The impact of full-thickness rotator cuff tear on shoulder function and quality of life in patients who sustain a proximal humerus fracture-a prospective cohort study.
| Autor: | Østergaard HK; Department of Orthopaedic Surgery, Viborg Regional Hospital, Viborg, Denmark.; Department of Clinical Medicine, Aarhus University, Aarhus, Denmark., Launonen AP; Department of Orthopaedics, Tampere University Hospital, Tampere, Finland., Sumrein BO; Department of Orthopaedics, Tampere University Hospital, Tampere, Finland., Vestermark MT; Department of Orthopaedic Surgery, Viborg Regional Hospital, Viborg, Denmark., Paloneva J; Department of Surgery, Central Finland Hospital and University of Eastern, Jyväskylä, Finland., Laitinen MK; Department of Orthopaedics and Traumatology, Helsinki University Central Hospital and University of Helsinki, Helsinki, Finland., Mattila VM; Department of Orthopaedics, Tampere University Hospital, Tampere, Finland., Mechlenburg I; Department of Clinical Medicine, Aarhus University, Aarhus, Denmark.; Department of Orthopaedic Surgery, Aarhus University Hospital, Aarhus, Denmark.; Department of Public Health, Aarhus University, Aarhus, Denmark. |
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| Jazyk: | angličtina |
| Zdroj: | JSES international [JSES Int] 2021 Dec 16; Vol. 6 (2), pp. 268-274. Date of Electronic Publication: 2021 Dec 16 (Print Publication: 2022). |
| DOI: | 10.1016/j.jseint.2021.11.003 |
| Abstrakt: | Background: Only few studies have investigated the impact of rotator cuff integrity on patients with proximal humerus fracture (PHF). We aimed to determine if the presence of a rotator cuff tear impairs shoulder function and health-related quality of life (HRQoL) after nonsurgically treated PHF. Methods: Sixty-seven patients with PHF were recruited prospectively in a cohort. Presence of a full-thickness rotator cuff tear was determined by ultrasound examination. After 6 and 12 months, Constant-Murley Score; Disability of the Arm, Shoulder and Hand; the Visual Analog Scale; EuroQol-5 Domain; and the 15D scores were compared between the patients with a rotator cuff tear and patients with an intact rotator cuff. Results: The prevalence of a full-thickness rotator cuff tear was 34%. After 12 months, the mean Constant-Murley Score was 65.7 (standard deviation 16.3) in the intact rotator cuff group vs. 53.9 (16.0) in the rotator cuff tear group (mean diff. 11.8, 95% confidence interval 2.5; 21.2) and was found to be a clinically relevant difference. A significantly lower HRQoL was found on the EuroQol-5 Domain score after 12 months in the rotator cuff tear group with a median score of 1 (interquartile range 0.23) in the intact rotator cuff group vs. 0.75 (interquartile range 0.34) in the rotator cuff tear group ( P = .03). In the remaining outcome measures, no statistically significant between-group differences were detected. Conclusion: Rotator cuff tear in older adults with nonsurgically treated PHF may be considered a prognostic factor for poorer shoulder function and HRQoL. This knowledge can support the planning of treatment. (© 2021 The Author(s).) |
| Databáze: | MEDLINE |
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