Arthroscopic Repair of Full-Thickness Rotator Cuff Tears in Active Patients Younger Than 40 Years: 2- to 5-Year Clinical Outcomes

Orthopedics ◽  
2017 ◽  
Vol 41 (1) ◽  
pp. e52-e57 ◽  
Author(s):  
Nata Parnes ◽  
Nicole R. Bartoszewski ◽  
Michael J. Defranco
Keyword(s):  
Rotator Cuff ◽  
Clinical Outcomes ◽  
Arthroscopic Repair ◽  
Rotator Cuff Tears ◽  
Full Thickness ◽  
Active Patients

scholarly journals Repair Integrity and Functional Outcomes after Arthroscopic Repair of Transtendinous Full-thickness Rotator Cuff Tears Minimum Two-year Follow-up

2017 ◽  
Vol 20 (4) ◽  
pp. 183-188
Author(s):  
Kyung Cheon Kim ◽  
Woo Yong Lee ◽  
Hyun Dae Shin ◽  
Young Mo Kim ◽  
Sun Cheol Han
Keyword(s):  
Los Angeles ◽  
Rotator Cuff ◽  
Clinical Outcomes ◽  
Rating Scale ◽  
Clinical Results ◽  
Arthroscopic Repair ◽  
Rotator Cuff Tears ◽  
Full Thickness ◽  
Significant Difference ◽  
The University

BACKGROUND: To evaluate the clinical outcomes and associated repair integrity in patients treated with arthroscopic repair for a transtendinous rotator cuff tear followed by resection of the remnant rotator cuff tendon.METHODS: Between July 2007 and July 2011, we retrospectively reviewed patients who were treated for transtendinous full-thickness tears in the tendinous portion of the rotator cuff by arthroscopic repair. Clinical outcomes were evaluated using the American Shoulder and Elbow Surgeons (ASES) score, the Shoulder Rating Scale of the University of California at Los Angeles (UCLA), the Constant-Murley score, a visual analogue scale (VAS) pain score, and range of motion (ROM). The repair integrity was determined by magnetic resonance imaging or ultrasonography.RESULTS: There were 19 shoulders with transtendinous full-thickness tears in the tendinous portion of the rotator cuff. The ASES, UCLA, Constant-Murley, and VAS pain scores showed significant improvements in function and symptoms (all p<0.001). The active ROM for forward flexion and abduction was also significantly improved (p=0.002 and p<0.001, respectively). The postoperative radiological examination showed cuff integrity without a re-tear in 68.4% of patients. However, the UCLA, ASES, and Constant-Murley scores were not significantly different between healed and re-torn group (p=0.530, p=0.885, and p=0.262, respectively).CONCLUSIONS: Although repair of transtendinous rotator cuff tears followed by resection of the remnant rotator cuff tendon in the footprint has a relatively high re-tear rate, no significant difference was observed in the short-term clinical results between the re-tear and healed groups.

Arthroscopic Repair of Full-Thickness Rotator Cuff Tears With and Without Acromioplasty

2014 ◽  
Vol 42 (6) ◽  
pp. 1296-1303 ◽  
Author(s):  
Geoffrey D. Abrams ◽  
Anil K. Gupta ◽  
Kristen E. Hussey ◽  
Elizabeth S. Tetteh ◽  
Vasili Karas ◽  
...  
Keyword(s):  
Rotator Cuff ◽  
Arthroscopic Repair ◽  
Rotator Cuff Tears ◽  
Full Thickness

Arthroscopic Repair of Partial-Thickness and Small Full-Thickness Rotator Cuff Tears

2014 ◽  
Vol 43 (3) ◽  
pp. 588-596 ◽  
Author(s):  
Seok Won Chung ◽  
Jae Yoon Kim ◽  
Jong Pil Yoon ◽  
Seong Hwa Lyu ◽  
Sung Min Rhee ◽  
...  
Keyword(s):  
Rotator Cuff ◽  
Arthroscopic Repair ◽  
Rotator Cuff Tears ◽  
Full Thickness ◽  
Partial Thickness

Association Between Acromial Index and Outcomes Following Arthroscopic Repair of Full-Thickness Rotator Cuff Tears

2012 ◽  
Vol 94 (20) ◽  
pp. 1862-1869 ◽  
Author(s):  
James B. Ames ◽  
Marilee P. Horan ◽  
Olivier A.J. Van der Meijden ◽  
Melissa J. Leake ◽  
Peter J. Millett
Keyword(s):  
Rotator Cuff ◽  
Arthroscopic Repair ◽  
Rotator Cuff Tears ◽  
Full Thickness

scholarly journals Evaluation of Deltoid Origin Status Following Open and Arthroscopic Repair of Large Rotator Cuff Tears: A Propensity-Matched Case-Control Study

2020 ◽  
Vol 23 (1) ◽  
pp. 11-19
Author(s):  
Erica Kholinne ◽  
Jae-Man Kwak ◽  
Yucheng Sun ◽  
Hyojune Kim ◽  
Kyoung Hwan Koh ◽  
...  
Keyword(s):  
Rotator Cuff ◽  
Propensity Score ◽  
Propensity Score Matching ◽  
Rotator Cuff Repair ◽  
Arthroscopic Repair ◽  
Rotator Cuff Tears ◽  
Open Approach ◽  
Full Thickness ◽  
Lateral Border ◽  
Cuff Repair

Background: The purpose of this study was to evaluate and compare deltoid origin status following large rotator cuff repair carried out using either an open or an arthroscopic method with a propensity score matching technique. Methods: A retrospective review of 112 patients treated for full-thickness, large rotator cuff tear via either a classic open repair (open group) or an arthroscopic repair (arthroscopic group) was conducted. All patients included in the study had undergone postoperative magnetic resonance imaging (MRI) and clinical follow-up for at least 12 and 18 months after surgery, respectively. Propensity score matching was used to select controls matched for age, sex, body mass index, and affected site. There were 56 patients in each group, with a mean age of 63.3 years (range, 50–77 years). The postoperative functional and radiologic outcomes for both groups were compared. Radiologic evaluation for postoperative rotator cuff integrity and deltoid origin status was performed with 3-Tesla MRI.Results: The deltoid origin thickness was significantly greater in the arthroscopic group when measured at the anterior acromion (P=0.006), anterior third (P=0.005), and middle third of the lateral border of the acromion level (P=0.005). The deltoid origin thickness at the posterior third of the lateral acromion was not significantly different between the arthroscopic and open groups. The arthroscopic group had significantly higher intact deltoid integrity with less scarring (P=0.04). There were no full-thickness deltoid tears in either the open or arthroscopic group. Conclusion: Open rotator cuff repair resulted in a thinner deltoid origin, especially from the anterior acromion to the middle third of the lateral border of the acromion, at the 1-year postoperative MRI evaluation. Meticulous reattachment of the deltoid origin is as essential as rotator cuff repair when an open approach is selected.

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