Clinical Outcome of Partial Repair of Irreparable Rotator Cuff Tears

Abstract Objective To evaluate the functional outcome of patients who underwent partial arthroscopic repair of massive rotator cuff tears. Methods Retrospective case series evaluating patients with massive rotator cuff tears who underwent partial arthroscopic repair. The primary outcome was the American Shoulder and Elbow Surgeons Standardized Shoulder Assessment Form (ASES) at 24 months. The secondary outcomes were the Modified-University of California at Los Angeles Shoulder Rating Scale (UCLA), and the following subdomains: satisfaction, active forward flexion and strength of forward flexion subdomains. Results We evaluated 33 patients. The ASES scale evolved from 39.7 ± 19.6 to 77.6 ± 17.4 (p< 0.001). The UCLA scale evolved from 13.3 ± 5.5 to 27.9 ± 5.6 (p< 0.001). The satisfaction rate was 97%. The number of patients with active forward flexion > 150° increased from 12 (36.4%) to 25 (75.8%) (p= 0.002). The number of patients with normal or good strength of forward flexion increased from 9 (27.3%) to 22 (66.7%) (p = 0.015). Conclusion Partial repair of irreparable rotator cuff tears leads to significant improvement according to the ASES and UCLA scales.

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Main Authors: Malavolta,Eduardo Angeli, Martinez,Luca, Gracitelli,Mauro Emilio Conforto, Assunção,Jorge Henrique, Andrade-Silva,Fernando Brandão, Ferreira Neto,Arnaldo Amado
Format: Digital revista
Language:English
Published: Sociedade Brasileira de Ortopedia e Traumatologia 2022
Online Access:http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0102-36162022000100136
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spelling oai:scielo:S0102-361620220001001362022-03-08Clinical Outcome of Partial Repair of Irreparable Rotator Cuff TearsMalavolta,Eduardo AngeliMartinez,LucaGracitelli,Mauro Emilio ConfortoAssunção,Jorge HenriqueAndrade-Silva,Fernando BrandãoFerreira Neto,Arnaldo Amado rotator cuff arthroscopy shoulder evaluation of results of therapeutic interventions Abstract Objective To evaluate the functional outcome of patients who underwent partial arthroscopic repair of massive rotator cuff tears. Methods Retrospective case series evaluating patients with massive rotator cuff tears who underwent partial arthroscopic repair. The primary outcome was the American Shoulder and Elbow Surgeons Standardized Shoulder Assessment Form (ASES) at 24 months. The secondary outcomes were the Modified-University of California at Los Angeles Shoulder Rating Scale (UCLA), and the following subdomains: satisfaction, active forward flexion and strength of forward flexion subdomains. Results We evaluated 33 patients. The ASES scale evolved from 39.7 ± 19.6 to 77.6 ± 17.4 (p< 0.001). The UCLA scale evolved from 13.3 ± 5.5 to 27.9 ± 5.6 (p< 0.001). The satisfaction rate was 97%. The number of patients with active forward flexion > 150° increased from 12 (36.4%) to 25 (75.8%) (p= 0.002). The number of patients with normal or good strength of forward flexion increased from 9 (27.3%) to 22 (66.7%) (p = 0.015). Conclusion Partial repair of irreparable rotator cuff tears leads to significant improvement according to the ASES and UCLA scales.info:eu-repo/semantics/openAccessSociedade Brasileira de Ortopedia e TraumatologiaRevista Brasileira de Ortopedia v.57 n.1 20222022-01-01info:eu-repo/semantics/articletext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0102-36162022000100136en10.1055/s-0040-1716763
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libraryname SciELO
language English
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author Malavolta,Eduardo Angeli
Martinez,Luca
Gracitelli,Mauro Emilio Conforto
Assunção,Jorge Henrique
Andrade-Silva,Fernando Brandão
Ferreira Neto,Arnaldo Amado
spellingShingle Malavolta,Eduardo Angeli
Martinez,Luca
Gracitelli,Mauro Emilio Conforto
Assunção,Jorge Henrique
Andrade-Silva,Fernando Brandão
Ferreira Neto,Arnaldo Amado
Clinical Outcome of Partial Repair of Irreparable Rotator Cuff Tears
author_facet Malavolta,Eduardo Angeli
Martinez,Luca
Gracitelli,Mauro Emilio Conforto
Assunção,Jorge Henrique
Andrade-Silva,Fernando Brandão
Ferreira Neto,Arnaldo Amado
author_sort Malavolta,Eduardo Angeli
title Clinical Outcome of Partial Repair of Irreparable Rotator Cuff Tears
title_short Clinical Outcome of Partial Repair of Irreparable Rotator Cuff Tears
title_full Clinical Outcome of Partial Repair of Irreparable Rotator Cuff Tears
title_fullStr Clinical Outcome of Partial Repair of Irreparable Rotator Cuff Tears
title_full_unstemmed Clinical Outcome of Partial Repair of Irreparable Rotator Cuff Tears
title_sort clinical outcome of partial repair of irreparable rotator cuff tears
description Abstract Objective To evaluate the functional outcome of patients who underwent partial arthroscopic repair of massive rotator cuff tears. Methods Retrospective case series evaluating patients with massive rotator cuff tears who underwent partial arthroscopic repair. The primary outcome was the American Shoulder and Elbow Surgeons Standardized Shoulder Assessment Form (ASES) at 24 months. The secondary outcomes were the Modified-University of California at Los Angeles Shoulder Rating Scale (UCLA), and the following subdomains: satisfaction, active forward flexion and strength of forward flexion subdomains. Results We evaluated 33 patients. The ASES scale evolved from 39.7 ± 19.6 to 77.6 ± 17.4 (p< 0.001). The UCLA scale evolved from 13.3 ± 5.5 to 27.9 ± 5.6 (p< 0.001). The satisfaction rate was 97%. The number of patients with active forward flexion > 150° increased from 12 (36.4%) to 25 (75.8%) (p= 0.002). The number of patients with normal or good strength of forward flexion increased from 9 (27.3%) to 22 (66.7%) (p = 0.015). Conclusion Partial repair of irreparable rotator cuff tears leads to significant improvement according to the ASES and UCLA scales.
publisher Sociedade Brasileira de Ortopedia e Traumatologia
publishDate 2022
url http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0102-36162022000100136
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