Full-thickness bilateral rotator cuff tears as a result of a bench-pressing accident: case report and literature review of treatment of bilateral rotator cuff tears
Keywords:Bilateral rotator cuff tears, Bench-press trauma, Shoulder dislocation, Acute rotator cuff tears
Rotator cuff injuries are frequent pathologies presenting to orthopedic surgeons. These injuries especially occur among older adults due to intrinsic or extrinsic degeneration. They can however present in young athletes, but as result of different etiologies. Overhead athletes may incur rotator cuff injuries due to repetitive trauma. Bilateral simultaneous traumatic shoulder dislocations have been reported in the literature following acute trauma or weight-lifting activity, but bilateral traumatic rotator cuff tears following bench pressing is an unusual presentation in a young individual. To our knowledge, there has been no previous report describing this injury. This article presents a case of a young male athlete who had bilateral rotator cuff tears after a barbell bench press. Both shoulders were treated operatively in a sequential manner, three months apart, and the patient regained excellent functional status 24 months postoperatively.
Jeong J, Shin DC, Kim TH, Kim K. Prevalence of asymptomatic rotator cuff tear and their related factors in the Korean population. J Shoulder Elbow Surg. 2017;26(1):30-5.
Yamamoto A, Takagishi K, Osawa T, Yanagawa T, Nakajima D, Shitara H et al. Prevalence and risk factors of a rotator cuff tear in the general population. J Shoulder Elbow Surg. 2010;19(1):116-20.
Abate M, Di Carlo L, Salini V, Schiavone C. Risk factors associated to bilateral rotator cuff tears. Orthop Traumatol Surg Res. 2017;103(6):841-5.
Milgrom C, Schaffler M, Gilbert S, Holsbeeck VC. Rotator-cuff changes in asymptomatic adults. The effect of age, hand dominance and gender. J Bone Joint Surg Br. 1995;77(2):296-8.
Ogawa K, Yoshida A, Inokuchi W, Naniwa T. Acromial spur: relationship to aging and morphologic changes in the rotator cuff. J Shoulder Elbow Surg. 2005;14(6):591-8.
Fehringer EV, Sun J, VanOeveren LS, Matsen 3rd FA. Full-thickness rotator cuff tear prevalence and correlation with function and co-morbidities in patients sixty-five years and older. J Shoulder Elbow Surg. 2008;17(6):881-5.
Longo UG, Franceschi F, Ruzzini L, Spiezia F, Maffulli N, Denaro V. Higher fasting plasma glucose levels within the normoglycaemic range and rotator cuff tears. Br J Sports Med. 2009;43(4):284-7.
Cole A, Gill TK, Shanahan EM, Phillips P, Taylor AW, Hill CL et al. Is diabetes associated with shoulder pain or stiffness? Results from a population based study. J Rheumatol. 2009;36(2):371-7.
Gumina S, Arceri V, Carbone S, Albino P, Passaretti D, Campagna V et al. The association between arterial hypertension and rotator cuff tear: the influence on rotator cuff tear sizes. J Shoulder Elbow Surg. 2013;22(2):229-32.
Sørensen AK, Bak K, Krarup AL, Thune CH, Nygaard M, Jørgensen U et al. Acute rotator cuff tear: do we miss the early diagnosis? A prospective study showing a high incidence of rotator cuff tears after shoulder trauma. J Shoulder Elbow Surg. 2007;16(2):174-80.
Economopoulos KJ, Brockmeier SF. Rotator cuff tears in overhead athletes. Clin Sports Med. 2012;31(4):675-92.
Mair SD, Zarzour RH, Speer KP. Posterior labral injury in contact athletes. Am J Sports Med. 1998;26(6):753-8.
Aleem AW, Syed UA, Wascher J, Zoga AC, Close K, Abboud JA et al. Functional outcomes after bilateral arthroscopic rotator cuff repair. J Shoulder Elbow Surg. 2016;25(10):1668-73.
Rhee SM, Kim DH, Kim SH, Jeong HJ, Oh JH. The clinical outcomes and their associated factors in staged bilateral arthroscopic rotator cuff repair. Arthroscopy. 2018;34(10):2799-807.
Morris BJ, Haigler RE, O'Connor DP, Elkousy HA, Gartsman GM, Edwards TB et al. Outcomes of staged bilateral reverse shoulder arthroplasties for rotator cuff tear arthropathy. J Shoulder Elbow Surg. 2015;24(3):474-81.
Pak CH, Moon YL, Sim SW, Elsayed MI. Bilateral arthroscopic rotator cuff repair using a single-stage procedure. Orthopedics. 2015;38(5):e423-7.
Cancienne JM, Denard PJ, Garrigues GE, Werner BC. The relationship of staged, bilateral arthroscopic primary rotator cuff repair timing and postoperative complications. Am J Sports Med. 2021;49(8):2027-34.
Chu J, Shieh JS, Wu K, Guan H, Roche S, Held MFG et al. Simultaneous or staged bilateral arthroscopic rotator cuff repair: an observational study of intraoperative and postoperative outcomes. Orthop J Sports Med. 2021;9(10):23259671211041994.
Cresswell TR, Smith RB. Bilateral anterior shoulder dislocations in bench pressing: an unusual cause. Br J Sports Med. 1998; 32(1): 71-2.
El Rassi G, Hijjawi A, Matta J, Fahs S, Khair OA. Bilateral locked anterior shoulder dislocation in a bench-pressing athlete: case report. Arch Orthop Trauma Surg. 2015;135(6):747-9.