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Rheumatology 2001; 40: 229-230
© 2001 British Society for Rheumatology

Letters to the Editor

Histopathological assessment and pathological significance of matrix degeneration in supraspinatus tendons

G. P. Riley, M. J. Goddard1 and B. L. Hazleman

Rheumatology Research Unit, Addenbrooke's Hospital NHS Trust, Box 194, Hills Road, Cambridge, CB2 2QQ, and
1 Department of Pathology, Papworth Hospital, Cambridgeshire, UK

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SIR, Although histological abnormalities of the supraspinatus tendon are a frequent finding in cadaver studies, the relationship between age, specific matrix changes and the development of clinical tendinopathy (tendinitis) has not been rigorously investigated. We conducted a histopathological analysis of 85 supraspinatus tendons from cadavers (aged 11–96 yr) and 33 specimens from patients with degenerate rotator cuff tears (aged 38–81 yr). Representative sections of each specimen were examined by two blinded observers independently and graded according to a four-point scale based on the organization of the tendon fibre bundles. Normal tendons were designated . . . [Full Text of this Article]


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