Supraspinatus tears: propagation and strain alteration

J Shoulder Elbow Surg. 2003 Mar-Apr;12(2):134-8. doi: 10.1067/mse.2003.7.

Abstract

It was hypothesized that there would be an alteration in strain when macroscopically normal supraspinatus tendons were subjected to three patterns of surgically created tear. The propagation of joint-side partial-thickness tears was also examined. Cadaveric shoulders were tested on a purpose-built rig with static loading from 20 to 200 N and during glenohumeral abduction from 0 degrees to 120 degrees with a 100-N tensile load. Differential variable reluctance transducers were used to calculate strain. Six-millimeter-wide midsubstance full-thickness tears (n = 2) caused an increase in bursal-side strain both with abduction 1.93% (90 degrees ) and with loading 0.33% (150 N). Intratendinous delamination (n = 2) increased joint-side strain during abduction and bursal-side strain with loading. A 2-mm-deep tear across the tendon insertion (n = 5) increased the bursal-side strain in abduction by 3.54% (120 degrees ) and with load by 2.53% (200 N). Tear propagation was observed from joint to bursal sides during abduction. Tendon failure occurred at the insertion.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Aged
  • Aged, 80 and over
  • Cadaver
  • Female
  • Humans
  • Male
  • Middle Aged
  • Rotator Cuff / pathology
  • Rotator Cuff Injuries*
  • Rupture, Spontaneous / pathology
  • Shoulder Joint / pathology
  • Stress, Mechanical
  • Tendon Injuries / pathology*