Functional and Structural Outcome After Arthroscopic Full-Thickness Rotator Cuff Repair: Single-Row Versus Dual-Row Fixation

Sugaya, Hiroyuki; Maeda, Kazuhiko; Matsuki, Keisuke; Moriishi, Joji

doi:10.1016/j.arthro.2005.08.011

Cited by 740 publications

(580 citation statements)

References 37 publications

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“…22,53 With the advent of these new techniques, the postoperative rehabilitation may be slightly accelerated to maintain a careful balance between healing and minimization of postoperative stiffness. 16,22,38,67 H istorically, the management of massive rotator cuff tears included a wide range of procedures, including open or arthroscopic debridement, repair (complete or partial), and muscle or tendon transfer (upper portion of the subscapularis, latissimus dorsi, pectoralis major, tendon allografts, synthetic graft material, and xenograft). 1,2,11,23,50 Although repair is always preferred, it is technically more difficult and associated with a higher incidence of failure.…”

mentioning

confidence: 99%

Open, Mini-open, and All-Arthroscopic Rotator Cuff Repair Surgery: Indications and Implications for Rehabilitation

Ghodadra

Provencher²,

Verma³

et al. 2009

J Orthop Sports Phys Ther

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mentioning

confidence: 99%

Open, Mini-open, and All-Arthroscopic Rotator Cuff Repair Surgery: Indications and Implications for Rehabilitation

Ghodadra

Provencher²,

Verma³

et al. 2009

J Orthop Sports Phys Ther

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“…Although there are studies that have shown that there were no differences in the functional results from surgical treatment on the LHB tendon, between different lesion sizes (7,10,(16)(17)(18)(19) , we believe that the chances of renewed tearing become greater with increasing lesion size. This does not necessarily mean that patients will evolve with pain or a poor functional result, but they will at least present diminished strength in the affected limb and some degree of functional limitation, which may change the scoring on any functional scale (8,10,16,19) .…”

Section: Discussionmentioning

confidence: 67%

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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“…A recent study by Oh et al [27] found older age and female gender correlated with the Simple Shoulder Test, and tear size correlated with the ASES score. Other studies have identified other factors as prognostic of functional outcome; age [4,7,11], gender [29], tendon status [4,7], duration of symptoms [15], tear size [5,23,31], and fatty infiltration [16,18,19]. It is possible other variables exist that influence the outcome of cuff repair that are not yet known.…”

Section: Discussionmentioning

confidence: 99%

Does the Upward Migration Index Predict Function and Quality of Life in Arthroscopic Rotator Cuff Repair?

Lapner

Simon

et al. 2010

Clinical Orthopaedics &Amp; Related Research

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Background Although upward humeral head migration is a well-recognized phenomenon in patients with tears of the cuff, it is unclear whether it relates to patient function after cuff repair. The upward migration index (UMI) assesses proximal migration of the humeral head while controlling for patients' bony morphologic features. Questions/purposes We asked whether functional and quality-of-life (QOL) improvement occurs longitudinally in patients with low, moderate, or high degrees of proximal humeral migration after arthroscopic cuff repair and whether differences occur between groups. Patients and Methods We retrospectively reviewed 118 patients with full-thickness tears treated by arthroscopic cuff repair. Patients were divided into three groups depending on the severity of preoperative proximal humeral migration seen on MRI. We determined function using two functional scores and the Western Ontario Rotator Cuff Index (a QOL index). Evaluations were performed preoperatively and 6 and 12 months postoperatively. A general linear model analysis controlled for patient characteristics, including the UMI, to determine their effects on functional and QOL scores. Results Function and QOL improved after surgery in all three groups. The UMI did not correlate with final functional or QOL scores. Six-month functional and QOL scores correlated with final scores. The best predictor of final strength was initial strength. Conclusions Preoperative UMI did not correlate with functional or QOL improvements after surgery. The data suggest substantial proximal migration of the humeral head, as measured by the UMI, should not be considered a contraindication to arthroscopic rotator cuff repair. Level of Evidence Level II, prognostic study. See Guidelines for Authors for a complete description of levels of evidence.

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Functional and Structural Outcome After Arthroscopic Full-Thickness Rotator Cuff Repair: Single-Row Versus Dual-Row Fixation

Cited by 740 publications

References 37 publications

Open, Mini-open, and All-Arthroscopic Rotator Cuff Repair Surgery: Indications and Implications for Rehabilitation

Open, Mini-open, and All-Arthroscopic Rotator Cuff Repair Surgery: Indications and Implications for Rehabilitation

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

Does the Upward Migration Index Predict Function and Quality of Life in Arthroscopic Rotator Cuff Repair?

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