DOI: http://dx.doi.org/10.18203/issn.2455-4510.IntJResOrthop20200549

Arthroscopic repair of rotator cuff tears: analysis and functional outcome

Rejo V. Jacob, Prateek Girotra, K. Prashanth Kumar

Abstract


Background: Rotator cuff injuries are common injuries occurring around the shoulder with an incidence ranging from 5 to 39%. Rotator cuff tears can be either partial thickness or full thickness. If remains untreated, may lead to persistent shoulder pain, functional limitation and decreased quality of life. In the present study, we assess the functional outcome following arthroscopic repair of rotator cuff tears. We also assess the various parameters affecting the functional outcome following repair.

Methods: 15 patients with rotator cuff tears were subjected to this study. Preoperative evaluation of the American Shoulder and Elbow Surgeons (ASES) shoulder score and University of California and Los Angeles (UCLA) shoulder score was done. Arthroscopic rotator cuff repair using single row repair with suture anchors was done. The patients were followed up at 6 weeks, 3 months and 6 months where ASES score and UCLA score were assessed.

Results: Of the 15 patients, 14 had supraspinatus tear, 2 patients had infraspinatus tear and 2 patients had subscapularis tear. According to UCLA scoring system 22% patients had excellent, 43% patients had good results, 23% patients had fair results and 12% patients had poor results. ASES score also showed progressive improvement at subsequent follow ups at 3 and 6 months.

Conclusions: From our present study we conclude that arthroscopic rotator cuff repair is a good modality showing excellent functional outcome with less morbidity, minimal postoperative pain, better cosmesis and early resumption of daily routine activities.

 


Keywords


Arthroscopic repair, Single row technique, UCLA score, ASES score

Full Text:

PDF

References


Rockwood CAJ, Matsen III FA. Rotator cuff. In: Matsen III FA, Fehringer EV, Lippitt SB, Wirth MA, Rockwood CAJ. The shoulder. Philadelphia: W.B. Saunders Company, 2008: 800-801.

Coghlan JA, Buchbinder R, Green S, Johnston RV, Bell SN. Surgery for rotator cuff disease. Cochrane Database Syst Rev. 2008;1:CD005619.

Neer CS 2nd. Impingement lesions. Clin Orthop Relat Res 1983;173:70-7.

Yamamoto A, Takagishi K, Osawa T, Yanagawa T, Nakajima D, Shitara H, et al. Prevalence and risk factors of a rotator cuff tear in the general population. J Shoulder Elbow Surg. 2010;19:116-20.

Bartolozzi A, Andreychik D, Ahmad S. Determinants of outcome in the treatment of rotator cuff disease. Clin Orthop Relat Res. 1994;308:90-7.

Davidson J, Burkhart SS. The geometric classification of rotator cuff tears: A system linking tear pattern to prognosis. Arthroscopy. 2010;26(3):417-24.

Ainsworth R, Lewis JS. Exercise therapy for conservative management of full thickness tears of rotator cuff: a systematic review. Br J Sports Med. 2007;41(4):200-10.

Codman EA, Akerson IB. The Pathology Associated With Rupture Of The Supraspinatus Tendon. Ann Surg. 1931;93(1):348-59.

Neer CS 2nd. Anterior Acromioplasty for the chronic impingement syndrome in the shoulder: A preliminary report. J Bone Joint Surg Am. 1972;54:41-50.

Johnson. Arthroscopic Rotator Cuff repair using a Staple. Maui Sports Medicine Meeting. Kanapali, Maui, 1992.

Abechain JJK, Godinho GG, Matsunaga FT, Netto NA, Daou JP, Tamaoki MJS. Functional outcomes of traumatic and nontraumatic rotator cuff tears after arthroscopic repair. World J Orthop. 2017;8(8):631-7.

Boileau P, Brassart N, Watkinson DJ, Carles M, Hatzidakis AM, Krishnan SG. Arthroscopic repair of full-thickness tears of the supraspinatus: does the tendon really heal? J Bone Joint Surg Am. 2005;87:1229-40.

Cho NS, Rhee YG. The factors affecting the clinical outcome and integrity of arthroscopically repaired rotator cuff tears of the shoulder. Clin Orthop Surg. 2009;1(2):96-104.

Mihata T, Watanabe C, Fukunishi K, Oheu M, Tsujimura T, Fujiwara K, et al. Functional and Structural outcome of single row versus double row versus combined double row and suture bridge repair of rotator cuff tears. Am J Sports Med. 2011;39(10):2091-8.

Kim KC, Shin HD, Cha SM, Park JY. Repair integrity and functional outcome after Arthroscopic conversion to a full thickness rotator cuff tear: Articular vs Bursal side partial tears. Am J Sports Med. 2014;42(2):451-6.

Sugaya H, Maeda K, Matsuki K, Morishii J. Functional and structural outcome after arthroscopic full thickness rotator cuff tear repair: single row vs dual row fixation. Arthroscopy. 2005;21(11):1307-16.

Koh KH, Kang KC, Lim TK, Shon MS, Yoo JC. Prospective randomized clinical trial of single row vs double row repair in 2- to 4cm rotator cuff tears: Clinical and magnetic resonance imaging results. Arthroscopy. 2011;27(4):453-62.