The effect of tear size on the treatment outcome of operatively treated rotator cuff tears

Purpose The aim of this study was to evaluate the relationship between the tear size and the short-term clinical outcome of rotator cuff reconstruction. The hypothesis was that the size of the rotator cuff tear has a direct negative correlation with post-operative clinical outcome. Methods Five hund...

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Published in:Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA sports traumatology, arthroscopy : official journal of the ESSKA, 2015-02, Vol.23 (2), p.567-572
Main Authors: Kukkonen, Juha, Kauko, Tommi, Virolainen, Petri, Äärimaa, Ville
Format: Article
Language:English
Subjects:
Aged
Clinical outcomes
Female
Females
Hospitals
Humans
Hypotheses
Male
Medicine
Medicine & Public Health
Middle Aged
Orthopedics
Patients
Registries
Retrospective Studies
Rotator cuff
Rotator Cuff - pathology
Rotator Cuff - surgery
Rotator Cuff Injuries
Rupture
Shoulder
Surgeons
Tendon Injuries - pathology
Tendon Injuries - surgery
Treatment Outcome
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Summary:Purpose The aim of this study was to evaluate the relationship between the tear size and the short-term clinical outcome of rotator cuff reconstruction. The hypothesis was that the size of the rotator cuff tear has a direct negative correlation with post-operative clinical outcome. Methods Five hundred and seventy-six consecutive shoulders with a primarily arthroscopically treated full-thickness rotator cuff tear were followed up. Rotator cuff tear size (anteroposterior dimension) was measured intraoperatively with an arthroscopic measuring probe. The Constant score was used as an outcome measure and was measured pre-operatively and 1-year post-operatively. Results Five hundred and sixty-nine patients (99 %) were available for 1-year follow-up. The mean age of patients was 59.6 (SD 9.6) years. There were 225 (40 %) female and 344 (60 %) male patients. The mean size of the rotator cuff tear was 25 mm (SD 18). The mean pre- and post-operative Constant score was 52.3 (SD 17.4) and 74.2 (SD 15.5), respectively ( p  
ISSN:0942-2056
1433-7347
DOI:10.1007/s00167-013-2647-0