Imperial College London
Alternate

Anthony M J Bull FREng

Faculty of Engineering, Department of Bioengineering

Professor of Musculoskeletal Mechanics
 
 
 
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Contact

 

+44 (0)20 7594 5186a.bull Website

 
 
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Location

 

Uren 514aSir Michael Uren HubWhite City Campus

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Summary

 

Publications

Citation

BibTex format

@article{Thompson:2019:10.1177/1758573217717104,
author = {Thompson, SM and Prinold, JAI and Hill, AM and Reilly, P and Emery, RJH and Bull, AMJ},
doi = {10.1177/1758573217717104},
journal = {Shoulder and Elbow},
pages = {19--25},
title = {The influence of full-thickness supraspinatus tears on abduction moments: the importance of the central tendon},
url = {http://dx.doi.org/10.1177/1758573217717104},
volume = {11},
year = {2019}
}
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RIS format (EndNote, RefMan)

TY  - JOUR
AB  - Background: Detachment of the central tendon of the supraspinatus from its insertion is considered to be crucial to functional deficit. The aim of the present study was to assess the function of the supraspinatus in terms of abduction moments by introducing different tear configurations to assess the functional effect of the central tendon insertion. Methods: Ten fresh frozen shoulders from five cadavers were prepared for testing. A testing protocol was established to measure the abduction moment of the supraspinatus under physiological loading tailored to the anthropometrics of each specimen. Four conditions were tested: intact supraspinatus; complete detachment of portion of the supraspinatus tendon anterior to the main central tendon; detachment of the main central tendon; and detachment of the region of the supraspinatus posterior to the main central tendon. Results: There was a significant and large reduction in abduction moment when the central tendon was sectioned (p < 0.05). A smaller reduction in abduction moment was found when the regions anterior and posterior to the main central tendon were sectioned (p < 0.05). Conclusions: The central tendon is vital in the role of functional arm abduction through force transmission through the intact rotator cuff. Reinsertion of the central tendon in the correct anatomical location is desirable to optimize functional outcome of surgery.
AU  - Thompson,SM
AU  - Prinold,JAI
AU  - Hill,AM
AU  - Reilly,P
AU  - Emery,RJH
AU  - Bull,AMJ
DO  - 10.1177/1758573217717104
EP  - 25
PY  - 2019///
SN  - 1758-5740
SP  - 19
TI  - The influence of full-thickness supraspinatus tears on abduction moments: the importance of the central tendon
T2  - Shoulder and Elbow
UR  - http://dx.doi.org/10.1177/1758573217717104
UR  - https://www.ncbi.nlm.nih.gov/pubmed/31019558
UR  - http://hdl.handle.net/10044/1/69408
VL  - 11
ER  -
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