Document Detail


Small supraspinatus tears repaired by arthroscopy: are clinical results influenced by the integrity of the cuff after two years? Functional and anatomic results of forty-six consecutive cases.
MedLine Citation:
PMID:  21802963     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
PURPOSE: We assessed cuff integrity after arthroscopic repair of small full-thickness supraspinatus tears (<2 cm) and the correlation with clinical results and predisposing factors for recurrence. We hypothesized that clinical results depend on tendon healing, which is obtained in almost all cases. METHODS: The study included 46 small supraspinatus tears in 46 patients. Mean age was 56.8 years (range, 39-75 years). Preoperative and postoperative functions were assessed by the Constant-Murley (CM) score. The integrity of the repair was evaluated by ultrasonography. The average follow-up was 35 months (range, 24-60 months). RESULTS: The mean absolute CM score improved significantly (P < .001) from 46.8 points (range, 34-62 points) preoperatively to 76 (range, 51-98) at the last follow-up. The result was excellent or good in 76.1%, and 42 (91.3%) were subjectively very satisfied or satisfied with the final result. The supraspinatus was completely healed on imaging studies in 33 patients (71.8%). The presence of an intratendinous cleavage of the supraspinatus was the only factor associated with a postoperative rerupture (P = .044). There was no association between functional and anatomic results. CONCLUSION: Arthroscopic repair of small supraspinatus tears yields favorable clinical and anatomic results at a mean of 35 months after surgery. Retearing is relatively common, but has no effect on the clinical result except that patients with radiographic signs of tendon healing appear to have increased postoperative ability to perform activities of daily living (P = .022). An intratendinous cleavage is the only significant predisposing factor for recurrence.
Authors:
Omar Boughebri; Xavier Roussignol; Olivier Delattre; Jean Kany; Philippe Valenti
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Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2011-7-28
Journal Detail:
Title:  Journal of shoulder and elbow surgery / American Shoulder and Elbow Surgeons ... [et al.]     Volume:  -     ISSN:  1532-6500     ISO Abbreviation:  -     Publication Date:  2011 Jul 
Date Detail:
Created Date:  2011-8-1     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9206499     Medline TA:  J Shoulder Elbow Surg     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Copyright Information:
Copyright © 2011 Journal of Shoulder and Elbow Surgery Board of Trustees. Published by Mosby, Inc. All rights reserved.
Affiliation:
Department of Orthopaedic Surgery and Sports Medicine, Armand Brillard Private Hospital, Nogent-sur-Marne, France.
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