Tags

Type your tag names separated by a space and hit enter

Outcomes after arthroscopic revision rotator cuff repair.
Am J Sports Med. 2010 Jan; 38(1):40-6.AJ

Abstract

BACKGROUND

Although a number of reports have documented outcomes after open revision rotator cuff repair, there are few studies reporting results after arthroscopic revision.

HYPOTHESIS

Arthroscopic repair of failed rotator cuff results in significant improvement in shoulder functional outcome and pain relief.

STUDY DESIGN

Case series; Level of evidence, 4.

METHODS

Multiple variables including demographic data, the number of prior ipsilateral shoulder surgeries, and tear size were recorded from chart review. An independent examiner then measured shoulder strength, range of motion, and shoulder functional outcome scores including American Shoulder and Elbow Surgeons score, Simple Shoulder Test, and visual analog pain scale. Paired t tests were performed to compare preoperative and postoperative measures. Additionally, contingency table analysis was performed to identify prognostic factors for failure of repair requiring further surgery and American Shoulder and Elbow Surgeons score less than 50.

RESULTS

Fifty-four patients (88.5%) were available for follow-up evaluation with a mean age of 54.9 +/- 10.1 years (range, 22.7-82.5 years) and a mean follow-up of 31.1 +/- 11.9 months. American Shoulder and Elbow Surgeons scores improved from 43.8 +/- 5.7 (mean +/- 95% confidence interval) before revision to 68.1 +/- 7.2 at final follow-up (P = .0039). The Simple Shoulder Test improved significantly from 3.56 +/- 0.8 before surgery to 7.5 +/- 1.1 at most recent follow-up (P < .0001). Visual analog pain scale scores improved from 5.17 +/- 0.8 to 2.75 +/- 0.8 (P = .03), and forward elevation increased from 121.0 degrees +/- 12.3 degrees to 136 degrees +/- 11.8 degrees postoperatively (P = .025). Greater than 1 prior shoulder surgery was associated with cases that required additional surgery (P = .031). Female gender (P = .007) and preoperative abduction less than 90 masculine (P = .009) were associated with American Shoulder and Elbow Surgeons scores less than 50.

CONCLUSION

Arthroscopic revision rotator cuff repair may be a reasonable treatment option even after prior open repairs and provides both improved pain relief and shoulder function. Nonetheless, results are not completely optimal. Female patients and those who have undergone more than 1 ipsilateral shoulder surgery are at increased risk for poorer results.

Authors+Show Affiliations

OrthoCarolina Sports Medicine Division, Charlotte, North Carolina, USA.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Comparative Study
Journal Article

Language

eng

PubMed ID

19940295

Citation

Piasecki, Dana P., et al. "Outcomes After Arthroscopic Revision Rotator Cuff Repair." The American Journal of Sports Medicine, vol. 38, no. 1, 2010, pp. 40-6.
Piasecki DP, Verma NN, Nho SJ, et al. Outcomes after arthroscopic revision rotator cuff repair. Am J Sports Med. 2010;38(1):40-6.
Piasecki, D. P., Verma, N. N., Nho, S. J., Bhatia, S., Boniquit, N., Cole, B. J., Nicholson, G. P., & Romeo, A. A. (2010). Outcomes after arthroscopic revision rotator cuff repair. The American Journal of Sports Medicine, 38(1), 40-6. https://doi.org/10.1177/0363546509346401
Piasecki DP, et al. Outcomes After Arthroscopic Revision Rotator Cuff Repair. Am J Sports Med. 2010;38(1):40-6. PubMed PMID: 19940295.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Outcomes after arthroscopic revision rotator cuff repair. AU - Piasecki,Dana P, AU - Verma,Nikhil N, AU - Nho,Shane J, AU - Bhatia,Sanjeev, AU - Boniquit,Nicole, AU - Cole,Brian J, AU - Nicholson,Gregory P, AU - Romeo,Anthony A, Y1 - 2009/11/25/ PY - 2009/11/27/entrez PY - 2009/11/27/pubmed PY - 2011/1/7/medline SP - 40 EP - 6 JF - The American journal of sports medicine JO - Am J Sports Med VL - 38 IS - 1 N2 - BACKGROUND: Although a number of reports have documented outcomes after open revision rotator cuff repair, there are few studies reporting results after arthroscopic revision. HYPOTHESIS: Arthroscopic repair of failed rotator cuff results in significant improvement in shoulder functional outcome and pain relief. STUDY DESIGN: Case series; Level of evidence, 4. METHODS: Multiple variables including demographic data, the number of prior ipsilateral shoulder surgeries, and tear size were recorded from chart review. An independent examiner then measured shoulder strength, range of motion, and shoulder functional outcome scores including American Shoulder and Elbow Surgeons score, Simple Shoulder Test, and visual analog pain scale. Paired t tests were performed to compare preoperative and postoperative measures. Additionally, contingency table analysis was performed to identify prognostic factors for failure of repair requiring further surgery and American Shoulder and Elbow Surgeons score less than 50. RESULTS: Fifty-four patients (88.5%) were available for follow-up evaluation with a mean age of 54.9 +/- 10.1 years (range, 22.7-82.5 years) and a mean follow-up of 31.1 +/- 11.9 months. American Shoulder and Elbow Surgeons scores improved from 43.8 +/- 5.7 (mean +/- 95% confidence interval) before revision to 68.1 +/- 7.2 at final follow-up (P = .0039). The Simple Shoulder Test improved significantly from 3.56 +/- 0.8 before surgery to 7.5 +/- 1.1 at most recent follow-up (P < .0001). Visual analog pain scale scores improved from 5.17 +/- 0.8 to 2.75 +/- 0.8 (P = .03), and forward elevation increased from 121.0 degrees +/- 12.3 degrees to 136 degrees +/- 11.8 degrees postoperatively (P = .025). Greater than 1 prior shoulder surgery was associated with cases that required additional surgery (P = .031). Female gender (P = .007) and preoperative abduction less than 90 masculine (P = .009) were associated with American Shoulder and Elbow Surgeons scores less than 50. CONCLUSION: Arthroscopic revision rotator cuff repair may be a reasonable treatment option even after prior open repairs and provides both improved pain relief and shoulder function. Nonetheless, results are not completely optimal. Female patients and those who have undergone more than 1 ipsilateral shoulder surgery are at increased risk for poorer results. SN - 1552-3365 UR - https://www.unboundmedicine.com/medline/citation/19940295/Outcomes_after_arthroscopic_revision_rotator_cuff_repair_ L2 - http://journals.sagepub.com/doi/full/10.1177/0363546509346401?url_ver=Z39.88-2003&amp;rfr_id=ori:rid:crossref.org&amp;rfr_dat=cr_pub=pubmed DB - PRIME DP - Unbound Medicine ER -