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

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

<p class="abstract"><strong>Background:</strong> 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.</p><p class="abstract"><strong>Methods:</strong> 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.<strong></strong></p><p class="abstract"><strong>Results:</strong> 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).</p><p class="abstract"><strong>Conclusions:</strong> 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.</p>

scholarly journals Arthroscopic Assisted Mini-open Repair of Rotator Cuff Tear - 5∼8 Years Follow-up Results -

2004 ◽  
Vol 7 (1) ◽  
pp. 30-34 ◽  
Author(s):  
Young-Mo Kim ◽  
Kwang-Jin Rhee ◽  
Hyun-Dae Shin ◽  
Ki-Yong Byun ◽  
Kyung-Cheon Kim ◽  
...  
Keyword(s):  
Rotator Cuff ◽  
Rotator Cuff Tear ◽  
Open Repair ◽  
Cuff Tear ◽  
Mini Open

Mini-Open Rotator Cuff Tear Repair: An Institutional Experience with a Midterm Follow-up

2018 ◽  
Vol 20 (5) ◽  
pp. 383-387 ◽  
Author(s):  
Adil Bashir ◽  
Suleiman Seth ◽  
Iftikhar H. Wani ◽  
Munir Farooq ◽  
Naseem ul Gani ◽  
...  
Keyword(s):  
Rotator Cuff ◽  
Rotator Cuff Tear ◽  
Rotator Cuff Tears ◽  
Fixation Method ◽  
Full Thickness ◽  
Open Procedure ◽  
Cuff Tear ◽  
Rotator Cuff Tear Repair ◽  
Mini Open

Background. Rotator cuff tears have long been recognised as a cause of pain and disability. Over the past decades the treatment of rotator cuff tears has evolved from an open procedure to a mini-open procedure to an all-arthroscopic one. The indications and benefits of each of the procedures are still debated. The purpose of this study was to observe the results of “Mini-open repair rotator cuff tear”. Material and methods. This was a prospective study conducted in the postgraduate department of Ortho­paedics Government Medical College, Srinagar, from March 2013 to January 2018 with cases followed up for a minimum of 3 years. This study included 50 patients of either sex with non-massive full thickness tears of rotator cuff. Results. The mean UCLA score improved from 10.96 preoperatively to 30.68 at final follow-up. Overall, 88% of the patients achieved excellent or good results and 92% were satisfied. No significant difference was noted in functional outcomes between traumatic and degenerative tears. Size of tear seems to be a determining factor in the functional outcome. Stiffness as a complication occurred in two patients. Conclusion. 1. Mini-open rotator cuff tear repair eliminated sym­pto­matic full thickness rotator cuff tears with significant improvement in functional scores. 2. There were no major complications of the surgical procedure adop­ted or the fixation method used. 3. Mini-open rotator cuff repair remains a useful technique despite advan­ces in arthroscopy.

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

2019 ◽  
Vol 27 (3) ◽  
pp. 230949901987517 ◽  
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.

10-year follow-up of non-operatively treated full thickness rotator cuff tear

2016 ◽  
Vol 32 (1) ◽  
pp. 67-72 ◽  
Author(s):  
Shivam Upadhyaya ◽  
Andrew Nathan Pike ◽  
Scott D. Martin
Keyword(s):  
Rotator Cuff ◽  
Rotator Cuff Tear ◽  
Full Thickness ◽  
Cuff Tear

scholarly journals Arthroscopic Versus Mini-Open Salvage Repair of the Rotator Cuff Tear : Outcome Analysis at Two to Six Years Follow-up

2002 ◽  
Vol 5 (2) ◽  
pp. 88-97
Author(s):  
Seung-Ho Kim ◽  
Kwon-lck Ha ◽  
Jong-Hyuk Park ◽  
Jin-Seok Kang ◽  
Sung-Kyun Oh ◽  
...  
Keyword(s):  
Rotator Cuff ◽  
Rotator Cuff Tear ◽  
Outcome Analysis ◽  
Cuff Tear ◽  
Mini Open

scholarly journals Assessment of functional outcome of mini-open rotator cuff repair: a hospital based prospective study

2018 ◽  
Vol 4 (2) ◽  
pp. 285 ◽  
Author(s):  
Vikas Sharma ◽  
Shailesh V. Udapudi ◽  
Somnath T. Sanikop ◽  
Sameer Haveri ◽  
Mahantesh Y. Patil
Keyword(s):  
Rotator Cuff ◽  
Functional Outcome ◽  
Shoulder Joint ◽  
Rotator Cuff Repair ◽  
Constant Score ◽  
Cuff Tear ◽  
Ucla Score ◽  
Cuff Repair ◽  
Mini Open

<p class="abstract"><strong>Background:</strong> The mini-open repair is considered to be the gold standard for rotator cuff repair. This study was aimed to assess functional outcome of mini-open rotator cuff repair of shoulder joint in adult patients<span lang="EN-IN">.</span></p><p class="abstract"><strong>Methods:</strong> This was a one year hospital based prospective study conducted from January 2016 to December 2016. A total of 20 patients diagnosed to have rotator cuff tear of shoulder joint undergoing rotator cuff repair in the department of Orthopaedics, KLES Dr. Prabhakar Kore Hospital and Medical Research Centre, and KLES Dr. Prabhakar Kore Charitable Hospital, Belagavi were studied.<strong></strong></p><p class="abstract"><strong>Results:</strong> Majority of the patients (85%) of the patients was male and male to female ratio was 5.6:1. Most of the patients were aged between 31 to 40 years (30%). The mean age was 41.90±13.98 years. Most of patients had degenerative rotator cuff tear (45%) and (70%) presented with features of swelling. At enrollment all the patients (100%) had poor constant score (&gt;30) and fair/poor UCLA score (&lt;27) suggestive of severe pain functional restriction. There were gradual but steady increase in scores from enrollment to each follow up till six month follow up with respect to mean flexion (6.25±5.35 to 163.50±7.63),abduction (5.50±5.10 to 112.0±5.94),external rotation (3.00±4.7 to 82.50±2.56 ),internal rotation (2.50±4.44 to 67.25±3.43 ) and UCLA score (5.35±1.63 to 29.60±0.82 ) (p&lt;0.001) also there was gradual but steady decrease in mean VAS score from enrolment (7.70±0.47 ) to six months follow up (0.00±0.00) and constant score ( from 85.70±1.98 to 7.85±1.46 respectively) (p&lt;0.001). The constant score and UCLA score at six month follow up revealed excellent functional outcome<span lang="EN-IN">. </span></p><p class="abstract"><strong>Conclusions:</strong> The mini-open rotator cuff repair of shoulder joint results in excellent functional outcome among adult patients with rotator cuff tear of shoulder joint especially after six month with no complications and complete pain relief<span lang="EN-IN">.</span></p>

THE DIAGNOSTIC VALUE OF ULTRASOUND IN DIAGNOSING CERTAIN COMMON LESIONS OF SHOULDER

2021 ◽  
Vol 62 (5) ◽  
Author(s):  
Nguyen Tien Long ◽  
Dang Bich Nguyet ◽  
Bui Van Lenh ◽  
Nguyen Quang Trung
Keyword(s):  
Retrospective Study ◽  
Rotator Cuff ◽  
Positive Predictive Value ◽  
Rotator Cuff Tear ◽  
Predictive Value ◽  
Diagnostic Value ◽  
Standard Protocol ◽  
Full Thickness ◽  
Cuff Tear ◽  
Partial Thickness

The retrospective study was performed on 200 patients with painful shoulders who underwent ultrasound according to the standard protocol of the Radiology Centre of Hanoi Medical UniversityHospital. Out of these patients, 41 cases underwent arthroscopy. The results of ultrasound and arthroscopy were analyzed and compared in the assessment of the diagnostic value of ultrasound in lesions of shoulder.Results: Ultrasound detected 31.5% with partial-thickness rotator cuff tear, 21% with full-thickness rotator cuff tear and 20.5% with tendonitis. Ultrasound showed a sensitivity (Sn) of 80%, specificity(Sp) of 95.2%, positive predictive value (PPV) of 94.1%, negative predictive value (NPV) of 83.3% in diagnosing full-thickness rotator cuff tear. For partial-thickness rotator cuff tear, it showed a Snof 57.1%, Sp of 92.6%, PPV of 80%, NPV of 80.6%. In detection of tendonitis, Sn of ultrasound was 57.1%, Sp was 88.2%, PPV was 50%, NPV was 90%. Ultrasound showed a Sn of 39.3%, Sp of92.3%, PPV of 91.7%, NPV of 43.4% in evaluating subacromial-subdeltoid bursa.

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