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Returning to Overuse Activity Following a Supraspinatus and Infraspinatus Tear Leads to Joint Damage in a Rat Model
Journal article   Open access   Peer reviewed

Returning to Overuse Activity Following a Supraspinatus and Infraspinatus Tear Leads to Joint Damage in a Rat Model

Katherine E. Reuther, Stephen J. Thomas, Elisabeth F. Evans, Jennica J. Tucker, Joseph J. Sarver, Sarah Ilkhani-Pour, Chancellor F. Gray, Pramod Voleti, David L. Glaser and Louis J. Soslowsky
Journal of biomechanics, v 46(11), pp 1818-1824
12 Jun 2013
PMID: 23764174
url
https://europepmc.org/articles/pmc3713088View
Accepted (AM)Open Access (License Unspecified) Open

Abstract

animal model chondrogenic phenotype overuse injury rotator cuff
Large rotator cuff tears (supraspinatus and infraspinatus) are common in patients that perform overhead activities (laborers, athletes). In addition, following large cuff tears, these patients commonly attempt to return to pre-injury activity levels. However, there is a limited understanding of the damaging effects on the uninjured joint tissues when doing so. Therefore, the objective of this study was to investigate the effect of returning to overuse activity following a supraspinatus and infraspinatus tear on shoulder function and the structural and biological properties of the intact tendons and glenoid cartilage. Forty rats underwent four weeks of overuse followed by detachment of the supraspinatus and infraspinatus tendons and were then randomized into two groups: return to overuse or cage activity. Ambulatory measurements were performed over time and structural and biologic properties of the adjacent tendons and cartilage were evaluated. Results demonstrated that animals returning to overuse activity did not have altered shoulder function but despite this, did have altered cartilage and tendon properties. These mechanical changes corresponded to altered transcriptional regulation of chondrogenic genes within cartilage and tendon. This study helps define the mechanical and biologic mechanisms leading to joint damage and provides a framework for treating active cuff tear patients.

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Web of Science research areas
Biophysics
Engineering, Biomedical
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