Ahmet Yiğit Kaptan1, Coşkun Ulucaköy2, Mustafa Özer3, Mehmet Çetinkaya4, Tacettin Ayanoğlu5, Muhammet Baybars Ataoğlu6, Ulunay Kanatlı6. 1. Department of Orthopaedics and Traumatology, Dr. Sami Ulus Training and Research Hospital, Ankara, Turkey. 2. Department of Orthopaedics and Traumatology, Dr. Abdurrahman Yurtaslan Onkology Hospital, Ankara, Turkey. 3. Department of Orthopaedics and Traumatology, Necmettin Erbakan University, Meram School of Medicine, Konya, Turkey. 4. Spinal Unit of Orthopaedics and Traumatology, University of Stellenbosch Tygerberg Academic Hospital, Cape Town, South Africa. 5. Clinic of Orthopaedics and Traumatology, Yozgat State Hospital, Yozgat, Turkey. 6. Department of Orthopaedics and Traumatology, Gazi University, School of Medicine, Ankara, Turkey.
Abstract
OBJECTIVE: The aim of this study was to evaluate the results of the arthroscopic repair in patients with partial and full thickness rotator cuff tears and less than 45 years of age. METHODS: Fifty patients (26 women and 24 men; mean age: 41.4±3.96 years; range: 31-45) with rotator cuff tear, and who were treated with the arthroscopic repair, were included in the study. Twenty patients had full thickness and 30 had partial-thickness tears. The final functional evaluation was conducted at a mean of 42.4 months (range, 24 to 95 months; SD:13.3). The American Shoulder and Elbow Surgeon (ASES) self-report score and the University of California at Los Angeles Shoulder Score (UCLA Shoulder Score) were used as validated scoring systems. RESULTS: At the final follow-up, the mean ASES and UCLA scores improved significantly to 72.3 and 26.5, respectively, in the full-thickness group (p<0.01). The mean ASES and UCLA scores improved significantly to 70.7 and 25.3, respectively, in the bursal-side group (p<0.01). The mean ASES and UCLA scores improved significantly to 75.3 and 27.1, respectively, in the joint-side group (p<0.01). There were no significant differences between the groups according to the postoperative ASES score (p>0.06) and UCLA score (p<0.37). CONCLUSION: The arthroscopic repair of the joint-sided tears and bursal-sided tears has good functional outcomes as full thickness rotator cuff tears, and the surgical option should be considered in younger population if the conservative treatment fails. LEVEL OF EVIDENCE: Level IV, Therapeutic study.
OBJECTIVE: The aim of this study was to evaluate the results of the arthroscopic repair in patients with partial and full thickness rotator cuff tears and less than 45 years of age. METHODS: Fifty patients (26 women and 24 men; mean age: 41.4±3.96 years; range: 31-45) with rotator cuff tear, and who were treated with the arthroscopic repair, were included in the study. Twenty patients had full thickness and 30 had partial-thickness tears. The final functional evaluation was conducted at a mean of 42.4 months (range, 24 to 95 months; SD:13.3). The American Shoulder and Elbow Surgeon (ASES) self-report score and the University of California at Los Angeles Shoulder Score (UCLA Shoulder Score) were used as validated scoring systems. RESULTS: At the final follow-up, the mean ASES and UCLA scores improved significantly to 72.3 and 26.5, respectively, in the full-thickness group (p<0.01). The mean ASES and UCLA scores improved significantly to 70.7 and 25.3, respectively, in the bursal-side group (p<0.01). The mean ASES and UCLA scores improved significantly to 75.3 and 27.1, respectively, in the joint-side group (p<0.01). There were no significant differences between the groups according to the postoperative ASES score (p>0.06) and UCLA score (p<0.37). CONCLUSION: The arthroscopic repair of the joint-sided tears and bursal-sided tears has good functional outcomes as full thickness rotator cuff tears, and the surgical option should be considered in younger population if the conservative treatment fails. LEVEL OF EVIDENCE: Level IV, Therapeutic study.
Authors: Anouk J M Fermont; Nienke Wolterbeek; Ronald N Wessel; Jean-Pierre Baeyens; Rob A de Bie Journal: J Orthop Sports Phys Ther Date: 2014-01-22 Impact factor: 4.751
Authors: Randy Mascarenhas; Peter N Chalmers; Eli T Sayegh; Mohit Bhandari; Nikhil N Verma; Brian J Cole; Anthony A Romeo Journal: Arthroscopy Date: 2014-05-10 Impact factor: 4.772