BACKGROUND: The rotator cuff registry was established to evaluate prospectively the effectiveness of arthroscopic rotator cuff repair. The purpose of the present study is to report the preliminary data at the 1- and 2-year time point and perform subgroup analysis to identify factors that may affect outcome. METHODS: A total of 193 patients underwent all-arthroscopic repair of a rotator cuff tear and met the inclusion criteria and 127 (65.8%) completed 2-year follow-up. The outcome measurements included physical examination, manual muscle testing, the American Shoulder and Elbow Surgeons (ASES) score, and ultrasonography. RESULTS: The pre-operative ASES score was 52.37 +/- 24.09 and improved to 83.88 +/- 19.28 at 1 year (P < .0001) and 92.65 +/- 11.36 at 2 years (P < 0.0001). The percent healing for all patients was 64.10% at 3 months and 64.34% at 1 year (P = .4080). At 2 years, there was a significant increase in the percentage of healed tendon at 75.42% compared to the 3-month (P (1/4) .0001) and 1-year (P = 0.0332) time points. Patients with intact tendons had an ASES score of 93.9 +/- 10.2 compared to tendon defects with a score of 88.0 +/- 15.6 (P = .0623). Gender, tear size, and acromioclavicular joint involvement have a significant effect on ASES score. Rotator cuff characteristics such as tear size, biceps pathology, acromioclavicular joint pathology, and tissue quality have a significant effect on postoperative tendon integrity. CONCLUSION: Arthroscopic rotator cuff repair demonstrates significant improvement in clinical outcomes and good rate of healing by postoperative ultrasound. Longer-term studies are necessary to determine the efficacy over time.
BACKGROUND: The rotator cuff registry was established to evaluate prospectively the effectiveness of arthroscopic rotator cuff repair. The purpose of the present study is to report the preliminary data at the 1- and 2-year time point and perform subgroup analysis to identify factors that may affect outcome. METHODS: A total of 193 patients underwent all-arthroscopic repair of a rotator cuff tear and met the inclusion criteria and 127 (65.8%) completed 2-year follow-up. The outcome measurements included physical examination, manual muscle testing, the American Shoulder and Elbow Surgeons (ASES) score, and ultrasonography. RESULTS: The pre-operative ASES score was 52.37 +/- 24.09 and improved to 83.88 +/- 19.28 at 1 year (P < .0001) and 92.65 +/- 11.36 at 2 years (P < 0.0001). The percent healing for all patients was 64.10% at 3 months and 64.34% at 1 year (P = .4080). At 2 years, there was a significant increase in the percentage of healed tendon at 75.42% compared to the 3-month (P (1/4) .0001) and 1-year (P = 0.0332) time points. Patients with intact tendons had an ASES score of 93.9 +/- 10.2 compared to tendon defects with a score of 88.0 +/- 15.6 (P = .0623). Gender, tear size, and acromioclavicular joint involvement have a significant effect on ASES score. Rotator cuff characteristics such as tear size, biceps pathology, acromioclavicular joint pathology, and tissue quality have a significant effect on postoperative tendon integrity. CONCLUSION: Arthroscopic rotator cuff repair demonstrates significant improvement in clinical outcomes and good rate of healing by postoperative ultrasound. Longer-term studies are necessary to determine the efficacy over time.
Authors: Maristella F Saccomanno; Giuseppe Sircana; Gianpiero Cazzato; Fabrizio Donati; Pietro Randelli; Giuseppe Milano Journal: Knee Surg Sports Traumatol Arthrosc Date: 2015-07-22 Impact factor: 4.342
Authors: Jonah Hebert-Davies; Sharlene A Teefey; Karen Steger-May; Aaron M Chamberlain; William Middleton; Kathryn Robinson; Ken Yamaguchi; Jay D Keener Journal: J Bone Joint Surg Am Date: 2017-05-17 Impact factor: 5.284
Authors: Michael K Shindle; Shane J Nho; Denis Nam; John D Macgillivray; Frank A Cordasco; Ronald S Adler; David W Altchek; Russell F Warren Journal: HSS J Date: 2011-09-13
Authors: Richard C Mather; Lane Koenig; Daniel Acevedo; Timothy M Dall; Paul Gallo; Anthony Romeo; John Tongue; Gerald Williams Journal: J Bone Joint Surg Am Date: 2013-11-20 Impact factor: 5.284
Authors: Alison M Thorpe; Peter B O'Sullivan; Tim Mitchell; Mark Hurworth; Jonathan Spencer; Grant Booth; Sven Goebel; Paul Khoo; Aaron Tay; Anne Smith Journal: Clin Orthop Relat Res Date: 2018-10 Impact factor: 4.176
Authors: Peter C Lapner; Yingua Su; David Simon; Salah El-Fatori; Emilio Lopez-Vidriero Journal: Clin Orthop Relat Res Date: 2010-07-07 Impact factor: 4.176