Surgery for full-thickness rotator-cuff tears.

Hawkins, Richard J.; Misamore, Gary W.; Hobeika, Paul

doi:10.2106/00004623-198567090-00007

Cited by 371 publications

(162 citation statements)

References 2 publications

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“…Subjective satisfaction in our series was high, although many patients had mild or moderate pain; 81% of the patients were very satisfied or satisfied. Our observations were similar to those of Adamson and Tibone [1], (70%), Cofield et al [5] (92%), Hawkins et al [17] (94%) and Jost et al [18] (85%). In contrast, the senior author reported excellent or good subjective results after 3.5 years followup in only 35% of the patients treated between 1969 and 1980 [36].…”

Section: Discussionsupporting

confidence: 91%

“…Some authors suggest degeneration is a major cause of rerupture after surgical repair [20]. Some authors have reported high rates of rerupture (range, 20%-54%) [2,8,18] with a much shorter followup than ours, with some showing a correlation between rerupture and poorer outcome [11] and some less so [7,17]. We believe, in large retracted tears with poor tendon material, a free tendon graft may play a beneficial role.…”

Section: Discussionmentioning

confidence: 58%

“…Although we place great value on longitudinal assessment of outcome measures, only ROM and strength measurements were available preoperatively and postoperatively. Fifth, although the Likert scale has not been validated for satisfaction, we used it to compare our data with data from some earlier studies reporting patients' subjective satisfaction [1,5,17,18,36]. Sixth, the scale of the spring balance was from 0 to 10.2 kg with 0.2-kg increments.…”

Section: Discussionmentioning

confidence: 99%

“…Their mean age at surgery was 52 years. The minimum followup was 16 years (mean, 20 years; range [16][17][18][19][20][21][22][23][24][25] …”

Section: Methodsmentioning

confidence: 99%

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Pain Relief, Motion, and Function after Rotator Cuff Repair or Reconstruction May Not Persist after 16 Years

Borgmästars

Paavola

Remes

et al. 2010

Clinical Orthopaedics &Amp; Related Research

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Background Short-to medium-term rotator cuff repair reportedly relieves pain in 82% to 97% of patients and provides normal or almost normal shoulder function in 82% to 92%. However, it is unknown whether pain relief and function persist long term. Questions/purposes We asked whether, after rotator cuff repair or reconstruction, pain relief, ROM, shoulder strength, and function remained over the long term. Patients and MethodsWe retrospectively reviewed 75 patients who underwent rotator cuff repair between 1980 and 1989. There were 55 men and 20 women. Their mean age at surgery was 52 years. The minimum followup was 16 years (mean, 20 years; range 16-25 years). Results Twenty-eight of the 75 patients (37%) had persistent relief of pain lasting for 20 years. In the remaining 47 patients, alleviation of pain lasted, on average, 14 years (range, 0-24 years). Mean flexion and abduction strength increased postoperatively but during long-term followup decreased to less than preoperative levels. External rotation also decreased. At the last followup, the Constant-Murley score averaged 66 (range, 10-98) in men and 60 (range, 29-89) in women. In the Simple Shoulder Test questionnaire, the mean number of yes answers was eight of 12. Of the 75 patients, 32 (43%) reported impairment in activities of daily living owing to an index shoulder complaint. Severe degenerative changes of the glenohumeral joint were evident in 14 patients (19%). Conclusions The early high functional scores after primary rotator cuff repair or reconstruction of the types we performed in the 1980s did not persist. The function achieved postoperatively was lost, as ROM and strength decreased to less than preoperative values. However, alleviation of pain was long-standing in most patients. Based on our data, we should warn patients to expect less than permanent relief with those repairs. We cannot say whether the same will apply to currently performed types of repairs.

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Section: Discussionsupporting

confidence: 91%

Section: Discussionmentioning

confidence: 58%

Section: Discussionmentioning

confidence: 99%

“…Their mean age at surgery was 52 years. The minimum followup was 16 years (mean, 20 years; range [16][17][18][19][20][21][22][23][24][25] …”

Section: Methodsmentioning

confidence: 99%

See 2 more Smart Citations

Pain Relief, Motion, and Function after Rotator Cuff Repair or Reconstruction May Not Persist after 16 Years

Borgmästars

Paavola

Remes

et al. 2010

Clinical Orthopaedics &Amp; Related Research

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“…In the literature, the information varies widely regarding the prognostic factors of rotator cuff repair [2,3,11,13]. In young patients, rotator cuff repair has been used successfully for treating small tears detected at an early stage [2,3,13].…”

Section: Introductionmentioning

confidence: 99%

Functional Recovery Period after Arthroscopic Rotator Cuff Repair: Is it Predictable Before Surgery?

Manaka

Ito

Matsumoto

et al. 2011

Clinical Orthopaedics &Amp; Related Research

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Background Several studies have reported functional recovery of the shoulder after arthroscopic rotator cuff repair (ARCR). Preoperative estimation of the time required for functional recovery is important for determining surgical indications and for planning timing of the surgery and an appropriate postoperative physical therapy. Questions/purposes We therefore asked: (1) how long it takes to obtain functional recovery after ARCR, and (2) what preoperative factors influence functional recovery time. Patients and Methods We retrospectively evaluated 201 patients who had undergone ARCR. Using the Japanese Orthopaedic Association (JOA) shoulder scoring system, we defined the functional recovery period as the time required to achieve a score greater than 80% in each component. We evaluated the functional recovery periods and assessed preoperative influencing factors such as age, gender, shoulder stiffness, morphologic features of rotator cuff tears, and rotator cuff tear size. Results Sixty-three patients (31%) took less than 3 months, 81 patients (40%) took between 3 and 6 months, and 57 patients (28%) took greater than 6 months to achieve a score greater than 80% in each JOA shoulder assessment component. Younger patients without shoulder stiffness and with smaller rotator cuff tears had shorter functional recovery periods. Conclusions One hundred forty-four patients (72%) obtained functional recovery within 6 months after ARCR. Age, shoulder stiffness, and rotator cuff tear size influenced functional recovery time.

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