Kim, J Shoulder Elbow Surg 2017 - Medialized Repair for Retracted Rotator Cuff Tears - Article Summary

Medialized Repair for Retracted Rotator Cuff Tears

Kim, Cho, et al.·J Shoulder Elbow Surg·2017·52 citations·Case series

Background

The purpose of this study was to evaluate the functional outcomes of medialized rotator cuff repair and the continuity of repaired tendon in chronic retracted rotator cuff tears.

Methods

35 consecutive patients were selected from 153 cases that underwent arthroscopic rotator cuff repair for more than medium-sized posterosuperior rotator cuff tears between July 2009 and July 2012 performed with the medialized repair.
All cases were available for at least 2 years of postoperative follow-up.
The visual analog scale of pain, muscle strength, Constant score, American Shoulder and Elbow Surgeons (ASES) score, and University of California–Los Angeles score were evaluated.

Results

At the final follow-up, all clinical outcomes were significantly improved.
The visual analog scale score for pain improved from 6 ± 1 preoperatively to 2 ± 1 postoperatively.
The range of motion increased from preoperatively to postoperatively: active forward elevation, from 134° ± 49° to 150° ± 16°; active external rotation at the side, from 47° ± 15° to 55° ± 10°; and active internal rotation, from L3 to L1.
The shoulder score also improved: Constant score, from 53.5 ± 16.7 to 79 ± 10; American Shoulder and Elbow Surgeons score, from 51 ± 15 to 82 ± 8; and University of California–Los Angeles score, from 14 ± 4 to 28 ± 4.
The retear cases at the final follow-up were 6 (17%).

Conclusions

Medialized repair may be useful in cases in which anatomic bone-to-tendon repair would be difficult because of the excessive tension of the repaired tendon and a torn tendon that does not reach the anatomic insertion.

Level of evidence: Level IV; Case Series; Treatment Study. Copyright remains with the authors and publisher.

Supplemental

Medialized Repair for Retracted Rotator Cuff Tears

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Medialized Repair for Retracted Rotator Cuff Tears

Kim, Cho, et al.·J Shoulder Elbow Surg·2017·52 citations·Case series

DOI·PubMed

Background

The purpose of this study was to evaluate the functional outcomes of medialized rotator cuff repair and the continuity of repaired tendon in chronic retracted rotator cuff tears.

Methods

35 consecutive patients were selected from 153 cases that underwent arthroscopic rotator cuff repair for more than medium-sized posterosuperior rotator cuff tears between July 2009 and July 2012 performed with the medialized repair.
All cases were available for at least 2 years of postoperative follow-up.
The visual analog scale of pain, muscle strength, Constant score, American Shoulder and Elbow Surgeons (ASES) score, and University of California–Los Angeles score were evaluated.

Results

At the final follow-up, all clinical outcomes were significantly improved.
The visual analog scale score for pain improved from 6 ± 1 preoperatively to 2 ± 1 postoperatively.
The range of motion increased from preoperatively to postoperatively: active forward elevation, from 134° ± 49° to 150° ± 16°; active external rotation at the side, from 47° ± 15° to 55° ± 10°; and active internal rotation, from L3 to L1.
The shoulder score also improved: Constant score, from 53.5 ± 16.7 to 79 ± 10; American Shoulder and Elbow Surgeons score, from 51 ± 15 to 82 ± 8; and University of California–Los Angeles score, from 14 ± 4 to 28 ± 4.
The retear cases at the final follow-up were 6 (17%).

Conclusions

Level of evidence: Level IV; Case Series; Treatment Study. Copyright remains with the authors and publisher.

Background

The purpose of this study was to evaluate the functional outcomes of medialized rotator cuff repair and the continuity of repaired tendon in chronic retracted rotator cuff tears.

Methods

35 consecutive patients were selected from 153 cases that underwent arthroscopic rotator cuff repair for more than medium-sized posterosuperior rotator cuff tears between July 2009 and July 2012 performed with the medialized repair.
All cases were available for at least 2 years of postoperative follow-up.
The visual analog scale of pain, muscle strength, Constant score, American Shoulder and Elbow Surgeons (ASES) score, and University of California–Los Angeles score were evaluated.

Results

At the final follow-up, all clinical outcomes were significantly improved.
The visual analog scale score for pain improved from 6 ± 1 preoperatively to 2 ± 1 postoperatively.
The range of motion increased from preoperatively to postoperatively: active forward elevation, from 134° ± 49° to 150° ± 16°; active external rotation at the side, from 47° ± 15° to 55° ± 10°; and active internal rotation, from L3 to L1.
The shoulder score also improved: Constant score, from 53.5 ± 16.7 to 79 ± 10; American Shoulder and Elbow Surgeons score, from 51 ± 15 to 82 ± 8; and University of California–Los Angeles score, from 14 ± 4 to 28 ± 4.
The retear cases at the final follow-up were 6 (17%).

Conclusions

Level of evidence: Level IV; Case Series; Treatment Study. Copyright remains with the authors and publisher.

Background

The purpose of this study was to evaluate the functional outcomes of medialized rotator cuff repair and the continuity of repaired tendon in chronic retracted rotator cuff tears.

Methods

35 consecutive patients were selected from 153 cases that underwent arthroscopic rotator cuff repair for more than medium-sized posterosuperior rotator cuff tears between July 2009 and July 2012 performed with the medialized repair.
All cases were available for at least 2 years of postoperative follow-up.
The visual analog scale of pain, muscle strength, Constant score, American Shoulder and Elbow Surgeons (ASES) score, and University of California–Los Angeles score were evaluated.

Results

At the final follow-up, all clinical outcomes were significantly improved.
The visual analog scale score for pain improved from 6 ± 1 preoperatively to 2 ± 1 postoperatively.
The range of motion increased from preoperatively to postoperatively: active forward elevation, from 134° ± 49° to 150° ± 16°; active external rotation at the side, from 47° ± 15° to 55° ± 10°; and active internal rotation, from L3 to L1.
The shoulder score also improved: Constant score, from 53.5 ± 16.7 to 79 ± 10; American Shoulder and Elbow Surgeons score, from 51 ± 15 to 82 ± 8; and University of California–Los Angeles score, from 14 ± 4 to 28 ± 4.
The retear cases at the final follow-up were 6 (17%).

Conclusions

Level of evidence: Level IV; Case Series; Treatment Study. Copyright remains with the authors and publisher.