Traumatic and Atraumatic Rotator Cuff Tears Have the Same Rates of Healing.
Journal
Arthroscopy, sports medicine, and rehabilitation
ISSN: 2666-061X
Titre abrégé: Arthrosc Sports Med Rehabil
Pays: United States
ID NLM: 101765256
Informations de publication
Date de publication:
Apr 2024
Apr 2024
Historique:
received:
09
06
2023
accepted:
15
12
2023
medline:
21
2
2024
pubmed:
21
2
2024
entrez:
21
2
2024
Statut:
epublish
Résumé
To examine whether traumatic rotator cuff repairs (RCRs) differ in postoperative rotator cuff tendon integrity and functional outcomes from degenerative RCRs. RCRs performed by a single surgeon were retrospectively identified. The inclusion criteria were repairable Goutallier grades 0 to 2 full-thickness rotator cuff tears. Demographic and clinical data as well as radiological results were compared. A multivariate logistic regression of the of patient acceptable symptom state for American Shoulder and Elbow Surgeons (ASES) score was performed to evaluate whether the origin of tear led to a different relative risk (RR) independently from tear and surgical characteristics. A total of 616 consecutive shoulders (304 traumatic and 312 degenerative) were finally included. Traumatic ruptures presented a greater distribution of male (72% vs 51%, Traumatic cases were frequent, involved younger patients, more frequently affected the anterior rotator cuff, and were associated with more severe tendon retraction. Traumatic and degenerative RCRs lead to comparable clinical and radiologic results. Level III, retrospective comparative study.
Sections du résumé
Background
UNASSIGNED
To examine whether traumatic rotator cuff repairs (RCRs) differ in postoperative rotator cuff tendon integrity and functional outcomes from degenerative RCRs.
Methods
UNASSIGNED
RCRs performed by a single surgeon were retrospectively identified. The inclusion criteria were repairable Goutallier grades 0 to 2 full-thickness rotator cuff tears. Demographic and clinical data as well as radiological results were compared. A multivariate logistic regression of the of patient acceptable symptom state for American Shoulder and Elbow Surgeons (ASES) score was performed to evaluate whether the origin of tear led to a different relative risk (RR) independently from tear and surgical characteristics.
Results
UNASSIGNED
A total of 616 consecutive shoulders (304 traumatic and 312 degenerative) were finally included. Traumatic ruptures presented a greater distribution of male (72% vs 51%,
Conclusions
UNASSIGNED
Traumatic cases were frequent, involved younger patients, more frequently affected the anterior rotator cuff, and were associated with more severe tendon retraction. Traumatic and degenerative RCRs lead to comparable clinical and radiologic results.
Level of Evidence
UNASSIGNED
Level III, retrospective comparative study.
Identifiants
pubmed: 38379596
doi: 10.1016/j.asmr.2023.100867
pii: S2666-061X(23)00218-3
pmc: PMC10877195
doi:
Types de publication
Journal Article
Langues
eng
Pagination
100867Informations de copyright
© 2023 The Authors.
Déclaration de conflit d'intérêts
The authors declare the following financial interests/personal relationships which may be considered as potential competing interests: FORE (Foundation for Research and Teaching in Orthopedics, Sports Medicine, Trauma, and Imaging in the Musculoskeletal System) Grant # FORE 2023-49. A.L. reports grants from Arthrex, during the conduct of the study; personal fees from Stryker, from null, outside the submitted work; and He is the (co)founder of FORE, Med4Cast, and BeeMed. P.C. reports personal fees from Arthrex, during the conduct of the study; and personal fees from Stryker and Fx Solution, outside the submitted work. All other authors (A.G.-A., E.A.V.R., H.B., J.Z., A.G.) declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper. Full ICMJE author disclosure forms are available for this article online, as supplementary material.