Midterm functional outcomes and tendon integrity after in situ repair of partial bursal supraspinatus tears without acromioplasty.
Resultados funcionales e imagenológicos de la reparación artroscópica de lesiones parciales bursales del manguito rotador sin acromioplastia. Seguimiento a mediano plazo.
Bursal sided
Ecografía
Functional results
Integridad tendinosa
Parcial bursal
Partial thickness rotator cuff tears
Reparación del manguito rotador
Resultados funcionales
Rotator cuff repair
Rotura parcial del manguito rotador
Tendon integrity
Ultrasound
Journal
Revista espanola de cirugia ortopedica y traumatologia
ISSN: 1988-8856
Titre abrégé: Rev Esp Cir Ortop Traumatol
Pays: Spain
ID NLM: 101477399
Informations de publication
Date de publication:
Historique:
received:
23
08
2020
revised:
08
04
2021
accepted:
11
04
2021
pubmed:
8
8
2021
medline:
8
8
2021
entrez:
7
8
2021
Statut:
ppublish
Résumé
The purpose of this study was to analyze midterm functional outcomes and tendon integrity in patients treated with in situ arthroscopic repair of Partial Bursal Rotator Cuff Tears (PBRCTs) without acromioplasty. Sixty two patients were included. Clinical assessment consisted of glenohumeral range of motion measurement and the American Shoulder and Elbow Surgeons (ASES) score. Pain was rated by using a visual analog scale (VAS). A postoperative ultrasound image control was performed at a minimum 5 years follow up to assess tendon integrity. Mean age was 57.2 years (range, 44-77 years) and mean follow up was 7 years (range of 5-9 years). Significant improvements in range of motion, functional outcomes and pain were observed postoperatively (P<.0001). The ASES score improved from 46.5 to 90.2; and the VAS improved from 6.5 to 1.73 (P<.0001). Fifty six patients (90%) performed ultrasound evaluation at the end of follow up. Fifty-one patients (91%) presented tendon integrity on ultrasound. Five patients presented re-tears (9%). Three patients (5%) had a complete tendon re-tear and two patients (4%) had a partial re-tear. No difference in range of motion or functional outcomes were found between patients with intact tendon and those who had re-tears. In the midterm follow up, arthroscopic in situ repair PBRCTs without acromioplasty showed excellent functional outcomes and high healing rates in most patients with low complication rates.
Sections du résumé
BACKGROUND AND PURPOSE
OBJECTIVE
The purpose of this study was to analyze midterm functional outcomes and tendon integrity in patients treated with in situ arthroscopic repair of Partial Bursal Rotator Cuff Tears (PBRCTs) without acromioplasty.
MATERIALS AND METHODS
METHODS
Sixty two patients were included. Clinical assessment consisted of glenohumeral range of motion measurement and the American Shoulder and Elbow Surgeons (ASES) score. Pain was rated by using a visual analog scale (VAS). A postoperative ultrasound image control was performed at a minimum 5 years follow up to assess tendon integrity.
RESULTS
RESULTS
Mean age was 57.2 years (range, 44-77 years) and mean follow up was 7 years (range of 5-9 years). Significant improvements in range of motion, functional outcomes and pain were observed postoperatively (P<.0001). The ASES score improved from 46.5 to 90.2; and the VAS improved from 6.5 to 1.73 (P<.0001). Fifty six patients (90%) performed ultrasound evaluation at the end of follow up. Fifty-one patients (91%) presented tendon integrity on ultrasound. Five patients presented re-tears (9%). Three patients (5%) had a complete tendon re-tear and two patients (4%) had a partial re-tear. No difference in range of motion or functional outcomes were found between patients with intact tendon and those who had re-tears.
CONCLUSIONS
CONCLUSIONS
In the midterm follow up, arthroscopic in situ repair PBRCTs without acromioplasty showed excellent functional outcomes and high healing rates in most patients with low complication rates.
Identifiants
pubmed: 34362697
pii: S1888-4415(21)00109-0
doi: 10.1016/j.recot.2021.04.005
pii:
doi:
Types de publication
Journal Article
Langues
eng
spa
Pagination
10-16Informations de copyright
Copyright © 2021 SECOT. Publicado por Elsevier España, S.L.U. All rights reserved.