Specific patient-related prognostic factors for rotator cuff repair: a systematic review

Heerspink, Frederik O. Lambers; Dorrestijn, Oscar; Raay, Jos J. A. M. van; Diercks, Ron L.

doi:10.1016/j.jse.2014.01.001

Cited by 87 publications

(65 citation statements)

References 32 publications

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“…So far there exists mainly moderate quality studies describing prognostic factors for rotator cuff repair. 20 Patient numbers in the present study were too small to perform a multivariate analysis to identify prognostic factors for surgical or conservative treatment. One patient in the group treated conservatively developed a frozen shoulder 9 months after conservative treatment.…”

Section: Discussionmentioning

confidence: 82%

Comparing surgical repair with conservative treatment for degenerative rotator cuff tears: a randomized controlled trial

Heerspink

Raay

Koorevaar

et al. 2015

Journal of Shoulder and Elbow Surgery

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124

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Section: Discussionmentioning

confidence: 82%

Comparing surgical repair with conservative treatment for degenerative rotator cuff tears: a randomized controlled trial

Heerspink

Raay

Koorevaar

et al. 2015

Journal of Shoulder and Elbow Surgery

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124

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“…Patient stratification according to their individual SSP tendon/muscle properties currently relies on such MRI‐based morphological and patient‐related parameters. Whereas these without doubt support the treatment decision, their predictive value, especially for functional outcome remains controversially discussed . Accordingly, a relevant number of patients at risk for poor functional outcome or failed tendon healing remains undetected.…”

Section: Discussionmentioning

confidence: 99%

Contrast‐Enhanced Ultrasound (CEUS) as Predictor for Early Retear and Functional Outcome After Supraspinatus Tendon Repair

Kamtchouing

Mick

Groß

et al. 2019

Journal Orthopaedic Research

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Supraspinatus (SSP) tendon tears represent a common indication for shoulder surgery. Yet, prediction of postoperative function and tendon retear remains challenging and primarily relies on morphologic magnetic resonance imaging (MRI)-based parameters, supported by patients' demographic data like age, gender, and comorbidities. Considering continuously high retear rates, especially in patients with larger tears and negative prognostic factors, improved outcome prediction could be of high clinical value. Contrastenhanced ultrasound (CEUS) enables an assessment of dynamic perfusion of the SSP muscle. As a potential surrogate for muscle vitality, CEUS might reflect functional properties of the SSP and support improved outcome prediction after tendon repair. Fifty patients with isolated SSP tendon tears were prospectively enrolled. Preoperatively, SSP muscle perfusion was quantified by CEUS and conventional morphologic parameters like tear size, fatty infiltration, and tendon retraction were assessed by MRI. At six months follow-up, shoulder function, tendon integrity, and muscle perfusion were reassessed. The predictive value of preoperative CEUS for postoperative shoulder function and tendon integrity was evaluated. 35 patients entered the statistical analysis. Preoperative CEUS-based assessment of SSP perfusion significantly correlated with early postoperative shoulder function (Constant, r = 0.48, p < 0.018) and tendon retear (r = 0.67, p < 0.001). CEUS-based subgroup analysis identified patients with exceptionally high, respectively low risk for tendon retear. CEUSbased assessment of the SSP seemed to predict early shoulder function and tendon retear after SSP repair and allowed to identify patient subgroups with exceptionally high or low risk for tendon retear.

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“…McCabe et al found that tear size was associated with decreased shoulder abduction strength in patients with severe symptoms warranting surgery 11 . One systematic review found no evidence that tear size influences functional outcome after rotator cuff repair but larger tear size did have a negative influence on the integrity of the cuff at post-operative followup 23 . Age greater than 60, fatty infiltration, and larger tear size have been associated with tear progression 24 .…”

Section: Discussionmentioning

confidence: 99%

Association of Strength Measurement with Rotator Cuff Tear in Patients with Shoulder Pain

Miller

Higgins

Dong

et al. 2016

American Journal of Physical Medicine &Amp; Rehabilitation

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Objective This study examines the association between strength measurements and supraspinatus tear in patients with shoulder pain. This study characterized determinants of abduction strength among patients with tears. Design Two-hundred and eight patients with shoulder pain (69 with and 110 without tear) were recruited. Strength was tested using hand-held dynamometer. Supraspinatus tears were diagnosed by combination of clinical assessment and blinded MRI review. Associations of supraspinatus tear with patient characteristics and strength measurements (abduction, internal rotation and external rotation) were assessed using multivariable logistic regression models. Results Patients with supraspinatus tear had decreased abduction strength (p=0.02) and decreased external rotation strength (p<0.01). When adjusted for age, sex, tear laterality, and BMI, decreased abduction strength (OR= 1.18 per kg, 95% C.I.=1.06–1.32) and decreased external rotation strength (OR=1.29 per kg, 95% C.I.=1.14–1.48) were associated with supraspinatus tear. In patients with tear, age ≥60 years, female sex, and VAS pain score were significantly associated with decreased abduction strength but tear size, fatty infiltration, and atrophy were not. Conclusions Decreased abduction and external rotation strength were associated with supraspinatus tear in patients with shoulder pain. In this cohort, the abduction strength of patients with tears, was influenced by demographic factors but not tear characteristics.

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Specific patient-related prognostic factors for rotator cuff repair: a systematic review

Cited by 87 publications

References 32 publications

Comparing surgical repair with conservative treatment for degenerative rotator cuff tears: a randomized controlled trial

Comparing surgical repair with conservative treatment for degenerative rotator cuff tears: a randomized controlled trial

Contrast‐Enhanced Ultrasound (CEUS) as Predictor for Early Retear and Functional Outcome After Supraspinatus Tendon Repair

Association of Strength Measurement with Rotator Cuff Tear in Patients with Shoulder Pain

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