Comparison of the Separate and Combined Effects of Physiotherapy Treatment and Corticosteroid Injection on the Range of Motion and Pain in Nontraumatic Rotator Cuff Tear: A Randomized Controlled Trial

Background. Surgical treatment and conservative treatment is the options to improve pain, function, and range of motion following rotator cuff tear. In this study, we aimed to compare the effects of physiotherapy and corticosteroid injections on the function, pain, and range of motion in patients with full-thickness rotator cuff tearing separately and simultaneously. Methods. A total of 96 patients were randomly assigned to the study and divided into 3 groups of 32 patients. DASH questionnaire and VAS criterion were completed by all three groups, and the range of motions of all groups was measured by a goniometer. Then, the first group underwent 12 sessions of physiotherapy twice a week for 6 weeks; the second group received 80 mg of methylprednisolone and 1 ml of lidocaine 2% in two stages, 21 days apart; and the third group received 80 mg of methylprednisolone and 1 ml of lidocaine 2%, and after 2 days, 6 sessions of physiotherapy twice a week for 3 weeks were prescribed. In the end, the questionnaire was filled out by the patient, and the range of emotions was assessed with a goniometer. Results. More than 80% of patients in each group were female. There was no significant difference between the gender and age distribution of the groups. The mean age in physiotherapy, steroid, and physiotherapy + steroid groups was 51.78 ± 7.37, 52.37 ± 6.61, and 50.87 ± 5.65, respectively. The combination of physiotherapy + steroid intervention was more effective in reducing VAS and DASH scores than physiotherapy or steroid injection alone. Goniometric findings showed that treatments that included the steroid injection approach (steroid injection and steroid + physiotherapy) had a more dramatic effect on improving the patients’ range of motion than physiotherapy alone. Conclusions. Among the conservative approaches of treating full-thickness rotator cuff tear, a combination of steroid injection and physiotherapy is more effective significantly in comparison with either treatment alone. This trial is registered with IRCT20200102045987N1.

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Incidence of full-thickness rotator cuff tear after subacromial corticosteroid injection: A 12-week prospective study

Modern Rheumatology ◽

10.3109/14397595.2013.857798 ◽

2013 ◽

Vol 24 (4) ◽

pp. 667-670 ◽

Cited By ~ 14

Author(s):

Julio Ramírez ◽

Isaac Pomés ◽

Sonia Cabrera ◽

Jaume Pomés ◽

Raimón Sanmartí ◽

...

Keyword(s):

Rotator Cuff ◽

Prospective Study ◽

Rotator Cuff Tear ◽

Corticosteroid Injection ◽

Full Thickness ◽

Cuff Tear ◽

Subacromial Corticosteroid Injection

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AB1272 Subacromial steroid injection do not increase the rate of full-thickness rotator cuff tear

Annals of the Rheumatic Diseases ◽

10.1136/annrheumdis-2012-eular.1268 ◽

2013 ◽

Vol 71 (Suppl 3) ◽

pp. 710.10-710

Author(s):

J. Ramírez ◽

I. Pomés ◽

S. Cabrera ◽

M.E. Gόmez ◽

J. Inciarte ◽

...

Keyword(s):

Rotator Cuff ◽

Rotator Cuff Tear ◽

Steroid Injection ◽

Full Thickness ◽

Cuff Tear

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The Efficacy and Safety of Utilizing Mobile Phone–Based Programs and Motion-Capture Devices for Telerehabilitation After Arthroscopic Repair of Rotator Cuff Tear: Study Protocol for a Randomized Controlled Trial

10.21203/rs.3.rs-36193/v1 ◽

2020 ◽

Author(s):

Yuanhao Zhang ◽

Jingyi Hou ◽

Fangqi Li ◽

Congda Zhang ◽

Yaping Yang ◽

...

Keyword(s):

Randomized Controlled Trial ◽

Rotator Cuff ◽

Mobile Phone ◽

Range Of Motion ◽

Motion Capture ◽

Rotator Cuff Tear ◽

Controlled Trial ◽

Arthroscopic Repair ◽

Cuff Tear ◽

Randomized Controlled

Abstract Background: Rotator cuff tear is one of the most common diseases in orthopedics, which seriously affects the quality of patients’ lives. And the arthroscopic repair of rotator cuff has recently become more and more popular. Systematic rehabilitation makes great significance for improving the prognosis of postoperative patients. Yet, the traditional outpatient rehabilitation is hard to popularize in developing countries like China due to the limitation of traffic and geography. Given this, we plan to develop a telerehabilitation system to facilitate doctors' remote guidance on patients' rehabilitation.Methods/design: Our study is a single-center, prospective randomized controlled trial. 124 patients who underwent arthroscopic rotator cuff repair will be recruited for the study. They will be randomly divided into 2 groups (62 cases in each group) based on the stratification factors of the operator, operation and preoperative diagnosis. The patients in the control group will get clinic and booklet based rehabilitation treatment after operation. However, patients in the experimental group will receive mobile phone and motion-capture device based programs for telerehabilitation after surgery. The primary outcome will be measured by the American Shoulder and Elbow Surgeons (ASES). Secondary outcomes include the Range of motion (ROM), Visual Analogue Scales (VAS), EuroQol-5 Dimension health questionnaire (EQ-5D), University of California at Los Angeles（UCLA）and the retear rate.Discussion: We hypothesize that patients who utilized mobile phone and motion-capture device based telerehabilitation will benefit more in the range of motion and shoulder function than those who received outpatient and manual based rehabilitation. If the hypothesize was confirmed, we could facilitate telerehabilitation for doctors and overcome the geographical and traffic limitations of traditional clinical based rehabilitation.Trial registration: ChiCTR.org.cn, ChiCTR2000030150, Registered on 24 February 2020

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Longitudinal follow up of patients undergoing mini-open repair of rotator cuff tear

International Journal of Research in Orthopaedics ◽

10.18203/issn.2455-4510.intjresorthop20190794 ◽

2019 ◽

Vol 5 (2) ◽

pp. 295

Author(s):

Mohammed Shabir Kassim ◽

Amlan Mohapatra ◽

Karthikraj Kuberakani

Keyword(s):

Rotator Cuff ◽

Range Of Motion ◽

Functional Outcome ◽

Rotator Cuff Tear ◽

Open Repair ◽

Full Thickness ◽

Cuff Tear ◽

Partial Thickness ◽

Mini Open

Background: Shoulder pain is a common presenting complaint. This study is aimed to understand the role of mini-open repair in the treatment of rotator cuff tear and to assess the functional outcome in such patients over a period of two years.Methods: This prospective study was conducted on patients who were operated by mini-open repair for rotator cuff tear at the Department of Orthopedics, AJ Institute of Medical Sciences January 2017 till June 2018. Using a pre-designed case report form, demographic and clinical information was noted for all patients. Functional outcome of the patients was assessed by the Constant and Murley score at post-operative follow up at 3 weeks, 6 weeks, 12 weeks, 6 months, 1 year and 2 years.Results: Partial thickness tear was present in 57% of the pateints and rest had a full thickness tear. Mean Constant and Murley score at the time of presentation was 59.50 which improved during the follow up period and at the final follow up the score was 91.80. The score was not significantly different at one year and second year follow up. The score was consistently higher among patients with partial thickness as compared to those with full thickness, though the difference was significantly different only at 6 month follow up (p=0.007).Conclusions: Significant improvement in range of motion was seen in our patients at 6 months post-operatively. Full range of motion was observed at the end of 1 year and functional outcome did not improve after that.

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Full-thickness rotator cuff tear in rat results in distinct temporal expression of multiple proteases in tendon, muscle, and cartilage

Journal of Orthopaedic Research® ◽

10.1002/jor.24179 ◽

2018 ◽

Vol 37 (2) ◽

pp. 490-502 ◽

Cited By ~ 2

Author(s):

Elda A. Treviño ◽

Jennifer McFaline-Figueroa ◽

Robert E. Guldberg ◽

Manu O. Platt ◽

Johnna S. Temenoff

Keyword(s):

Rotator Cuff ◽

Rotator Cuff Tear ◽

Full Thickness ◽

Temporal Expression ◽

Cuff Tear ◽

And Cartilage

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Midterm outcome after rotator cuff reconstruction

Orvosi Hetilap ◽

10.1556/oh.2012.29352 ◽

2012 ◽

Vol 153 (17) ◽

pp. 655-661 ◽

Cited By ~ 2

Author(s):

Eszter Kővári ◽

Ádám Koteczki ◽

Balázs Kovács ◽

Péter Magyar ◽

Imre Antal ◽

...

Keyword(s):

Rotator Cuff ◽

Rotator Cuff Tear ◽

Ultrasound Examination ◽

Constant Score ◽

Functional Results ◽

Full Thickness ◽

Clinical Tests ◽

Cuff Tear ◽

Midterm Outcome ◽

Acromiohumeral Distance

Rotator cuff tear is a common degenerative shoulder disorder that often requires surgical treatment. However, the correlation between the size of the tear and the functional results is somewhat controversial, which generates inconsistency among orthopaedic surgeons about the indications for and methods of rotator cuff reconstruction. Aims: The aim of the authors was to evaluate the midterm functional outcome after rotator cuff reconstruction and the possible connection between the results and the surgical technique or the postoperative ultrasound examination. In addition, recently published corresponding studies are also reviewed by the authors. Methods: Twenty-seven patients with full thickness rotator cuff tear were enrolled into the study who were treated either by arthroscopic (14 patients) or by open repair (13 patients) technique. Functional results were assessed using clinical tests. Ultrasound examination was also performed. Results: The average postoperative Constant Score was 73, the average DASH (Disabilities of the arm, shoulder and hand score) was 14. The Constant scores averaged 80 for the arthroscopic and 70 for the open group. Ultrasound examination showed partial or full thickness retear of the cuff in 40% of the cases. Conclusion: More than 70% of the patients had excellent or good results two years after the reconstruction. The change in the acromiohumeral distance or partial retear failed to affect the results significantly, but full thickness tear had an effect on them. Orv. Hetil., 2012, 153, 655–661.

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A Rare Presentation of a Full-Thickness Rotator Cuff Tear With a Confluent Partial Articular-Sided Tear

Cureus ◽

10.7759/cureus.8663 ◽

2020 ◽

Author(s):

Kee-Chi Daryl Oscar O Wong ◽

Hamid Rahmatullah Bin Abd Razak ◽

Tijauw-Tjoen Denny Lie

Keyword(s):

Rotator Cuff ◽

Rotator Cuff Tear ◽

Full Thickness ◽

Rare Presentation ◽

Cuff Tear

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Clinical and functional outcomes of a novel transosseous device to treat rotator cuff tears: A minimum 2-year follow-up

Journal of Orthopaedic Surgery ◽

10.1177/2309499019875172 ◽

2019 ◽

Vol 27 (3) ◽

pp. 230949901987517 ◽

Cited By ~ 1

Author(s):

Mehmet Arican ◽

Yalçın Turhan ◽

Zekeriya Okan Karaduman ◽

Tacettin Ayanoğlu

Keyword(s):

Rotator Cuff ◽

Rotator Cuff Tear ◽

Functional Outcomes ◽

Dash Score ◽

Open Approach ◽

Full Thickness ◽

Gold Standard Method ◽

Cuff Tear ◽

The Mean

Purpose: Despite the improvements in the repair equipment techniques of rotator cuff, a gold standard method has not been defined yet and transosseous fixation through deltoid-splitting (mini-open) approach is still regarded as a good option. The primary purpose of this study is to present satisfactory clinical and functional outcomes with a novel transosseous device in full-thickness rotator cuff tear through deltoid-splitting. Materials and Methods: This retrospective study was performed on 70 consecutive patients who underwent surgery by a single surgeon from June 2014 to June 2016 for a full-thickness rotator cuff tear and was managed with a novel transosseous device. Total number of patients, mean age, percentage of male and female patients, mean duration of follow-up, percentage of involvement of the dominant extremity, affected shoulder, and tear size were recorded. Functional and clinical outcomes were assessed baseline and postoperatively at 3 and 6 months and final follow-up using Disabilities of the Arm, Shoulder and Hand (Q-DASH) and Constant-Murley scores. Results: A total of 70 (49 (70%) female, 21 (30%) male) patients whose mean age was 58.66 ± 9.19 (38–77) years were included. The mean surgery time was 35.33 ± 5.34 (28–55) min. The mean follow-up time was 28.31 ± 3.03 (24–36) months. According to the DeOrio and Cofield classification, 15 (21.43%) tears were small, 33 (47.14%) medium, 16 (22.86%) large, and 6 (8.57%) massive. By the final follow-up, the mean Constant-Murley score had significantly improved from 27.67 ± 7.46 (13–41) to 81.25 ± 3.77 (74–87; p = 0.0001) and the Q-DASH score had decreased from 82.34 ± 10.37 (65.91–100) to 10.28 ± 6.88 (0–23.45; p = 0.0001). There were no significant differences in the Constant-Murley or Q-DASH score at baseline–final follow-up between the small, medium, large, and massive tear groups ( p > 0.05). Conclusions: Treatment of full-thickness rotator cuff tear using this novel transosseous device significantly improved functional and clinical scores. However, further long-term prospective randomized multicenter trials involving comparative studies are necessary to confirm these findings.

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