Disruption of the Anterior-Posterior Rotator Cuff Force Balance Alters Joint Function and Leads to Joint Damage in a Rat Model
Katherine E. Reuther, Stephen J. Thomas, Jennica J. Tucker, Joseph J. Sarver, Chancellor F. Gray, Sarah I. Rooney, David L. Glaser and Louis J. Soslowsky
Journal of orthopaedic research, v 32(5), pp 638-644
Life Sciences & Biomedicine Orthopedics Science & Technology
The rotator cuff assists in shoulder movement and provides dynamic stability to the glenohumeral joint. Specifically, the anterior-posterior (AP) force balance, provided by the subscapularis anteriorly and the infraspinatus and teres minor posteriorly, is critical for joint stability and concentric rotation of the humeral head on the glenoid. However, limited understanding exists of the consequences associated with disruption of the AP force balance (due to tears of both the supraspinatus and infraspinatus tendons) on joint function and joint damage. We investigated the effect of disrupting the APforce balance on joint function and joint damage in an overuse rat model. Twenty-eight rats underwent 4 weeks of overuse to produce a tendinopathic condition and were then randomized into two surgical groups: Detachment of the supraspinatus only or detachment of the supraspinatus and infraspinatus tendons. Rats were then gradually returned to their overuse protocol. Quantitative ambulatory measures including medial/lateral, propulsion, braking, and vertical forces were significantly different between groups. Additionally, cartilage and adjacent tendon properties were significantly altered. These results identify joint imbalance as a mechanical mechanism for joint damage and demonstrate the importance of preserving rotator cuff balance when treating active cuff tear patients. (c) 2014 Orthopaedic Research Society. Published by Wiley Periodicals, Inc. J Orthop Res 32:638-644, 2014.
Disruption of the Anterior-Posterior Rotator Cuff Force Balance Alters Joint Function and Leads to Joint Damage in a Rat Model
Creators
Katherine E. Reuther - University of Pennsylvania
Stephen J. Thomas - University of Pennsylvania
Jennica J. Tucker - University of Pennsylvania
Joseph J. Sarver - University of Pennsylvania
Chancellor F. Gray - University of Pennsylvania
Sarah I. Rooney - University of Pennsylvania
David L. Glaser - University of Pennsylvania
Louis J. Soslowsky - University of Pennsylvania
Publication Details
Journal of orthopaedic research, v 32(5), pp 638-644
Publisher
Wiley
Number of pages
7
Grant note
P30AR050950 / Penn Center for Musculoskeletal Disorders
R01AR056658 / NIH/NIAMS; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA; NIH National Institute of Arthritis & Musculoskeletal & Skin Diseases (NIAMS)
P30AR050950 / NATIONAL INSTITUTE OF ARTHRITIS AND MUSCULOSKELETAL AND SKIN DISEASES; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA; NIH National Institute of Arthritis & Musculoskeletal & Skin Diseases (NIAMS)
Resource Type
Journal article
Language
English
Academic Unit
School of Biomedical Engineering, Science, and Health Systems
Web of Science ID
WOS:000332842300004
Scopus ID
2-s2.0-84899421109
Other Identifier
991019176644504721
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