Functional outcomes of traumatic and non-traumatic rotator cuff tears after arthroscopic repair
- PMID: 28875129
- PMCID: PMC5565495
- DOI: 10.5312/wjo.v8.i8.631
Functional outcomes of traumatic and non-traumatic rotator cuff tears after arthroscopic repair
Abstract
Aim: To compare the functional outcomes of traumatic and non-traumatic rotator cuff tears after arthroscopic repair.
Methods: Eighty-seven patients with rotator cuff tears following arthroscopic treatment were divided into traumatic and non-traumatic tear groups. Postoperative muscle strength and outcomes using the modified University of California, Los Angeles score were evaluated. Sex, age, affected limb and dominant limb were correlated between groups. Muscle strength of the repaired and unaffected shoulders was compared. Rotator cuff injury size was measured.
Results: Of the 87 patients who underwent rotator cuff repairs, 35 had traumatic tears and 52 had non-traumatic tears. In patients with non-traumatic tears, the average age was 59 years, 74.5% were female, 96.1% were right-hand dominant and 92.3% had their dominant shoulder affected. Patients with traumatic tears were 59.5 years old on average, 51.4% were female, 91.4% were right-hand dominant and 88.5% had their dominant shoulder affected. No difference existed in the mean modified University of California, Los Angeles score between patients with traumatic tears (33.7) compared with those with non-traumatic tears (32.8). No strength differences were observed between groups: The strength difference between the non-affected and affected sides was 1.21 kg in the non-traumatic group and 1.39 kg in the traumatic group (P = 0.576), while the strength ratio between the non-affected/affected sides was 0.805 in the non-traumatic group and 0.729 in the traumatic group (P = 0.224).
Conclusion: The functional results of traumatic rotator cuff repairs are similar to non-traumatic tears. Both outcomes are satisfactory.
Keywords: Arthroscopy; Orthopedics; Rotator cuff; Shoulder pain; Tendon injuries.
Conflict of interest statement
Conflict-of-interest statement: There is no conflict-of-interest.
References
-
- Rockwood CAJ, Matsen III FA. Rotator cuff. The shoulder. In: Matsen III FA, Fehringer EV, Lippitt SB, Wirth MA, Rockwood CAJ, et al., editors. Philadelphia: W.B. Saunders Company; 2008. pp. 800–801.
-
- Neer CS 2nd. Impingement lesions. Clin Orthop Relat Res. 1983;(173):70–77. - PubMed
-
- Yamamoto A, Takagishi K, Osawa T, Yanagawa T, Nakajima D, Shitara H, Kobayashi T. Prevalence and risk factors of a rotator cuff tear in the general population. J Shoulder Elbow Surg. 2010;19:116–120. - PubMed
-
- Moosmayer S, Smith HJ, Tariq R, Larmo A. Prevalence and characteristics of asymptomatic tears of the rotator cuff: an ultrasonographic and clinical study. J Bone Joint Surg Br. 2009;91:196–200. - PubMed
LinkOut - more resources
Full Text Sources
Other Literature Sources
