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Microvascular blood flow in normal and pathologic rotator cuffs

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Karthikeyan, S., Griffin, Damian R., Parsons, N., Lawrence, T. M., Modi, C. S., Drew, S. J. and Smith, C. D. (2015) Microvascular blood flow in normal and pathologic rotator cuffs. Journal of Shoulder and Elbow Surgery, 24 (12). pp. 1954-1960. doi:10.1016/j.jse.2015.07.014

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Official URL: https://doi.org/10.1016/j.jse.2015.07.014

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Abstract

Background: Microvascular blood flow in the tendon plays an important role in the pathogenesis of rotator cuff abnormalities. There are conflicting views about the presence of a hypovascular zone in the supraspinatus tendon. Besides, no studies have looked at the pattern of blood flow around a partial-thickness tear. Our aim was to measure microvascular blood flow in normal and a range of pathologic rotator cuff tendons using laser doppler flowmetry.

Methods: A total of 120 patients having arthroscopic shoulder surgery were divided into 4 equal groups on the basis of their intraoperative diagnosis: normal rotator cuff, subacromial impingement syndrome, and partial-thickness or full-thickness rotator cuff tear. Microvascular blood flow was measured at 5 different regions of each cuff using a laser doppler probe. The values were compared to assess variability within and between individuals.

Results: Total blood flow was greater in the normal rotator cuff group compared with the groups with pathologic rotator cuffs, with the largest difference seen in the subacromial impingement group. Within individuals, blood flow was highest at the musculotendinous junction and lowest at the lateral insertional part of the tendon. Among groups, the blood flow was significantly lower at the anteromedial and posteromedial cuff in the groups with impingement and full-thickness tears compared with the group with normal cuff.

Conclusion: Real-time in vivo laser doppler analysis has shown that microvascular blood flow is not uniform throughout the supraspinatus tendon. Blood flow in the pathologic supraspinatus tendon was significantly lower compared with the normal tendon. (C) 2015 Journal of Shoulder and Elbow Surgery Board of Trustees.

Item Type: Journal Article
Subjects: R Medicine > R Medicine (General)
Divisions: Faculty of Medicine > Warwick Medical School > Health Sciences > Clinical Trials Unit
Faculty of Medicine > Warwick Medical School > Health Sciences
Faculty of Medicine > Warwick Medical School
Journal or Publication Title: Journal of Shoulder and Elbow Surgery
Publisher: Mosby-Elsevier
ISSN: 1058-2746
Official Date: 29 December 2015
Dates:
DateEvent
29 December 2015Published
26 September 2015Accepted
Volume: 24
Number: 12
Page Range: pp. 1954-1960
DOI: 10.1016/j.jse.2015.07.014
Status: Peer Reviewed
Publication Status: Published
Access rights to Published version: Restricted or Subscription Access
Funder: National Institute for Health Research (Great Britain) (NIHR), Academy of Medical Sciences (Great Britain)
Grant number: R.MRHS.0054

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