Repair Integrity and Functional Outcome After Arthroscopic Conversion to a Full-Thickness Rotator Cuff Tear

Kim, Kyung Cheon; Shin, Hyun Dae; Min, Soo; Park, Jun Yeong

doi:10.1177/0363546513512770

Cited by 75 publications

(78 citation statements)

References 17 publications

(25 reference statements)

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“…Subacromial decompression has been historically the treatment of choice, although, increasingly, surgeons tend to repair associated partial thickness tears involving greater than 50% tendon thickness. 5 The present study aimed to compare the results of ASAD in different groups: those with no cuff tear and partial cuff tears of different lengths.…”

Section: Introductionmentioning

confidence: 99%

Do partial thickness, bursal side cuff tears affect outcome following arthroscopic subacromial decompression? A prospective comparative cohort study

et al. 2014

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Section: Introductionmentioning

confidence: 99%

Do partial thickness, bursal side cuff tears affect outcome following arthroscopic subacromial decompression? A prospective comparative cohort study

et al. 2014

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“…In several studies, the authors compared the clinical results of bursal- and articular-side PTRCTs. Kim et al did not determine any differences in re-tear rates between these two injuries but found superior clinical results at 2 years of follow-up for high-grade bursal-side tears compared with articular tears, which were treated after conversion to full-thickness tears [19]. Considering our results, this study has concluded that arthroscopic repair of bursal-side PTRCTs after conversion to full-thickness tears yields good clinical outcomes at both the mid- and long-term follow-ups.…”

Section: Discussionmentioning

confidence: 99%

High-grade bursal-side partial rotator cuff tears: comparison of mid- and long-term results following arthroscopic repair after conversion to a full-thickness tear

Aydın

Karaismailoğlu

2017

J Orthop Surg Res

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BackgroundPartial-thickness rotator cuff tears (PTRCTs) are one of the leading causes of shoulder dysfunction. Successful results have been reported with different treatment techniques, but the long-term consequences of these procedures are not yet clearly known. The purposes of this study were to evaluate and compare the mid- and long-term clinical outcomes of arthroscopically repaired bursal-side PTRCTs after conversion to full-thickness tears and identify the possible effects of age, gender, and hand dominance on clinical outcomes.MethodsTwenty-nine patients who had undergone arthroscopic repair of a significant bursal-side PTRCT were functionally evaluated. The repair was made after conversion to a full-thickness tear. The average patient age was 55.2 years (range 35–69 years, SD ±7.6 years). Clinical outcomes were evaluated at 2 and 5 years after surgery. Constant Shoulder Score (CSS) and Visual Analogue Scale for Pain (VAS pain) were used as outcome measures.ResultsThe average CSS improved from 38.9 preoperatively to 89.2 and 87.8 at 2 and 5 years after surgery, respectively (p < 0.001). The average VAS pain score decreased from 7.90 preoperatively to 1.17 and 1.31 at 2 and 5 years after surgery, respectively (p < 0.001). A significant improvement was detected in patient functional outcomes and VAS pain scores at 2 and 5 years after surgery compared with the preoperative period. The patients who underwent surgery from their non-dominant extremity showed a significantly higher CSS increase relative to those who underwent surgery on the dominant extremity (p = 0.022).ConclusionsArthroscopic repair of high-grade bursal-side PTRCTs after conversion to full-thickness tears is a reliable surgical technique with good functional outcomes and pain relief both at mid- and long-term follow-ups. Surgery on the non-dominant side may be related to better functional outcomes.

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“…In both studies, absence of structural healing did not appear to negatively affect clinical results. When comparing bursal versus articular sided tears treated by conversion repair, authors have shown improved clinical outcomes (VAS, UCLA, ASES, and Constant) in both groups without significant difference in retear rates [49,50].…”

Section: Partial-thickness Rotator Cuff Tearsmentioning

confidence: 99%

Partial and Full-Thickness RCT: Modern Repair Techniques

Nathani

Smith

Wang

2018

Curr Rev Musculoskelet Med

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Purpose of Review The purpose of this article is to review the recent literature concerning modern repair techniques related to partial-and full-thickness rotator cuff tears. Recent Findings The understanding of rotator cuff pathology and healing continues to evolve, beginning with emerging descriptions of the anatomic footprint and natural history of rotator cuff tears. Significant controversy remains in treatment indications for partial-thickness rotator cuff lesions as well as optimal surgical repair techniques for both partial-and full-thickness tears. Techniques such as margin convergence and reduction of the so-called "comma" tissue have improved the ability to anatomically reduce large and retracted tears. Repair strength and contact pressures are improved with double-row repairs and transosseusequivalent techniques compared to traditional single-row repairs. Future work is directed towards obtaining reliable radiographic healing and demonstrating clinical superiority and cost-effectiveness of a single technique. Summary Much recent work regarding rotator cuff anatomy and pathology has been reported. Newer techniques improve repair strength. Despite these advances, significant questions remain concerning surgical indications and clinical outcomes.

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Repair Integrity and Functional Outcome After Arthroscopic Conversion to a Full-Thickness Rotator Cuff Tear

Abstract: The arthroscopic repair of partial-thickness bursal-side tears resulted in comparable or superior postoperative functional outcomes compared with that of articular-side tears. However, the postoperative retear rate did not differ significantly between the 2 groups.

Cited by 75 publications

References 17 publications

Do partial thickness, bursal side cuff tears affect outcome following arthroscopic subacromial decompression? A prospective comparative cohort study

Do partial thickness, bursal side cuff tears affect outcome following arthroscopic subacromial decompression? A prospective comparative cohort study

High-grade bursal-side partial rotator cuff tears: comparison of mid- and long-term results following arthroscopic repair after conversion to a full-thickness tear

Partial and Full-Thickness RCT: Modern Repair Techniques

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