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Journal of Bone and Joint Surgery - British Volume, Vol 74-B, Issue 1, 151-153
Copyright © 1992 by British Editorial Society of Bone and Joint Surgery

Articles

A quantitative histological study of the vascularity of the rotator cuff tendon

CH Brooks, WJ Revell, and FW Heatley

Orthopaedic Academic Unit, St Thomas' Hospital, London, England.

Previous perfusion studies of the rotator cuff have demonstrated an area of hypovascularity in the distal part of the supraspinatus tendon. This has been implicated in the pathogenesis of its rupture. We performed a quantitative histological analysis of the vascularity of the tendons of supraspinatus and infraspinatus. Vessel number, size and the percentage of the tendon occupied by vessels were measured at 5 mm intervals from the humeral insertions to the muscle bellies. Both tendons were hypovascular in their distal 15 mm. No significant difference was demonstrated between the vascularity of supraspinatus and infraspinatus. We conclude that factors other than vascularity are important in the pathogenesis of supraspinatus rupture.


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Hip, Knee, Trauma, Upper limb, Foot & Ankle, Paediatrics, Oncology, Spine, Arthroplasty, General