An Analysis of Rotator Cuff Repair

Fifty-four patients who had surgery to repair a chronic rotator cuff tear (54 shoulders) were followed for an av erage of 25.9 months (range, 16 to 43). Forty-nine of 54 patients had at least 20 months of followup. The aver age age of the male patients (N = 37) was 52 (range, 24 to 80) and of the fe...

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Bibliographic Details
Published in:The American journal of sports medicine 1994-09, Vol.22 (5), p.585-588
Main Authors: Grana, William A., Teague, Beverly, King, Michelle, Reeves, R. Bradley
Format: Article
Language:English
Subjects:
Adult
Aged
Aged, 80 and over
Arthroscopy - economics
Biological and medical sciences
Chronic Disease
Female
Follow-Up Studies
Humans
Male
Medical sciences
Middle Aged
Orthopedic surgery
Range of Motion, Articular
Retrospective Studies
Rotator cuff
Rotator cuff (Anatomy)
Rotator Cuff - physiopathology
Rotator Cuff - surgery
Rotator Cuff Injuries
Shoulder
Sports injuries
Sports medicine
Surgery
Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases
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Summary:Fifty-four patients who had surgery to repair a chronic rotator cuff tear (54 shoulders) were followed for an av erage of 25.9 months (range, 16 to 43). Forty-nine of 54 patients had at least 20 months of followup. The aver age age of the male patients (N = 37) was 52 (range, 24 to 80) and of the female patients (N = 17) was 56 (range, 38 to 72). All of these patients received a func tional evaluation based on the Shoulder and Elbow Sur gery Society classification system. Forty-eight patients had an individual examination and 33 patients had an isokinetic strength evaluation. There were 43 patients (80%) with a satisfactory functional result and 11 (20%) with an unsatisfactory result. Unsatisfactory results were associated with large and massive tears and de creased postoperative range of motion. Good functional results were obtained by open repair and subacromial decompression for rotator cuff tear. Arthroscopic evalu ation and treatment did not affect the functional out come, but it did increase costs by about $2000 per pa tient. Arthroscopy is useful to define tear size, which may affect the surgical approach, but the arthroscopic treatment of glenohumeral problems did not alter the functional result. The routine use of arthroscopy before rotator cuff repair is costly, not effective, and therefore not recommended.
ISSN:0363-5465
1552-3365
DOI:10.1177/036354659402200503