2007
DOI: 10.1097/blo.0b013e31802fc175
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Indications for Rotator Cuff Repair

Abstract: Despite the popularity of surgical repair of rotator cuff tears, literature regarding the indications for and timing of surgery are sparse. We performed a systematic review of the literature to investigate factors influencing the decision to surgically repair symptomatic, full-thickness rotator cuff tears. Specifically, how do demographic variables, duration of symptoms, timing of surgery, physical examination findings, and size of tear affect treatment outcome and indications for surgery? We reviewed the best… Show more

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Cited by 317 publications
(219 citation statements)
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“…Although surgical repair of rotator cuff tears reportedly leads to substantial improvements in pain and function [1,11,13,22,28,33,39], previous studies have reported WCB recipients report lower recovery than nonrecipients [20,30,32,39,41,43,44]. Previous research also suggests WCB recipients start with poorer outcomes preoperatively [22,30,32,43,44], However, these studies do not control for different patient and injury characteristics that may help explain their differential recovery; also, these studies do not consider how preoperative dissimilarities affect postoperative recovery (Table 7).…”
Section: Discussionmentioning
confidence: 99%
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“…Although surgical repair of rotator cuff tears reportedly leads to substantial improvements in pain and function [1,11,13,22,28,33,39], previous studies have reported WCB recipients report lower recovery than nonrecipients [20,30,32,39,41,43,44]. Previous research also suggests WCB recipients start with poorer outcomes preoperatively [22,30,32,43,44], However, these studies do not control for different patient and injury characteristics that may help explain their differential recovery; also, these studies do not consider how preoperative dissimilarities affect postoperative recovery (Table 7).…”
Section: Discussionmentioning
confidence: 99%
“…Work productivity is significantly limited as indicated by high claims rates and costs attributed to workplace rotator cuff injuries [21,45,46]. Surgical repair of rotator cuff injuries effectively reduces pain and improves function and shoulder range of motion (ROM) [1,3,11,13,22,28,33,39].…”
Section: Introductionmentioning
confidence: 99%
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“…2) Rotator cuff diseases lead to more than 4.5 million physician visits per year, and over 300,000 rotator cuff repairs are performed annually costing more than $3 billion, 2,3) suggesting that rotator cuff diseases are associated with high socioeconomic cost and burden. Several theories were reported on the pathophysiology of rotator cuff disease such as impingement, overuse, and multifactorial as extrinsic ones as well as hypoperfusion, degeneration, degeneration-microtrauma, apoptosis, and extracellular matrix modifications as intrinsic ones.…”
Section: Introductionmentioning
confidence: 99%
“…Since early surgery and smaller rupture size are good predictors for the outcome of SIS surgery, the question of whether the response to conservative treatment is different between two stages is important. [15,16] Hence, patients who have a partial rupture and a poor response to conservative treatment could be treated surgically at an earlier time.…”
mentioning
confidence: 99%