Document Detail


Does diabetes affect outcome after arthroscopic repair of the rotator cuff?
MedLine Citation:
PMID:  20675756     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
We compared the outcome of arthroscopic repair of the rotator cuff in 32 diabetic patients with the outcome in 32 non-diabetic patients matched for age, gender, size of tear and comorbidities. The Constant-Murley score improved from a mean of 49.2 (24 to 80) pre-operatively to 60.8 (34 to 95) post-operatively (p = 0.0006) in the diabetic patients, and from 46.4 (23 to 90) pre-operatively to 65.2 (25 to 100) post-operatively (p = 0.0003) in the non-diabetic patients at six months. This was significantly greater (p = 0.0002) in non-diabetic patients (18.8) than in diabetics (11.6). There was no significant change in the mean mental component of the Short-Form 12, but the mean physical component increased from 35 to 41 in non-diabetics (p = 0.0001), and from 37 to 39 (p = 0.15) in diabetics. These trends were observed at one year. Patients with diabetes showed improvement of pain and function following arthroscopic rotator cuff repair in the short term, but less than their non-diabetic counterparts.
Authors:
N D Clement; A Hallett; D MacDonald; C Howie; J McBirnie
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The Journal of bone and joint surgery. British volume     Volume:  92     ISSN:  0301-620X     ISO Abbreviation:  J Bone Joint Surg Br     Publication Date:  2010 Aug 
Date Detail:
Created Date:  2010-08-02     Completed Date:  2010-08-30     Revised Date:  2010-11-10    
Medline Journal Info:
Nlm Unique ID:  0375355     Medline TA:  J Bone Joint Surg Br     Country:  England    
Other Details:
Languages:  eng     Pagination:  1112-7     Citation Subset:  AIM; IM    
Affiliation:
Department of Orthopaedics and Trauma, Edinburgh Royal Infirmary, Little France, Edinburgh EH16 4SA, UK. nickclement@doctors.org.uk
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MeSH Terms
Descriptor/Qualifier:
Activities of Daily Living
Adult
Aged
Arthroscopy / adverse effects,  methods*
Diabetes Complications*
Diabetes Mellitus, Type 1 / complications
Diabetes Mellitus, Type 2 / complications
Female
Humans
Male
Middle Aged
Recovery of Function
Retrospective Studies
Rotator Cuff / injuries*,  surgery*
Shoulder Joint / physiopathology
Treatment Outcome

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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