Longitudinal follow up of patients undergoing mini-open repair of rotator cuff tear


  • Mohammed Shabir Kassim Department of Orthopedics, AJ Institute of Medical Sciences, Mangalore, Karnataka, India
  • Amlan Mohapatra Department of Orthopedics, AJ Institute of Medical Sciences, Mangalore, Karnataka, India
  • Karthikraj Kuberakani Department of Orthopedics, AJ Institute of Medical Sciences, Mangalore, Karnataka, India




Mini-open, Rotator cuff, Repair


Background: Shoulder pain is a common presenting complaint. This study is aimed to understand the role of mini-open repair in the treatment of rotator cuff tear and to assess the functional outcome in such patients over a period of two years.

Methods: This prospective study was conducted on patients who were operated by mini-open repair for rotator cuff tear at the Department of Orthopedics, AJ Institute of Medical Sciences January 2017 till June 2018. Using a pre-designed case report form, demographic and clinical information was noted for all patients. Functional outcome of the patients was assessed by the Constant and Murley score at post-operative follow up at 3 weeks, 6 weeks, 12 weeks, 6 months, 1 year and 2 years.

Results: Partial thickness tear was present in 57% of the pateints and rest had a full thickness tear. Mean Constant and Murley score at the time of presentation was 59.50 which improved during the follow up period and at the final follow up the score was 91.80. The score was not significantly different at one year and second year follow up. The score was consistently higher among patients with partial thickness as compared to those with full thickness, though the difference was significantly different only at 6 month follow up (p=0.007).

Conclusions: Significant improvement in range of motion was seen in our patients at 6 months post-operatively. Full range of motion was observed at the end of 1 year and functional outcome did not improve after that.


McFarland EG. Examination of the shoulder. In: The Complete Guide, Kim TK, Park HB, Rassi GE. eds, Thieme Medical Publishers, New York; 2006: 142.

Blevins FT, Warren RF, Cavo C, Altchek DW, Dines D, Palletta G, et al. Arthroscopic assisted rotator cuff repair: results using a mini-open deltoid splitting approach. Arthroscopy. 1996;12:50-9.

Shinners TJ, Noordsij PG, Orwin JF. Arthroscopically assisted mini-open rotator cuff repair. Arthroscopy. 2002;18: 21-6.

Kim SH, Ha KI, Park JH, Kang JS, Oh SK, Oh I. Arthro- scopic versus mini-open salvage repair of the rotator cuff tear: Outcome analysis at 2 to 6 years’ follow-up. Arthroscopy. 2003;19:746-54.

Jobe FW, Jobe CM. Painful athletic injuries of the shoulder. Clin Orthop. 1983;173:117–24.

Gerber C, Krushell RJ. Isolated rupture of the tendon of the subscapularis muscle: Clinical features in 16 cases. J Bone Joint Surg Br. 1991;73(3):389-94.

Tokish JM, Decker MJ, Ellis HB, Torry MR, Hawkins RJ. The belly-press test for the physical examination of the subscapularis muscle: electromyographic validation and comparison to the lift-off test. J Shoulder Elbow Surg. 2003;12(5):427-30.

Constant CR, Murley AH. A clinical method of functional assessment of the shoulder. Clinical orthopaedics and related research. Clin Orthop Relat Res. 1987;214:160-4.

Oh LS, Wolf BR, Hall MP, Levy BA, Marx RG. Indications for rotator cuff repair: a systematic review. Clin Orthop Relat Res. 2007;455:52.

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

Ji X, Bi C, Wang F, Wang Q. Arthroscopic versus mini-open rotator cuff repair: an up-to-date meta-analysis of randomized controlled trials. Arthroscopy. 2015;31(1):118-24.

Galatz LM, Griggs S, Cameron BD, Iannotti JP. Prospective longitudinal analysis of postoperative shoulder function: a ten-year follow-up study of full-thickness rotator cuff tears. J Bone Joint Surg Am. 2001;83-A(7):1052-6.

Zumstein MA, Jost B, Hempel J, Hodler J, Gerber C. The clinical and structural long-term results of open repair of massive tears of the rotator cuff. J Bone Joint Surg Am. 2008;90(11):2423-31.

Cohen BS, Nicholson GP, Romeo AA. Athroscopic rotator cuff repair: Is mini-openjust of historical interest?. Curr Opin Orthop. 2001;12:331-6.

Nicholson GP. Mini-open rotator-cuff repair. Operative Techniques in Orthopaedics. J hand surg. 2002;12(3):162-6.






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