Improved outcomes with arthroscopic repair of partial-thickness rotator cuff tears: a systematic review

2017 ◽  
Vol 26 (1) ◽  
pp. 113-124 ◽  
Author(s):  
J. Christoph Katthagen ◽  
Gabriella Bucci ◽  
Gilbert Moatshe ◽  
Dimitri S. Tahal ◽  
Peter J. Millett
2014 ◽  
Vol 43 (3) ◽  
pp. 588-596 ◽  
Author(s):  
Seok Won Chung ◽  
Jae Yoon Kim ◽  
Jong Pil Yoon ◽  
Seong Hwa Lyu ◽  
Sung Min Rhee ◽  
...  

2020 ◽  
Author(s):  
Xiao-Na Xiang ◽  
Jie Deng ◽  
Yan Liu ◽  
Xi Yu ◽  
Biao Cheng ◽  
...  

AbstractPurposeTo assess the effect of platelet-rich plasma (PRP) as a conservative therapy on individuals with partial-thickness rotator cuff tears (PTRCs) or tendinopathy in terms of pain, and function.MethodsA systematic review and meta-analysis of randomized controlled trials were conducted. Short-term (6±1 months) and long-term (≥1 year) outcomes were analysed, including the visual analogue scale (VAS), Constant-Murley score (CMS), Shoulder Pain and Disability Index (SPADI), as well as American Shoulder and Elbow Surgeons (ASES) score. The weighted mean difference (MD) with 95% confidence interval (CI) was used.ResultsTen studies were eligible in this review, nine studies with 561 patients were included in this meta-analysis. The meta-analysis showed statistically significant differences in the decrease in short-term VAS (MD=-1.56; 95% CI -2.82 to -0.30), and increase in CMS (MD=16.48; 95% CI 12.57 to 20.40), and SPADI (MD=-18.78 95% CI -36.55 to -1.02). Nonetheless, no long-term effect was observed on pain and function, except CMS (MD=24.30). The results of mean important differences (MIDs) reached the minimal clinically important differences, except ASES. For subgroup analysis, short-term VAS scores were decreased in PRP-treated patients with double centrifugation (MD=-1.99), single injection (MD=-0.71) and post-injection rehabilitation (MD=-1.59).ConclusionPRP-treated patients with PTRCs and rotator cuff tendinopathy demonstrated improvements in pain and function, although the effect may not last for a long time. Overall, our results suggest that PRP may have positive clinical outcomes, but limited data, and study heterogeneity hinder firm conclusions.


2019 ◽  
Vol 27 (2) ◽  
pp. 230949901984722 ◽  
Author(s):  
Kyung Cheon Kim ◽  
Woo-Yong Lee ◽  
Hyun Dae Shin ◽  
Yong-Bum Joo ◽  
Sun-Cheol Han ◽  
...  

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