Addressing the Burden of Rotator Cuff Tears in India: Current Practices, Challenges, and Opportunities for Improved Diagnosis and Management in Healthcare and Service.
DOI:
https://doi.org/10.58676/sjmas.v2i6.79Keywords:
Rotator Cuff Tears, India, Diagnosis, Management, Healthcare DisparitiesAbstract
Background: Rotator cuff tears (RCTs) are a significant musculoskeletal issue in India, driven by lifestyle changes, an aging population, and increased physical activity. These injuries can result in pain, disability, and reduced quality of life. The complexity of diagnosing and managing RCTs in India is compounded by limited access to advanced imaging technologies, a shortage of specialized healthcare providers, and disparities in the healthcare infrastructure.
Methods and Materials: This study reviews existing literature and data from various sources, including the Indian Orthopedic Association, the Ministry of Health, and the World Health Organization. It examines the current practices for diagnosing and managing RCTs, assesses the prevalence and risk factors, and evaluates the effectiveness of various treatment modalities. Diagnostic tools like MRI, ultrasound, and arthroscopy were analyzed for their sensitivity and specificity in detecting RCTs.
Results: RCTs are prevalent in India, particularly among individuals over 50, with an estimated prevalence of 22.5%. Men are more commonly affected due to physically demanding jobs. Advanced diagnostic tools like diffusion-weighted MRI and MR Arthrography provide accurate diagnoses. Arthroscopic rotator cuff repair (RCR) shows high success rates, ranging from 70% to 90%. Early diagnosis and appropriate treatment, including physical therapy and surgical intervention, are crucial for optimal outcomes.
Conclusion: Managing RCTs in India requires a comprehensive approach involving enhanced healthcare infrastructure, increased access to advanced imaging, and specialized training for healthcare providers. Despite progress, challenges remain, such as the need for standardized treatment protocols and specialized care facilities. Addressing these issues through research collaboration and knowledge exchange can improve patient outcomes and reduce the burden of RCTs in India.
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