC can be considered reliable, valid and responsive for use as an assessment of outcome and a health measurement instrument for patients treated by surgery for subacromial disease including rotator cuff syndrome.

• Quality of Life
• Questionnaire
• Reliability
• Responsiveness
• Rotator Cuff
• Shoulder
• Validity
• WORC

• Patient-reported outcomes
• psychometric properties
• rotator cuff disease
• shoulder

• Popeye deformity
• SLAP
• biceps tenotomy
• long head of biceps
• superior labrum
• tenodesis
• tenotomy

• Adult
• Arm
• Bone Screws
• Follow-Up Studies
• Humans
• Male
• Middle Aged
• Muscle, Skeletal
• Reoperation
• Rupture/surgery
• Tendon Injuries/surgery
• Tendons/surgery
• Tenodesis
• Tenotomy/adverse effects
• Treatment Failure