Traitement conservateur des ruptures transfixiantes de la coiffe des rotateurs. Étude prospective ouverte. À propos de 24 patients

Koubaa, Salah; Salah, F.Z. Ben; Lebib, S.; Miri, I.; Ghorbel, S.; Dziri, C.

doi:10.1016/j.annrmp.2005.08.008

Cited by 20 publications

(7 citation statements)

References 11 publications

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“…Mean improvement in the Constant-Murley score (CMS) for physiotherapeutic treatment of full-thickness rotator cuff tears ranges from 13.2 to 30.0. 1,13,16 Improvement in the CMS after surgical therapy ranges from 24.0 to 43.1. 2,[7][8][9]14,15,19,22 These overlapping results point to comparable outcomes after both treatment modalities.…”

mentioning

confidence: 98%

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

129

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mentioning

confidence: 98%

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

129

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“…The outcome measures used in studies were ROM (15 trials) [ 6 , 8 , 11 - 14 , 16 , 18 - 20 , 24 - 26 , 31 , 32 ], Constant score (13 trials) [ 3 , 9 - 11 , 14 , 16 , 18 - 22 , 24 , 30 ], pain (10 trials) [ 3 , 6 , 8 - 10 , 12 , 16 , 18 , 19 , 22 ], strength (10 trials) [ 7 , 8 , 13 , 14 , 16 , 19 - 21 , 25 , 32 ], American Shoulder and Elbow Surgeons score (seven trials) [ 7 , 15 , 19 , 20 , 29 - 31 ], SF-36 score (four trials) [ 19 , 20 , 23 , 27 ], Western Ontario Rotator Cuff Index (three trials) [ 7 , 8 , 15 ], Simple Shoulder Test score (three trials) [ 9 , …”

Section: Resultsmentioning

confidence: 99%

“…The analysis showed change in constant score, pain (VAS), ROM (active flexion/active abduction), and SF-36 1 year after the intervention from baseline. For the constant score, six studies [ 9 , 16 , 19 , 20 , 22 , 24 ] involving 174 shoulders were analyzed. The Constant score was 54.3 points (baseline), 67.8 points (2 months), 73.1 points (3 months), 78.0 points (6 months), and 77.2 points (12 months), and trajectories over time showed a significant difference (P<0.05).…”

Section: Resultsmentioning

confidence: 99%

“…For the pain variable (VAS), six studies [ 3 , 8 , 9 , 16 , 19 , 22 ] involving 209 shoulders were included. The change in pain (VAS) was from 59.8 mm (baseline) to 26.2 mm (1 month), 35.1 mm (2 months), 26.4 mm (3 months), 30.4 mm (6 months), and 24.8 mm (12 months), and trajectories over time showed a significant difference (P<0.05).…”

Section: Resultsmentioning

confidence: 99%

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Clinical results of conservative management in patients with full-thickness rotator cuff tear: a meta-analysis

Karasuyama

Gotoh

Tahara³

et al. 2020

Clin Shoulder Elbow

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Background: Several systematic reviews have reported on the conservative treatment of full-thickness rotator cuff tears; however, clinical results of this treatment still remain determined. Methods: PubMed, Cochrane Library, PEDro, and CINAHL databases were systematically searched for randomized clinical trials and observational studies. Two independent researchers reviewed a total of 2,981 articles, 28 of which met the criteria for inclusion in the study. Clinical outcome measures included Constant score, visual analog scale score for pain, range of motion, and short-form 36. The meta-analysis used a linear mixed model weighted with the variance of the estimate. Results: The meta-analysis showed a significant improvement after surgery. Pain score is 26.2 mm (1 month) to 26.4 mm (3 months) and 24.8 mm (12 months) (P<0.05); active abduction: 153.2º (2 months), 159.0º (6 months), 168.1º (12 months) (P<0.05); Constant score: 67.8 points (2 months) to 77.2 points (12 months) (P<0.05); short-form 36 “vitality” section: 57.0 points (6 months) and 70.0 points (12 months) (P<0.05). Conclusions: Our data confirmed the effectiveness of conservative treatment in patients with full-thickness rotator cuff tears 12 months post-intervention. The results suggest that conservative treatment for patients with full-thickness rotator cuff tears should be the first line of treatment before considering surgery.

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“…Conservative treatment that includes shoulder exercises, pain medication or steroid injection, has been reported to be effective for rotator cuff tears [ 17 18 19 ]. However, until recently, research on the effectiveness of conservative treatment compared to that of arthroscopic repair has not been published sufficiently.…”

Section: Discussionmentioning

confidence: 99%

Clinical Outcomes of Conservative Treatment and Arthroscopic Repair of Rotator Cuff Tears: A Retrospective Observational Study

et al. 2016

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ObjectiveTo compare the clinical outcomes following conservative treatment and arthroscopic repair in patients with a rotator cuff tear.MethodsIn this retrospective study, patients aged >50 years with a symptomatic rotator cuff tear were reviewed. The rotator cuff tendons were evaluated using ultrasonography, shoulder magnetic resonance imaging or MR arthrography, and the patients with either a high-grade partial-thickness or small-to-medium-sized (≤3 cm) full-thickness tear were included in this study. The primary outcome measures were a pain assessment score and range of motion (ROM) at 1-year follow-up. The secondary outcomes were the rate of tear progression or retear along with the rate of symptom aggravation after the treatments.ResultsA total of 357 patients were enrolled, including 183 patients that received conservative treatment and 174 patients who received an arthroscopic repair. The pain assessment score (p<0.001) and the ROM in forward flexion (p<0.001) were significantly improved in both groups. The ROM in internal rotation did not significantly change after conservative treatment and arthroscopic repair. The pain assessment score and ROM were not significantly different between the two groups. Retear was observed in 9.6% of patients who had an arthroscopic repair and tear progression was found in 6.7% of those who underwent conservative treatment. The proportion of aggravation for pain and ROM did not significantly differ between the two groups.ConclusionThe effectiveness of conservative treatment is not inferior to arthroscopic repair for patients >50 years old with a less than medium-sized rotator cuff tear in a 1-year follow-up period. Further study is warranted to find the optimal combination of conservative treatment for a symptomatic rotator cuff tear.

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Traitement conservateur des ruptures transfixiantes de la coiffe des rotateurs. Étude prospective ouverte. À propos de 24 patients

Cited by 20 publications

References 11 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

Clinical results of conservative management in patients with full-thickness rotator cuff tear: a meta-analysis

Clinical Outcomes of Conservative Treatment and Arthroscopic Repair of Rotator Cuff Tears: A Retrospective Observational Study

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