Evaluation of the Results From Arthroscopic Repair on Rotator Cuff Injuries Among Patients Under 50 Years of Age

Miyazaki, Alberto Naoki; Fregoneze, Marcelo; Santos, Pedro Doneux; Silva, Luciana Andrade da; Sella, Guilherme do Val; Santos, Ruy Mesquita Maranhão; Souza, Adriano de; Checchia, Sérgio Luiz

doi:10.1016/s2255-4971(15)30195-6

Cited by 7 publications

(6 citation statements)

References 19 publications

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“…Trauma is another reported cause of re-injury of the rotator cuff. 7 , 15 , 16 , 17 In a study assessing 63 patients under 50 years old, an age group in which trauma is more prevalent as an RCI trigger, Miyazaki et al 18 observed that trauma was the cause of two out of the four re-ruptures, with an interval from eight to 24 weeks after the first surgery. In the present sample, trauma was informed by the patients as the causative factor of the recurrence of symptoms and consequent re-injury of the rotator cuff in six cases (33.3%): three of them (50%) by fall on the limb and three (50%) by moving the limb beyond bearable.…”

Section: Discussionmentioning

confidence: 99%

Rotator cuff injuries and factors associated with reoperation

Carvalho

Martinelli

Tramujas

et al. 2016

Revista Brasileira de Ortopedia (English Edition)

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ObjectiveTo evaluate the prevalence of rotator cuff tears and describe the profile of reoperated patients, causes of repeated tendon tears, tear evolution and range of times between surgical procedures.MethodThis was a cross-sectional study involving 604 surgical procedures performed at two regional referral hospitals between January 2006 and December 2012. After approval by the ethics committee, data describing the patients’ epidemiological profile were gathered at a single time, using Cofield's classification to measure the extent of the tears, all of which underwent arthroscopic surgery. The data were entered into Epi Info 3.5.3 and were analyzed using SPSS version 18.0.ResultsAmong the 604 surgical procedures, females were affected in more cases (351; 58.1%). When the dominant limb was the right limb, it was affected in 90% of the cases (p < 0.05). The supraspinatus tendon was affected in 574 cases (95%) and the tears were of medium size in 300 cases (49.7%). Eighteen reoperations were performed (2.98%) and the upper right limb was the most affected (66.6%). The cause was non-traumatic in 12 patients. The repeated tears were mostly smaller (44%), and the length of time between the two surgical procedures ranged from 6 to 298 weeks.ConclusionFemale gender, smaller extent in the second procedure and non-traumatic cause were found in most of the cases analyzed.

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Section: Discussionmentioning

confidence: 99%

Rotator cuff injuries and factors associated with reoperation

Carvalho

Martinelli

Tramujas

et al. 2016

Revista Brasileira de Ortopedia (English Edition)

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“…In the period evaluated, 712 original articles were published in the Brazilian Journal of Orthopedics and 588 in Acta Ortopédica Brasileira, or 1300 publications. Among these, 84 (6.7% of the total) were clinical articles on shoulder diseases; 25 publications (1.9% of the total) 11 , 12 , 13 , 14 , 15 , 16 , 17 , 18 , 19 , 20 , 21 , 22 , 23 , 24 , 25 , 26 , 27 , 28 , 29 , 30 , 31 , 32 , 33 , 34 , 35 evaluated the clinical results of treatment of rotator cuff tears ( Table 1 ); twenty studies (80%) were case series (level of evidence IV), one (4%) case–control study (level of evidence III) and four (16%) cohorts (level of evidence II). No randomized study was published in the period.…”

Section: Resultsmentioning

confidence: 99%

Outcome assessment in the treatment of rotator cuff tear: what is utilized in Brazil?

Assunção

Malavolta

Domingues

et al. 2017

Revista Brasileira de Ortopedia (English Edition)

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This review evaluated the outcomes used in clinical studies involving rotator cuff tear published in the last decade in the two leading Brazilian orthopedic journals. A literature review was performed using the journals Revista Brasileira de Ortopedia and Acta Ortopédica Brasileira. It included all original clinical articles describing at least one outcome measured before or after any clinical or surgical intervention related to rotator cuff tear, published between 2006 and 2015. The authors evaluated range of motion, muscle strength, patient satisfaction, and tendon integrity and functional outcomes scores. There were 25 clinical studies published about rotator cuff in the two principal Brazilian orthopedic journals in the last decade, 20 case series (80%), one case–control (4%), and four cohorts (16%). Objective measures such as muscle strength, patient satisfaction, and evaluation of tendon integrity were little used. Range of motion measurements were performed in 52% of the articles. Evaluations of muscle strength and patient satisfaction were reported by 28% and 16% of the studies, respectively. Only 28% of the articles evaluated tendon integrity after surgery. Of these, 16% did so by magnetic resonance imaging and 12% by ultrasonography. The most used scale was the UCLA, present in 92% of the articles, while the Constant–Murley appeared in 20%. Scales deemed reliable, with high internal consistency and good responsiveness, were rarely used.

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“…Aging is a major prognostic indicator of tendon degeneration[ 31 ]. The vast majority of rotator cuff ruptures occur in middle-aged and older patients[ 32 , 33 ]. Previous studies have shown that the prevalence of rotator cuff injuries increases with age, reaching 50% by the 8 th decade of life[ 31 ].…”

Section: Discussionmentioning

confidence: 99%

Functional outcomes of traumatic and non-traumatic rotator cuff tears after arthroscopic repair

Abechain¹,

Godinho²,

Matsunaga³

et al. 2017

WJO

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AIMTo compare the functional outcomes of traumatic and non-traumatic rotator cuff tears after arthroscopic repair.METHODSEighty-seven patients with rotator cuff tears following arthroscopic treatment were divided into traumatic and non-traumatic tear groups. Postoperative muscle strength and outcomes using the modified University of California, Los Angeles score were evaluated. Sex, age, affected limb and dominant limb were correlated between groups. Muscle strength of the repaired and unaffected shoulders was compared. Rotator cuff injury size was measured.RESULTSOf the 87 patients who underwent rotator cuff repairs, 35 had traumatic tears and 52 had non-traumatic tears. In patients with non-traumatic tears, the average age was 59 years, 74.5% were female, 96.1% were right-hand dominant and 92.3% had their dominant shoulder affected. Patients with traumatic tears were 59.5 years old on average, 51.4% were female, 91.4% were right-hand dominant and 88.5% had their dominant shoulder affected. No difference existed in the mean modified University of California, Los Angeles score between patients with traumatic tears (33.7) compared with those with non-traumatic tears (32.8). No strength differences were observed between groups: The strength difference between the non-affected and affected sides was 1.21 kg in the non-traumatic group and 1.39 kg in the traumatic group (P = 0.576), while the strength ratio between the non-affected/affected sides was 0.805 in the non-traumatic group and 0.729 in the traumatic group (P = 0.224).CONCLUSIONThe functional results of traumatic rotator cuff repairs are similar to non-traumatic tears. Both outcomes are satisfactory.

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Evaluation of the Results From Arthroscopic Repair on Rotator Cuff Injuries Among Patients Under 50 Years of Age

Cited by 7 publications

References 19 publications

Rotator cuff injuries and factors associated with reoperation

Rotator cuff injuries and factors associated with reoperation

Outcome assessment in the treatment of rotator cuff tear: what is utilized in Brazil?

Functional outcomes of traumatic and non-traumatic rotator cuff tears after arthroscopic repair

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