Is residual tendon a predictor of outcome following arthroscopic rotator cuff repair? A preliminary outlook at short-term follow-up.

Autor: Longstaffe R; Steadman Hawkins Clinic of the Carolinas, Greenville Health System, Greenville, SC, USA; Pan Am Clinic, Winnipeg, MB, Canada. Electronic address: r.c.longstaffe@gmail.com., Adams K; Steadman Hawkins Clinic of the Carolinas, Greenville Health System, Greenville, SC, USA., Thigpen C; Steadman Hawkins Clinic of the Carolinas, Greenville Health System, Greenville, SC, USA; ATI Physical Therapy, Greenville, SC, USA., Pill S; Steadman Hawkins Clinic of the Carolinas, Greenville Health System, Greenville, SC, USA., Rush L; Steadman Hawkins Clinic of the Carolinas, Greenville Health System, Greenville, SC, USA; Lane Rush Medical Group, Meridian, MS, USA., Alexander R; Steadman Hawkins Clinic of the Carolinas, Greenville Health System, Greenville, SC, USA., Hall TM; Steadman Hawkins Clinic of the Carolinas, Greenville Health System, Greenville, SC, USA., Siffri P; Steadman Hawkins Clinic of the Carolinas, Greenville Health System, Greenville, SC, USA., Kwapisz A; Steadman Hawkins Clinic of the Carolinas, Greenville Health System, Greenville, SC, USA; Clinic of Orthopaedics and Pediatric Orthopaedics, Medical University of Lodz, Lodz, Poland., Hawkins R; Steadman Hawkins Clinic of the Carolinas, Greenville Health System, Greenville, SC, USA., Tokish JM; Mayo Clinic, Scottsdale, AZ, USA., Kissenberth M; Steadman Hawkins Clinic of the Carolinas, Greenville Health System, Greenville, SC, USA., Tolan S; Steadman Hawkins Clinic of the Carolinas, Greenville Health System, Greenville, SC, USA.
Jazyk: angličtina
Zdroj: Journal of shoulder and elbow surgery [J Shoulder Elbow Surg] 2020 Jul; Vol. 29 (7S), pp. S53-S58. Date of Electronic Publication: 2020 Apr 10.
DOI: 10.1016/j.jse.2020.01.083
Abstrakt: Background: Multiple factors including muscle atrophy, fatty infiltration, smoking, advanced patient age, and increasing tear size have been identified as risk factors for retear after rotator cuff repair. However, little is known about what effect the length of the residual rotator cuff tendon has on the success of repair and patient outcomes.
Methods: This study included 64 patients. Patients were stratified based on a residual tendon length of greater than 15 mm (group 1, residual tendon) or 15 mm or less (group 2, no residual tendon). Rotator cuff tendon integrity was then evaluated using ultrasound imaging at 6 months. Outcome measures included the Single Assessment Numeric Evaluation score, visual analog scale score, EQ5D Index score, Global Rating of Change score, and Penn Shoulder Score.
Results: No differences were found between groups regarding demographic data or repair configuration. Assessment of tendon healing demonstrated an increased rate of tendons that had "not healed" in group 2 (19.3% [n = 5] vs. 13.2% [n = 5]), but this difference was not statistically significant (P = .55). Functional outcome scores improved significantly from preoperatively to final follow-up in both groups and displayed no differences at 6-month follow-up.
Conclusion: A smaller residual tendon length was not a negative predictor of clinical outcomes following arthroscopic rotator cuff repair in patients with short-term follow-up. Although there was a trend toward a decreased rate of healing in patients with smaller residual tendons, this was not significant.
(Copyright © 2020 Journal of Shoulder and Elbow Surgery Board of Trustees. All rights reserved.)
Databáze: MEDLINE
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