Dataset Information

Correlation between retear after arthroscopic rotator cuff repair and stiffness of the shoulder.

ABSTRACT:

Background

The purpose of this study was to investigate the relationship between retear after arthroscopic rotator cuff repair and passive range of motion of the shoulder.

Methods

Passive range of motion before and after surgery was compared between the two groups.

Results

The healed and retear groups comprised 86.4% and 13.6% shoulders, respectively. Passive external rotation with the arm at the side at 3 months postoperatively was significantly smaller in the healed group than retear group.

Conclusions

This difference seemed to be associated with stiffness in external rotation of the shoulder and the process of cuff healing after surgery.

Level of evidence

Level III, Case-Control Study, Treatment Study.

SUBMITTER: Teratani T

PROVIDER: S-EPMC6517607 | biostudies-literature | 2019 Sep-Oct

REPOSITORIES: biostudies-literature

ACCESS DATA

Publications

Correlation between retear after arthroscopic rotator cuff repair and stiffness of the shoulder.

Teratani Takeshi T

Journal of orthopaedics 20190506 5

<h4>Background</h4>The purpose of this study was to investigate the relationship between retear after arthroscopic rotator cuff repair and passive range of motion of the shoulder.<h4>Methods</h4>Passive range of motion before and after surgery was compared between the two groups.<h4>Results</h4>The healed and retear groups comprised 86.4% and 13.6% shoulders, respectively. Passive external rotation with the arm at the side at 3 months postoperatively was significantly smaller in the healed group ...[more]

PMID: 31193088

Similar Datasets

Project description:PurposeTo compare patient-reported and surgical outcome measures in patients with and without secondary shoulder stiffness (SSS) undergoing rotator cuff repair (RCR).MethodsPatients undergoing rotator cuff repair from 2014 to 2020 with complete patient-reported outcome measures (PROMs) by the short-form 12 survey (SF-12) were retrospectively reviewed to identify if operative intervention for SSS was performed alongside the RCR. Those patients with operative intervention for SSS were propensity matched to a group without prior intervention for stiffness by age, sex, laterality, body mass index, diabetes mellitus status, and the presence of a thyroid disorder. The groups were compared by rotator cuff tear (RCT) size, surgical outcomes, further surgical intervention, rotator cuff retear rate, postoperative range of motion (ROM), and SF-12 results at 1 year after surgery. Delta values were calculated for component scores of the SF-12 and ROM values by subtracting the preoperative result from the postoperative result.ResultsA total of 89 patients with SSS were compared to 156 patients in the control group at final analysis. The patients in the SSS group experienced a significant improvement in the delta mental health component score (MCS-12) of the SF-12 survey that was not seen in the control group (P = .005 to P = .539). Both groups experienced significant improvement by the delta physical health component score (PCS-12) of the SF-12 survey (SSS: 7.68; P < .001; control: 6.95; P < .001). The SSS group also experienced greater improvement of their forward flexion (25.8° vs 12.9°; P = .005) and external rotation (7.13° vs 1.65°; P = .031) ROM than the control group.ConclusionsOperative intervention of SSS at the time of RCR has equivalent postoperative SF-12 survey outcome scores when compared to patients undergoing RCR without preoperative stiffness despite those patients having lower preoperative scores.Level of evidenceLevel III retrospective comparative study.

Project description:Arthroscopic rotator cuff repair can be challenging and requires adequate visualization and space. However, the narrow subacromial space can make difficult to perform tendon release and repair under arthroscopy. Inadequate visualization may lead to inaccurate suture placement, compromising the reduction and fixation of the repaired rotator cuff tendons. Manual or mechanical distraction (using an arm positioner) can be used to increase the working space. However, consistent distraction is very difficult to maintain manually over time due to fatigue, whereas mechanical distraction may overstretch the brachial plexus. To overcome these difficulties, we describe a technique using a specific laminar spreader for subacromial distraction during arthroscopic rotator cuff repair. The arthroscopic laminar spreader, inserted into the subacromial space, is used to distract the humeral head inferiorly from the acromion, improving subacromial space visualization and enabling easily rotator cuff release and repair. The shoulder distraction device improves the surgeon’s performance without surgical assistance and allows reducing the operative time with safety. It can be also used anteriorly (to repair the subscapularis) or posteriorly (to repair the infraspinatus and teres minor) or to perform other procedures like superior capsular reconstruction or additional patch. Technique Video Video 1 Arthroscopic rotator cuff tear repair using an arthroscopic laminar spreader: single-row (tension-band suture) placing anchors in the lateral part of the greater tuberosity. Even though acromioplasty has been performed, there is little space to place the sutures through the cuff tendons. The arthroscopic laminar spreader is placed between the acromion and the tendon of the cuff through the anterolateral portal. Introducing the suture hook through the anteromedial portal, it becomes easy to pass the suture through the tendon because the tendon is under pressure with the laminar spreader. Classical repair procedure is shown, using a grasper to retrieve one of the anchor sutures and the polydioxanone suture, which is used as a shuttle to pass it through the tendon. Both strands of sutures are tied with the use of a sliding-locking knot. The laminar spreader is introducing again for the second suture. The arthroscopic laminar spreader opened more than 4 cm. Under fluoroscopic view, the subacromial space increased with the use of the spreader.

Dataset Information

Correlation between retear after arthroscopic rotator cuff repair and stiffness of the shoulder.

Background

Methods

Results

Conclusions

Level of evidence

Publications

Correlation between retear after arthroscopic rotator cuff repair and stiffness of the shoulder.

Similar Datasets

OmicsDI is part of the ELIXIR infrastructure

Tweets