Arthroscopy: The Journal of Arthroscopic and Related Surgery
Volume 26, Issue 5 , Pages 578-586 , May 2010

The Effect of Posterosuperior Rotator Cuff Tears and Biceps Loading on Glenohumeral Translation

  • Wei-Ren Su, M.D.

      Affiliations

    • Department of Orthopaedic Surgery, National Cheng Kung University Hospital, Tainan, Taiwan
    • ,
  • Jeffrey E. Budoff, M.D.

      Affiliations

    • Department of Orthopaedic Surgery, University of Texas, Houston, Texas
    • Corresponding Author InformationAddress correspondence and reprint requests to Jeffrey E. Budoff, M.D., 6560 Fannin, Ste 1016, Houston, TX 77030, U.S.A.
    • ,
  • Zong-Ping Luo, Ph.D.

      Affiliations

    • Florida Orthopaedic Institute, Tampa, Florida, U.S.A.

Received 16 March 2009 ,Accepted 8 September 2009.

References 

  1. Su WR, Budoff JE, Luo ZP. The effect of anterosuperior rotator cuff tears on glenohumeral translation. Arthroscopy. 2009;25:282–289
  2. Mura N, O'Driscoll SW, Zobitz ME, et al. The effect of infraspinatus disruption on glenohumeral torque and superior migration of the humeral head: A biomechanical study. J Shoulder Elbow Surg. 2003;12:179–184
  3. Wiley A. Superior humeral dislocation. Clin Orthop Relat Res. 1991;135–141
  4. Yamaguchi K, Sher JS, Andersen WK, et al. Glenohumeral motion in patients with rotator cuff tears: A comparison of asymptomatic and symptomatic shoulders. J Shoulder Elbow Surg. 2000;9:6–11
  5. Budoff JE, Nirschl RP, Guidi EJ. Debridement of partial-thickness tears of the rotator cuff without acromioplasty: Long-term follow-up and review of the literature. J Bone Joint Surg Am. 1998;80:733–748
  6. Hsu HC, Luo ZP, Cofield RH, An KN. Influence of rotator cuff tearing on glenohumeral stability. J Shoulder Elbow Surg. 1997;6:413–422
  7. Neer CS, Craig EV, Fukuda H. Cuff-tear arthropathy. J Bone Joint Surg Am. 1983;65:1232–1244
  8. Burkhart SS. Reconciling the paradox of rotator cuff repair versus debridement: A unified biomechanical rationale for the treatment of rotator cuff tears. Arthroscopy. 1994;10:4–19
  9. Halder AM, O'Driscoll SW, Heers G, et al. Biomechanical comparison of effects of supraspinatus tendon detachments, tendon defects, and muscle retractions. J Bone Joint Surg Am. 2002;84:780–785
  10. Szabo I, Boileau P, Walch G. The proximal biceps as a pain generator and results of tenotomy. Sports Med Arthrosc. 2008;16:180–186
  11. Boileau P, Baque F, Valerio L, Ahrens P, Chuinard C, Trojani C. Isolated arthroscopic biceps tenotomy or tenodesis improves symptoms in patients with massive irreparable rotator cuff tears. J Bone Joint Surg Am. 2007;89:747–757
  12. Sethi N, Wright R, Yamaguchi K. Disorders of the long head of the biceps tendon. J Shoulder Elbow Surg. 1999;8:644–654
  13. Kido T, Itoi E, Konno N, Sano A, Urayama M, Sato K. The depressor function of biceps on the head of the humerus in shoulders with tears of the rotator cuff. J Bone Joint Surg Br. 2000;82:416–419
  14. Kumar VP, Satku K, Balasubramaniam P. The role of the long head of biceps brachii in the stabilization of the head of the humerus. Clin Orthop Relat Res. 1989;172–175
  15. Halder AM, Zhao KD, Odriscoll SW, Morrey BF, An KN. Dynamic contributions to superior shoulder stability. J Orthop Res. 2001;19:206–212
  16. Warner JJ, McMahon PJ. The role of the long head of the biceps brachii in superior stability of the glenohumeral joint. J Bone Joint Surg Am. 1995;77:366–372
  17. Pagnani MJ, Deng XH, Warren RF, Torzilli PA, Altchek DW. Effect of lesions of the superior portion of the glenoid labrum on glenohumeral translation. J Bone Joint Surg Am. 1995;77:1003–1010
  18. Pagnani MJ, Deng XH, Warren RF, Torzilli PA, O'Brien SJ. Role of the long head of the biceps brachii in glenohumeral stability: A biomechanical study in cadavera. J Shoulder Elbow Surg. 1996;5:255–262
  19. Youm T, ElAttrache NS, Tibone JE, McGarry MH, Lee TQ. The effect of the long head of the biceps on glenohumeral kinematics. J Shoulder Elbow Surg. 2009;18:122–129
  20. Itoi E, Newman SR, Kuechle DK, Morrey BF, An KN. Dynamic anterior stabilisers of the shoulder with the arm in abduction. J Bone Joint Surg Br. 1994;76:834–836
  21. Rodosky MW, Harner CD, Fu FH. The role of the long head of the biceps muscle and superior glenoid labrum in anterior stability of the shoulder. Am J Sports Med. 1994;22:121–130
  22. Itoi E, Kuechle DK, Newman SR, Morrey BF, An KN. Stabilising function of the biceps in stable and unstable shoulders. J Bone Joint Surg Br. 1993;75:546–550
  23. Glousman R, Jobe F, Tibone J, Moynes D, Antonelli D, Perry J. Dynamic electromyographic analysis of the throwing shoulder with glenohumeral instability. J Bone Joint Surg Am. 1988;70:220–226
  24. Warner JJP, Gerber C. Massive tears of the postero-superior rotator cuff. In:  Warner JJP,  Iannotti JP,  Gerber C editor. Complex and revision problems in shoulder surgery. Philadelphia: Lippincott-Raven; 1997;p. 177–201
  25. Nové-Josserand L, Gerber C, Walch G. Lesions of the antero-superior rotator cuff. In:  Warner JJP,  Iannotti JP,  Gerber C editor. Complex and revision problems in shoulder surgery. Philadelphia: Lippincott-Raven; 1997;p. 165–176
  26. Grossman MG, Tibone JE, McGarry MH, Schneider DJ, Veneziani S, Lee TQ. A cadaveric model of the throwing shoulder: A possible etiology of superior labrum anterior-to-posterior lesions. J Bone Joint Surg Am. 2005;87:824–831
  27. Thompson WO, Debski RE, Boardman ND, et al. A biomechanical analysis of rotator cuff deficiency in a cadaveric model. Am J Sports Med. 1996;24:286–292
  28. Curl LA, Warren RF. Glenohumeral joint stability (Selective cutting studies on the static capsular restraints). Clin Orthop Relat Res. 1996;54–65
  29. Fagelman M, Sartori M, Freedman KB, Patwardhan AG, Carandang G, Marra G. Biomechanics of coracoacromial arch modification. J Shoulder Elbow Surg. 2007;16:101–106
  30. Gartsman GM, Khan M, Hammerman SM. Arthroscopic repair of full-thickness tears of the rotator cuff. J Bone Joint Surg Am. 1998;80:832–840
  31. Lazarus MD, Yung SW, Sidles JA, Harryman DR. Anterosuperior humeral displacement: Limitation by the coracoacromial arch. J Shoulder Elbow Surg. 1996;5(Abstr, Suppl):S7
  32. Nirschl RP. Rotator cuff surgery. Instr Course Lect. 1989;38:447–462
  33. Watson M. Major ruptures of the rotator cuff: The results of surgical repair in 89 patients. J Bone Joint Surg Br. 1985;67:618–624
  34. Levy AS, Kelly BT, Lintner SA, Osbahr DC, Speer KP. Function of the long head of the biceps at the shoulder: Electromyographic analysis. J Shoulder Elbow Surg. 2001;10:250–255
  35. Yamaguchi K, Riew KD, Galatz LM, Syme JA, Neviaser RJ. Biceps activity during shoulder motion: An electromyographic analysis. Clin Orthop Relat Res. 1997;122–129
  36. Itoi E, Hsu HS, An KN. Biomechanical investigation of the glenohumeral joint. J Shoulder Elbow Surg. 1996;5:407–424
  37. Basmajian JV, Bazant FJ. Integrated actions and functions of the chief flexors of the elbow: A detailed electromyographic analysis. J Bone Joint Surg Am. 1957;39:1106–1118
  38. Furlani J. Electromyographic study of the m. biceps brachii in movements at the glenohumeral joint. Acta Anat (Basel). 1976;96:270–284
  39. Sakurai G, Ozaki J, Tomita Y, Nishimoto K, Tamai S. Electromyographic analysis of shoulder joint function of the biceps brachii muscle during isometric contraction. Clin Orthop Relat Res. 1998;123–131
  40. Kido T, Itoi E, Konno N, Sano A, Urayama M, Sato K. Electromyographic activities of the biceps during arm elevation in shoulders with rotator cuff tears. Acta Orthop Scand. 1998;69:575–579
  41. Leffert RD, Rowe CR. Tendon rupture. In:  Rowe CR editors. The shoulder. New York: Churchill Livingstone; 1988;p. 131–163

 The authors report no conflict of interest.

PII: S0749-8063(09)00792-0

doi: 10.1016/j.arthro.2009.09.007

Arthroscopy: The Journal of Arthroscopic and Related Surgery
Volume 26, Issue 5 , Pages 578-586 , May 2010

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