Clinical results of conservative management in patients with full-thickness rotator cuff tear: a meta-analysis

Several systematic reviews have reported on the conservative treatment of full-thickness rotator cuff tears; however, clinical results of this treatment still remain determined. PubMed, Cochrane Library, PEDro, and CINAHL databases were systematically searched for randomized clinical trials and obse...

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Bibliographic Details
Published in:Clinics in Shoulder and Elbow 2020-06, Vol.23 (2), p.86-93
Main Authors: Karasuyama, Masaki, Gotoh, Masafumi, Tahara, Keiji, Kawakami, Junichi, Madokoro, Kazuya, Nagamatsu, Takashi, Imai, Takaki, Harada, Nobuya, Kudo, Yu, Shiba, Naoto
Format: Article
Language:English
Subjects:
conservative management
Original
rotator cuff injuries
shoulder
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Summary:Several systematic reviews have reported on the conservative treatment of full-thickness rotator cuff tears; however, clinical results of this treatment still remain determined. PubMed, Cochrane Library, PEDro, and CINAHL databases were systematically searched for randomized clinical trials and observational studies. Two independent researchers reviewed a total of 2,981 articles, 28 of which met the criteria for inclusion in the study. Clinical outcome measures included Constant score, visual analog scale score for pain, range of motion, and short-form 36 questionnaires. The meta-analysis used a linear mixed model weighted with the variance of the estimate. The meta-analysis showed a significant improvement after surgery. Pain score is 26.2 mm (1 month) to 26.4 mm (3 months), and 24.8 mm (12 months) (P
ISSN:2383-8337
2288-8721
DOI:10.5397/cise.2020.00031