Document Detail


Rotator cuff repair in spinal cord injury patients.
MedLine Citation:
PMID:  12934024     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Previous studies on the treatment of rotator cuff tears in wheelchair-bound patients have concentrated on nonsurgical management. We conducted a retrospective review to determine the effectiveness of surgical repair of rotator cuff tears in spinal cord-injured patients. Five male patients with rotator cuff tears confirmed by physical examination and magnetic resonance imaging underwent rotator cuff repair. Two of eight shoulders were revisions. The patients were evaluated postoperatively with the American Shoulder and Elbow Surgeons Scoring System. These results were compared with preoperative functional assessment. Patients were given a subjective questionnaire to assess their overall experience. Postoperative range of motion improved in 6 of 8 shoulders. Strength was increased in 6 of 8 shoulders. Patients reported satisfaction with the results in 7 of 8 shoulders, and all 5 patients would recommend the procedure to other spinal cord injury patients. At recent follow-up, 7 of 8 shoulders returned to their preinjury level of function. Surgery for spinal cord injury patients with rotator cuff tears can improve their functional capability and autonomy while reducing their pain. Compliance with the demanding postoperative rehabilitation is essential; therefore proper patient selection is crucial for optimal results.
Authors:
Richard L Popowitz; John E Zvijac; John W Uribe; Keith S Hechtman; Matthias R Schürhoff; Jeremy B Green
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Journal of shoulder and elbow surgery / American Shoulder and Elbow Surgeons ... [et al.]     Volume:  12     ISSN:  1058-2746     ISO Abbreviation:  J Shoulder Elbow Surg     Publication Date:    2003 Jul-Aug
Date Detail:
Created Date:  2003-08-22     Completed Date:  2003-12-23     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  9206499     Medline TA:  J Shoulder Elbow Surg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  327-32     Citation Subset:  IM    
Affiliation:
UHZ Sports Medicine Institute, Coral Gables, FL 33146, USA.
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MeSH Terms
Descriptor/Qualifier:
Adult
Feasibility Studies
Humans
Male
Patient Satisfaction
Range of Motion, Articular
Reoperation
Rotation
Rotator Cuff / injuries*
Rupture
Shoulder Joint / physiopathology
Spinal Cord Injuries / complications*
Treatment Outcome

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


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