Addressing the Burden of Rotator Cuff Tears in India: Current Practices, Challenges, and Opportunities for Improved Diagnosis and Management in Healthcare and Service.

Authors

DOI:

https://doi.org/10.58676/sjmas.v2i6.79

Keywords:

Rotator Cuff Tears, India, Diagnosis, Management, Healthcare Disparities

Abstract

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.

References

Shanmugam R, Rangan A, Karkhanis S. Efficacy of physical therapy and NSAIDs in the management of patients with rotator cuff pathology: A prospective study. J Clin Orthop Trauma. 2016;7(Suppl 2):204-209.

Mohan A, Sharma L, Singh V. Functional outcome of arthroscopic repair of large to massive rotator cuff tears: A short-term follow-up study. J Clin Orthop Trauma. 2018;9(4):310-314

Singh B, Bakti N, Pandey R. Role of Rehabilitation Protocol after Arthroscopic Rotator Cuff Repair: A Prospective Study. J Orthop Case Rep. 2019;9(4):43-46.

Kamat D, Sharma N, Sahu R. Role of clinical examination in diagnosing rotator cuff tears: A prospective study. Int J Res Orthop. 2017;3(2):253-257.

Joshi R, Singh A. Musculoskeletal complaints in the Indian population: A review. Indian J Orthop. 2017;51(6):659-669.

2. Chatterjee K, Das J, Sengupta S, et al. Pattern and prevalence of musculoskeletal disorders in patients attending orthopedics outpatient clinic in a tertiary care hospital. J Clin Orthop Trauma. 2019;10(5):905-909.

3. Balasubramanian G, Ramanathan M. A study on the pattern of shoulder disorders in patients attending orthopedic OPD at a tertiary care hospital in South India. Int J Res Orthop. 2019;5(4):849-852.

Garg S, Garg M, Kataria R. Role of ultrasound in the diagnosis of rotator cuff tears: A prospective study. J Orthop Allied Sci. 2015;3(1):23-27.

Yamaguchi K. Biomechanics of the Rotator Cuff: Evaluation and Treatment Principles. Orthopedic Clinics of North America.;

Burkhart SS, Morgan CD, Kibler WB. The disabled throwing shoulder: spectrum of pathology Part III: The SICK scapula, scapular dyskinesis, the kinetic chain, and rehabilitation. Arthroscopy. 2003; 19(6): 641-661.

Moraes VY, Lenza M, Tamaoki MJ, Faloppa F, Belloti JC. Platelet-rich therapies for musculoskeletal soft tissue injuries. Cochrane Database of Systematic Reviews. 2013; (12): CD010071.

Longo UG, Berton A, Papapietro N, Maffulli N, Denaro V. Biomechanics of the rotator cuff: European perspective. Medical & Biological Engineering & Computing. 2011; 49(5): 579-586.

Chaudhury S, Kaur S, Kumar V, et al. Risk Factors Associated With Rotator Cuff Tears: A Case-Control Study From India. J Orthop Surg (Hong Kong). 2019;27(2):2309499019844657.

Singh S, Kumar V, Singh AK, et al. Correlation of Acromial Morphology with Rotator Cuff Tears in Indian Population: A Case-Control Study. J Orthop Surg (Hong Kong). 2018;26(3):2309499018781963.

Verma R, Verma S, Jain A, et al. Genetic Polymorphisms in Collagen Genes are Associated with Susceptibility to Rotator Cuff Tear: A Case-Control Study from North India. J Orthop Res. 2020;38(4):845-852.

American Academy of Orthopaedic Surgeons. (2021). Rotator Cuff Tears. Retrieved from https://orthoinfo.aaos.org/en/diseases--conditions/rotator-cuff-tears/

Neviaser, A. S., Hannafin, J. A. (2020). Adhesive Capsulitis of the Shoulder. Journal of the American Academy of Orthopaedic Surgeons, 28(6), 171-183.

Yian, E. H., Ramappa, A. J., & Arneberg, O. (2005). Biceps Injuries: Management and Treatment. The Orthopedic Clinics of North America, 36(2), 229-240.

Militello, P., Nanda, R., Militello, G. (2020). Calcific Tendinopathy of the Rotator Cuff. In StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing.

Graham, J., Abel, N., Summers, S., Nelson, M. (2021). Parsonage-Turner Syndrome (Brachial Neuritis). In StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing.

Millett, P. J., Warth, R. J., & Dornan, G. J. (2013). Diagnosis and Management of Anterior Shoulder Instability. Sports Health, 5(6), 491-501.

Gupta A, Gupta A, Singh S, et al. Association of Obesity with Rotator Cuff Tears: A Case-Control Study from North India. J Shoulder Elbow Surg. 2017;26(11):1975-1981.

https://www.pristyncare.com/cost/rotator-cuff-repair/ #:~:text=The%20average%20cost%20of%20rotator,orthopedic%20doctor%20and%20hospital%2C%20etc

https://www.saspublishers.com/article/14181/download/ #:~:text=In%20conclusion%2C%20our%20study%20of,India%20632%20increased%20with%20age.

https://www.sciencedirect.com/science/article/abs/pii/S2214963520301346

https://www.jotsrr.org/articles/clinical-and-patient-reported-outcomes-after-treatment-ofrotator-cuff-tears-a-retrospective-observational-study-12054.html

https://www.sportsarthroscopyindia.com/rotator_cuff_tears.html

Jin, K., Simpkins, J. W., Ji, X., Leis, M., & Stambler, I. (2015). The a critical need to promote research on aging and aging-related diseases to improve the health and longevity of the elderly population. Aging and disease, 6(1), 1-5

P. Randelli et al. History of rotator cuff surgery, Knee Surg Sports Traumatol Arthrosc Off J ESSKA (2015 Feb)

R. Wade et al. Clinico-radiological evaluation of re-tear rate in an arthroscopic double row versus single row repair technique in full-thickness rotator cuff tear. Orthop (2017 Jun 1)

Dini AA, Snyder AJ. Rotator cuff repair—the SCOI row method. Medicina Fluminensis. 2015;51

Ji JH, Shafi M, Kim WY, Kim YY. Clinical outcomes of arthroscopic single and double row repair in full-thickness rotator cuff tears. Indian J Orthop.2010;44:308–13. [PMC free article] [PubMed]

Ghodadra NS, Provencher MT, Verma NN, Wilk KE, Romeo AA. Open, mini-open, and all-arthroscopic rotator cuff repair surgery: Indications and implications for rehabilitation. J Orthop Sports Phys Ther.2009;39:81–9. [PubMed] [Google Scholar]

https://www.globaldata.com/store/report/india-arthroscopy-procedures-market-analysis/

Sambandam, S.N., Khanna, V., Gul, A. and Mounasamy, V., 2015. Rotator cuff tears: An evidence-based approach. World Journal of Orthopedics, 6(11), p.902.

Pandey, V. and Willems, W.J., 2015. Rotator cuff tear: A detailed update. Asia-Pacific Journal of Sports Medicine, Arthroscopy, Rehabilitation and Technology, 2(1), pp.1-14.

Ribeiro, L.P., Cools, A. and Camargo, P.R., 2020. Rotator cuff unloading versus loading exercise program in the conservative treatment of patients with rotator cuff tear: protocol of a randomised controlled trial. BMJ open, 10(12), p.e040820

Giovannetti de Sanctis, E., Franceschetti, E., De Dona, F., Palumbo, A., Paciotti, M. and Franceschi, F., 2020. The efficacy of injections for partial rotator cuff tears: a systematic review. Journal of Clinical Medicine, 10(1), p.51.

Published

2024-07-30

How to Cite

Anand, A., Salibi, G., & Tzenios, N. (2024). Addressing the Burden of Rotator Cuff Tears in India: Current Practices, Challenges, and Opportunities for Improved Diagnosis and Management in Healthcare and Service . Special Journal of the Medical Academy and Other Life Sciences., 2(6). https://doi.org/10.58676/sjmas.v2i6.79

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