Prognostic Factors Affecting Anatomic Outcome of Rotator Cuff Repair and Correlation With Functional Outcome

Oh, Joo Han; Kim, Sae Hoon; Ji, Hyung Min; Jo, Ki Hyun; Bin, Sung Woo; Gong, Hyun Sik

doi:10.1016/j.arthro.2008.08.010

Cited by 306 publications

(288 citation statements)

References 34 publications

Supporting

Mentioning

257

Contrasting

Unclassified

Order By: Relevance

“…Although one previous study indicated tear size does not affect the clinical results [25], another showed a close relationship between tear size and the postoperative function [21]. Oh et al [22] also reported the tear size correlated with clinical outcomes. Ozbaydar et al [24] suggested the size of rotator cuff tears affects the results of surgical repair because the patients diagnosed with large tears generally have poor tendon quality and severe tendon retraction.…”

Section: Discussionmentioning

confidence: 99%

“…Age-dependent decline of healing potential in degenerated rotator cuffs and age-dependent progression of shoulder dysfunction caused by rotator cuff tears have been observed [4,26]. Oh et al [22] reported postoperative clinical outcomes were lower in older patients. Our results are consistent with these findings.…”

Section: Discussionmentioning

confidence: 99%

“…The time required for functional recovery reportedly is related to several factors including age [19], rotator cuff tear size [22,30], preoperative muscle weakness [28], and joint mobility [8]. In the literature, the information varies widely regarding the prognostic factors of rotator cuff repair [2,3,11,13].…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Functional Recovery Period after Arthroscopic Rotator Cuff Repair: Is it Predictable Before Surgery?

Manaka

Ito

Matsumoto

et al. 2011

Clinical Orthopaedics &Amp; Related Research

View full text Add to dashboard Cite

Background Several studies have reported functional recovery of the shoulder after arthroscopic rotator cuff repair (ARCR). Preoperative estimation of the time required for functional recovery is important for determining surgical indications and for planning timing of the surgery and an appropriate postoperative physical therapy. Questions/purposes We therefore asked: (1) how long it takes to obtain functional recovery after ARCR, and (2) what preoperative factors influence functional recovery time. Patients and Methods We retrospectively evaluated 201 patients who had undergone ARCR. Using the Japanese Orthopaedic Association (JOA) shoulder scoring system, we defined the functional recovery period as the time required to achieve a score greater than 80% in each component. We evaluated the functional recovery periods and assessed preoperative influencing factors such as age, gender, shoulder stiffness, morphologic features of rotator cuff tears, and rotator cuff tear size. Results Sixty-three patients (31%) took less than 3 months, 81 patients (40%) took between 3 and 6 months, and 57 patients (28%) took greater than 6 months to achieve a score greater than 80% in each JOA shoulder assessment component. Younger patients without shoulder stiffness and with smaller rotator cuff tears had shorter functional recovery periods. Conclusions One hundred forty-four patients (72%) obtained functional recovery within 6 months after ARCR. Age, shoulder stiffness, and rotator cuff tear size influenced functional recovery time.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Functional Recovery Period after Arthroscopic Rotator Cuff Repair: Is it Predictable Before Surgery?

Manaka

Ito

Matsumoto

et al. 2011

Clinical Orthopaedics &Amp; Related Research

View full text Add to dashboard Cite

show abstract

“…There have been numerous efforts to determine the prognostic factors affecting the outcome of rotator cuff repair, and many structural (tear size, muscle atrophy, fatty degeneration, etc) and clinical factors (age, patients' expectation, and surgeons' experience, etc) have been proposed [2,3,10,14,16,21,24]. Fatty degeneration (FD) of the rotator cuff muscle is one of the factors negatively influencing functional and anatomic outcomes [7,9,[14][15][16].…”

Section: Introductionmentioning

confidence: 99%

“…Fatty degeneration (FD) of the rotator cuff muscle is one of the factors negatively influencing functional and anatomic outcomes [7,9,[14][15][16]. Furthermore, FD of the cuff muscle is worsened in patients sustaining retears and reportedly is irreversible even in successful repairs [7,27].…”

Section: Introductionmentioning

confidence: 99%

Reliability of the Grading System for Fatty Degeneration of Rotator Cuff Muscles

Kim

Choi

et al. 2010

Clinical Orthopaedics &Amp; Related Research

Self Cite

158

View full text Add to dashboard Cite

Fatty degeneration of the rotator cuff muscles is considered one of the most important factors for the outcomes of cuff repair. However, the reliability of the grading system is not well validated. Two specialists in musculoskeletal radiology and three shoulder fellowshiptrained orthopaedic surgeons reviewed the fatty degeneration grades of each cuff muscle of consecutive 75 fullthickness cuff tears. Fatty degeneration grades were assessed according to the systems of Goutallier et al. and Fuchs et al. using preoperative MR and postoperative CT arthrographies. The interclass correlation coefficient was analyzed to assess interobserver and intraobserver reliabilities. For interobserver reliability using the system of Goutallier et al. the interclass correlation coefficient was higher in MR arthrography (0.6-0.72) than in CT arthrography (0.43-0.6) and higher for radiologists (0.58-0.78) than for orthopaedic surgeons (0.32-0.68).

show abstract

Aging‐Related Rotator Cuff Tears: Molecular Mechanisms and Implications for Clinical Management

Wang,

Shen

et al. 2024

Advanced Biology

View full text Add to dashboard Cite

Shoulder pain and disabilities are prevalent issues among the elderly population, with rotator cuff tear (RCT) being one of the leading causes. Although surgical treatment has shown some success, high postoperative retear rates remain a great challenge, particularly in elderly patients. Aging‐related degeneration of muscle, tendon, tendon‐to‐bone enthesis, and bone plays a critical role in the development and prognosis of RCT. Studies have demonstrated that aging worsens muscle atrophy and fatty infiltration, alters tendon structure and biomechanical properties, exacerbates enthesis degeneration, and reduces bone density. Although recent researches have contributed to understanding the pathophysiological mechanisms of aging‐related RCT, a comprehensive systematic review of this topic is still lacking. Therefore, this article aims to present a review of the pathophysiological changes and their clinical significance, as well as the molecular mechanisms underlying aging‐related RCT, with the goal of shedding light on new therapeutic approaches to reduce the occurrence of aging‐related RCT and improve postoperative prognosis in elderly patients.

show abstract

Prognostic Factors Affecting Anatomic Outcome of Rotator Cuff Repair and Correlation With Functional Outcome

Cited by 306 publications

References 34 publications

Functional Recovery Period after Arthroscopic Rotator Cuff Repair: Is it Predictable Before Surgery?

Functional Recovery Period after Arthroscopic Rotator Cuff Repair: Is it Predictable Before Surgery?

Reliability of the Grading System for Fatty Degeneration of Rotator Cuff Muscles

Aging‐Related Rotator Cuff Tears: Molecular Mechanisms and Implications for Clinical Management

Contact Info

Product

Resources

About