Arthroscopic Repair of Traumatic Combined Rotator Cuff Tears Involving the Subscapularis Tendon

Ide, Junji; Tokiyoshi, Akinari; Hirose, Jun; Mizuta, Hiroshi

doi:10.2106/00004623-200711000-00007

Cited by 81 publications

(52 citation statements)

References 35 publications

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“…The UCLA [11], Constant-Murley [9], and ASES [18] scores are commonly used in Europe and the United States. The JOA shoulder assessment score is frequently used in Japan, and its usefulness has been described [15,16,27,33]. This shoulder assessment includes measurement of the level of shoulder pain, function including abduction strength endurance, activities of daily living, ROM, radiographic evaluation, and joint = significantly different; 9 = not significantly different; ND = not described.…”

Section: Discussionmentioning

confidence: 99%

Functional Recovery Period after Arthroscopic Rotator Cuff Repair: Is it Predictable Before Surgery?

Manaka

Ito

Matsumoto

et al. 2011

Clinical Orthopaedics &Amp; Related Research

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Background Several studies have reported functional recovery of the shoulder after arthroscopic rotator cuff repair (ARCR). Preoperative estimation of the time required for functional recovery is important for determining surgical indications and for planning timing of the surgery and an appropriate postoperative physical therapy. Questions/purposes We therefore asked: (1) how long it takes to obtain functional recovery after ARCR, and (2) what preoperative factors influence functional recovery time. Patients and Methods We retrospectively evaluated 201 patients who had undergone ARCR. Using the Japanese Orthopaedic Association (JOA) shoulder scoring system, we defined the functional recovery period as the time required to achieve a score greater than 80% in each component. We evaluated the functional recovery periods and assessed preoperative influencing factors such as age, gender, shoulder stiffness, morphologic features of rotator cuff tears, and rotator cuff tear size. Results Sixty-three patients (31%) took less than 3 months, 81 patients (40%) took between 3 and 6 months, and 57 patients (28%) took greater than 6 months to achieve a score greater than 80% in each JOA shoulder assessment component. Younger patients without shoulder stiffness and with smaller rotator cuff tears had shorter functional recovery periods. Conclusions One hundred forty-four patients (72%) obtained functional recovery within 6 months after ARCR. Age, shoulder stiffness, and rotator cuff tear size influenced functional recovery time.

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Section: Discussionmentioning

confidence: 99%

Functional Recovery Period after Arthroscopic Rotator Cuff Repair: Is it Predictable Before Surgery?

Manaka

Ito

Matsumoto

et al. 2011

Clinical Orthopaedics &Amp; Related Research

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“…Some studies reported short-term rerupture rates of 13% [8] and 35% [21] in anterosuperior rotator cuff tendon repairs using surgical and arthroscopic techniques. Our observations compare with those from these studies.…”

Section: Discussionmentioning

confidence: 99%

Does Open Repair of Anterosuperior Rotator Cuff Tear Prevent Muscular Atrophy and Fatty Infiltration?

Schino

Augereau

Nich

2012

Clinical Orthopaedics &Amp; Related Research

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BackgroundRepair of cuff tears involving rotator interval reportedly improves function. However, it is unclear whether successful repair prevents shoulder degenerative changes. Questions/purposes Therefore, we (1) documented the minimal 4-year function of patients who underwent open surgical repair for rotator interval tears; (2) evaluated repaired tendon healing with postoperative MRI; and (3) sought to determine the influence of tendon healing on muscular and glenohumeral joint changes. Methods We retrospectively analyzed 22 patients (23 shoulders) treated by open transosseous reinsertion of supraspinatus and subscapularis tendons. The mean age of the patients was 53 years (range, 37-64 years). The tear was traumatic in four cases. Repair healing and muscular changes were assessed using MRI. The minimum followup was 46 months (mean, 75 months; range, 46-103 months).Results We observed an improvement in the absolute Constant-Murley score from 63 points preoperatively to 76 points postoperatively. With the last followup MRI, the supraspinatus tendon repair had failed in two of the 23 shoulders, whereas the subscapularis tendon repair had healed in all cases.

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“…Several tear patterns have been described [16,28,35]. Large and massive rotator cuff tears, defined functionally as tears that involve two or more tendons, present two challenges-tissue mobilization and fixation [9,14,18,38]. Improvements in advanced imaging techniques and arthroscopic acumen have led to an increased recognition of twotendon anterosuperior rotator cuff tears, which involve the supraspinatus and at least the upper one third of the subscapularis tendon insertion [12].…”

Section: Introductionmentioning

confidence: 99%

“…Improvements in advanced imaging techniques and arthroscopic acumen have led to an increased recognition of twotendon anterosuperior rotator cuff tears, which involve the supraspinatus and at least the upper one third of the subscapularis tendon insertion [12]. Posterior propagation into the infraspinatus and concomitant involvement of the long head of the biceps are not uncommon as retraction of the subscapularis tendon causes medialization of the lateral rotator interval confluence, disrupting the bicipital sling [3,18,39,41]. Traditionally, an open approach was used to address these tears due to limitations in visualization and tissue mobilization [2,11,21,31].…”

Section: Introductionmentioning

confidence: 99%

All-Arthroscopic Modified Rotator Interval Slide for Massive Anterosuperior Cuff Tears Using the Subdeltoid Space: Surgical Technique and Early Results

Corpus

Taylor

O’Brien

et al. 2016

HSS Journal®: The Musculoskeletal Journal of Hospital for Speci

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Background: Traditional intra-articular arthroscopic repair techniques for massive anterosuperior rotator cuff tears are technically demanding and necessitate sacrifice of the rotator interval to enable visualization. An interval slide allows mobilization through release of the medial aspect of the rotator interval, while leaving the lateral, bridging fibers intact. Questions/Purposes: The purpose of this study was to report a novel, arthroscopic, open-equivalent technique using the subdeltoid space to address these tears along with early clinical results. Methods: A retrospective review of prospectively collected data identified 11 consecutive arthroscopic massive anterosuperior rotator cuff repairs with a concomitant biceps tenodesis performed by the senior surgeon using a uniform technique. Outcome measures included range of motion, visual analog scale for pain, rotator cuff strength, American Shoulder and Elbow Surgeons (ASES) outcome scale, and Short Form-12 (SF-12). Results: Average length of follow-up was 22.2 months (range 12.5-30.0 months). Visual analog scale (VAS) pain scores, ASES, and SF-12 all demonstrated significant improvement from pre-op to final follow-up from 6.2 to 0.9 (p < 0.05), 27.4 to 82.8 (p < 0.05), and 26.6 to 45.5 (p < 0.05) respectively. Average forward flexion improved from 145°to 160°(p < 0.05). Seven of the nine patients with a positive preoperative belly press had a negative test at final follow-up. Nine of the 10 patients with a positive lift off test demonstrated a negative test on final follow-up. Ninety-one percent reported they were satisfied with their outcome. Conclusions: The described modified all-arthroscopic subdeltoid approach for anterosuperior cuff repairs enabled an open-equivalent interval slide technique that preserved the bridging lateral fibers of the rotator interval and demonstrated promising early-term clinical results.

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Arthroscopic Repair of Traumatic Combined Rotator Cuff Tears Involving the Subscapularis Tendon

Cited by 81 publications

References 35 publications

Functional Recovery Period after Arthroscopic Rotator Cuff Repair: Is it Predictable Before Surgery?

Functional Recovery Period after Arthroscopic Rotator Cuff Repair: Is it Predictable Before Surgery?

Does Open Repair of Anterosuperior Rotator Cuff Tear Prevent Muscular Atrophy and Fatty Infiltration?

All-Arthroscopic Modified Rotator Interval Slide for Massive Anterosuperior Cuff Tears Using the Subdeltoid Space: Surgical Technique and Early Results

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