Relationship between rotator cuff posterior delamination and subscapularis tear: a large cross-sectional analysis

Kim, Eugene; Cho, Yo Han; Lee, Junyeop; Park, Jin Hun

doi:10.1016/j.jseint.2023.02.002

Cited by 1 publication

(1 citation statement)

References 27 publications

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“…Rotator cuf delamination is common in rotator cuf tears [1], with reported incidences between 38 and 92% [2][3][4]. The concept of rotator cuf delamination tears has evolved over time.…”

Section: Introductionmentioning

confidence: 99%

Delamination of rotator cuff tears impairs healing after repair: a systematic review and meta‐analysis

Liang,

Wang

et al. 2023

Knee surg. sports traumatol. arthrosc.

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Purpose To compare the clinical outcomes and retear rates after rotator cuf repair (RCR) between delaminated and nondelaminated tears. Methods This systematic review was conducted according to the preferred reporting items for systematic reviews and meta-analyses guidelines using the PubMed, Cochrane Library, the Web of Science and Embase databases. Only articles on arthroscopic RCR with clinical outcome scores and data on the number of rotator cuf retears and complete healing were included. This study's relevant data were extracted and statistically analyzed. The methodological index for nonrandomized studies was used to assess the risk of bias in the included studies. After conducting a heterogeneity test and sensitivity analysis to determine whether the samples were heterogeneous, the study also detected publication bias. A sub-group test was used to evaluate the inluences of the imaging follow-up period on retear rates. Results Ten eligible articles were identiied with 2,061 patients (925 in the delaminated group and 1,136 in the nondelaminated group). The meta-analysis demonstrated that delamination was signiicantly associated with higher retear rates (P = 0.026; odds ratio = 1.873, 95% conidence interval 1.079-3.252; I 2 = 51.6%) with an imaging follow-up period of > 1 year and lower rates of complete healing (P = 0.036; odds ratio = 0.659, 95% conidence interval 0.446-0.973; I 2 = 9.0%) in patients after rotator cuf repair. However, no signiicant diferences were observed between the two groups based on American Shoulder and Elbow Surgeons score, Constant score, visual analog scale score, external rotation, internal rotation, or forward elevation. Conclusions This meta-analysis found that delamination was signiicantly associated with higher retear rates with imaging follow-up period of > 1 year, and lower rates of complete healing. In addition, the preoperative and postoperative clinical scores and shoulder joint range of motion were similar between patients with delaminated and non-delaminated tears. Level of evidence Level IV.

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“…Rotator cuf delamination is common in rotator cuf tears [1], with reported incidences between 38 and 92% [2][3][4]. The concept of rotator cuf delamination tears has evolved over time.…”

Section: Introductionmentioning

confidence: 99%

Delamination of rotator cuff tears impairs healing after repair: a systematic review and meta‐analysis

Liang,

Wang

et al. 2023

Knee surg. sports traumatol. arthrosc.

View full text Add to dashboard Cite

show abstract

Relationship between rotator cuff posterior delamination and subscapularis tear: a large cross-sectional analysis

Cited by 1 publication

References 27 publications

Delamination of rotator cuff tears impairs healing after repair: a systematic review and meta‐analysis

Delamination of rotator cuff tears impairs healing after repair: a systematic review and meta‐analysis

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