Vet Comp Orthop Traumatol 2020; 33(03): 212-219
DOI: 10.1055/s-0040-1701650
Original Research
Georg Thieme Verlag KG Stuttgart · New York

Partial Infraspinatus Tendon Transection as a Means for the Development of a Translational Ovine Chronic Rotator Cuff Disease Model

Jeremiah Easley
1   Preclinical Surgical Research Laboratory, Colorado State University, Fort Collins, Colorado, United States
,
2   Orthopaedic Bioengineering Research Laboratory, Colorado State University, Fort Collins, Colorado, United States
,
Daniel Regan
3   Flint Animal Cancer Center and Department of Microbiology, Immunology, & Pathology, Colorado State University, Fort Collins, Colorado, United States
,
Eileen Hackett
1   Preclinical Surgical Research Laboratory, Colorado State University, Fort Collins, Colorado, United States
,
Anthony A. Romeo
4   Rothman Orthopaedic Institute, New York, New York, United States
,
Ted Schlegel
5   Department of Orthopedics, University of Colorado School of Medicine, Aurora, Colorado, United States
,
Cecily Broomfield
2   Orthopaedic Bioengineering Research Laboratory, Colorado State University, Fort Collins, Colorado, United States
,
Christian Puttlitz
2   Orthopaedic Bioengineering Research Laboratory, Colorado State University, Fort Collins, Colorado, United States
,
2   Orthopaedic Bioengineering Research Laboratory, Colorado State University, Fort Collins, Colorado, United States
› Institutsangaben
Weitere Informationen

Publikationsverlauf

23. Mai 2019

27. Dezember 2019

Publikationsdatum:
31. März 2020 (online)

Abstract

Objective Rotator cuff tendon tears are the most common soft tissue injuries in the shoulder joint. Various animal models have been described for this condition, but all current translational animal models have inherent weaknesses in their ability to generate chronically degenerated rotator cuff tendons. The objective of this study was to evaluate a partial infraspinatus tendon transection model as a means of creating a chronically degenerated rotator cuff tendon in an ovine model and compare the injury characteristics of this model to those observed in human patients with severe chronic rotator cuff tendon injuries.

Study Design The infraspinatus tendons of six sheep were partially detached followed by capping of the detached medial section of the tendon with Gore-Tex. Human tissue samples of the supraspinatus tendon were harvested from patients undergoing primary reverse shoulder arthroplasty and served as positive controls of chronic rotator cuff tendinopathy.

Results Transected sheep tendons were characterized predominantly by an acute reactive and reparative pathological process as compared with the chronic degenerative changes observed in the human tendons. In contrast, the non-transected portion of the ovine tendon showed histological changes, which were more chronic and degenerative in nature when compared with the transected tendon.

Conclusion Overall, histological features of the non-transected portion of ovine tendon were more similar to those observed in the chronic degenerated human tendon.

Authors' Contributions

Jeremiah Easley and Kirk McGilvray contributed to the conception of study, study design, acquisition of data and data analysis and interpretation. Eileen Hackett, Tony Romeo, Ted Schlegel and Christian Puttlitz contributed to conception of study and study design. Cecily Broomfield contributed to study design and acquisition of data. James Johnson contributed to acquisition of data and data analysis and interpretation. Daniel Regan contributed to study design, acquisition of data and data analysis and interpretation. All authors drafted, revised and approved the submitted manuscript.


 
  • References

  • 1 Lorbach O, Baums MH, Kostuj T. , et al. Advances in biology and mechanics of rotator cuff repair. Knee Surg Sports Traumatol Arthrosc 2015; 23 (02) 530-541
  • 2 Apreleva M, Özbaydar M, Fitzgibbons PG, Warner JJP. Rotator cuff tears: the effect of the reconstruction method on three-dimensional repair site area. Arthroscopy 2002; 18 (05) 519-526
  • 3 Santoni BG, McGilvray KC, Lyons AS. , et al. Biomechanical analysis of an ovine rotator cuff repair via porous patch augmentation in a chronic rupture model. Am J Sports Med 2010; 38 (04) 679-686
  • 4 Chakravarty K, Webley M. Shoulder joint movement and its relationship to disability in the elderly. J Rheumatol 1993; 20 (08) 1359-1361
  • 5 Colvin AC, Egorova N, Harrison AK, Moskowitz A, Flatow EL. National trends in rotator cuff repair. J Bone Joint Surg Am 2012; 94 (03) 227-233
  • 6 Mather III RC, Koenig L, Acevedo D. , et al. The societal and economic value of rotator cuff repair. J Bone Joint Surg Am 2013; 95 (22) 1993-2000
  • 7 Savin D, Meadows M, Verma N. Rotator cuff healing: improving biology. Oper Tech Sports Med 2017; 25: 34-40
  • 8 Oh LS, Wolf BR, Hall MP, Levy BA, Marx RG. Indications for rotator cuff repair: a systematic review. Clin Orthop Relat Res 2007; 455 (455) 52-63
  • 9 Edelstein L, Thomas SJ, Soslowsky LJ. Rotator cuff tears: what have we learned from animal models?. J Musculoskelet Neuronal Interact 2011; 11 (02) 150-162
  • 10 Galatz LM, Ball CM, Teefey SA, Middleton WD, Yamaguchi K. The outcome and repair integrity of completely arthroscopically repaired large and massive rotator cuff tears. J Bone Joint Surg Am 2004; 86 (02) 219-224
  • 11 Grumet RC, Hadley S, Diltz MV, Lee TQ, Gupta R. Development of a new model for rotator cuff pathology: the rabbit subscapularis muscle. Acta Orthop 2009; 80 (01) 97-103
  • 12 Barton ER, Gimbel JA, Williams GR, Soslowsky LJ. Rat supraspinatus muscle atrophy after tendon detachment. J Orthop Res 2005; 23 (02) 259-265
  • 13 Derwin KA, Baker AR, Codsi MJ, Iannotti JP. Assessment of the canine model of rotator cuff injury and repair. J Shoulder Elbow Surg 2007; 16 (5, Suppl): S140-S148
  • 14 Gerber C, Schneeberger AG, Perren SM, Nyffeler RW. Experimental rotator cuff repair. A preliminary study. J Bone Joint Surg Am 1999; 81 (09) 1281-1290
  • 15 Sonnabend DH, Howlett CR, Young AA. Histological evaluation of repair of the rotator cuff in a primate model. J Bone Joint Surg Br 2010; 92 (04) 586-594
  • 16 Galatz LM, Sandell LJ, Rothermich SY. , et al. Characteristics of the rat supraspinatus tendon during tendon-to-bone healing after acute injury. J Orthop Res 2006; 24 (03) 541-550
  • 17 Liu X, Manzano G, Kim HT, Feeley BT. A rat model of massive rotator cuff tears. J Orthop Res 2011; 29 (04) 588-595
  • 18 Coleman SH, Fealy S, Ehteshami JR. , et al. Chronic rotator cuff injury and repair model in sheep. J Bone Joint Surg Am 2003; 85 (12) 2391-2402
  • 19 Turner AS. Experiences with sheep as an animal model for shoulder surgery: strengths and shortcomings. J Shoulder Elbow Surg 2007; 16 (5, Suppl): S158-S163
  • 20 Gerber C, Schneeberger AG, Beck M, Schlegel U. Mechanical strength of repairs of the rotator cuff. J Bone Joint Surg Br 1994; 76 (03) 371-380
  • 21 Hee CK, Dines JS, Dines DM. , et al. Augmentation of a rotator cuff suture repair using rhPDGF-BB and a type I bovine collagen matrix in an ovine model. Am J Sports Med 2011; 39 (08) 1630-1639
  • 22 Rodeo SA, Potter HG, Kawamura S, Turner AS, Kim HJ, Atkinson BL. Biologic augmentation of rotator cuff tendon-healing with use of a mixture of osteoinductive growth factors. J Bone Joint Surg Am 2007; 89 (11) 2485-2497
  • 23 Lewis CW, Schlegel TF, Hawkins RJ, James SP, Turner AS. Comparison of tunnel suture and suture anchor methods as a function of time in a sheep model. Biomed Sci Instrum 1999; 35: 403-408
  • 24 Lewis CW, Schlegel TF, Hawkins RJ, James SP, Turner AS. The effect of immobilization on rotator cuff healing using modified Mason-Allen stitches- a biomechanical study in sheep. Biomed Sci Instrum 2001; 263-268
  • 25 Schlegel TF, Hawkins RJ, Lewis CW, Turner AS. An in vivo comparison of the modified Mason-Allen suture technique versus an inclined horizontal mattress suture technique with regard to tendon-to-bone healing: a biomechanical and histologic study in sheep. J Shoulder Elbow Surg 2007; 16 (01) 115-121
  • 26 McGilvray KC, Lyons AS, Turner AS, MacGillivray JD, Coleman SH, Puttlitz CM. Shoulder tendon repair biomechanics using a polyurethane patch in a chronic ovine defect model. Am Soc Mech Eng 2007; ;(47985): 853-854
  • 27 Luan T, Liu X, Easley JT, Ravishankar B, Puttlitz C, Feeley BT. Muscle atrophy and fatty infiltration after an acute rotator cuff repair in a sheep model. Muscles Ligaments Tendons J 2015; 5 (02) 106-112
  • 28 Kang JR, Gupta R. Mechanisms of fatty degeneration in massive rotator cuff tears. J Shoulder Elbow Surg 2012; 21 (02) 175-180
  • 29 Barbolt TA, Odin M, Léger M, Kangas L, Hoiste J, Liu SH. Biocompatibility evaluation of dura mater substitutes in an animal model. Neurol Res 2001; 23 (08) 813-820
  • 30 Longo UG, Franceschi F, Ruzzini L. , et al. Histopathology of the supraspinatus tendon in rotator cuff tears. Am J Sports Med 2008; 36 (03) 533-538
  • 31 Easley J, Puttlitz C, Hackett E. , et al. A prospective study comparing tendon-to-bone interface healing using an interposition bioresorbable scaffold with a vented anchor for primary rotator cuff repair in sheep. J Shoulder Elbow Surg 2020; 29 (01) 157-166
  • 32 Gibbons MC, Singh A, Anakwenze O. , et al. Histological evidence of muscle degeneration in advanced human rotator cuff disease. J Bone Joint Surg Am 2017; 99 (03) 190-199
  • 33 Smith MM, Sakurai G, Smith SM. , et al. Modulation of aggrecan and ADAMTS expression in ovine tendinopathy induced by altered strain. Arthritis Rheum 2008; 58 (04) 1055-1066
  • 34 Derwin KA, Codsi MJ, Milks RA, Baker AR, McCarron JA, Iannotti JP. Rotator cuff repair augmentation in a canine model with use of a woven poly-L-lactide device. J Bone Joint Surg Am 2009; 91 (05) 1159-1171
  • 35 Lemmon EA, Locke RC, Szostek AK, Ganji E, Killian ML. Partial-width injuries of the rat rotator cuff heal with fibrosis. Connect Tissue Res 2018; 59 (05) 437-446
  • 36 Jacobson E, Dart AJ, Mondori T. , et al. Focal experimental injury leads to widespread gene expression and histologic changes in equine flexor tendons. PLoS One 2015; 10 (04) e0122220