The role of scapular dyskinesis on rotator cuff tears: a narrative review of the current knowledge

EFORT Open Reviews

article

Diana Cabral Teixeira¹  Luís Alves²  Manuel Gutierres² 

[1] Faculty of Medicine, University of Porto;Orthopaedic and Traumatology Department, São João Hospital Center

关键词: kinematics;    rotator cuff tear;    scapula;    scapular dyskinesis;    shoulder;   

DOI  :  10.1302/2058-5241.6.210043

学科分类：神经科学

来源: The British Editorial Society of Bone & Joint Surgery

【 摘 要 】

Scapular dyskinesis can be present in healthy individuals as in patients with shoulder pathology. Altered patterns of scapular kinematics can cause or exacerbate rotator cuff tear pathology. However, more research is needed. Regardless of the cause or the consequence of rotator cuff tear, scapular dyskinesis impairs shoulder function, worsens the symptoms, and compromises the success of clinical intervention. The available literature suggests physical therapy as the first treatment for degenerative cuff tears, and scapular dyskinesis should be addressed if present. Non-responsive cases or traumatic tears may require surgery. Postsurgical physical therapy protocols after rotator cuff repair must consider scapular dyskinesia to improve the outcomes.

【 授权许可】

CC BY|CC BY-NC|CC BY-NC-ND