Few retears after partial-, full-thickness rotator cuff repair

June 29, 2012
Few retears after partial-, full-thickness rotator cuff repair
Retear rates after arthroscopic repair of both partial-thickness and full-thickness rotator cuff tears are low, with no difference in the retear rate or postoperative shoulder stiffness rate for tear thickness, according to a study published in the June 20 issue of The Journal of Bone & Joint Surgery.

(HealthDay) -- Retear rates after arthroscopic repair of both partial-thickness and full-thickness rotator cuff tears are low, with no difference in the retear rate or postoperative shoulder stiffness rate for tear thickness, according to a study published in the June 20 issue of The Journal of Bone & Joint Surgery.

Karin S. Peters, M.D., from Kliniek Klein Rosendael in the Netherlands, and colleagues compared outcomes for 105 consecutive patients who had a full-thickness rotator cuff tear measuring <3 cm² with 64 patients who had a partial-thickness tear. A knotless single-row arthroscopic repair was used to fix all tears. Patients were assessed using the American Shoulder and Elbow Surgeons (ASES) score preoperatively and at six, 12, and 24 weeks and two years after surgery.

The researchers found that, in both groups, examiner-determined postoperative stiffness was common at six weeks (50 percent in the partial-thickness versus 47 percent in full-thickness groups). Compared with preoperative findings, stiffness decreased from preoperative findings to 21 and 19 percent, respectively, at three months and to 15 and 14 percent, respectively, at six months. At six months the ultrasound-determined retear rate was low (5 and 10 percent in the partial-thickness and full-thickness groups, respectively), but increased at 24 months to 10 and 20 percent, respectively. At both six months and 24 months the ASES score and all pain scores were significantly improved from preoperative scores in both groups.

"Arthroscopic repair of partial-thickness and small- and medium-sized full-thickness rotator cuff tears was associated with excellent medium-term clinical outcomes with low retear rates," the authors write.

One of the institutions received funding from the ArthroCare Corporation.

Abstract

Full Text (subscription or payment may be required)

Explore further: Ultrasound combined with pre-operative MRI is cost effective in evaluating rotator cuff tears

Related Stories

Ultrasound combined with pre-operative MRI is cost effective in evaluating rotator cuff tears

May 5, 2011
While ultrasound is usually viewed as more cost effective, MRI is most often used to evaluate the rotator cuff. When performing a cost utility analysis, utilizing an ultrasound as the initial imaging test for rotator cuff ...

Recommended for you

Exploring the potential of human echolocation

June 25, 2017
People who are visually impaired will often use a cane to feel out their surroundings. With training and practice, people can learn to use the pitch, loudness and timbre of echoes from the cane or other sounds to navigate ...

Team eradicates hepatitis C in 10 patients following lifesaving transplants from infected donors

April 30, 2017
Ten patients at Penn Medicine have been cured of the Hepatitis C virus (HCV) following lifesaving kidney transplants from deceased donors who were infected with the disease. The findings point to new strategies for increasing ...

'bench to bedside to bench': Scientists call for closer basic-clinical collaborations

March 24, 2017
In the era of genome sequencing, it's time to update the old "bench-to-bedside" shorthand for how basic research discoveries inform clinical practice, researchers from The Jackson Laboratory (JAX), National Human Genome Research ...

The ethics of tracking athletes' biometric data

January 18, 2017
(Medical Xpress)—Whether it is a FitBit or a heart rate monitor, biometric technologies have become household devices. Professional sports leagues use some of the most technologically advanced biodata tracking systems to ...

Financial ties between researchers and drug industry linked to positive trial results

January 18, 2017
Financial ties between researchers and companies that make the drugs they are studying are independently associated with positive trial results, suggesting bias in the evidence base, concludes a study published by The BMJ ...

Best of Last Year – The top Medical Xpress articles of 2016

December 23, 2016
(Medical Xpress)—It was a big year for research involving overall health issues, starting with a team led by researchers at the UNC School of Medicine and the National Institutes of Health who unearthed more evidence that ...

0 comments

Please sign in to add a comment. Registration is free, and takes less than a minute. Read more

Click here to reset your password.
Sign in to get notified via email when new comments are made.