Medium- to long-term clinical and functional outcomes of isolated and combined subscapularis tears repaired arthroscopically.
Constant score
arthroscopy
rotator cuff
subscapularis repair
subscapularis tendon tears
Journal
Archives of medical science : AMS
ISSN: 1734-1922
Titre abrégé: Arch Med Sci
Pays: Poland
ID NLM: 101258257
Informations de publication
Date de publication:
2021
2021
Historique:
received:
15
02
2019
accepted:
24
11
2019
entrez:
15
9
2021
pubmed:
28
7
2020
medline:
28
7
2020
Statut:
epublish
Résumé
The purpose of this study was twofold. First, the efficacy of arthroscopic repair in patients with full thickness, isolated subscapularis tendon tears (I-STTs) or combined subscapularis tendon tears (C-STTs) involving the rotator cuff tendons was evaluated. Second, the outcomes between these two groups were compared. The influence of age and gender on the cohort clinical outcomes was also analysed. Our hypothesis was that satisfactory functional results could be obtained arthroscopically in both groups without any influence of age or gender. Seventy-nine patients were enrolled: 15 with I-STTs and 64 with C-STTs. The clinical outcomes were assessed using Constant and Disabilities of the Arm, Shoulder and Hand (DASH) scores, Numeric Rating Scale (NRS) for pain and Visual Analogue Scale (VAS) for satisfaction. The subscapularis strength was assessed using a comparative dynamometric bear-hug test. Group outcomes were compared, including statistical analysis. For each group, there were no differences regarding the subscapularis strength of the operated and non-operated shoulders. A comparison of the post- with the pre-operative outcomes showed an increase in the Constant score and a decrease in the NRS. Comparing the two groups, we found no difference in strength of the operated and non-operated shoulders, but a significant difference in relation to pre-operative Constant score and pre-operative NRS. Age was negatively correlated with both pre-operative and post-operative Constant scores. No association was found between gender and the outcomes, although the DASH score was higher in women. Arthroscopic repair of STTs provided functional restoration, pain relief and patient satisfaction in both groups. Age and gender did not affect the clinical outcomes achieved by arthroscopic STT repair.
Identifiants
pubmed: 34522265
doi: 10.5114/aoms.2020.97714
pii: 114625
pmc: PMC8425253
doi:
Types de publication
Journal Article
Langues
eng
Pagination
1351-1364Informations de copyright
Copyright: © 2020 Termedia & Banach.
Déclaration de conflit d'intérêts
The authors declare no conflict of interest.
Références
Arthroscopy. 2009 Jan;25(1):30-9
pubmed: 19111216
Orthop J Sports Med. 2015 Feb 12;3(2):2325967115570848
pubmed: 26535382
Arthroscopy. 2019 Jan;35(1):45-50
pubmed: 30473453
Arch Med Sci. 2017 Mar 1;13(2):481-488
pubmed: 28261304
Arthroscopy. 2011 Aug;27(8):1142-9
pubmed: 21704472
Arthroscopy. 2010 Oct;26(10):1273-80
pubmed: 20729024
Knee Surg Sports Traumatol Arthrosc. 2017 Jul;25(7):2164-2173
pubmed: 27056691
Arthroscopy. 2017 Apr;33(4):849-860
pubmed: 28082063
Int Orthop. 2015 Feb;39(2):233-40
pubmed: 25338108
Arthroscopy. 2003 Jan;19(1):21-33
pubmed: 12522399
Bone Joint J. 2013 Feb;95-B(2):199-205
pubmed: 23365029
J Bone Joint Surg Am. 2004 Oct;86(10):2212-5
pubmed: 15466730
Handchir Mikrochir Plast Chir. 1999 May;31(3):149-52
pubmed: 10420282
Am J Sports Med. 2017 Mar;45(4):759-766
pubmed: 28106463
J Bone Joint Surg Am. 2007 Nov;89(11):2378-88
pubmed: 17974879
Clin Orthop Surg. 2009 Jun;1(2):96-104
pubmed: 19885061
Foot Ankle Int. 1996 Oct;17(10):623-8
pubmed: 8908489
J Bone Joint Surg Br. 1993 Jan;75(1):137-40
pubmed: 8421011
Arthroscopy. 2012 Nov;28(11):1587-91
pubmed: 22632896
J Bone Joint Surg Am. 2005 Jan;87(1):121-6
pubmed: 15634822
Muscles Ligaments Tendons J. 2012 Sep 10;2(2):133-6
pubmed: 23738287
Am J Sports Med. 2003 Sep-Oct;31(5):744-50
pubmed: 12975196
Am J Sports Med. 2005 Dec;33(12):1825-30
pubmed: 16157850
Arthroscopy. 2003 Dec;19(10):1142-50
pubmed: 14673459
Clin Sports Med. 2012 Oct;31(4):589-604
pubmed: 23040548
Orthop Traumatol Surg Res. 2012 Dec;98(8 Suppl):S178-85
pubmed: 23142297
Arch Orthop Trauma Surg. 2016 Jan;136(1):75-81
pubmed: 26388036
Arthroscopy. 2008 Dec;24(12):1381-9
pubmed: 19038709
Am J Sports Med. 1997 Jan-Feb;25(1):13-22
pubmed: 9006686
Clin Orthop Surg. 2015 Jun;7(2):234-40
pubmed: 26217471
Knee Surg Sports Traumatol Arthrosc. 2010 Dec;18(12):1718-29
pubmed: 20737134
Arthroscopy. 2008 Sep;24(9):997-1004
pubmed: 18760206
Arthroscopy. 2005 Jan;21(1):48-54
pubmed: 15650666
Arthroscopy. 2007 Jun;23(6):662-9
pubmed: 17560482
Arthroscopy. 2003 Dec;19(10):1068-78
pubmed: 14673448
BMC Musculoskelet Disord. 2011 Apr 01;12:66
pubmed: 21457534
Clin Orthop Relat Res. 1987 Jan;(214):160-4
pubmed: 3791738
J Bone Joint Surg Am. 2013 Jul 17;95(14):1249-55
pubmed: 23864172
Knee Surg Sports Traumatol Arthrosc. 2016 Dec;24(12):3765-3771
pubmed: 25975753
J Shoulder Elbow Surg. 2017 Dec;26(12):2143-2151
pubmed: 28735848
Knee Surg Sports Traumatol Arthrosc. 2010 Dec;18(12):1700-6
pubmed: 20182868
Arthroscopy. 2010 Nov;26(11):1427-33
pubmed: 20875724
J Bone Joint Surg Am. 2010 Mar;92(3):732-42
pubmed: 20194334
Arthroscopy. 2012 Sep;28(9):1306-14
pubmed: 22607828
Behav Res Methods. 2007 May;39(2):175-91
pubmed: 17695343
Arthroscopy. 2002 May-Jun;18(5):454-63
pubmed: 11987054
Arthroscopy. 2006 Oct;22(10):1076-84
pubmed: 17027405
J Shoulder Elbow Surg. 2001 May-Jun;10(3):199-203
pubmed: 11408898
Orthop Traumatol Surg Res. 2010 Dec;96(8 Suppl):S99-108
pubmed: 21067987
Int J Shoulder Surg. 2011 Oct;5(4):90-4
pubmed: 22223958
Knee Surg Sports Traumatol Arthrosc. 2015 Feb;23(2):567-72
pubmed: 23996071
Arthroscopy. 2003 Feb;19(2):131-43
pubmed: 12579145
J Bone Joint Surg Am. 2007 Jun;89(6):1184-93
pubmed: 17545420
J Bone Joint Surg Am. 2015 Jan 21;97(2):89-98
pubmed: 25609434
Arthroscopy. 2012 Dec;28(12):1766-75
pubmed: 23079288
J Bone Joint Surg Am. 1996 Jul;78(7):1015-23
pubmed: 8698718
Arthroscopy. 2005 Oct;21(10):1223-8
pubmed: 16226651
Orthop Traumatol Surg Res. 2012 Dec;98(8 Suppl):S193-200
pubmed: 23153667