Outcomes after rotator cuff repair in the elderly as assessed by the American Shoulder and Elbow Surgeons shoulder score

Fang, Yushun; Zhang, Qingsong

doi:10.6061/clinics/2020/e1817

Cited by 4 publications

(2 citation statements)

References 22 publications

(53 reference statements)

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“…Rotator cuff injuries are very common, especially in the elderly (1,(5)(6)(7). The development of arthroscopic technology has made the surgical treatment of rotator cuff injuries more acceptable to patients, greatly improving the shoulder joint function and quality of life of patients (8)(9)(10).…”

Section: Discussionmentioning

confidence: 99%

Effect of pectoralis minor relaxation on the prognosis of rotator cuff injury under arthroscopy

Chen¹,

Yang²,

Sun³

et al. 2022

Ann Palliat Med

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Background: Rotator cuff injury is the main cause of shoulder joint pain. Rotator cuff tear is a serious stage of rotator cuff injury. The purpose of this study was to observe the effect of pectoralis minor relaxation on the prognosis of rotator cuff injury under arthroscopy. Methods:The clinical data of patients with rotator cuff injury admitted to our department from March 2019 to August 2020 were retrospectively analyzed. These patients were divided into a conventional arthroscopy surgery group and a pectoralis minor relaxation group. The American Shoulder and Elbow Surgeons' Form (ASES) and University of California at Los Angeles Shoulder Scores (UCLASS) were used to assess shoulder joint function during the postoperative and follow-up periods, and the visual analogue scale (VAS) was used to assess shoulder joint pain.Results: Shoulder joint function of the two groups of patients was significantly improved at 1 week postoperatively compared with that before surgery (P<0.05). The shoulder joint function of the pectoralis minor relaxation group was better than that of the conventional arthroscopy surgery group (P<0.05). Also, the shoulder joint function of patients in pectoralis minor relaxation group was better than that in conventional arthroscopy surgery group at 6 weeks, 12 weeks and 6 months after surgery (P<0.05). The UCLASS evaluation results were consistent with the ASES results. At 1 week after surgery, the pain of the two groups of patients was significantly less than before the operation, but the degree of pain relief was greater at 6 weeks postoperatively. Starting at 6 weeks after surgery, the shoulder joint pain of the pectoralis minor relaxation group was less than that of conventional arthroscopy surgery group (P<0.05). The healing of the incision was observed after the operation. No incision infection or exudation was found in the two groups of patients.Conclusions: The addition of pectoralis minor relaxation on the basis of conventional arthroscopic surgery is beneficial to the further recovery of shoulder joint function and pain reduction in patients with rotator cuff injury.

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Section: Discussionmentioning

confidence: 99%

Effect of pectoralis minor relaxation on the prognosis of rotator cuff injury under arthroscopy

Chen¹,

Yang²,

Sun³

et al. 2022

Ann Palliat Med

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show abstract

“…The CMS and ASES were used in this study because they evaluated shoulder function with high accuracy, reproducibility, and test-retest reliability, and they had had shown a good correlation with shoulder function. 9 , 13 , 30 …”

Section: Discussionmentioning

confidence: 99%

Simultaneous or Staged Bilateral Arthroscopic Rotator Cuff Repair: An Observational Study of Intraoperative and Postoperative Outcomes

Chu

Shieh

et al. 2021

Orthopaedic Journal of Sports Medicine

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Background: Bilateral arthroscopic rotator cuff repair (ARCR) is frequently performed in patients with symptomatic bilateral rotator cuff tears. Purpose: To compare patient-reported outcomes and mobility between simultaneous and staged bilateral ARCR. Study Design: Cohort study; Level of evidence, 3. Methods: Included were 51 patients who underwent simultaneous (anesthetized once) and 42 patients who underwent staged (anesthetized twice) bilateral ARCR between January 2014 and January 2018; for the staged group, the interval between procedures was at least 12 months. All operations were performed by the same surgeon, and all patients had minimum 24-month follow up in both shoulders. Patient-reported outcomes and range of motion (ROM) were assessed preoperatively and postoperatively and compared between groups. Outcome measures included the Constant-Murley score (CMS) and American Shoulder and Elbow Surgeons (ASES) score as well as measures of psychological status, health-related quality of life, activities of daily living (ADL), and patient satisfaction with the state of one’s shoulders. Results: The mean follow-up times for the staged and simultaneous ARCR groups were 44.1 months (range, 36-60 months) and 37.5 months (range, 25-59 months), respectively. There were no significant differences in age, tear size, or fatty degeneration of rotator cuff muscles between the groups. The cumulative length of hospital stay in the staged group was significantly longer than in the simultaneous group ( P < .001). At the final follow-up, both groups showed significant improvement in ROM, CMS, and ASES scores ( P < .05). No significant differences between the groups were observed in terms of ROM, CMS, and ASES scores postoperatively. At 24 months postoperatively, psychological status and health-related quality of life in both groups improved significantly ( P < .05), and there were no significant between-group differences. Patients were able to perform most essential ADL. Both groups had high patient satisfaction, but patient satisfaction for the second shoulder of the staged group was lower than that of the simultaneous group ( P = .039). Conclusion: Simultaneous bilateral ARCR was shown to be effective, resulting in similar improvements in clinical outcomes to staged bilateral ARCR at 2-year follow-up. In addition to higher patient satisfaction, simultaneous bilateral ARCR also had a shorter treatment cycle.

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Effect of hospital length of stay on functional outcomes and readmission after total shoulder arthroplasty

Destine,

Patel,

Hall

et al. 2024

Seminars in Arthroplasty: JSES

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Outcomes after rotator cuff repair in the elderly as assessed by the American Shoulder and Elbow Surgeons shoulder score

Cited by 4 publications

References 22 publications

Effect of pectoralis minor relaxation on the prognosis of rotator cuff injury under arthroscopy

Effect of pectoralis minor relaxation on the prognosis of rotator cuff injury under arthroscopy

Simultaneous or Staged Bilateral Arthroscopic Rotator Cuff Repair: An Observational Study of Intraoperative and Postoperative Outcomes

Effect of hospital length of stay on functional outcomes and readmission after total shoulder arthroplasty

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