| Mid-term clinical and sonographic outcome of arthroscopic repair of the rotator cuff. | |
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MedLine Citation:
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PMID: 18827245 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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We have conducted a prospective study to assess the mid-term clinical results following arthroscopic repair of the rotator cuff. Patients were evaluated using the Constant score, subjective satisfaction levels and post-operative ultrasound scans. Of 115 consecutive patients who underwent arthroscopic repair of the rotator cuff at our institution, 102 were available for follow-up. The mean period of follow-up was for 35.8 months (24 to 73). The mean age of the patients was 57.3 years (23 to 78). There were 18 small (< or = 1 cm in diameter), 44 medium (1 cm to 3 cm in diameter), 34 large (3 cm to 5 cm in diameter) and six massive (> 5 cm in diameter) tears. There was a statistically significant increase in the size of the tear with increasing age (p = 0.0048). The mean pre-operative Constant score was 41.4 points (95% confidence interval, 37.9 to 44.9), which improved to 84.5 (95% confidence interval, 82.2 to 86.9). A significant inverse association (p = 0.0074), was observed between the size of the tear and the post-operative Constant score, with patients having smaller tears attaining higher Constant scores after repair. Post-operatively, 80 patients (78.4%) were able to resume their occupations and 84 (82.4%) returned to their pre-injury leisure activities. Only eight (7.8%) of 102 patients were not satisfied with the outcome. Recurrent tears were detected by ultrasound in 19 (18.6%) patients, and were generally smaller than the original ones. Patients with recurrent tears experienced a mean improvement of 31.6 points (95% confidence interval, 23.6 to 39.6) in their post-operative Constant scores. Those with intact repairs had significantly improved (p < 0.0001) Constant scores (mean improvement 46.3 points, 95% confidence interval, 41.9 to 50.6). Patient satisfaction was high in 94 cases (92%), irrespective of the outcome of the Constant score. Recurrent tears appear to be linked to age-related degeneration. Arthroscopic repair of the rotator cuff leads to high rates of satisfaction (92%) and good functional results, albeit with a recurrence rate of 18.6% (19 of 102). |
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Authors:
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O Levy; B Venkateswaran; T Even; M Ravenscroft; S Copeland |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: The Journal of bone and joint surgery. British volume Volume: 90 ISSN: 0301-620X ISO Abbreviation: J Bone Joint Surg Br Publication Date: 2008 Oct |
Date Detail:
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Created Date: 2008-10-01 Completed Date: 2008-10-27 Revised Date: 2010-11-10 |
Medline Journal Info:
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Nlm Unique ID: 0375355 Medline TA: J Bone Joint Surg Br Country: England |
Other Details:
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Languages: eng Pagination: 1341-7 Citation Subset: AIM; IM |
Affiliation:
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Reading Shoulder Unit, Royal Berkshire Hospital, London Road, Reading RG1 5AN, UK. oferlevy@readingshoulderunit.com |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adult Age Factors Aged Arthroscopy / methods* Female Humans Male Middle Aged Patient Satisfaction Prospective Studies Range of Motion, Articular / physiology* Rotator Cuff / injuries, surgery*, ultrasonography Rupture, Spontaneous Shoulder Joint / injuries, surgery*, ultrasonography Suture Techniques Treatment Outcome Wound Healing / physiology |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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