Arthroscopic Rotator Cuff Repair

Abstract

The ultrasound appearance was consistent at 1 and 2 years for 86 of the 93 patients (92.5%). The patients in group 1 had a significantly lower mean age (57.8 +/- 9.8 years) than the patients of group 2 (63.6 +/- 8.6 years; P = .04). Group 2 had a significantly greater rotator cuff tear size (4.36 +/- 1.6 cm) than group 1 (2.84 +/- 1.1 cm; P = .00025). Each group had a significant improvement in American Shoulder and Elbow Surgeons scores from baseline to 2-year follow-up. CONCLUSION All intact rotator cuff tendons at 1 year remained intact at 2 years. A small group of patients with postoperative imaging did not appear healed by ultrasound at 1 year but did so at 2 years. Patients demonstrated improvement in American Shoulder and Elbow Surgeons shoulder scores, range of motion, and strength, regardless of tendon healing status on ultrasound.

Prospective evaluation of arthroscopic rotator cuff repairs at 5 years: part II–prognostic factors for clinical and radiographic outcomes

“…The results of this cohort at 2 years have previously been reported, 15,17 and the overall outcomes at 5 years are reported in part I of this series. Nho et al reported that overall satisfaction and strength in forward flexion were predictive of an excellent American Shoulder and Elbow Surgeons (ASES) score at 2 years.…”

“…15 Briefly, the kappa value was .894 to detect intact versus defect tendons and .925 to detect single versus multiple tendon involvement. The intra-class correlation coefficient for defect area as determined in 2 planes was .906.…”

Prospective evaluation of arthroscopic rotator cuff repairs at 5 years: part I - Functional outcomes and radiographic healing rates

“…This is in addition to the 7 patients previously reported to have had healing between years 1 and 2. 15 In all, 14 patients with a defect at 1 year had no defect at 5 years, which would suggest that the rotator cuff maintains the capacity to remodel even 5 years after surgery.…”

“…15 Briefly, the k value was .894 to detect intact vs defective tendons and .925 to detect single vs multiple tendon involvement. The intraclass correlation coefficient for defect area, as determined in 2 planes was .906.…”

“…The overall healing rates, as shown by ultrasound imaging, were 64.3% at 1 year and 75.4% at 2 years. 15 This study reports the 5-year results of the Arthroscopic Rotator Cuff Registry. We hypothesized that the functional results of arthroscopic rotator cuff repair would remain stable compared with those at 2 years.…”