Full-thickness rotator cuff tears in patients younger than 55?years: clinical outcome of arthroscopic repair in comparison with older patients

详细信息    查看全文

• 作者：Tim Dwyer ; Helen Razmjou ; Richard Holtby
• 关键词：Rotator cuff repair ; Young patient ; Outcome ; Arthroscopic
• 刊名：Knee Surgery, Sports Traumatology, Arthroscopy
• 出版年：2015
• 出版时间：February 2015
• 年：2015
• 卷：23
• 期：2
• 页码：508-513
• 全文大小：183 KB
• 参考文献：1. Balyk R, Luciak-Corea C, Otto D, Baysal D, Beaupre L (2008) Do outcomes differ after rotator cuff repair for patients receiving workers-compensation? Clin Orthop Relat Res 466:3025-033 CrossRef
  2. Bell S, Lim YJ, Coghlan J (2013) Long-term longitudinal follow-up of mini-open rotator cuff repair. J Bone Joint Surg Am 95:151-57 CrossRef
  3. Braune C, von Eisenhart-Rothe R, Welsch F, Teufel M, Jaeger A (2003) Mid-term results and quantitative comparison of postoperative shoulder function in traumatic and non-traumatic rotator cuff tears. Arch Orthop Trauma Surg 123:419-24 CrossRef
  4. Burns JP, Snyder SJ (2008) Arthroscopic rotator cuff repair in patients younger than fifty years of age. J Shoulder Elbow Surg 17:90-6 CrossRef
  5. Cole BJ, McCarty LP 3rd, Kang RW, Alford W, Lewis PB, Hayden JK (2007) Arthroscopic rotator cuff repair: prospective functional outcome and repair integrity at minimum 2-year follow-up. J Shoulder Elbow Surg 16:579-85 CrossRef
  6. Constant CR (1997) An evaluation of the Constant–Murley shoulder assessment. J Bone Joint Surg Br 79:695-96
  7. Cuff DJ, Pupello DR (2012) Prospective evaluation of postoperative compliance and outcomes after rotator cuff repair in patients with and without workers-compensation claims. J Shoulder Elbow Surg 21:1728-733 CrossRef
  8. DeOrio JK, Cofield RH (1984) Results of a second attempt at surgical repair of a failed initial rotator-cuff repair. J Bone Joint Surg Am 66:563-67
  9. Di Schino M, Augereau B, Nich C (2012) Does open repair of anterosuperior rotator cuff tear prevent muscular atrophy and fatty infiltration? Clin Orthop Relat Res 470:2776-784 CrossRef
  10. Haahr JP, Ostergaard S, Dalsgaard J, Norup K, Frost P, Lausen S, Holm EA, Andersen JH (2005) Exercises versus arthroscopic decompression in patients with subacromial impingement: a randomised, controlled study in 90 cases with a one year follow up. Ann Rheum Dis 64:760-64 CrossRef
  11. Haviv B, Dolev E, Haber M, Mayo L, Biggs D (2010) Arthroscopic rotator cuff repair: clinical outcome of 607 patients. Knee Surg Sports Traumatol Arthrosc 18:1707-711 CrossRef
  12. Hawkins RJ, Misamore GW, Hobeika PE (1985) Surgery for full-thickness rotator-cuff tears. J Bone Joint Surg Am 67:1349-355
  13. Hawkins RJ, Morin WD, Bonutti PM (1999) Surgical treatment of full-thickness rotator cuff tears in patients 40?years of age or younger. J Shoulder Elbow Surg 8:259-65 CrossRef
  14. Hayes K, Walton JR, Szomor ZL, Murrell GA (2002) Reliability of 3 methods for assessing shoulder strength. J Shoulder Elbow Surg 11:33-9 CrossRef
  15. Henn RF 3rd, Kang L, Tashjian RZ, Green A (2008) Patients with workers-compensation claims have worse outcomes after rotator cuff repair. J Bone Joint Surg Am 90:2105-113 CrossRef
  16. Holtby R, Razmjou H (2010) Impact of work-related compensation claims on surgical outcome of patients with rotator cuff related pathologies: a matched case-control study. J Shoulder Elbow Surg 19:452-60 CrossRef
  17. Krishnan SG, Harkins DC, Schiffern SC, Pennington SD, Burkhead WZ (2008) Arthroscopic repair of full-thickness tears of the rotator cuff in patients younger than 40?years. Arthroscopy 24:324-28 CrossRef
  18. Lin EC, Mall NA, Dhawan A,
• 刊物类别：Medicine
• 刊物主题：Medicine & Public Health
  Orthopedics
  
• 出版者：Springer Berlin / Heidelberg
• ISSN：1433-7347

文摘

Purpose The purpose of this study was to examine whether younger patients had a similar response to repair of a full-thickness rotator cuff tear (RCT) as older patients. Methods A secondary analysis was conducted of prospectively collected data of patients with full-thickness RCTs. Patients were categorized into patients Results Review of the database between 2001 and 2011 identified 344 patients (median age 62, range 24-0). Of these, 83 (24?%) patients were younger than 55?years of age (median age 48, range 24-4) and 261 (76?%) were in the older age group (median age 66, range 55-0). The median follow-up was 24?months (range 23-5). Patients in the younger age group had a higher prevalence of traumatic events (p?=?0.02), had sustained more work-related injuries (p?p?=?0.0001). No difference was seen between groups with respect to post-operative scores of Short WORC, ASES, or ACMS. Pre-operative scores, having a work-related claim, increased tear size, and concomitant procedures affected the 2-year outcome scores. Conclusion This study shows that younger patients with full-thickness RCTs who undergo an arthroscopic repair do as well as older individuals regardless of the measure used to document their recovery. Level of evidence Retrospective outcome study, Level II.