Cuff Integrity After Arthroscopic Rotator Cuff Repair: Correlation With Clinical Results in 576 Cases

Flurin, Pierre-Henri; Landreau, Philippe; Grégory, Thomas; Boileau, Pascal; Lafosse, Laurent; Guillo, Stéphane; Kempf, Jean-François; Toussaint, B.; Courage, Olivier; Brassart, Nicolas; Laprelle, E.; Charousset, Christophe; Steyer, Alexandre; Wolf, Eugene M.

doi:10.1016/j.arthro.2007.01.005

Cited by 77 publications

(86 citation statements)

References 22 publications

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“…Prior to 1995, the arthroscopic technique was still being refined and was not performed on large patient groups; therefore, data reported prior to that date were excluded. 10 Prospective as well as retrospective study designs were included.…”

Section: Methodsmentioning

confidence: 99%

Prognostic Factors for Successful Recovery After Arthroscopic Rotator Cuff Repair: A Systematic Literature Review

Fermont

Wolterbeek²,

Wessel³

et al. 2014

J Orthop Sports Phys Ther

101

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Rotator cuff lesion is a common shoulder disorder, with a prevalence ranging from 13% in people over 50 years of age to more than 50% in people over 80 years of age. 24 Two thirds of these lesions are asymptomatic, usually due to their small size. 30 One third are accompanied by symptoms such as pain, muscle weakness, and loss of shoulder range of motion (ROM). 3,17,26 For these people, a rotator cuff lesion may lead to restrictions in their daily functioning, and surgical repair of the rotator cuff using an arthroscopic procedure can be a potential solution. 12,27,29 Although an arthroscopic rotator cuff repair appears to be a relatively minor procedure, postsurgical rehabilitation is long and intensive. Generally, the first weeks after surgery are often painful, and the patient should anticipate several months of physiotherapy. 11,22 However, the extent and duration of the recovery period may vary widely among patients. 18 Recovery can be defined and measured in several ways: impairments (ROM, strength), function (self-report questionnaires), quality-of-life (QoL questionnaires), pain, satisfaction, and tendon healing (ultrasound or magnetic resonance imaging [MRI]).Several factors can affect the extent to which a person will recover after rotator cuff repair. In the literature, factors such as demographics, clinical variables, cuff integrity, and surgical procedure are mentioned as being prognostic of recovery. 8,14,25,26 Better knowledge of these prognostic factors may lead to improved insight for physiotherapists and orthopaedic surgeons to predict the extent of the recovery and adjust rehabilitation and patient expectations accordingly. 9Multiple prospective and retrospective studies have been published that describe prognostic factors after rotator cuff repair; however, to our knowledge, no systematic review of that informa-T T STUDY DESIGN: Systematic literature review. T T OBJECTIVES:To perform a systematic review of the literature on prognostic factors for successful recovery after arthroscopic rotator cuff repair. T T BACKGROUND:Rotator cuff lesion is a common shoulder disorder, with a prevalence ranging from 13% in people over 50 years of age to more than 50% in people over 80 years of age. Several factors can affect the extent to which a person will recover after the surgical repair of a rotator cuff tear. More knowledge about these prognostic factors may lead to a better understanding of why the recovery process is successful in some patients but not in others. T T METHODS:A systematic literature search from 1995 to November 2013 was performed to identify studies reporting prognostic factors for successful recovery after arthroscopic rotator cuff repair. T T RESULTS:A total of 455 studies were initially identified, 10 of which were included in the review. For all included studies, the percentage of patients with complete tendon healing at final assessment ranged from 60% to 88%. Twelve prognostic factors, which could be divided into 4 categories, were identified as being associated with better reco...

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Section: Methodsmentioning

confidence: 99%

Prognostic Factors for Successful Recovery After Arthroscopic Rotator Cuff Repair: A Systematic Literature Review

Fermont

Wolterbeek²,

Wessel³

et al. 2014

J Orthop Sports Phys Ther

101

View full text Add to dashboard Cite

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“…These layers may separate from the humerus as well as each other; when this delamination occurs, the success of arthroscopic repair declines. [21][22][23] The success of open …”

Section: Discussionmentioning

confidence: 99%

Dual-Camera Technique for Arthroscopic Rotator Cuff Repair

Tuttle

Ramos

DaSilva

2014

Arthroscopy Techniques

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An all-arthroscopic rotator cuff repair demands a high level of technical skill and is associated with a steep learning curve. It is well accepted that small rotator cuff tears or partial tears can be more difficult than large or even massive tears to repair. Part of the reason is the difficulty in visualizing the tear, as well as important surrounding structures, during repair. To improve visibility during the repair process, we have introduced a second arthroscopic camera. Two cameras allow the surgeon to observe the rotator cuff from both the articular and bursal sides. We find this technique has merit in small or partial-thickness rotator cuff tears; however, there may be other applications.

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“…24 -27 Patients whose repair fails to heal may experience a transient improvement in symptoms but eventually develop a decline in function and experience persistent shoulder weakness. [25][26][27][28] Repair techniques, biomechanics, and failure modes Rotator cuff repairs can be grouped into single-row, dual-row, or suture-bridging techniques (Fig. 6).…”

Section: Full-thickness Tearsmentioning

confidence: 99%