Barak Haviv1,2,3, Tal Frenkel Rutenberg4, Shlomo Bronak5,6, Mustafa Yassin7,6. 1. Arthroscopy and Sports Injuries Unit, Hasharon Hospital, Rabin Medical Center, 7 Keren Kayemet St, 49372, Petach Tikva, Israel. barak_haviv69@hotmail.com. 2. Orthopedic Department, Sackler Faculty of Medicine, Tel-Aviv University, Tel Aviv, Israel. barak_haviv69@hotmail.com. 3. Orthopedic Department, Hasharon Hospital, Rabin Medical Center, Petach Tikva, Israel. barak_haviv69@hotmail.com. 4. Orthopedic Department, Beilinson Hospital, Rabin Medical Center, Petach Tikva, Israel. 5. Arthroscopy and Sports Injuries Unit, Hasharon Hospital, Rabin Medical Center, 7 Keren Kayemet St, 49372, Petach Tikva, Israel. 6. Orthopedic Department, Hasharon Hospital, Rabin Medical Center, Petach Tikva, Israel. 7. Orthopedic Department, Sackler Faculty of Medicine, Tel-Aviv University, Tel Aviv, Israel.
Abstract
PURPOSE: To compare the outcome, recovery and surgical findings after shoulder arthroscopy of clinically defined traumatic and non-traumatic rotator cuff pathology in middle-aged patients. METHODS: Of the patients who underwent rotator cuff surgery, 37 patients who reported a preceding shoulder injury related to their shoulder symptoms (traumatic group) were compared to a control group of 58 patients without a preceding injury (non-traumatic group), matched by age, body mass index and comorbidities. Data included demographic details, patient history, surgical findings, the Oxford Shoulder Score questionnaires and overall satisfaction from surgery. RESULTS: The mean follow-up time was 33.2 ± 14.4 months. More concomitant pathologies were found in the study group. The proportion of large and massive supraspinatus tears was double in the study group (43%) compared to the control group (22%). The Oxford Shoulder Score (OSS) improved significantly after surgery in both groups (p < 0.001) with no differences between groups in OSS and overall satisfaction from surgery. Patients in the study group felt recovered at an average time of 6.1 ± 4.6 months from surgery, while patients in the control group felt recovered at 4.2 ± 2.6 months (p = 0.02). Patients who were operated at the first 6 months after the injury had better improvement in OSS than patients who were operated later. CONCLUSION: Surgical arthroscopy for rotator pathology of the shoulder in middle-aged patients improved pain and function regardless of a traumatic onset; however, earlier repair after trauma resulted in better outcome scores. Larger full-thickness tears and concomitant pathologies were more common after injury. STUDY DESIGN: Level III.
PURPOSE: To compare the outcome, recovery and surgical findings after shoulder arthroscopy of clinically defined traumatic and non-traumatic rotator cuff pathology in middle-aged patients. METHODS: Of the patients who underwent rotator cuff surgery, 37 patients who reported a preceding shoulder injury related to their shoulder symptoms (traumatic group) were compared to a control group of 58 patients without a preceding injury (non-traumatic group), matched by age, body mass index and comorbidities. Data included demographic details, patient history, surgical findings, the Oxford Shoulder Score questionnaires and overall satisfaction from surgery. RESULTS: The mean follow-up time was 33.2 ± 14.4 months. More concomitant pathologies were found in the study group. The proportion of large and massive supraspinatus tears was double in the study group (43%) compared to the control group (22%). The Oxford Shoulder Score (OSS) improved significantly after surgery in both groups (p < 0.001) with no differences between groups in OSS and overall satisfaction from surgery. Patients in the study group felt recovered at an average time of 6.1 ± 4.6 months from surgery, while patients in the control group felt recovered at 4.2 ± 2.6 months (p = 0.02). Patients who were operated at the first 6 months after the injury had better improvement in OSS than patients who were operated later. CONCLUSION: Surgical arthroscopy for rotator pathology of the shoulder in middle-aged patients improved pain and function regardless of a traumatic onset; however, earlier repair after trauma resulted in better outcome scores. Larger full-thickness tears and concomitant pathologies were more common after injury. STUDY DESIGN: Level III.
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