All-arthroscopic versus mini-open rotator cuff repair: A long-term retrospective outcome comparison

Severud, Erik L; Ruotolo, Charles; Abbott, Douglas D.; Nottage, Wesley M.

doi:10.1053/jars.2003.50036

Cited by 222 publications

(144 citation statements)

References 8 publications

Supporting

Mentioning

120

Contrasting

Unclassified

Order By: Relevance

“…In our study, we found that 90% of the results were satisfactory, among which 58% were excellent and 32% were good, according to the UCLA functional scale. This satisfaction index was similar to what was found in the literature (1,7,8,(21)(22)(23)(24)(25)(26) . Although our results were similar to what was found in the literature, two of the four cases that suffered renewed tearing of the supraspinatus (as shown by magnetic resonance imaging) presented unsatisfactory functional results, with complaints of pain and dissatisfaction with the results.…”

Section: A B C Dsupporting

confidence: 89%

Reparação artroscópica de lesões pequenas e médias do tendão do músculo supraespinal: avaliação dos resultados clínico-funcionais após dois anos de seguimento

Ikemoto¹,

Murachovsky²,

Nascimento³

et al. 2012

Rev. bras. ortop.

View full text Add to dashboard Cite

Objective: To evaluate the clinical and functional outcomes from arthroscopic repairs on small and medium-sized tears of the supraspinatus muscle tendon. Methods: 129 cases of isolated small and medium tears of the supraspinatus muscle tendon were evaluated retrospectively. The average duration of pain was 29 months. The average joint range of motion comprised active elevation of 136º, lateral rotation of 58º and medial rotation at T12 level; and the preoperative functional UCLA score averaged 17 points. In all the cases, complete repair could be achieved. Results: The average score on the UCLA functional scale in the postoperative period was 32 points. The average length of follow-up was 39 months. Seventy-five cases (58%) had excellent results and 42 (32%) had good results. The average final active elevation was 156º

show abstract

Section: A B C Dsupporting

confidence: 89%

Reparação artroscópica de lesões pequenas e médias do tendão do músculo supraespinal: avaliação dos resultados clínico-funcionais após dois anos de seguimento

Ikemoto¹,

Murachovsky²,

Nascimento³

et al. 2012

Rev. bras. ortop.

View full text Add to dashboard Cite

show abstract

“…Limitations of the latter study are its retrospective nature, the heterogeneous pathology and the sole use of a questionnaire. Severud et al published a retrospective series comparing the ASC and MO techniques [16]. Motion was slightly better in the ASC group (significant at six and 12 weeks, NS at final follow-up) with no shoulder stiffness compared to the MO group with 14% stiffness.…”

Section: Pain In Visual Analog Scalementioning

confidence: 99%

“…This technique has to be evaluated in comparison to established and successful open techniques [8,9] Recent mainly retrospective comparative studies of RCR have demonstrated a similar outcome of ASC compared to MO refixation of RCR. There are few studies that have shown that the ASC patients had less pain and fewer incidences of arthrofibrosis [13][14][15][16]. These studies are, however, retrospective and non-randomised.…”

Section: Introductionmentioning

confidence: 99%

Prospective randomised comparison of arthroscopic versus mini-open rotator cuff repair of the supraspinatus tendon

Kasten

Keil

Grieser

et al. 2011

International Orthopaedics (SICOT)

View full text Add to dashboard Cite

Purpose The aim of the study was to evaluate whether arthroscopic (ASC) repair of rotator cuff ruptures causes less postoperative pain and better range of motion (ROM) in the early postoperative period than a mini-open (MO) technique. Methods Inclusion criteria were a rupture of the supraspinatus tendon with retraction with a maximum to the apex of the humeral head and minor fatty degeneration and atrophy of the muscle. Each group (n=17) had similar demographics and preoperative magnetic resonance imaging (MRI) findings (mean age 60.1 years, SD 8.8, range 43-71). The ASC group underwent double-row repair with resorbable anchors; the MO group received a transosseous repair. The postoperative rehabilitation was standardised and equivalent in both groups. Results In the first week fewer nonsteroidal anti-inflammatory drug (NSAID) tablets were needed in the ASC group. Pain scores on the visual analogue scale were similar in the first three weeks; however, from week four to eight the MO group had less pain (p<0.05). After six months, the ConstantMurley score and the ROM improved significantly (p<0.05) in both groups without differences between the groups. Postoperative MRI revealed in three of 16 patients a discontinuity of the tendon in both groups; in the ASC group there were more patients (n=9) with a thinning of the tendon compared to the MO group (n=6). Conclusions There was less use of NSAIDs in the first postoperative week in the ASC group, indirectly indicating less pain, but higher pain scores in the later course (weeks four to eight) compared to the MO group. ROM, MRI findings and the scores were similar after six months, demonstrating that both techniques are equivalent regarding the outcome in this period.

show abstract

“…Arthroscopic shoulder surgery became popular in the 1980s and, like many new techniques, was initially looked upon somewhat skeptically [46]. Debates continued throughout the 1990s, comparing open versus arthroscopic rotator cuff repair [9,28,30,48,49,59,62]. The millennium ushered in a new brand of surgeons who, during their residencies, made the transition to arthroscopic shoulder surgery [10,19,38,42].…”

Section: Introductionmentioning

confidence: 99%

“…The millennium ushered in a new brand of surgeons who, during their residencies, made the transition to arthroscopic shoulder surgery [10,19,38,42]. Arthroscopic surgery reportedly provides similar functional scores, pain relief, clinical tests of motion and strength, and patient satisfaction to open rotator cuff repair [28,30,38,42,44,49,55,59,62]. Two recent reviews of the arthroscopic and mini-open rotator cuff repair literature reported that both techniques resulted in similar UCLA scores, mean ASES scores, patient satisfaction ratings, complications, active elevation, and active external rotation [38,42].…”

Section: Introductionmentioning

confidence: 99%

Indications for Reverse Total Shoulder Arthroplasty in Rotator Cuff Disease

Drake¹,

O’Connor

Edwards

2010

Clinical Orthopaedics &Amp; Related Research

220

129

View full text Add to dashboard Cite

Background Reverse total shoulder arthroplasty (RTSA) was introduced to treat rotator cuff tear arthropathy but is now used to treat a variety of problems. Although its use has expanded substantially since the FDA's approval in 2004, the appropriateness in patients with rotator cuff disease is unclear. Questions/purposes We review the use of RTSA in patients with rotator cuff disease to (1) describe classification of rotator cuff tear reparability and the concept of a balanced shoulder; (2) explore the theory behind RTSA design relative to rotator cuff arthropathy; (3) discuss the indications and contraindications for RTSA; and (4) review published outcomes of RTSA for rotator cuff arthropathy.Methods We performed a selective review of the literature on the use of RTSA in the treatment of rotator cuff disease.Results Modern RTSA designs restore deltoid tension and a functional fulcrum to the rotator cuff deficient shoulder, which allows recovery of active shoulder elevation and effectively restores function in short-and mediumterm followup studies. Conclusions In short-term followup the RTSA relieves symptoms and restores function for patients with cuff tear arthropathy and irreparable rotator cuff tears with pseudoparalysis (preserved deltoid contraction but loss of active elevation). Severely impaired deltoid function, an isolated supraspinatus tear, and the presence of full active shoulder elevation with a massive rotator cuff tear and arthritis are contraindications to RTSA. Clinical Relevance For properly selected patients who have symptomatic and disabling rotator cuff deficiency, RTSA can result in life-changing improvements in pain, motion, function, and patient satisfaction. Level of Evidence Level V therapeutic study. See Guidelines for Authors for a complete description of levels of evidence.

show abstract

All-arthroscopic versus mini-open rotator cuff repair: A long-term retrospective outcome comparison

Cited by 222 publications

References 8 publications

Reparação artroscópica de lesões pequenas e médias do tendão do músculo supraespinal: avaliação dos resultados clínico-funcionais após dois anos de seguimento

Reparação artroscópica de lesões pequenas e médias do tendão do músculo supraespinal: avaliação dos resultados clínico-funcionais após dois anos de seguimento

Prospective randomised comparison of arthroscopic versus mini-open rotator cuff repair of the supraspinatus tendon

Indications for Reverse Total Shoulder Arthroplasty in Rotator Cuff Disease

Contact Info

Product

Resources

About