Document Detail


Healed cuff repairs impart normal shoulder scores in those 65 years of age and older.
MedLine Citation:
PMID:  19763715     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: It is unclear whether repaired rotator cuffs heal in older patients and whether the function in those shoulders compares with those of similarly aged patients with untreated tears.
QUESTIONS/PURPOSE: We questioned whether, in patients 65 years of age and older, shoulders with rotator cuff repairs that remained intact would have Simple Shoulder Test (SST) scores and Constant scores similar to those of untreated individuals with intact rotator cuffs.
METHODS: We retrospectively reviewed 39 patients (42 shoulders) 65 years of age and older in whom 42 full-thickness rotator cuff tears were repaired with a mini open technique. All patients completed SST and Constant scores 12 to 60 months postoperatively; all patients also had ultrasound at those times to assess the status of the repair. These findings were compared with 200 untreated similarly aged shoulders assessed in the same fashion.
RESULTS: Shoulders with healed repairs (33 of 42) had similar mean SST scores and Constant scores to those in untreated shoulders with intact rotator cuffs. Those with healed repairs also had higher SST and Constant scores than those with unhealed repairs. Finally, shoulders with healed repairs had higher SST and Constant scores than those with untreated tears.
CONCLUSIONS: When rotator cuffs healed the function was comparable to that of similarly-aged patients without tears and better than that of patients with untreated tears.
LEVEL OF EVIDENCE: Level III, therapeutic study. See Guidelines for Authors for a complete description of levels of evidence.
Authors:
Edward V Fehringer; Junfeng Sun; Jonathon Cotton; Michael J Carlson; Erica M Burns
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Publication Detail:
Type:  Journal Article     Date:  2009-09-18
Journal Detail:
Title:  Clinical orthopaedics and related research     Volume:  468     ISSN:  1528-1132     ISO Abbreviation:  Clin. Orthop. Relat. Res.     Publication Date:  2010 Jun 
Date Detail:
Created Date:  2010-05-07     Completed Date:  2010-05-20     Revised Date:  2012-09-10    
Medline Journal Info:
Nlm Unique ID:  0075674     Medline TA:  Clin Orthop Relat Res     Country:  United States    
Other Details:
Languages:  eng     Pagination:  1521-5     Citation Subset:  AIM; IM    
Affiliation:
Department of Orthopaedic Surgery and Rehabilitation, University of Nebraska Medical Center, 981080 Nebraska Medical Center, Omaha, NE 68198-1080, USA. evfehringer@unmc.edu
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MeSH Terms
Descriptor/Qualifier:
Age Factors
Aged
Female
Humans
Linear Models
Male
Orthopedic Procedures*
Questionnaires
Range of Motion, Articular
Recovery of Function
Retrospective Studies
Rotator Cuff / injuries,  physiopathology,  surgery*,  ultrasonography
Rupture
Tendon Injuries / physiopathology,  surgery*,  ultrasonography
Treatment Outcome
Wound Healing*
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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