Long-term Clinical and MRI Results of Open Repair of the Supraspinatus Tendon

Nich, Christophe; Mutschler, C.; Vandenbussche, E.; Augereau, B

doi:10.1007/s11999-009-0917-4

Cited by 37 publications

(50 citation statements)

References 36 publications

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“…The main stages of the surgical technique have been described in detail [28]. Briefly, a superolateral approach was used routinely with the patient in the lateral position.…”

Section: Methodsmentioning

confidence: 99%

“…We made an intraarticular incision at the labrum-capsule junction to release the torn tendon. The free border of the supraspinatus tendon was inserted in a deep osseous proximalized trough and maintained with nonabsorbable transosseous sutures as previously reported [28]. The detached superior border of the subscapularis was reinserted on the lesser tuberosity with two nonabsorbable anchors (Quick Anchor Plus; Mitek; Johnson and Johnson, Norwood, MA, USA) after local débridement.…”

Section: Methodsmentioning

confidence: 99%

“…The successive steps of the surgical procedure were completed as described in a previous study [28]. The free border of the subscapularis tendon then was reinserted on the lesser tuberosity with nonabsorbable anchors (Mitek).…”

Section: Methodsmentioning

confidence: 99%

“…The literature shows operative treatment of these tears generally restores a pain-free functional shoulder [4,7,19,28,31]. Nich et al [28] suggested that a torn rotator Each author certifies that he or she has no commercial associations (eg, consultancies, stock ownership, equity interest, patent/licensing arrangements, etc) that might pose a conflict of interest in connection with the submitted article. All ICMJE Conflict of Interest Forms for authors and Clinical Orthopaedics and Related Research editors and board members are on file with the publication and can be viewed on request.…”

Section: Introductionmentioning

confidence: 99%

“…In addition, Flury et al [8] found rerupture was more likely to occur with severe preoperative fatty degeneration, but did not show whether healing of the repair ultimately influenced postoperative atrophy and fatty muscle infiltration. After our previous study showed that supraspinatus muscle atrophy, but not fatty muscle infiltration, could be stabilized after successful repair of superior and posterosuperior tears [28], we asked whether open repair of anterosuperior rotator cuff tears could prevent muscular changes.…”

Section: Introductionmentioning

confidence: 99%

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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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“…The main stages of the surgical technique have been described in detail [28]. Briefly, a superolateral approach was used routinely with the patient in the lateral position.…”

Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

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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Ultrasound‐MRI Correlation for Healing of Rotator Cuff Repairs Using Power Doppler, Sonographic Shear Wave Elastography and MR Signal Characteristics

Nocera

Burke

Gyftopoulos

et al. 2020

J of Ultrasound Medicine

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Objective To determine whether the healing response in rotator cuff repairs can be quantitatively characterized using a multimodality imaging approach with MR signal intensity, power Doppler and shear wave elastography (SWE). Materials and Methods Patients scheduled for rotator cuff repair were prospectively enrolled between September 2013 and June 2016. A 12 patient cohort with unilateral, full‐thickness, supraspinatus tendon tears underwent MRI and ultrasound both preoperatively and postoperatively (at 3 and 6 months post‐surgery). The MR signal intensity ratio of tendon‐to‐deltoid muscle (TMR), vascularity score by power Doppler (PD) and shear wave velocity (SWV) were measured. Repaired and asymptomatic control shoulders were compared over time and between modalities. Results TMR and vascularity of the tendon repair initially increased and then decreased postoperatively. Although not achieving statistical significance, postoperative SWV initially decreased and later increased, which negatively correlated with the TMR at 3 months (r = ‐0.73, p = 0.005). PD demonstrated a statistically significant change in tendon vascularity over time compared to the contralateral control (p = 0.009 at 3 months; p = 0.036 at 6 months). No significant correlation occurred between TMR and SWE at 6 months, or with PD at any time point. Conclusion Despite a small patient cohort, this prospective pilot study suggests a temporal relationship of MRI and ultrasound parameters that parallels the expected phases of healing in the repaired rotator cuff.

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A comparison of early versus delayed repair of traumatic rotator cuff tears

Hantes

Karidakis

Vlychou

et al. 2011

Knee Surg Sports Traumatol Arthrosc

113

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Long-term Clinical and MRI Results of Open Repair of the Supraspinatus Tendon

Abstract: Level IV, therapeutic study. See Guidelines for Authors for a complete description of levels of evidence.

Cited by 37 publications

References 36 publications

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

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

Ultrasound‐MRI Correlation for Healing of Rotator Cuff Repairs Using Power Doppler, Sonographic Shear Wave Elastography and MR Signal Characteristics

A comparison of early versus delayed repair of traumatic rotator cuff tears

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