Open Rotator Cuff Tear Repair Using Deltopectoral Approach

Guity, Mohammad Reza; Eraghi, Amir Sobhani

doi:10.5455/medarh.2015.69.298-301

Cited by 4 publications

(3 citation statements)

References 23 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The need for joint immobilization to preserve biologic healing of the RC may be implicated in the development of POS [24]. Yet‫‬ , several other factors might contribute to this pathogenesis.‫‬ The [28,29]. Single-tendon tears have been reported more likely to develop POSS than multiple-tendon involvement [20].…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Early postoperative pain as a risk factor of shoulder stiffness after arthroscopic rotator cuff repair

2021

View full text Add to dashboard Cite

Background The role of postoperative pain in incidence of shoulder stiffness (SS) after shoulder arthroscopy has not been thoroughly investigated. The present study was conducted to assess the effects of early postoperative pain (EPOP) on onset of SS after arthroscopic rotator cuff (RC) repair. Materials and methods In a retrospective analysis of a prospectively collected database, 335 patients who underwent arthroscopic RC repair were evaluated. RC tendons were sutured to the bone using the double-row technique. EPOP was evaluated 1 week after surgery using the visual analog scale (VAS). SS was assessed 3 months after surgery and was categorized into moderate or severe based on shoulder range of motion (ROM). Each type of complication including SS was identified and recorded. Results Postoperative shoulder stiffness (POSS) was identified in 121 patients (36.2%) that was moderate in 86 patients (70.1%) and severe in 35 patients (28.9%). After 1 week, VAS pain score was equal to 7.7 ± 3.1 and 4.5 ± 2.1 in the patients with and without stiffness, respectively (p < 0.001). Diabetes and traumatic tear were found to be associated with postoperative stiffness (p = 0.046 and p < 0.001, respectively). Similar associations were found on multivariate analysis of data. VAS pain score was higher in the patients with severe stiffness compared with those with moderate stiffness (p < 0.001). Conclusions Our findings revealed that EPOP is associated with shoulder stiffness after arthroscopic RC repair. Therefore, strategies to ameliorate EPOP could be opted to decrease rate of POSS. Level of evidence Level IV

show abstract

Section: Discussionmentioning

confidence: 99%

“…Moreover, postoperative pain and stiffness has been associated with repair of subscapularis tear, accounting for up to 53% of the cuff movements [30,31]. Associated procedures LHB tenotomy or tenodesis, acromioplasty, and capsulotomy [32], and glenohumeral/acromioclavicular osteoarthritis could also increase the rate of POSS [29,33,34].…”

Section: Discussionmentioning

confidence: 99%

Early postoperative pain as a risk factor of shoulder stiffness after arthroscopic rotator cuff repair

2021

View full text Add to dashboard Cite

show abstract

“…The main goal of the rotator cuff tear repair surgery is to alleviate pain, and the improvement of shoulder function is treated as a second priority. In 20 to 95% of patients, the repair of the rotator cuff may be unsuccessful, depending on factors such as tear size, time elapsed from the injury, fat atrophy and surgical technique (5 (6,7). Arthroscopic repair is a standard treatment for rotator tear, which is currently applied for all types of small or large tears (8,9).…”

Section: Introductionmentioning

confidence: 99%

A Comparative Study on the Clinical Results of Arthroscopic Rotator Cuff Repair and Open Repair Surgery

et al. 2018

View full text Add to dashboard Cite

Introduction: Despite the obvious advantages of arthroscopic rotator cuff repair, there are no definitive evidences regarding the superiority of this method over open surgery. The aim of this study is to compare the results of arthroscopic rotator cuff repair and open repair surgery. Methods: A total of 52 patients referring to a general university hospital were included in the study and assigned to two groups of arthroscopic repair and open repair. Demographic information of patients and the presence of any underlying disease and the grade of rotator cuff tear were recorded. The pain scores of the patients were measured three times, before, 48 h after surgery and 6-month follow-up, using the VAS system. To evaluate the clinical performance of patients, UCLA scoring system (only 6 months after the surgery) and Constant (before and 6 months after surgery) were utilized. Results: 32 patients were assigned to the open repair surgery and 20 to the arthroscopic repair group. The two groups were not significantly different in terms of pain variables, 48 hours after operation (P = 0.054) and 6 months after operation (P = 0.638), constant score 6 months after operation (P = 0.157) and UCLA shoulder rating scale 6 months after surgery (P = 0.167). Moreover, there was not any significant difference between the two groups with regard to these variables before surgery. Conclusions:The results of this study showed that arthroscopic rotator cuff repair was a safe procedure which was as effective as open repair surgery. Also, reduced postoperative pain was one of the advantages of this method noted in the present study, although the long-term severity of pain in this method was not significantly different from the pain of patients undergoing open surgery.

show abstract

Preemptive middle glenohumeral ligament release in arthroscopic rotator cuff repair does not reduce the postoperative stiffness: a retrospective comparative study

Takahashi

Kajita

Harada

et al. 2023

BMC Musculoskelet Disord

View full text Add to dashboard Cite

Background This study aimed to evaluate the efficacy of preemptive middle glenohumeral ligament (MGHL) release in arthroscopic rotator cuff repair (ARCR) to reduce postoperative stiffness. Methods Patients who underwent ARCR were enrolled and allocated into two groups retrospectively: the preemptive MGHL release group (n = 44) and the preemptive MGHL non-release group (n = 42). Clinical outcomes were assessed and compared between the two groups, including the range of motion, Japanese Orthopedic Association Shoulder Score, Constant Shoulder Score, and the University of California, Los Angeles Score preoperatively and 3 months, 6 months, and 12 months postoperatively and complications. The integrity of the repaired tendon was assessed at the 12-month follow-up using magnetic resonance imaging. Results There were no significant differences between the groups in all range of motion and all functional scores at any of the assessed time points. There was also no significant difference in the healing failure rate 2.3% in the preemptive MGHL group and 2.4% in the preemptive MGHL non-release group (p = .97), and postoperative stiffness was 2.3% in the preemptive MGHL group and 7.1% in the preemptive MGHL non-release group (p = .28). There was no postoperative instability in both group. Conclusion ARCR effectively facilitates the recovery of range of motion and function in patients with a rotator cuff tear. However, preemptive MGHL release could not be an effective method to reduce postoperative stiffness.

show abstract

Open Rotator Cuff Tear Repair Using Deltopectoral Approach

Cited by 4 publications

References 23 publications

Early postoperative pain as a risk factor of shoulder stiffness after arthroscopic rotator cuff repair

Early postoperative pain as a risk factor of shoulder stiffness after arthroscopic rotator cuff repair

A Comparative Study on the Clinical Results of Arthroscopic Rotator Cuff Repair and Open Repair Surgery

Preemptive middle glenohumeral ligament release in arthroscopic rotator cuff repair does not reduce the postoperative stiffness: a retrospective comparative study

Contact Info

Product

Resources

About