Journal
EFORT OPEN REVIEWS
Volume 6, Issue 10, Pages 932-940Publisher
BRITISH EDITORIAL SOC BONE & JOINT SURGERY
DOI: 10.1302/2058-5241.6.210043
Keywords
kinematics; rotator cuff tear; scapula; scapular dyskinesis; shoulder
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Scapular dyskinesis can cause or exacerbate shoulder pathology, impairing shoulder function and compromising the success of clinical intervention.
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.
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