Factors Associated with Choice for Surgery in Newly Symptomatic Degenerative Rotator Cuff Tears: A Prospective Cohort Evaluation
| Autor: | Karen Steger-May, Aaron M. Chamberlain, Jay D. Keener, Julianne A. Sefko, Alexander W. Aleem |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2019 |
| Předmět: |
Male
medicine.medical_specialty Shoulders Elbow Decision Making Asymptomatic Article Rotator Cuff Injuries 03 medical and health sciences 0302 clinical medicine Shoulder Pain medicine Humans Orthopedics and Sports Medicine Rotator cuff Longitudinal Studies Prospective Studies Prospective cohort study Aged Pain Measurement Ultrasonography Rupture 030222 orthopedics Prior Surgery business.industry Shoulder Joint Age Factors 030229 sport sciences General Medicine Muscle degeneration Middle Aged eye diseases Surgery medicine.anatomical_structure Asymptomatic Diseases Disease Progression Tears Female sense organs medicine.symptom business |
| Zdroj: | J Shoulder Elbow Surg |
| Popis: | BACKGROUND: The patient related factors for the perceived need for surgery for degenerative rotator cuff tears are not known. The purpose of this study is to examine patient and tear-specific factors leading to surgery in newly painful degenerative rotator cuff tears. METHODS: Asymptomatic, degenerative rotator cuff tears were followed prospectively to identify the onset of pain and tear enlargement. Newly painful tears were continually monitored with a focus on identifying patient-specific (age, occupation, activity level) and tear-specific (tear type and size, tear progression, ASES score, muscle degeneration) factors that are associated with surgical intervention. RESULTS: Forty-eight of 169 newly painful shoulders were eventually managed surgically. Factors associated with surgical treatment included younger age (p=0.0004), pain development earlier in surveillance (p=0.0002), a greater increase in pain (p=0.0001) and decline in ASES score (p |
| Databáze: | OpenAIRE |
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