Article

Rotator Cuff Degeneration Etiology and Pathogenesis

The Hospital for Special Surgery, 535 East 70th Street, York, NY 10021, USA.
The American Journal of Sports Medicine (Impact Factor: 4.7). 06/2008; 36(5):987-93. DOI: 10.1177/0363546508317344
Source: PubMed

ABSTRACT By virtue of its anatomy and function, the rotator cuff is vulnerable to considerable morbidity, often necessitating surgical intervention. How we intervene is governed by our understanding of the pathological mechanisms in cuff disease. These factors can be divided into those extrinsic to the rotator cuff (impingement, demographic factors) and those intrinsic to the cuff (age-related degeneration, hypovascularity, inflammation, and oxidative stress, among others). In an era where biologic interventions are increasingly being investigated, our understanding of these mechanisms is likely to become more important in designing effective new interventions. Here we present a literature review summarizing our current understanding of the pathophysiological mechanisms underlying rotator cuff degeneration.

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Available from: Shane J Nho, Mar 29, 2015
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