+ Site Statistics
+ Search Articles
+ PDF Full Text Service
How our service works
Request PDF Full Text
+ Follow Us
Follow on Facebook
Follow on Twitter
Follow on LinkedIn
+ Subscribe to Site Feeds
Most Shared
PDF Full Text
+ Translate
+ Recently Requested

Cuff integrity after arthroscopic rotator cuff repair: Correlation with clinical results in 576 cases



Cuff integrity after arthroscopic rotator cuff repair: Correlation with clinical results in 576 cases



Arthroscopy 23(4): 340-346



Purpose: The purpose of this study was to assess cuff integrity after arthroscopic rotator cuff repair and the correlation with clinical results and healing prognostic factors. Methods: A total of 576 supraspinatus or infraspinatus tears that had undergone all-arthroscopic repairs by 9 surgeons experienced in arthroscopic surgery were involved in this multicenter study. The clinical results were evaluated by use of the Constant score. The integrity of the repair was evaluated by magnetic resonance imaging with contrast or by computed tomography arthrogram. Results: The global clinical and anatomic results after arthroscopic rotator cuff repair in this study are comparable to other published results. Although the results were most often good and excellent despite incomplete tendon healing, better functional results in terms of activity, motion, and especially strength were obtained when the cuff was clearly intact after the arthroscopic repair. The Constant pain subscore did not correlate to the integrity or lack thereof in the repaired tendon. Conclusions: The type of rupture, the location of the rupture, and the presence of interstitial delamination and fatty degeneration of the involved muscle are prognostic factors of the anatomic result in arthroscopic rotator cuff repair. The age of the patient and the delay between the initial presentation of the symptoms and the operation were also noted to be significant healing prognostic factors. Level of Evidence: Level IV, therapeutic case series.

Please choose payment method:






(PDF emailed within 0-6 h: $19.90)

Accession: 013675786

Download citation: RISBibTeXText

DOI: 10.1016/j.arthro.2007.01.005


Related references

Delaminated rotator cuff tear: extension of delamination and cuff integrity after arthroscopic rotator cuff repair. Journal of Shoulder and Elbow Surgery 24(5): 719-726, 2015

Arthroscopic rotator cuff repair: scientific rationale, surgical technique, and early clinical and functional results of a knotless self-reinforcing double-row rotator cuff repair system. Journal of Shoulder and Elbow Surgery 19(2 Suppl): 83-90, 2010

Effect of Preoperative Fatty Degeneration of the Rotator Cuff Muscles on the Clinical Outcome of Patients With Intact Tendons After Arthroscopic Rotator Cuff Repair of Large/Massive Cuff Tears. American Journal of Sports Medicine 45(13): 2975-2981, 2017

Arthroscopically assisted rotator cuff repair: Correlation of functional results with integrity of the cuff. Arthroscopy 10(1): 54-60, 1994

Arthroscopic undersurface rotator cuff repair versus conventional arthroscopic double-row rotator cuff repair - Comparable results at 2-year follow-up. Journal of Orthopaedic Surgery 26(1): 2309499018757573, 2018

Arthroscopic Transosseous Suture Repair and Single-Row Anchor Fixation for Rotator Cuff Lesions Did Not Differ for Pain, Function, or Rotator-Cuff Integrity at 15 Months. Journal of Bone and Joint Surgery. American Volume 99(22): 1943, 2017

Evaluation of Repair Tension in Arthroscopic Rotator Cuff Repair: Does It Really Matter to the Integrity of the Rotator Cuff?. American Journal of Sports Medicine 44(11): 2807-2812, 2016

Cuff integrity after arthroscopic versus open rotator cuff repair: a prospective study. Journal of Shoulder and Elbow Surgery 15(3): 290-299, 2006

Factors affecting rotator cuff integrity after arthroscopic repair for medium-sized or larger cuff tears: a retrospective cohort study. Journal of Shoulder and Elbow Surgery 27(6): 1012-1020, 2018

Arthroscopic Incomplete Repair Using a "Hybrid Technique" for Large to Massive Rotator Cuff Tears: Clinical Results and Structural Integrity. Arthroscopy 34(7): 2063-2073, 2018

Does Additional Biceps Augmentation Improve Rotator Cuff Healing and Clinical Outcomes in Anterior L-Shaped Rotator Cuff Tears? Clinical Comparisons With Arthroscopic Partial Repair. American Journal of Sports Medicine 45(13): 2982-2988, 2017

Arthroscopic repair of massive contracted rotator cuff tears: aggressive release with anterior and posterior interval slides do not improve cuff healing and integrity. Journal of Bone and Joint Surgery. American Volume 95(16): 1482-1488, 2013

Revision arthroscopic rotator cuff repair: repair integrity and clinical outcome. Journal of Bone and Joint Surgery. American Volume 92(3): 590-598, 2010

Revision Arthroscopic Rotator Cuff Repair: Repair Integrity and Clinical Outcome. Year Book of Hand and Upper Limb Surgery 2011: 193-194, 2011

Revision arthroscopic rotator cuff repair: repair integrity and clinical outcome: surgical technique. Journal of Bone and Joint Surgery. American Volume 93(Suppl. 1): 62-74, 2011