Tendon retracts more than muscle in experimental chronic tears of the rotator cuff

J Bone Joint Surg Br. 2006 Nov;88(11):1533-8. doi: 10.1302/0301-620X.88B11.17791.

Abstract

We released the infraspinatus tendons of six sheep, allowed retraction of the musculotendinous unit over a period of 40 weeks and then performed a repair. We studied retraction of the musculotendinous unit 35 weeks later using CT, MRI and macroscopic dissection. The tendon was retracted by a mean of 4.7 cm (3.8 to 5.1) 40 weeks after release and remained at a mean of 4.2 cm (3.3 to 4.7) 35 weeks after the repair. Retraction of the muscle was only a mean of 2.7 cm (2.0 to 3.3) and 1.7 cm (1.1 to 2.2) respectively at these two points. Thus, the musculotendinous junction had shifted distally by a mean of 2.5 cm (2.0 to 2.8) relative to the tendon. Sheep muscle showed an ability to compensate for approximately 60% of the tendon retraction in a hitherto unknown fashion. Such retraction may not be a quantitatively reliable indicator of retraction of the muscle and may overestimate the need for elongation of the musculotendinous unit during repair.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Animals
  • Biomechanical Phenomena
  • Female
  • Magnetic Resonance Imaging / methods
  • Muscle Fibers, Skeletal / pathology
  • Osteotomy / methods
  • Rotator Cuff / pathology
  • Rotator Cuff / surgery
  • Rotator Cuff Injuries*
  • Rupture / surgery
  • Sheep
  • Tendon Injuries / diagnostic imaging
  • Tendon Injuries / pathology
  • Tendon Injuries / surgery
  • Time Factors
  • Tomography, X-Ray Computed / methods