Prognostic factors influencing the outcome of rotator cuff repair: a systematic review

Saccomanno, Maristella F.; Sircana, Giuseppe; Cazzato, G.; Donati, Fabrizio; Randelli, Pietro; Milano, Giuseppe

doi:10.1007/s00167-015-3700-y

Cited by 135 publications

(122 citation statements)

References 82 publications

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“…Patient stratification according to their individual SSP tendon/muscle properties currently relies on such MRI‐based morphological and patient‐related parameters. Whereas these without doubt support the treatment decision, their predictive value, especially for functional outcome remains controversially discussed . Accordingly, a relevant number of patients at risk for poor functional outcome or failed tendon healing remains undetected.…”

Section: Discussionmentioning

confidence: 99%

Contrast‐Enhanced Ultrasound (CEUS) as Predictor for Early Retear and Functional Outcome After Supraspinatus Tendon Repair

Kamtchouing

Mick

Groß

et al. 2019

Journal Orthopaedic Research

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Supraspinatus (SSP) tendon tears represent a common indication for shoulder surgery. Yet, prediction of postoperative function and tendon retear remains challenging and primarily relies on morphologic magnetic resonance imaging (MRI)-based parameters, supported by patients' demographic data like age, gender, and comorbidities. Considering continuously high retear rates, especially in patients with larger tears and negative prognostic factors, improved outcome prediction could be of high clinical value. Contrastenhanced ultrasound (CEUS) enables an assessment of dynamic perfusion of the SSP muscle. As a potential surrogate for muscle vitality, CEUS might reflect functional properties of the SSP and support improved outcome prediction after tendon repair. Fifty patients with isolated SSP tendon tears were prospectively enrolled. Preoperatively, SSP muscle perfusion was quantified by CEUS and conventional morphologic parameters like tear size, fatty infiltration, and tendon retraction were assessed by MRI. At six months follow-up, shoulder function, tendon integrity, and muscle perfusion were reassessed. The predictive value of preoperative CEUS for postoperative shoulder function and tendon integrity was evaluated. 35 patients entered the statistical analysis. Preoperative CEUS-based assessment of SSP perfusion significantly correlated with early postoperative shoulder function (Constant, r = 0.48, p < 0.018) and tendon retear (r = 0.67, p < 0.001). CEUS-based subgroup analysis identified patients with exceptionally high, respectively low risk for tendon retear. CEUSbased assessment of the SSP seemed to predict early shoulder function and tendon retear after SSP repair and allowed to identify patient subgroups with exceptionally high or low risk for tendon retear.

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Section: Discussionmentioning

confidence: 99%

Contrast‐Enhanced Ultrasound (CEUS) as Predictor for Early Retear and Functional Outcome After Supraspinatus Tendon Repair

Kamtchouing

Mick

Groß

et al. 2019

Journal Orthopaedic Research

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“…This may have been because the supraspinatus tendon and muscle were stretched after ARCR but the tension of the muscle in the PS group was small, while the muscle in the ML group was stretched strongly. Previous studies have shown that the risk of re‐tear was mainly affected by tear size . The difference between patients with smaller and larger tears in the temporal changes in their supraspinatus muscle elasticity after might correlate with re‐tear likelihood.…”

Section: Discussionmentioning

confidence: 99%

“…Previous studies have shown that the risk of re-tear was mainly affected by tear size. 45 The difference between patients with smaller and larger tears in the temporal changes in their supraspinatus muscle elasticity after might correlate with re-tear likelihood. Rehabilitation schedules vary by surgeon and are modified based on the tear size and quality of the repair.…”

Section: Stiffness Change After Arcrmentioning

confidence: 99%

Supraspinatus Muscle and Tendon Stiffness Changes After Arthroscopic Rotator Cuff Repair: A Shear Wave Elastography Assessment

Itoigawa

Wada

Kawasaki

et al. 2019

Journal Orthopaedic Research

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Re‐tearing after arthroscopic rotator cuff repair (ARCR) frequently occurs, and high stiffness of the rotator cuff may be one of the factors. We investigated changes in stiffness of the supraspinatus muscle and tendon after ARCR as measured by shear wave elastography (SWE) with B‐mode ultrasound, and compared the supraspinatus muscle stiffness of patients with recurrent tears and patients with healed rotator cuffs. Sixty patients with supraspinatus tears requiring ARCR underwent serial SWE of their supraspinatus muscles and repaired tendons. SWE was performed before surgery (Pre‐Op) and at 1 week, 1 month, 2 months, 3 months, 4 months, 5 months, and 6 months after surgery. Additionally, the repaired rotator cuffs were evaluated using magnetic resonance imaging at 6 months after surgery to classify patients into a healed rotator cuff group and a recurrent tear group. Differences in SWE values between the groups were assessed at each time point. The SWE value of the repaired tendon at 1 week after ARCR was significantly greater than at 3 and 6 months. The SWE value for the supraspinatus muscle at 1 month after ARCR surgery in the healed group was lower than at Pre‐Op and 4, 5, and 6 months after surgery, and it was also lower than that at 1 month after surgery in the re‐tear group. There were no significant differences between time points in the SWE values of the supraspinatus muscle in the re‐tear group. The SWE value of the muscle in the re‐tear group was greater than in the healed group at 1 month after surgery (p < 0.05). Increased SWE values at 1 month after ARCR may predict recurrent rotator cuff tears after surgery rather than evaluating the tendon. © 2019 Orthopaedic Research Society. Published by Wiley Periodicals, Inc. J Orthop Res 38:219–227, 2020

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“…4 Re-tear rate was found to be related to size of tear and older age based on a systematic review. 9 Other commonly quoted factors associated with re-tear included fatty infiltration and atrophy. 10 Numerous outcome measures have been used in the literature, which has possibly led to varied reported efficacy of ARCR.…”

Section: Introductionmentioning

confidence: 99%

Chinese version of the Rotator Cuff Quality of Life questionnaire: Cross-cultural adaptation and validation in rotator cuff-impaired patients in Hong Kong

Chau

Woo

et al. 2019

Journal of Orthopaedics, Trauma and Rehabilitation

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Purpose: To adapt the Rotator Cuff Quality of Life (RC-QOL) questionnaire into traditional Chinese (Chi-RC-QOL) and to evaluate the validity and reliability in patients suffering from rotator cuff pathologies in Hong Kong. Methods: The Chi-RC-QOL will be constructed using the forward-translation followed by the backward-translation method. Thirty consecutive patients with clinically and radiologically confirmed rotator cuff pathology were recruited. Descriptive statistics will be followed by validity assessment using comparison with the Constant Shoulder (CS) score, University of California Los Angeles (UCLA) Shoulder Rating Scale, and Western Ontario Rotator Cuff (WORC) score. Parametric data will be tested using Pearson's correlation coefficient for the total scores. Reliability was assessed using a test-retest interval of 30 min. The Cronbach's a and intraclass correlation coefficient were calculated. Results: Cronbach's a and internal consistency scores were high for all parts of the Chi-RC-QOL, with Cronbach's a ranging between 0.89 and 0.98. Internal consistency scores range from 0.82 to 0.92, which can be regarded as an excellent correlation. Test-retest reliability was excellent for all parts of the Chi-RC-QOL with good absolute reliability. Chi-RC-QOL correlates well with the CS score, UCLA Shoulder Rating Scale, and the WORC score, with all being statistically significant. Conclusions: The current study adapted the RC-QOL to traditional Chinese version. The analysis confirmed the validity and reliability of the Chi-RC-QOL questionnaire. Level of Evidence: III.

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Prognostic factors influencing the outcome of rotator cuff repair: a systematic review

Abstract: Systematic review of level I-IV prognostic studies, Level IV.

Cited by 135 publications

References 82 publications

Contrast‐Enhanced Ultrasound (CEUS) as Predictor for Early Retear and Functional Outcome After Supraspinatus Tendon Repair

Contrast‐Enhanced Ultrasound (CEUS) as Predictor for Early Retear and Functional Outcome After Supraspinatus Tendon Repair

Supraspinatus Muscle and Tendon Stiffness Changes After Arthroscopic Rotator Cuff Repair: A Shear Wave Elastography Assessment

Chinese version of the Rotator Cuff Quality of Life questionnaire: Cross-cultural adaptation and validation in rotator cuff-impaired patients in Hong Kong

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