Arthroscopic repair of medium to large full-thickness rotator cuff tears: Outcome at 2- to 6-year follow-up

Murray, Thomas F.; Lajtai, G.; Mileski, Robert M.; Snyder, Stephen J.

doi:10.1067/mse.2002.120142

Cited by 204 publications

(101 citation statements)

References 26 publications

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“…In our study, we found that 90% of the results were satisfactory, among which 58% were excellent and 32% were good, according to the UCLA functional scale. This satisfaction index was similar to what was found in the literature (1,7,8,(21)(22)(23)(24)(25)(26) . Although our results were similar to what was found in the literature, two of the four cases that suffered renewed tearing of the supraspinatus (as shown by magnetic resonance imaging) presented unsatisfactory functional results, with complaints of pain and dissatisfaction with the results.…”

Section: A B C Dsupporting

confidence: 89%

“…Injuries to the tendons of the rotator cuff are among the commonest causes of pain and functional impotence in adults' shoulders (1,2) . These injuries may occur in one of the tendons in isolation, and the commonest of these is injuries of the supraspinatus tendon (3) , which is inserted into the greater tubercle, is around 16 mm in length and is microscopically subdivided into five distinct layers (4,5) .…”

Section: Introductionmentioning

confidence: 99%

“…Surgical treatment for rotator cuff injuries is indicated if conservative treatment fails (3,7,8) . Arthroscopic repair of the injury is one of the possibilities and, with the evolution of this technique, it is becoming increasingly popular (1,3,9) . Arthroscopic repairs to small and medium-sized 62 of these cases (48%), we observed abnormalities of the tendon of the long head of the brachial biceps muscle (LHB tendon), which included complete absence of the tendon, partial lesions, thickening and instability in the bicipital sulcus.…”

Section: Introductionmentioning

confidence: 99%

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Reparação artroscópica de lesões pequenas e médias do tendão do músculo supraespinal: avaliação dos resultados clínico-funcionais após dois anos de seguimento

Ikemoto¹,

Murachovsky²,

Nascimento³

et al. 2012

Rev. bras. ortop.

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Objective: To evaluate the clinical and functional outcomes from arthroscopic repairs on small and medium-sized tears of the supraspinatus muscle tendon. Methods: 129 cases of isolated small and medium tears of the supraspinatus muscle tendon were evaluated retrospectively. The average duration of pain was 29 months. The average joint range of motion comprised active elevation of 136º, lateral rotation of 58º and medial rotation at T12 level; and the preoperative functional UCLA score averaged 17 points. In all the cases, complete repair could be achieved. Results: The average score on the UCLA functional scale in the postoperative period was 32 points. The average length of follow-up was 39 months. Seventy-five cases (58%) had excellent results and 42 (32%) had good results. The average final active elevation was 156º

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Section: A B C Dsupporting

confidence: 89%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Reparação artroscópica de lesões pequenas e médias do tendão do músculo supraespinal: avaliação dos resultados clínico-funcionais após dois anos de seguimento

Ikemoto¹,

Murachovsky²,

Nascimento³

et al. 2012

Rev. bras. ortop.

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“…ARCR is now a well-established surgical technique, and some studies [17,30] have reported functional recovery and tendon healing in patients undergoing ARCR for rotator cuff injuries. Although several studies have reported restoration of shoulder function using the Constant-Murley [9], UCLA [11], and American Shoulder and Elbow Surgeons (ASES) [18] at followup periods of 2 to 14 years [20,35,36], the time required for functional recovery after surgery was reported in only one study [7].…”

Section: Introductionmentioning

confidence: 99%

Functional Recovery Period after Arthroscopic Rotator Cuff Repair: Is it Predictable Before Surgery?

Manaka

Ito

Matsumoto

et al. 2011

Clinical Orthopaedics &Amp; Related Research

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Background Several studies have reported functional recovery of the shoulder after arthroscopic rotator cuff repair (ARCR). Preoperative estimation of the time required for functional recovery is important for determining surgical indications and for planning timing of the surgery and an appropriate postoperative physical therapy. Questions/purposes We therefore asked: (1) how long it takes to obtain functional recovery after ARCR, and (2) what preoperative factors influence functional recovery time. Patients and Methods We retrospectively evaluated 201 patients who had undergone ARCR. Using the Japanese Orthopaedic Association (JOA) shoulder scoring system, we defined the functional recovery period as the time required to achieve a score greater than 80% in each component. We evaluated the functional recovery periods and assessed preoperative influencing factors such as age, gender, shoulder stiffness, morphologic features of rotator cuff tears, and rotator cuff tear size. Results Sixty-three patients (31%) took less than 3 months, 81 patients (40%) took between 3 and 6 months, and 57 patients (28%) took greater than 6 months to achieve a score greater than 80% in each JOA shoulder assessment component. Younger patients without shoulder stiffness and with smaller rotator cuff tears had shorter functional recovery periods. Conclusions One hundred forty-four patients (72%) obtained functional recovery within 6 months after ARCR. Age, shoulder stiffness, and rotator cuff tear size influenced functional recovery time.

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“…In the general population of similar age, the prevalence of asymptomatic full-thickness rotator cuff tears ranges from 28% to 51% [26,28]. In our study, aging may explain a considerable proportion of the decrease in absolute values of ROM and strength during 20 years of followup.…”

Section: Discussionmentioning

confidence: 54%

Pain Relief, Motion, and Function after Rotator Cuff Repair or Reconstruction May Not Persist after 16 Years

Borgmästars

Paavola

Remes

et al. 2010

Clinical Orthopaedics &Amp; Related Research

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Background Short-to medium-term rotator cuff repair reportedly relieves pain in 82% to 97% of patients and provides normal or almost normal shoulder function in 82% to 92%. However, it is unknown whether pain relief and function persist long term. Questions/purposes We asked whether, after rotator cuff repair or reconstruction, pain relief, ROM, shoulder strength, and function remained over the long term. Patients and MethodsWe retrospectively reviewed 75 patients who underwent rotator cuff repair between 1980 and 1989. There were 55 men and 20 women. Their mean age at surgery was 52 years. The minimum followup was 16 years (mean, 20 years; range 16-25 years). Results Twenty-eight of the 75 patients (37%) had persistent relief of pain lasting for 20 years. In the remaining 47 patients, alleviation of pain lasted, on average, 14 years (range, 0-24 years). Mean flexion and abduction strength increased postoperatively but during long-term followup decreased to less than preoperative levels. External rotation also decreased. At the last followup, the Constant-Murley score averaged 66 (range, 10-98) in men and 60 (range, 29-89) in women. In the Simple Shoulder Test questionnaire, the mean number of yes answers was eight of 12. Of the 75 patients, 32 (43%) reported impairment in activities of daily living owing to an index shoulder complaint. Severe degenerative changes of the glenohumeral joint were evident in 14 patients (19%). Conclusions The early high functional scores after primary rotator cuff repair or reconstruction of the types we performed in the 1980s did not persist. The function achieved postoperatively was lost, as ROM and strength decreased to less than preoperative values. However, alleviation of pain was long-standing in most patients. Based on our data, we should warn patients to expect less than permanent relief with those repairs. We cannot say whether the same will apply to currently performed types of repairs.

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Arthroscopic repair of medium to large full-thickness rotator cuff tears: Outcome at 2- to 6-year follow-up

Cited by 204 publications

References 26 publications

Reparação artroscópica de lesões pequenas e médias do tendão do músculo supraespinal: avaliação dos resultados clínico-funcionais após dois anos de seguimento

Reparação artroscópica de lesões pequenas e médias do tendão do músculo supraespinal: avaliação dos resultados clínico-funcionais após dois anos de seguimento

Functional Recovery Period after Arthroscopic Rotator Cuff Repair: Is it Predictable Before Surgery?

Pain Relief, Motion, and Function after Rotator Cuff Repair or Reconstruction May Not Persist after 16 Years

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