Rotator Cuff Repair in Pediatric and Adolescent Athletes: Indications and Outcomes.
Antonio CaldariaEdoardo Giovannetti de SanctisAlessio PalumboFrancesco FranceschiNicola MaffulliPublished in: Sports medicine and arthroscopy review (2023)
Rotator cuff (RC) tears in pediatric and adolescent athletes are rare events. In these patients, RC tears are more likely to be traumatic or related to overuse among overhead. Repeated movements of abduction and external rotation are frequent mechanisms of injury. The supraspinatus is the most commonly involved tendon and the articular-sided tears are more common than the bursal side. Magnetic resonance imaging is considered the gold standard for diagnosing RC tears. Conservative treatment, arthroscopic, and open repair are all effective treatment methods depending on the type of injury. The risk of growth plate injury in these patients should be always considered when planning surgical interventions. Return to sport for competitive-level throwing athletes represents the greatest challenge in the treatment of these injuries.
Keyphrases
- rotator cuff
- end stage renal disease
- magnetic resonance imaging
- chronic kidney disease
- newly diagnosed
- ejection fraction
- young adults
- prognostic factors
- mental health
- computed tomography
- minimally invasive
- combination therapy
- type diabetes
- physical activity
- adipose tissue
- replacement therapy
- drug induced
- silver nanoparticles