Trauma versus no trauma: an analysis of the effect of tear mechanism on tendon healing in 1300 consecutive patients after arthroscopic rotator cuff repair

Tan, Martin; Lam, Patrick H.; Le, Brian; Murrell, George A. C.

doi:10.1016/j.jse.2015.06.023

Cited by 49 publications

(77 citation statements)

References 43 publications

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“…Kukkonen et al [20] and Tan et al [15] had similar findings in recent investigations: good to excellent postoperative results regardless of tear etiology [15,20]. Another recent study by Braune et al found better postoperative results in patients with acute tears than in patients with degenerative RCLs [6].…”

supporting

confidence: 53%

“…Regardless of healing status, all investigators found good postoperative clinical results. In a large cohort, Tan et al found recurrent tears in 14 % and 12 % of patients with and without history of trauma, respectively [15]. The present study shows a comparatively low rate of structural failure: 13.6 % in the traumatic and 9.5 % in the nontraumatic group.…”

supporting

confidence: 48%

“…Acute, traumatic tears and tears caused by degenerative changes are often discriminated by the presence or absence of a traumatic event in the patient's medical history [1,15,20]. Tan et al [15] and Kukkonen et al [20] both searched retrospectively for a specific initiating event in the patient's history and then defined the tears as "acute" or "traumatic" regardless of the duration of symptoms. In the present study these data were collected prospectively and surgical treatment was performed within a well-defined interval of 6 weeks after the assumed trauma.…”

mentioning

confidence: 99%

“…Bassett et al reported that the best results were obtained when surgical treatment of acute RCLs was performed no more than 6 weeks after the triggering trauma [ [15].…”

mentioning

confidence: 99%

See 3 more Smart Citations

Strength, ROM, and ultrasound-detected healing rate after arthroscopic rotator cuff repair

Friese

Porschke

Magosch³

et al. 2016

Obere Extremität

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supporting

confidence: 53%

supporting

confidence: 48%

mentioning

confidence: 99%

“…Bassett et al reported that the best results were obtained when surgical treatment of acute RCLs was performed no more than 6 weeks after the triggering trauma [ [15].…”

mentioning

confidence: 99%

See 2 more Smart Citations

Strength, ROM, and ultrasound-detected healing rate after arthroscopic rotator cuff repair

Friese

Porschke

Magosch³

et al. 2016

Obere Extremität

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“…In a review of 1300 consecutive patients undergoing arthroscopic rotator cuff repair, Tan et al studied the effect of tear mechanism on tendon healing [34]. A preoperative questionnaire was utilized to identify cohorts of patients with or without a history of trauma on presentation.…”

Section: Healing Datamentioning

confidence: 99%

Natural History of Degenerative Rotator Cuff Tears

Codding

Keener

2018

Curr Rev Musculoskelet Med

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Purpose of Review In the past several years, there have been significant advances in our understanding of the natural history of rotator cuff disease. Studies have continued to provide valuable insight into the clinical, radiographic, and anatomic features of these atraumatic tears. Our purpose is to summarize the findings and contributions from these recent high-quality studies. Recent Findings Current research has continued to describe and provide understanding into the natural history of atraumatic rotator cuff disease, including symptom progression, tear enlargement, and the development of arthritis. This knowledge has allowed identification of tears with higher risk of disease progression. Additionally, studies have investigated, with long-term healing data, whether the natural history of degenerative rotator cuff tears can be altered with surgical intervention. Summary Recent studies have shown encouraging mid to long-term healing data and clinical outcome scores for smaller tears in younger patients with minimal fatty infiltration. Future research should focus on obtaining long-term healing data, functional outcome data, and refining surgical indications for rotator cuff repair. Identifying patients with specific tear characteristics amendable to healing will allow us to provide a long-term, durable repair, thus interrupting the natural history of degenerative rotator cuff disease.

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