Arthroscopically-assisted rotator-cuff repair

Sh, Liu

doi:10.1302/0301-620x.76b4.8027147

Cited by 52 publications

(19 citation statements)

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“…17 The UCLA score was used in this study, and the total score and all functional results, except muscle strength, demonstrated a significant improvement after surgery. The total score 24 months after surgery was 33.6 points in this study, and it appears to be as good as the 31.1 points reported by Gartsman et al, 7 32.7 points reported by Liu, 12 and 30.2 points reported by Paulos and Kody. 16 Clinical scores with these evaluation methods, including the UCLA score, are determined based only on clinical symptoms and the results of physical examination, and they represent the state of the repaired rotator cuff tendons indirectly.…”

Section: Discussionsupporting

confidence: 78%

Volume changes of supraspinatus and infraspinatus muscles after supraspinatus tendon repair: A magnetic resonance imaging study

Hata¹,

Saitoh²,

Murakami³

et al. 2005

Journal of Shoulder and Elbow Surgery

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Section: Discussionsupporting

confidence: 78%

Volume changes of supraspinatus and infraspinatus muscles after supraspinatus tendon repair: A magnetic resonance imaging study

Hata¹,

Saitoh²,

Murakami³

et al. 2005

Journal of Shoulder and Elbow Surgery

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“…10,13,23,29 Others report that large and massive tears have a worse outcome than small and medium tears. 12,15,[26][27][28]38 In terms of muscle involvement, our results show no difference in outcome between tears affecting supraspinatus alone, supraspinatus and infraspinatus or supraspinatus and subscapularis. This is probably because involvement of infraspinatus and subscapularis was limited to the superior part of these muscles and because all these tears were small-or medium-sized.…”

Section: Discussionmentioning

confidence: 43%

Subacromial decompression

Massoud

Levy

Copeland

2002

The Journal of Bone and Joint Surgery. British volume

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We report the results of arthroscopic subacromial decompression and debridement of the rotator cuff for chronic small-and medium-sized tears in 114 patients (118 shoulders) between two and five years after surgery.The mean Constant score was improved to 69.8, and 88 shoulders (74.6%) had a satisfactory outcome. Of patients under the age of 60 years the outcome was satisfactory in 59.3%, and in those over 60 years, in 87.5% (p < 0.001). An unsatisfactory outcome was related to manual work (p < 0.001) and a duration of symptoms of more than 12 months (p < 0.05). The outcome was not related to the size of the tear, the muscles involved or biceps pathology. Further surgery was required in 25 patients after a mean of 13.7 months (3 to 35); ten tears had progressed in size, but none became irreparable. There was no relationship between the increase in the size of the tear and its initial size, the muscles involved or the presence of biceps pathology. No tear became smaller with time. The options for the management of chronic small-and medium-sized tears of the rotator cuff are non-operative treatment, small-and medium-sized tears in these studies had a favourable outcome with subacromial decompression alone. Other studies, however, have found no difference in the outcome after subacromial decompression alone, for an intact cuff compared with the same treatment for a fullthickness tear of less than 2 cm. 30Our aim in this study was to assess the role of subacromial decompression alone as a treatment for chronic small and medium tears of the cuff, to assess factors associated with poor outcome and to determine the influence of decompression on the progression of a tear. Patients and MethodsData were collected from patients undergoing subacromial decompression for small-and medium-sized tears of the cuff between January 1996 and March 1999. We included all patients who had these tears without subjective weakness, had not responded to non-steroidal anti-inflammatory medication and had had at least one injection of steroid into the subacromial bursa and a three-month course of physiotherapy. These criteria were met in 135 patients (140 shoulders); 21 patients (22 shoulders) were subsequently lost to follow-up, but their demographic data and operative findings did not differ from the whole group.There were 62 men (65 shoulders) and 52 women (53 shoulders) with a mean age at the time of surgery of 61 years (37 to 87). There were 79 right and 39 left shoulders and the dominant arm was operated on in 82 (69.5%). The mean duration of symptoms was 32 months (3 to 225). A traumatic episode initiated symptoms in 35 cases.Of the 114 patients, 27 (31 shoulders) were manual workers involved in repetitive overhead work or heavy lifting with an outstretched arm, 28 had a sedentary job and 59 were housewives or retired. Of the 27 manual workers, 12 were able to work with moderate difficulty, 13 with extreme difficulty and two were not able to work. Of the 28 sedentary workers, five were able to work easily, three with mild difficulty, 1...

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“…Between 1998 and 2005, 160 consecutive patients (168 shoulders) underwent arthroscopic subacromial decompression of the shoulders as a treatment for impingement syndrome with small and moderate tears of rotator cuff, up to 3 cm in diameter [14], in the supraspinatus tendon, without repairing the cuff. The average age of the patients in the study group was 64 years (range 60 to 76 years), 118 men and 40 women.…”

Section: Methodsmentioning

confidence: 99%

Arthroscopic Subacromial Decompression for Small and Medium Size Tears of Rotator Cuff without Tendon Repair

Karkabi

Rosenberg²

2014

OJCD

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According to our previous clinical impression, we hypothesized that patients who had symptomatic rotator cuff tendon tear in a diamemter below 3 cm would benefit from arthroscopic subacromial decompression only, without the need for the repair of the thorn tendon. From 1998 to 2003, 160 patients (168 shoulders) had arthroscopic subacromial decompression for impingement syndrome with a torn rotator cuff without repairing the tear of the cuffs (120 males and 40 females). The average patient age was 64 years and the average follow up was 30 months. At follow up, 96 patients (60%) had full recovery; 55 patients (35%) had residual low grade shoulder pain on effort and 7 patients (5%) had poor outcome. In the last group of patients with unsatisfactory outcome, the postoperative Constant score was only 64 points. In 95% of patients, the average Constant score values raised from average preoperative value of 62 to postoperative average score of 82. According to these results, there is an indication that in patients in the seventh decade of life or older with symptomatic rotator cuff tear, pain relief and good shoulder function can be achieved by more conservative approach of subacromial decompression alone, providing a clear diagnosis that the diameter of the tear in the supraspinatus and infraspinatus tendons is below 3 cm.

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Arthroscopically-assisted rotator-cuff repair

Cited by 52 publications

References 0 publications

Volume changes of supraspinatus and infraspinatus muscles after supraspinatus tendon repair: A magnetic resonance imaging study

Volume changes of supraspinatus and infraspinatus muscles after supraspinatus tendon repair: A magnetic resonance imaging study

Subacromial decompression

Arthroscopic Subacromial Decompression for Small and Medium Size Tears of Rotator Cuff without Tendon Repair

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