Effect of suprascapular nerve injury on rotator cuff enthesis

Numerous reports have shown that retracted rotator cuff tears may cause suprascapular nerve injury, and nerve injury causes atrophy and fat accumulation in the rotator cuff muscles. However, the effect of suprascapular nerve injury on rotator cuff enthesis has not been directly defined. This study a...

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Veröffentlicht in:Journal of shoulder and elbow surgery 2020-08, Vol.29 (8), p.1584-1589
Hauptverfasser: Gereli, Arel, Uslu, Serap, Okur, Beril, Ulku, Tekin Kerem, Kocaoğlu, Barış, Yoo, Yon-Sik
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container_end_page 1589
container_issue 8
container_start_page 1584
container_title Journal of shoulder and elbow surgery
container_volume 29
creator Gereli, Arel
Uslu, Serap
Okur, Beril
Ulku, Tekin Kerem
Kocaoğlu, Barış
Yoo, Yon-Sik
description Numerous reports have shown that retracted rotator cuff tears may cause suprascapular nerve injury, and nerve injury causes atrophy and fat accumulation in the rotator cuff muscles. However, the effect of suprascapular nerve injury on rotator cuff enthesis has not been directly defined. This study aimed to investigate the effect of suprascapular nerve injury on rotator cuff enthesis. Twenty-four Wistar albino rats underwent bilateral transection of the suprascapular nerve. Additional 6 rats were used as the sham group. Bilateral supraspinatus and infraspinatus entheses were examined after 1, 4, 8, and 12 weeks of nerve transection. Histomorphometric analyses were performed for each zone of enthesis. Compared with normal enthesis, significant and consistent decrease in cellularity were observed in the tendon and bone at all time points (P < .001). Collagen bundle diameter in the tendon also decreased in a similar manner (P < .001). Apart from the tendon and bone zones, fibrocartilage and calcified fibrocartilage zones showed similar response, and significant decrease in cellularity was observed 8 weeks after nerve transection (P < .001). This study identifies suprascapular nerve injury as an underlying mechanism leading to compromise of the rotator cuff enthesis structure. Suprascapular nerve injury may be considered as an etiologic factor for the impaired healing after repair of a massive tear.
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However, the effect of suprascapular nerve injury on rotator cuff enthesis has not been directly defined. This study aimed to investigate the effect of suprascapular nerve injury on rotator cuff enthesis. Twenty-four Wistar albino rats underwent bilateral transection of the suprascapular nerve. Additional 6 rats were used as the sham group. Bilateral supraspinatus and infraspinatus entheses were examined after 1, 4, 8, and 12 weeks of nerve transection. Histomorphometric analyses were performed for each zone of enthesis. Compared with normal enthesis, significant and consistent decrease in cellularity were observed in the tendon and bone at all time points (P &lt; .001). Collagen bundle diameter in the tendon also decreased in a similar manner (P &lt; .001). Apart from the tendon and bone zones, fibrocartilage and calcified fibrocartilage zones showed similar response, and significant decrease in cellularity was observed 8 weeks after nerve transection (P &lt; .001). This study identifies suprascapular nerve injury as an underlying mechanism leading to compromise of the rotator cuff enthesis structure. 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subjects Animals
Collagen - ultrastructure
Disease Models, Animal
enthesis
Fibrocartilage - pathology
histomorphometry
injury
Male
Peripheral Nerve Injuries - complications
Rats
Rats, Wistar
Rotator cuff
Rotator Cuff - innervation
Rotator Cuff - pathology
Rotator Cuff Injuries - pathology
shoulder
suprascapular nerve
title Effect of suprascapular nerve injury on rotator cuff enthesis
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