Talk:Rotator cuff tear

message: Anatomical structures should be linked to their own page using the double brackets.
Needs a section on incidence (how often does this occur? in whom?) toward the beginning of the article.
Under Anatomy, add in some subheadings using === triple equal signs.
Scholarchanter (talk) 01:01, 1 June 2010 (UTC)
thread_title: Editorial Comments

message: The following corrections should be made to the article to improve its content. 
I could not find any corrections to be made, other than to simply where and if possible. I have no other suggestions at this time.
The following are positive points of this article.
This is one of the most well-developed, well cited, and well written wiki’s I have read. It is comprehensive, and provides adequate visual aids. 
NHearn (talk) 05:54, 11 May 2012 (UTC)
thread_title: Peer review, May 10, 2012

message: Does the description of tendon layers add anything, or simply add to overload for the average reader? Mdscottis (talk) 05:01, 19 February 2013 (UTC)
thread_title:  Tendon layers 

message: The use of subacromial corticosteroid injection is not restricted to the 'rotator cuff impingement syndrome' and I don't think it indicates what the article says it does.  Note that there is no associated citation.
It would be better, in my opinion, if the specific tests - painful arc, Neer's and Hawkins, were described together with the fact that if symptoms arising from those tests are blocked by the use of local anesthesia, then the diagnosis is much more likely.
Comments would be helpful.  Thanks.  --Mdscottis (talk) 04:52, 23 February 2013 (UTC)
thread_title:  In office testing - rotator cuff impingement syndrome 

message: This section lists 8 physical exam tests, and then ranks them, or combinations of them, for certain purposes.  However, only three of them are described, and then briefly.
It seems that they should all be described for the benefit of the reader, or the section simply omitted.  If they are to be described, then the section will become quite lengthy, in a subject that has already ballooned significantly.  That would seem to be more fitting for a textbook rather than an encyclopedia, but I am prepared to be corrected.
I would personally favor dropping the section to improve overall readability.
Advice would be appreciated Mdscottis (talk) 03:37, 25 July 2014 (UTC)
thread_title:  Signs 

message: Rotator cuff tendinopathy subsumes several other categories that currently have their own page, and Rotator Cuff Tear is one of those categories. The word "tear" is used to refer to thinning and defects of the tendon that can occur with acute trauma but are usually attritional and degenerative.  Acute rupture of the tendons usually occurs in people of the age to have tendinopathy rather than a normal tendon and so can be included in this larger topic.  Another reason for including acute tears is that it is not always possible to discern degenerative defects from acute tears.
DellMedWikiProject (talk) 19:42, 3 March 2022 (UTC)
thread_title:  Motion to Redirect Rotator Cuff Tear to Rotator Cuff Tendinopathy 

message: :The following is a closed discussion of a requested move. Please do not modify it. Subsequent comments should be made in a new section on the talk page. Editors desiring to contest the closing decision should consider a move review after discussing it on the closer's talk page. No further edits should be made to this discussion.
The result of the move request was: Not Moved (non-admin closure) >>> Extorc.talk 15:30, 1 June 2023 (UTC)
replies: text: Rotator cuff tear →  – We propose changing the title from “rotator cuff tear” to “rotator cuff tendinopathy” because most rotator cuff defects are related to degenerative changes in the tendon (tendinopathy) that are expected with increased age (senescence). In other words, holes in the tendon are usually part of tendon senescence (rotator cuff tendinopathy) and not due to injury(rotator cuff tear). 
A secondary source reviewed the existing evidence regarding prevalence of rotator cuff tendinopathy and rotator cuff defects and found that 62% of people 80 years and older have evidence of tendinopathy.[1] Acute traumatic ruptures do occur, but they are relatively uncommon, usually result from an injury of notable intensity, involve more than one tendon, and are associated with ecchymosis, edema, and other signs of acute injury.[2,3]
Use of the word “tear” implies injury.  New symptoms from established pathophysiology are often misinterpreted as new pathophysiology, and they are often misinterpreted as an injury.[4,5]
Misinterpretation of symptoms is a key contributor to greater levels of discomfort and incapability.[6,7]  It’s healthful to limit reinforcing these common misconceptions.[8,9]
Tendinopathy refers to disease of tendon, which is generally mucoid degeneration rather than inflammation or injury.[10,11] It is a much more accurate term with less potential to reinforce unhelpful thinking and distress regarding symptoms that are known contributors to greater symptoms and incapability among people presenting for care of rotator cuff disease.[12] 
References
1. Teunis T, Lubberts B, Reilly BT, Ring D. A systematic review and pooled analysis of the prevalence of rotator cuff disease with increasing age. J Shoulder Elbow Surg. 2014 Dec;23(12):1913-1921. doi: 10.1016/j.jse.2014.08.001. PMID: 25441568.
2. Gutman MJ, Joyce CD, Patel MS, Kirsch JM, Gutman BS, Abboud JA, Namdari S, Ramsey ML. Early repair of traumatic rotator cuff tears improves functional outcomes. J Shoulder Elbow Surg. 2021 Nov;30(11):2475-2483. doi: 10.1016/j.jse.2021.03.134. Epub 2021 Mar 24. PMID: 33774173.
3. Aagaard KE, Abu-Zidan F, Lunsjo K. High incidence of acute full-thickness rotator cuff tears. Acta Orthop. 2015;86(5):558-62. doi: 10.3109/17453674.2015.1022433. PMID: 25708526; PMCID: PMC4564777.
4. Lemmers M, Versluijs Y, Kortlever JTP, Gonzalez AI, Ring D. Misperception of Disease Onset in People with Gradual-Onset Disease of the Upper Extremity. J Bone Joint Surg Am. 2020 Dec 16;102(24):2174-2180. doi: 10.2106/JBJS.20.00420. PMID: 33027085.
5. Liu TC, Leung N, Edwards L, Ring D, Bernacki E, Tonn MD. Patients Older Than 40 Years With Unilateral Occupational Claims for New Shoulder and Knee Symptoms Have Bilateral MRI Changes. Clin Orthop Relat Res. 2017 Oct;475(10):2360-2365. doi: 10.1007/s11999-017-5401-y. Epub 2017 Jun 9. PMID: 28600690; PMCID: PMC5599397.
6. Miner H, Rijk L, Thomas J, Ring D, Reichel LM, Fatehi A. Mental-Health Phenotypes and Patient-Reported Outcomes in Upper-Extremity Illness. J Bone Joint Surg Am. 2021 Aug 4;103(15):1411-1416. doi: 10.2106/JBJS.20.01945. PMID: 34357891.
7. Teunis T, Ramtin S, Gwilym SE, Ring D, Jayakumar P. Unhelpful thoughts and distress regarding symptoms are associated with recovery from upper extremity fracture. Injury. 2023 Apr;54(4):1151-1155. doi: 10.1016/j.injury.2023.02.035. Epub 2023 Feb 18. PMID: 36822916.
8. Bossen JK, Hageman MG, King JD, Ring DC. Does rewording MRI reports improve patient understanding and emotional response to a clinical report? Clin Orthop Relat Res. 2013 Nov;471(11):3637-44. doi: 10.1007/s11999-013-3100-x. Epub 2013 Jun 13. PMID: 23761176; PMCID: PMC3792273.
9. Farmer C, O'Connor DA, Lee H, et alConsumer understanding of terms used in imaging reports requested for low back pain: a cross-sectional surveyBMJ Open 2021;11:e049938. doi: 10.1136/bmjopen-2021-049938
10. Bruni DF, Pierson SR, Sarwar F, Ring D, Ramtin S. Are the Pathologic Features of Enthesopathy, Tendinopathy, and Labral and Articular Disc Disease Related to Mucoid Degeneration? A Systematic Review. Clin Orthop Relat Res. 2023 Apr 1;481(4):641-650. doi: 10.1097/CORR.0000000000002499. Epub 2022 Dec 23. PMID: 36563131; PMCID: PMC10013668.
11. Leopold SS. Editor's Spotlight/Take 5: Are the Pathologic Features of Enthesopathy, Tendinopathy, and Labral and Articular Disc Disease Related to Mucoid Degeneration? A Systematic Review. Clin Orthop Relat Res. 2023 Apr 1;481(4):636-640. doi: 10.1097/CORR.0000000000002604. Epub 2023 Feb 28. PMID: 36853888; PMCID: PMC10013662.
12. Rohrback M, Ramtin S, Abdelaziz A, Matkin L, Ring D, Crijns TJ, Johnson A. Rotator cuff tendinopathy: magnitude of incapability is associated with greater symptoms of depression rather than pathology severity. J Shoulder Elbow Surg. 2022 Oct;31(10):2134-2139. doi: 10.1016/j.jse.2022.03.007. Epub 2022 Apr 21. PMID: 35461981. WarriorDO14 (talk) 04:39, 11 May 2023 (UTC)

text: Note: WikiProject Medicine has been notified of this discussion. ❯❯❯ Raydann(Talk) 05:23, 18 May 2023 (UTC)

text: Oppose My understanding is that tendinopathy is different from a tear. Tears are less common but occur in young people in certain occupations (eg. professional gymnastics). this source explains the difference. I suppose it is possible to cover both tears and tendinopathy on one page that could be titled something like "Rotator cuff injury". (t · c) buidhe 14:25, 24 May 2023 (UTC)
replies: text: That is exactly the type of misconception that we think will be addressed by a name change.  Discussion of acute rupture vs. senescent/attritional defect as more accurate descriptive terms than "tear" would be useful and can be added. Dr311 (talk) 17:35, 26 May 2023 (UTC)
replies: text: ...There's that "we" again... Steel1943 (talk) 14:11, 27 May 2023 (UTC)

text: Comment: Well, editors here are still referring to themselves as "we", so here's why that is a problem: Saying "we" hints either a shared account or what's known as "meat puppetry", both of which are not allowed on Wikipedia. If either one of these apply, they need to be declared and/or resolved immediately. Steel1943 (talk) 20:01, 27 May 2023 (UTC)
thread_title:  Requested move 11 May 2023