Anterior rotator cable disruption does not affect outcomes in rotator cuff tear with subscapularis involvement

Purpose The purpose of this study was to compare clinical and radiological outcomes after arthroscopic repair of two different rotator cuff tear configurations: anterosuperior rotator cuff tear and rotator cuff tears with subscapularis involvement. It was hypothesized that, although both tear config...

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Bibliographic Details
Published in:Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA sports traumatology, arthroscopy : official journal of the ESSKA, 2021, Vol.29 (1), p.154-161
Main Authors: Yoon, Tae-Hwan, Kim, Sung-Jae, Choi, Yun-Rak, Shin, Ju-Cheol, Alruwaili, Sager-Holyl, Chun, Yong-Min
Format: Article
Language:English
Subjects:
Aged
Arthrography
Arthroscopy - methods
Clinical outcomes
Computed tomography
Configurations
Elbow
Elbow (anatomy)
Evaluation
Female
Follow-Up Studies
Humans
Injuries
Magnetic resonance
Male
Medicine
Medicine & Public Health
Middle Aged
Muscle Strength
Muscles
Orthopedics
Pain
Range of Motion, Articular
Repair
Rotation
Rotator cuff
Rotator Cuff - diagnostic imaging
Rotator Cuff - physiopathology
Rotator Cuff - surgery
Rotator Cuff Injuries - diagnostic imaging
Rotator Cuff Injuries - physiopathology
Rotator Cuff Injuries - surgery
Shoulder
Structural integrity
Tearing
Tomography, X-Ray Computed
Treatment Outcome
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Summary:Purpose The purpose of this study was to compare clinical and radiological outcomes after arthroscopic repair of two different rotator cuff tear configurations: anterosuperior rotator cuff tear and rotator cuff tears with subscapularis involvement. It was hypothesized that, although both tear configurations would show significant improvement in clinical outcomes after arthroscopic repair, the rotator cuff tears with subscapularis involvement where the anterior rotator cable maintains its integrity would have better clinical outcomes and structural integrity. Methods This study included 226 patients who underwent arthroscopic repair of anterosuperior rotator cuff tears ( n  = 107, group A) and rotator cuff tears with subscapularis involvement ( n  = 119, group B). The visual analog scale (VAS) pain score, subjective shoulder value (SSV), American Shoulder and Elbow Surgeons (ASES) score, University of California at Los Angeles (UCLA) shoulder score, and active range of motion (ROM) were assessed. Modified belly press test was performed to assess the strength of the subscapularis muscle. Cuff integrity was evaluated using magnetic resonance arthrography or computed tomographic arthrography at 6 months after operation. Results At 3-year follow-up, the VAS score, SSVs, ASES scores, UCLA shoulder scores, active ROM, and modified belly press test showed significant improvement in both groups ( p  
ISSN:0942-2056
1433-7347
DOI:10.1007/s00167-020-05891-z