Influence of patient and diagnostic parameters on reported retear rates after arthroscopic rotator cuff repair

Müller, A; Flury, Manuel; AlSayed, Hasan N; Audigé, Laurent

doi:10.1007/s00167-017-4481-2

Cited by 18 publications

(14 citation statements)

References 41 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Several overlapping systematic reviews and meta-analyses examined predictors of retears and worse outcomes after RC repair. ∥ Predictors of retears included older age, 52,106,133,144,190 smoking, 196 increased tear size, 52,106,133,144,175,190 additional biceps or acromioclavicular procedures, 52,106 preoperative fatty infiltration, 52,93,133,175 multiple tendon involvement, 52,175 diabetes, 175 DR repairs, 175 increased retraction of the tendon, 52 and decreased bone mineral density. 52 Predictors of worse outcomes included older age, 52 female sex, 52 smoking, 17,196 diabetes, 52 lower baseline scores, 190 workers’ compensation status, 92,106,175,190 decreased preoperative muscle strength, 52,175 increased tear size, 52 preoperative fatty infiltration, 93 <3 months between injury and surgery, 143 decreased sports activity, 52 preoperative shoulder stiffness, 52 and obesity.…”

Section: Resultsmentioning

confidence: 99%

A Systematic Summary of Systematic Reviews on the Topic of the Rotator Cuff

Jancuska

Matthews

Miller

et al. 2018

Orthopaedic Journal of Sports Medicine

View full text Add to dashboard Cite

Background:The number of systematic reviews and meta-analyses published on the rotator cuff (RC) has increased markedly.Purpose:To quantify the number of systematic reviews and meta-analyses published on the RC and to provide a qualitative summary of the literature.Study Design:Systematic review; Level of evidence, 4.Methods:A systematic search for all systematic reviews and meta-analyses pertaining to the RC published between January 2007 and September 2017 was performed with PubMed, MEDLINE, and the Cochrane Database of Systematic Reviews. Narrative reviews and non–English language articles were excluded.Results:A total of 1078 articles were found, of which 196 met the inclusion criteria. Included articles were summarized and divided into 15 topics: anatomy and function, histology and genetics, diagnosis, epidemiology, athletes, nonoperative versus operative treatment, surgical repair methods, concomitant conditions and surgical procedures, RC tears after total shoulder arthroplasty, biological augmentation, postoperative rehabilitation, outcomes and complications, patient-reported outcome measures, cost-effectiveness of RC repair, and quality of randomized controlled trials.Conclusion:A qualitative summary of the systematic reviews and meta-analyses published on the RC can provide surgeons with a single source of the most current literature.

show abstract

Section: Resultsmentioning

confidence: 99%

A Systematic Summary of Systematic Reviews on the Topic of the Rotator Cuff

Jancuska

Matthews

Miller

et al. 2018

Orthopaedic Journal of Sports Medicine

View full text Add to dashboard Cite

show abstract

“…However, the higher rates come from studies incorporating individuals with large lesions and older than in this study 37 or from studies including retears diagnosed on the basis of image findings. 38 On the contrary, only symptomatic retears were included in this study, which are particularly relevant because they are considered to be the ones that usually influence the surgeons' decisions.…”

Section: Discussionmentioning

confidence: 99%

Risk factors for symptomatic retears after arthroscopic repair of full-thickness rotator cuff tears

Lobo-Escolar

Ramazzini-Castro

Codina-Granó

et al. 2021

Journal of Shoulder and Elbow Surgery

View full text Add to dashboard Cite

Background: Factors affecting a rotator cuff symptomatic retear after arthroscopic repair have yet to be clearly identified, since they usually influence the surgical decisions. Methods: Consecutive patients with full-thickness tear of the supraspinatus who underwent arthroscopic repair were retrospectively analyzed. Cases of symptomatic retear, defined as Sugaya type IV and V on magnetic resonance imaging, associated with intensive pain and/or functional impairment were identified at follow-up. The patients with no symptomatic retear were selected as the control group. Information from potential risk factors of symptomatic retear, including depression and subacromial corticosteroid injections, was extracted from the medical records. The statistical analysis included multivariant logistic regression. Results: The symptomatic retear rate was 9.5% in 158 patients. Patients in the symptomatic retear group were more likely to be smoking, to have massive tears, a short acromiohumeral distance, and moderate to severe fatty infiltration. They also had had more frequently subacromial corticosteroid injections and depression. However, following the multiple logistic regression analysis, only massive tears and moderate to severe fatty infiltration remained significantly associated. Similarly, in relation to the study hypothesis, both corticosteroid injections (odds ratio [OR] 6.66, 95% confidence interval [CI] 1.49, 29.81; P ¼ .013) and depression (OR 8.26, IC 1.04, 65.62; P ¼ .046) were significantly associated with symptomatic retear risk. Conclusions: This study found support for the hypothesis that both depression and corticosteroid infiltration before surgery are independent risk factors for symptomatic retear after arthroscopic repair of rotator cuff. The study has been performed in accordance with the ethical standards in the 1964 Declaration of Helsinki, and the hospital ethical committee approved the study, to conform with Spanish law: Ethical Committee for Clinical Research in the CEIC idcsalud in Cataluña (Internal Code [study number]: 2016/49-COT-ASEPEYO).

show abstract

“…11 12 About 20% of patients may show, typically between 6 and 12 months following ARCR, a persistent rotator cuff defect. 13 Patients with healed tendons may show better functional outcome after repair. 2 14 15 Postoperative shoulder stiffness, a major complication reported to occur in 1.5%-11.1% of ARCRs, 11 leads to limitations in everyday activities, prolonged rehabilitation, and in severe cases to reoperation (capsular release).…”

Section: Strengths and Limitations Of This Studymentioning

confidence: 99%

Swiss-wide multicentre evaluation and prediction of core outcomes in arthroscopic rotator cuff repair: protocol for the ARCR_Pred cohort study

et al. 2021

Self Cite

View full text Add to dashboard Cite

IntroductionIn the field of arthroscopic rotator cuff repair (ARCR), reporting standards of published studies differ dramatically, notably concerning adverse events (AEs). In addition, prognostic studies are overall methodologically poor, based on small data sets and explore only limited numbers of influencing factors. We aim to develop prognostic models for individual ARCR patients, primarily for the patient-reported assessment of shoulder function (Oxford Shoulder Score (OSS)) and the occurrence of shoulder stiffness 6 months after surgery. We also aim to evaluate the use of a consensus core event set (CES) for AEs and validate a severity classification for these events, considering the patient’s perspective.Methods and analysisA cohort of 970 primary ARCR patients will be prospectively documented from several Swiss and German orthopaedic clinics up to 24 months postoperatively. Patient clinical examinations at 6 and 12 months will include shoulder range of motion and strength (Constant Score). Tendon repair integrity status will be assessed by ultrasound at 12 months. Patient-reported questionnaires at 6, 12 and 24 months will determine functional scores (subjective shoulder value, OSS), anxiety and depression scores, working status, sports activities, and quality of life (European Quality of Life 5 Dimensions 5 Level questionnaire). AEs will be documented according to a CES. Prognostic models will be developed using an internationally supported regression methodology. Multiple prognostic factors, including patient baseline demographics, psychological, socioeconomic and clinical factors, rotator cuff integrity, concomitant local findings, and (post)operative management factors, will be investigated.Ethics and disseminationThis project contributes to the development of personalised risk predictions for supporting the surgical decision process in ARCR. The consensus CES may become an international reference for the reporting of complications in clinical studies and registries. Ethical approval was obtained on 1 April 2020 from the lead ethics committee (EKNZ, Basel, Switzerland; ID: 2019-02076). All participants will provide informed written consent before enrolment in the study.Trial registration numberNCT04321005.Protocol versionVersion 2 (13 December 2019).

show abstract

Influence of patient and diagnostic parameters on reported retear rates after arthroscopic rotator cuff repair

Abstract: IV.

Cited by 18 publications

References 41 publications

A Systematic Summary of Systematic Reviews on the Topic of the Rotator Cuff

A Systematic Summary of Systematic Reviews on the Topic of the Rotator Cuff

Risk factors for symptomatic retears after arthroscopic repair of full-thickness rotator cuff tears

Swiss-wide multicentre evaluation and prediction of core outcomes in arthroscopic rotator cuff repair: protocol for the ARCR_Pred cohort study

Contact Info

Product

Resources

About