Evaluation of Repair Tension in Arthroscopic Rotator Cuff Repair

Kim, Do Hoon; Jang, Young Hoon; Choi, Young Eun; Lee, Hwa Ryeong; Kim, Sae Hoon

doi:10.1177/0363546516651831

Cited by 60 publications

(40 citation statements)

References 41 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…It is generally accepted that the excessive tension on the repaired footprint site is responsible for the high retear rate. 4) Kim et al 4) showed that the tear size and tension at the repaired site were inversely correlated with healing. This also can be applied to irreparable rotator cuff tears that constitute up to 30% of all rotator cuff tears.…”

mentioning

confidence: 99%

Bridging Graft in Irreparable Massive Rotator Cuff Tears: Autogenic Biceps Graft versus Allogenic Dermal Patch Graft

Rhee

2017

Clin Orthop Surg

View full text Add to dashboard Cite

BackgroundFew comparative studies have reported on the use of biologic grafts for irreparable massive rotator cuff tears. The purpose of this study was to assess the results of arthroscopic bridging graft in irreparable massive rotator cuff tears using an autogenic long head of biceps tendon (LHBT) or an allogenic dermal patch (ADP).MethodsWe retrospectively reviewed 24 patients treated using the LHBT (group I) and eight patients with complete rupture of the LHBT treated using an ADP (group II) since 2011. Preoperative Goutallier's fatty degeneration, range of motion (ROM), visual analogue scale (VAS) for pain, American Shoulder and Elbow Surgeons (ASES) score, and Quick Disabilities of the Arm, Shoulder, and Hand (DASH) score were assessed and healing failure was evaluated at 1 year after surgery by ultrasonography or magnetic resonance imaging.ResultsThe mean fatty degeneration in groups I and II was 3.9 and 3.6 for the supraspinatus (p = 0.288), 2.7 and 2.9 for the infraspinatus (p = 0.685), 0.9 and 1.3 for the subscapularis (p = 0.314), and 1.3 and 3.0 for the teres minor (p = 0.005), respectively. Subscapularis tears were found in 8 patients (33.3%) in group I and in 7 patients (87.5%) in group II (p = 0.023). Mean ROMs and functional scores improved significantly in group I (forward flexion: 121.7° to 153.3°, p = 0.010; external rotation: 32.7° to 52.7°, p = 0.001; external rotation at 90°: 63.3° to 74.5°, p = 0.031; internal rotation: T10.5 to T9.3, p = 0.045; VAS: 7.0 to 1.1, p < 0.001; ASES score: 45.4 to 81.6, p = 0.028; and Quick DASH score: 50.0 to 14.2, p = 0.017), whereas only VAS showed significant improvement in group II (from 5.9 to 2.0, p = 0.025) and ROMs and other functional scores increased without statistical significance in the group. Healing failure was found in 13 patients (54.2%) in group I and in 6 patients (75.0%) in group II (p = 0.404).ConclusionsThe surgeon should prudently choose surgical options for irreparable massive rotator cuff tears, especially in patients with severe fatty degeneration in the teres minor or combined biceps and subscapularis tears.

show abstract

mentioning

confidence: 99%

Bridging Graft in Irreparable Massive Rotator Cuff Tears: Autogenic Biceps Graft versus Allogenic Dermal Patch Graft

Rhee

2017

Clin Orthop Surg

View full text Add to dashboard Cite

show abstract

“…Correlation between tear size and repair tension, which affects healing of repair site, has been reported. 40 However, detailed distribution of mechanical stress in the muscle after tendon repair remains unelucidated. Muscle fiber tension could be associated with size of tear and adaptation of muscle sarcomere length after injury.…”

Section: Discussionmentioning

confidence: 99%

Fatty degeneration and wnt10b expression in the supraspinatus muscle after surgical repair of torn rotator cuff tendon

Kuwahara

Kishimoto

Itoigawa

et al. 2019

J Orthop Surg (Hong Kong)

View full text Add to dashboard Cite

Purpose: In the torn rotator cuff muscles, decreased expression of wnt10b prior to elevation of peroxisome proliferator-activated receptor γ (PPARγ) and CCAAT/enhancer-binding protein α (C/EBPα) has previously been reported. The purpose of this study is to elucidate the expression profiles of these adipogenesis-related genes after rotator cuff detachment and reattachment in a rabbit model. Methods: We investigated gene expression profiles of PPARγ, C/EBPα, and wnt10b in different parts of rabbit supraspinatus (SSP) muscle after tendon detachment ( n = 6 for each time point). In addition, we assessed expression of the same genes after SSP reattachment with different intervals from initial detachment ( n = 6). Fatty degeneration of the SSP muscle was examined by Oil red-O staining. Gene expression profiles were examined by quantitative real-time polymerase chain reaction. Results: After SSP detachment, Oil red-O-positive oil deposits increased after 3 weeks. In the SSP reattachment model, numerous Oil red-O-positive cells were present at 5-week reattachment, following 2- and 3-week detachment. PPARγ and C/EBPα messenger ribonucleic acid expression exhibited a significant increase at 2 and 3 weeks after SSP detachment and remained increased at 5-week reattachment after 2- and 3-week detachment. A decreased expression of wnt10b was observed from 1 week after SSP detachment. Expression of wnt10b was recovered not in the central area of the SSP muscle but in the periphery after reattachment. Adipogenic change was not observed when SSP tendon was reattached after 1-week detachment. Conclusions: These results may suggest that once the adipogenic transcription factors, PPARγ and C/EBPα, were elevated, repair surgery after rotator cuff tear could not prevent the emergence of fat in the SSP muscle.

show abstract

“…Intraoperative measurements of the tensile strength 6,15,19,20 and tetanic contraction by electrical stimulation 1,9,12,14,25,27 have been proposed to determine the residual contractility of a long-standing torn rotator cuff muscle. These methods require special equipment and additional operative time for measurement.…”

Section: Discussionmentioning

confidence: 99%

“…In the restoration of shoulder abduction function, decreased contractility of the torn rotator cuff muscle may be a cause of a poor result. 1,6,9,12,14,15,19,20,25,27 Hersche and Gerber 19 reported that increased passive tension of the supraspinatus was observed in cases with long-standing tendon rupture.…”

mentioning

confidence: 99%

Contractile property measurement of the torn supraspinatus muscle using real-time tissue elastography

Yuri

Mura²,

Yuki³

et al. 2018

Journal of Shoulder and Elbow Surgery

View full text Add to dashboard Cite

show abstract

Evaluation of Repair Tension in Arthroscopic Rotator Cuff Repair

Cited by 60 publications

References 41 publications

Bridging Graft in Irreparable Massive Rotator Cuff Tears: Autogenic Biceps Graft versus Allogenic Dermal Patch Graft

Bridging Graft in Irreparable Massive Rotator Cuff Tears: Autogenic Biceps Graft versus Allogenic Dermal Patch Graft

Fatty degeneration and wnt10b expression in the supraspinatus muscle after surgical repair of torn rotator cuff tendon

Contractile property measurement of the torn supraspinatus muscle using real-time tissue elastography

Contact Info

Product

Resources

About