The role of scapular dyskinesis on rotator cuff tears: a narrative review of the current knowledge

EFORT Open Rev 2021

The role of scapular dyskinesis on rotator cuff tears: a narrative review of the current knowledge
Diana Cabral Teixeira1,3, Luís Alves2,3, Manuel Gutierres2,3
1 Faculty of Medicine, University of Porto, Porto, Portugal.
2 Orthopaedic and Traumatology Department, São João Hospital Center, Porto, Portugal.
3 These authors contributed equally to the article and should all be considered first authors.


 
· Scapular dyskinesis can be present in healthy individuals as in patients with shoulder pathology.
 
„„· Altered patterns of scapular kinematics can cause or exacerbate rotator cuff tear pathology. However, more research is needed.
 
·Ã‚„„ Regardless of the cause or the consequence of rotator cuff tear, scapular dyskinesis impairs shoulder function, worsens the symptoms, and compromises the success of clinical intervention.
 
„„· The available literature suggests physical therapy as the first treatment for degenerative cuff tears, and scapular dyskinesis should be addressed if present. Non-responsive cases or traumatic tears may require surgery.
 
„„· Postsurgical physical therapy protocols after rotator cuff repair must consider scapular dyskinesia to improve the outcomes.
 
 
Keywords: kinematics; rotator cuff tear; scapula; scapular dyskinesis; shoulder


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