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Permanent URL to this publication: http://dx.doi.org/10.5167/uzh-43273

Werner, C M L; Ossendorf, C; Meyer, D C; Blumenthal, S; Gerber, C (2010). Subacromial pressures vary with simulated sleep positions. Journal of Shoulder and Elbow Surgery, 19(7):989-993.

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Abstract

HYPOTHESIS: Subacromial impingement is one of the underlying factors of rotator cuff pathologies and is linked to increased subacromial pressures. Because humans spend about one-third of their life sleeping, we hypothesized that distinct shoulder positions while sleeping may considerably influence nocturnal subacromial pressures. Consequently, atrophy and rupture can affect tendon healing after rotator cuff repair, thus potentially discrediting the outcome of surgery.

MATERIALS AND METHODS: We determined the subacromial pressures acting on the rotator cuff in the 4 most common sleep positions and related these pressures to the mean arterial blood pressure and physical examination findings in 20 healthy volunteers.

RESULTS: Subacromial pressures were significantly lower in participants sleeping preferably in a supine position than in participants sleeping in side or prone positions (P < .005).

DISCUSSION: As tendon perfusion is crucial for tendon-to-bone healing during postoperative physical therapy after rotator cuff reconstruction and for prevention of additional damage to healthy or already torn cuffs, potential clinical relevance may emerge from the present study.

CONCLUSION: Distinct shoulder positions considerably influence subacromial pressures. Our findings may be considered in physiotherapeutic concepts after rotator cuff surgery

Item Type:Journal Article, refereed, original work
Communities & Collections:04 Faculty of Medicine > University Hospital Zurich > Clinic for Trauma Surgery
04 Faculty of Medicine > University Hospital Zurich > Division of Surgical Research
04 Faculty of Medicine > Balgrist University Hospital, Swiss Spinal Cord Injury Center
DDC:610 Medicine & health
Language:English
Date:October 2010
Deposited On:25 Jan 2011 17:21
Last Modified:27 Nov 2013 23:38
Publisher:Elsevier
ISSN:1058-2746
Publisher DOI:10.1016/j.jse.2010.04.039
PubMed ID:20656524
Citations:Web of Science®. Times Cited: 1
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