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Titre du document / Document title

Anatomy of the posterior rotator interval: Implications for cuff mobilization

Auteur(s) / Author(s)

MILLER Suzanne L. (1) ; GLADSTONE James N. (1) ; CLEEMAN Edmond (1) ; KLEIN Michael J. (1) ; CHIANG Alexis S. (1) ; FLATOW Evan L. (1) ;

Affiliation(s) du ou des auteurs / Author(s) Affiliation(s)

(1) The Mount Sinai Hospital, Department of Orthopaedics, Department of Pathology, New York, NY, ETATS-UNIS

Résumé / Abstract

Release of the posterior rotator interval between the supraspinatus and infraspinatus tendons may be necessary to obtain appropriate mobilization for an anatomic rotator cuff repair. Ten cadaver shoulders were dissected to expose the region between the infraspinatus and supraspinatus from the spinoglenoid notch to the greater tuberosity. Measurements were made from the spinoglenoid notch to the glenoid rim, the glenoid rim to the confluence of the supraspinatus and infraspinatus musculotendinous junction, and from the confluence of the tendons to the insertion on the humerus. The histologic features of the posterior rotator interval were examined. The posterior rotator interval is a clear structure, consisting of the glenohumeral capsule medially, which fuses with the supraspinatus and infraspinatus tendons laterally. The average length of the posterior rotator interval was 77.8 mm which includes the distance from the spinoglenoid notch to the glenoid rim (25 mm; standard deviation, 2.89 mm; range, 21-28 mm), from the glenoid to the tendon confluence (25 mm; standard deviation, 1.95 mm; range, 21-28 mm), and from the tendon confluence to insertion (28 mm; standard deviation, 2.36 mm; range, 24-31 mm). Release of the posterior rotator interval can be important to realign the supraspinatus tendon if it is retracted andscarred at its posterior edge.

Revue / Journal Title

Clinical orthopaedics and related research   ISSN 0009-921X   CODEN CORTBR 

Source / Source

2003, no408, pp. 152-156 [5 page(s) (article)] (6 ref.)

Langue / Language

Anglais

Editeur / Publisher

Springer, Heidelberg, ALLEMAGNE  (1963) (Revue)

Mots-clés anglais / English Keywords

Histopathology ; Cadaver ; In vitro ; Human ; Thoracic girdle ; Treatment ; Arthroscopy ; Orthopedic surgery ; Medical application ; Posterior ; Interval ; Shoulder ; Rotator cuff ; Pathology ;

Mots-clés français / French Keywords

Histopathologie ; Cadavre ; In vitro ; Homme ; Ceinture thoracique ; Traitement ; Arthroscopie ; Chirurgie orthopédique ; Application médicale ; Postérieur ; Intervalle ; Epaule ; Coiffe rotateur ; Anatomopathologie ;

Mots-clés espagnols / Spanish Keywords

Histopatología ; Cadáver ; In vitro ; Hombre ; Cintura torácica ; Tratamiento ; Artroscopia ; Cirugía ortopédica ; Aplicación medical ; Posterior ; Intervalo ; Hombro ; Anatomía patológica ;

Localisation / Location

INIST-CNRS, Cote INIST : 15462, 35400010943125.0170

Nº notice refdoc (ud4) : 14623501

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