Result from arthroscopic surgical treatment of renewed tearing of the rotator cuff of the shoulder

Abstract

ObjectivesTo evaluate function among patients with postoperative recurrence of rotator cuff injuries that was treated arthroscopically (case series) and compare this with function in patients without recurrence (control group); and to compare function among patients with recurrence of rotator cuff injuries that were greater than and smaller than 3 cm.MethodsThis was a retrospective evaluation of patients who underwent arthroscopic revision of rotator cuff injuries using the ASES, Constant & Murley and UCLA scores and a visual analog pain scale, in comparison with patients in a control group who underwent primary rotator cuff repair.ResultsThe size of the rotator cuff injury recurrence had a statistically significant influence on the result from the arthroscopic surgical treatment. The functional scores showed worse results than those from the first procedure.ConclusionArthroscopic surgical treatment of renewed tearing of rotator cuff injuries showed worse functional scores than those from primary repair of the injury.

Management of failed rotator cuff repair: a systematic review

“… 13 42 One study dealt with results of surgery after failed attempt at repair of irreparable rotator cuff tear 35 and six had insufficient data (ie, no distinction in the results between primary and revision cases). 12 21 29 31 37 39 Two studies described the results 24 and the operative technique 26 of the same population. Finally, 10 met our inclusion criteria and were included in this study ( table 1 ).…”

Arthroscopic rotator cuff repair: single-row vs. double-row – clinical results after one to four years

“…When they occur, re-ruptures impair the functional outcome and the degree of patient satisfaction. 9 In order to improve the coverage area of the insertional footprint of the rotator cuff and decrease the chances of a rupture, a new arthroscopic repair technique with anchors was developed – the double row method. 14 …”

“…The integrity of the rotator cuff after its repair is related to postoperative functional results. 9 As lower re-rupture rates have been observed, better clinical outcomes would be expected. However, in addition to Tudisco et al, 5 other authors did not observe differences in clinical scores when comparing these two fixation techniques, as shown in a recently published meta-analysis.…”

Outcome assessment in the treatment of rotator cuff tear: what is utilized in Brazil?

“…They are considered reliable, with great internal consistency, good responsivity, and were previously validated. 45 In our study, only one publication (4%) 18 used the ASES scale, and two studies (8%) 15 , 32 used SST for evaluation. On their turn, Makhni et al 9 observed that the publications of the six major international orthopedic journals between 2010 and 2014 used scales considered more reliable; ASES questionnaire was used in 59%, and the SST in 28%.…”

“…In the period evaluated, 712 original articles were published in the Brazilian Journal of Orthopedics and 588 in Acta Ortopédica Brasileira, or 1300 publications. Among these, 84 (6.7% of the total) were clinical articles on shoulder diseases; 25 publications (1.9% of the total) 11 , 12 , 13 , 14 , 15 , 16 , 17 , 18 , 19 , 20 , 21 , 22 , 23 , 24 , 25 , 26 , 27 , 28 , 29 , 30 , 31 , 32 , 33 , 34 , 35 evaluated the clinical results of treatment of rotator cuff tears ( Table 1 ); twenty studies (80%) were case series (level of evidence IV), one (4%) case–control study (level of evidence III) and four (16%) cohorts (level of evidence II). No randomized study was published in the period.…”