Mid-Term Outcomes after Arthroscopic “Tear Completion Repair” of Partial Thickness Rotator Cuff Tears
Abstract
:1. Introduction
2. Materials and Methods
2.1. Study Population
2.2. Surgical Technique
2.3. Pre- and Postoperative Management
2.4. Statistical Analysis
3. Results
4. Discussion
5. Conclusions
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Acknowledgments
Conflicts of Interest
References
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Variable | Value (n = 87) |
---|---|
Age (years) | 56.0 ± 9.5; 57.0 [18.0–73.0] |
Sex, number (%) | |
Female Male | 44 (50.6%) 43 (49.4%) |
BMI | 25.0 ± 2.9; 24.9 [18.7–33.3] |
Time (months) to surgery | 5.1 ± 1.6; 5.0 [2.0–11.0] |
Follow-up (years) | 4.7 ± 1.4; 5.0 [2.0–7.1] |
Side of involvement | |
D, number (%): ND, number (%) | 53 (60.9%): 34 (39.1) |
Traumatic onset, number (%) | 26 (29.9%) |
Corticosteroid injections | 20 (23.0%) |
Tear location (Ellman classification) number (%) | |
articular bursal intratendinous | 61 (70.1%) 17 (19.6%) 9 (10.3%) |
Comorbidities, number (%) | |
Diabetes Hypertension Dyslipidemia Osteoporosis | 5 (5.7%) 19 (21.8%) 23 (26.3%) 5 (5.7%) |
Smoking, number (%) | 13 (14.9%) |
Capsulitis, number (%) | 7 (8%) |
Return to work, days | 110.85 ± 70.25; 90 [30–365] |
Satisfaction | 9.26 ± 1.28; 10 [4–10] |
Preoperative | Postoperative (Last Follow-Up) | p Value | |
---|---|---|---|
VAS pain (mean ± SD; median [min-max]) | 8.6 ± 1.6; 9.0 [3.0–10.0] | 0.9 ± 1.3; 0 [0–5.0] | <0.0001 |
Constant score (mean ± SD; median [min-max]) | 53.5 ± 9.0; 53.5 [23.0–68.5] | 91.3 ± 11.0; 94.0 [37.5–100.0] | <0.0001 |
Pain (mean ± SD; median [min-max]) | 2.5 ± 1.9; 2.0 [0–7.5] | 12.7 ± 2.9; 15.0 [4.0–15.0] | <0.0001 |
Activity level (mean ± SD; median [min-max]) | 8.6 ± 2.9; 8.0 [0–17.0] | 18.7 ± 2.9; 20.0 [8.0–20.0] | <0.0001 |
ROM (mean ± SD; median [min-max]) | 32.6 ± 4.5; 32.0 [16.0–40.0] | 38.0 ± 3.9; 40.0 [14.0–40.0] | <0.0001 |
Strength (mean ± SD; median [min-max]) | 9.7 ± 3.1; 10.0 [4.0–18.0] | 21.7 ± 4.2; 23.0 [8.0–25.0] | <0.0001 |
Articular (n = 61) | Bursal (n = 17) | Intratendinous (n = 9) | p-Value | |
---|---|---|---|---|
Age (years) (mean ± SD; median [min-max]) | 56.2 ± 10.3; 59 [18.0–73.0] | 56.6 ± 7.6; 56.0 [45.0–72.0] | 53.4 ± 7.9; 53.0 [40.0–67.0] | n.s |
Sex, number (%) | 0.038 | |||
Females Males | 34 (55.7) 27 (44.3) | 4 (56.4) 13 (76.5) | 6 (66.7) 3 (33.3) | |
Traumatic onset, number (%) | n.s | |||
Yes No | 12 (70.6) 5 (29.4) | 41 (67.2) 20 (32.8) | 8 (88.9) 1 (11.1) | |
BMI (mean ± SD; median) [min-max]) | 25.1 ± 3.1; 24.9 [18.7–33.3] | 24.8 ± 2.2; 24.6 [21.5–28.4] | 24.9 ± 2.8; 24.7 [20.8–29.5] | n.s |
Return to work | n.s | |||
(mean ± SD; median) [min-max] | 115.3 ± 74.3; 90.0 [30.0–365.0] | 98.8 ± 71.2; 80.0 [40.0–365.0] | 103.3 ± 30.8; 90.0 [60.0–150.0] | |
Satisfaction | n.s | |||
(mean ± SD; median) [min-max] | 9.1 ± 1.4; 10.0 [4.0–10.0] | 9.5 ± 0.9; 10.0 [7.0–10.0] | 9.7 ± 0.5; 10.0 [9.0–10.0] | |
Constant score pre- | n.s | |||
(mean ± SD; median) [min-max] | 53.4 ± 8.9; 53.0 [28.0–68.0] | 56.2 ± 5.8; 58.0 [40.5–65.0] | 49.0 ± 13.4; 52.5 [23.0–68.5] | |
Constant score post- | n.s | |||
(mean ± SD; median) [min-max] | 90.7 ± 12.4; 94.0 [37.5–100.0] | 95.0 ± 4.5; 95.0 [83.0–100.0] | 88.6 ± 7.7; 92.0 [75.0–100.0] | |
VAS pain pre- | n.s | |||
(mean ± SD; median) [min-max] | 8.7 ± 1.5; 9.0 [4.0–10.0] | 7.9 ± 1.5; 8.0 [5.0–10.0] | 8.9 ± 2.3; 10.0 [3.0–10.0] | |
VAS pain post- | n.s | |||
(mean ± SD; median) [min-max] | 1.0 ± 1.2; 0 [0–5.0] | 0.8 ± 1.5; 0 [0–5.0] | 1.3 ± 1.4; 1.0 [0–3.0] |
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Fama, G.; Tagliapietra, J.; Belluzzi, E.; Pozzuoli, A.; Biz, C.; Ruggieri, P. Mid-Term Outcomes after Arthroscopic “Tear Completion Repair” of Partial Thickness Rotator Cuff Tears. Medicina 2021, 57, 74. https://doi.org/10.3390/medicina57010074
Fama G, Tagliapietra J, Belluzzi E, Pozzuoli A, Biz C, Ruggieri P. Mid-Term Outcomes after Arthroscopic “Tear Completion Repair” of Partial Thickness Rotator Cuff Tears. Medicina. 2021; 57(1):74. https://doi.org/10.3390/medicina57010074
Chicago/Turabian StyleFama, Giuseppe, Jacopo Tagliapietra, Elisa Belluzzi, Assunta Pozzuoli, Carlo Biz, and Pietro Ruggieri. 2021. "Mid-Term Outcomes after Arthroscopic “Tear Completion Repair” of Partial Thickness Rotator Cuff Tears" Medicina 57, no. 1: 74. https://doi.org/10.3390/medicina57010074