Initial treatment of complete rotator cuff tear and transition to surgical treatment: systematic review of the evidence

Abdulwahab, Taiceer; Betancourt, Jean Pierre; Hassan, Fadi; Thani, Saeed Al; Choueiri, H.; Jain, Nitin B.; Malanga, Gerard A.; Murrell, William; Verborgt, Olivier

doi:10.11138/mltj/2016.6.1.035

Cited by 16 publications

(13 citation statements)

References 41 publications

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“…There were 2,249 primary arthroscopic RCRs performed in patients who have failed conservative therapy between 2010 and 2016 at our institution 11 . A total of 10 patients developed deep shoulder infections after arthroscopic RCR.…”

Section: Resultsmentioning

confidence: 99%

The effect of deep shoulder infections on patient outcomes after arthroscopic rotator cuff repair: a retrospective comparative study

Ateşok

MacDonald

Leiter

et al. 2019

Muscle Ligaments and Tendons J

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Introduction:The purpose of this study was to evaluate the effects of deep shoulder infections after RCR on patient outcomes. Methods: A retrospective chart review was conducted involving all patients with deep shoulder infections after arthroscopic RCR (study group). Another group of patients who were matched with the study group by age, gender and rotator cuff tear size, and did not develop deep shoulder infections after arthroscopic RCR were randomly identified (control group). The two groups were compared in terms of time to start physiotherapy, shoulder function, and delay in return to work. Results: There were 10 patients in each group. The mean time to start physiotherapy after surgery was 145.3 (SD=158.8) days for the study group and 40.0 (SD=13.7) days for the control group (p=.051). The average forward elevation of the operated shoulder was 133 (SD=33.4) degrees for the study group, and 172 (SD=12.0) degrees for the control group (p=0.003). The average time to return to work at preoperative level was 5.6 months for the study group and 3 months for the control group. Conclusion: Deep shoulder infections after RCR significantly impedes time to start physiotherapy, shoulder function, and patients' ability to return to work. Level of evidence: III b [retrospective comparative (case-control) study]. KEY WORDS: rotator cuff tear, arthroscopic cuff repair, post-operative complications, deep shoulder infections, patient outcomes. K. Asetok et al.

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Section: Resultsmentioning

confidence: 99%

The effect of deep shoulder infections on patient outcomes after arthroscopic rotator cuff repair: a retrospective comparative study

Ateşok

MacDonald

Leiter

et al. 2019

Muscle Ligaments and Tendons J

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show abstract

“…En otra revisión sistemática realizada por Verborgt y col., 10 donde incluyeron 11 estudios que cumplían la metodología exigida por los autores, observaron que no existía evidencia tipo I categórica en indicar cirugía en roturas completas, describiendo que el tamaño de la rotura y síntomas iniciales no se correlacionaban con dolor, función y resultado final. Esos estudios analizan grupos de edad avanzados, y carecen de descripciones morfológicas del tipo de roturas, no quedando claro qué grupo de roturas completas pueden presentar ese tipo de resultados.…”

Section: Consideración #4: Balance De Coplas Musculares Y Fuerzaunclassified

Consideraciones relevantes para el tratamiento conservador de roturas del manguito rotador

Quiroga¹

2018

Rev Chil Ortop Traumatol

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“…An ultrasound screening study revealed that the prevalence of RC tears was 20.47% among 1366 shoulders with or without clinical symptoms, and the prevalence increased with age 7. Initially, RC tears can be treated using conventional methods such as exercise or injections 8…”

Section: Introductionmentioning

confidence: 99%

Autoimmune Connective Tissue Diseases and the Risk of Rotator Cuff Repair Surgery: A Population-Based Retrospective Cohort Study

Huang

Lin

et al. 2019

BMJ Open

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ObjectivesAutoimmune connective tissue diseases (ACTDs) commonly involve the shoulder joint; however, clinical epidemiological studies investigating their association with tendons are scant. Rotator cuff (RC) tears can cause shoulder disability, and surgical intervention is usually required. The study investigated RC repair surgery risk in ACTD patients. The effect of anti-inflammatory medication on RC repair surgery risk was also investigated.MethodsWe conducted a retrospective cohort study with a 7-year longitudinal follow-up period. Patients with systemic lupus erythematosus, systemic sclerosis, sicca syndrome, dermatomyositis and polymyositis diagnoses between 2004 and 2008 were enrolled. The control cohort comprised age- and sex-matched controls. The HR and adjusted HR (aHR) were estimated for the risk of RC surgery between ACTD and control cohorts after adjustment for confounders. Furthermore, the effects of steroid and non-steroidal anti-inflammatory drug (NSAID) use on the HR and aHR of RC surgery risk were analysed.ResultsWe enrolled 5019 ACTD patients and 25 095 controls in the ACTD and control cohorts, respectively. RC surgery incidence was 49 and 24 per 100 000 person-years in the ACTD and control cohorts, respectively. In the ACTD cohort, the crude HR for RC surgery was 2.08 (95% CI , 1.08 to 4.02, p<0.05), and the aHR was 1.97 (95% CI, 1.01 to 3.82, p<0.05). The ACTD patients who used NSAIDs had an aHR of 3.13 (95% CI, 1.21 to 8.07, p<0.05) compared with the controls, but the ACTD patients who used steroids did not have a significantly higher aHR than the controls.ConclusionsACTD patients had an increased risk of RC repair surgery. However, no difference was found in RC surgery risk when steroids were used compared with the control cohort. This could indicate that inflammation control may be a strategy for managing subsequent RC lesions.

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Initial treatment of complete rotator cuff tear and transition to surgical treatment: systematic review of the evidence

Cited by 16 publications

References 41 publications

The effect of deep shoulder infections on patient outcomes after arthroscopic rotator cuff repair: a retrospective comparative study

The effect of deep shoulder infections on patient outcomes after arthroscopic rotator cuff repair: a retrospective comparative study

Consideraciones relevantes para el tratamiento conservador de roturas del manguito rotador

Autoimmune Connective Tissue Diseases and the Risk of Rotator Cuff Repair Surgery: A Population-Based Retrospective Cohort Study

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