+ 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

Clinical and radiographic outcomes after arthroscopic repair of massive rotator cuff tears using a suture bridge technique: assessment of repair integrity on magnetic resonance imaging



Clinical and radiographic outcomes after arthroscopic repair of massive rotator cuff tears using a suture bridge technique: assessment of repair integrity on magnetic resonance imaging



American Journal of Sports Medicine 40(4): 786-793



High retear rates of arthroscopic massive rotator cuff repair have been reported with relatively satisfactory functional outcomes. To assess the clinical and radiological outcomes of an arthroscopic repair of massive rotator cuff tears using a suture bridge technique. We also aimed to explore the various factors that may affect retears. Case-control study; Level of evidence, 3. Sixty-six patients included in the study were divided into 2 groups according to the presence of retears on magnetic resonance imaging (MRI) evaluation at a minimum of 1 year after surgery. We evaluated the visual analog scale (VAS) for pain during motions, the University of California, Los Angeles (UCLA) score, and the absolute and relative Constant scores (mean follow-up, 25.4 months). Twenty-eight of the 66 patients (42.4%) in this study had a retear. At the final follow-up visit, pain VAS, UCLA score, and absolute and relative Constant scores in the completely healed group were significantly superior to those in the retear group, with 2, 29.5, 76.0, and 95.2 points and 4, 26.0, 70.6, and 87.3 points, respectively (P < .05). From univariate analysis, the preoperative mean acromiohumeral distance, extent of retraction, and degree of fatty infiltration of the supraspinatus and infraspinatus were significantly different between the completely healed (7.83 mm, 2.97 cm, 1.74, and 0.71, respectively) and the retear group (6.36 mm, 3.97 cm, 2.54, and 2.07, respectively; P < .05). From multivariate logistic regression analysis, the preoperative degree of fatty infiltration of the infraspinatus and extent of retraction were the 2 most important factors associated with retears. Arthroscopic repair of massive rotator cuff tears using a suture bridge technique has a relatively high retear rate, and these structural failures appear to have a significant difference in clinical outcomes compared with the healed group. Degree of fatty infiltration of the infraspinatus and extent of retraction are the 2 most important factors associated with a retear. Orthopaedic surgeons should predict the possibility of retear before surgery and counsel patients about their expected functional results.

Please choose payment method:






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

Accession: 036373345

Download citation: RISBibTeXText

PMID: 22307079

DOI: 10.1177/0363546511434546


Related references

Factors associated with clinical and structural outcomes after arthroscopic rotator cuff repair with a suture bridge technique in medium, large, and massive tears. Journal of Shoulder and Elbow Surgery 23(11): 1675-1681, 2014

Clinical outcomes and structural integrity of arthroscopic double-row versus suture-bridge repair for rotator cuff tears. Journal of Orthopaedics 15(2): 396-400, 2018

Clinical outcomes and repair integrity of arthroscopic rotator cuff repair using suture-bridge technique with or without medial tying: prospective comparative study. Journal of Orthopaedic Surgery and Research 13(1): 212, 2018

Clinical outcomes and repair integrity after arthroscopic full-thickness rotator cuff repair: suture-bridge versus double-row modified Mason-Allen technique. Journal of Shoulder and Elbow Surgery 27(11): 1953-1959, 2018

Repair integrity and functional outcomes after arthroscopic suture-bridge rotator cuff repair. Journal of Bone and Joint Surgery. American Volume 94(8): E48, 2012

Arthroscopic rotator cuff repair using a suture bridge technique: is the repair integrity actually maintained?. American Journal of Sports Medicine 39(10): 2108-2116, 2011

Arthroscopic Repair of Anterosuperior Massive Rotator Cuff Tears: Does Repair Integrity Affect Outcomes?. American Journal of Sports Medicine 45(8): 1762-1768, 2017

Comparison of repair integrity and functional outcomes for 3 arthroscopic suture bridge rotator cuff repair techniques. American Journal of Sports Medicine 41(2): 271-277, 2013

Repair Integrity and Functional Outcome After Arthroscopic Rotator Cuff Repair: Double-Row Versus Suture-Bridge Technique. Yearbook of Hand and Upper Limb Surgery 2012: 204-206, 2012

Repair integrity and functional outcome after arthroscopic rotator cuff repair: double-row versus suture-bridge technique. American Journal of Sports Medicine 40(2): 294-299, 2012

Clinical and ultrasonographic outcomes of arthroscopic suture bridge repair for massive rotator cuff tear. Arthroscopy 29(2): 280-289, 2013

Arthroscopic side-to-side repair of massive and contracted rotator cuff tears using a single uninterrupted suture: the shoestring bridge technique. Arthroscopy 28(6): 754-760, 2012

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

Arthroscopic Double-Row Repair of Full-Thickness Rotator Cuff Tears Using a Suture Bridge Technique. Operative Techniques in Sports Medicine 15(3): 144-149, 2007

Functional and Radiographic Outcomes After Arthroscopic Transosseous Suture Repair of Medium Sized Rotator Cuff Tears. Arthroscopy 34(1): 50-57, 2018