Arthroscopic rotator cuff debridement in patients with rheumatoid arthritis
There is little information available concerning the results of rotator cuff debridement in patients with rheumatoid arthritis (RA). We performed a review of 16 shoulders with underlying RA that underwent arthroscopic rotator cuff tear debridement; there were 10 full-thickness tears and 6 partial-th...
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| Veröffentlicht in: | Journal of shoulder and elbow surgery 2007, Vol.16 (1), p.31-36 |
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| creator | Smith, Adam M., MD Sperling, John W., MD Cofield, Robert H., MD |
| description | There is little information available concerning the results of rotator cuff debridement in patients with rheumatoid arthritis (RA). We performed a review of 16 shoulders with underlying RA that underwent arthroscopic rotator cuff tear debridement; there were 10 full-thickness tears and 6 partial-thickness tears. Of the 10 patients with full-thickness rotator cuff tears, 8 had unsatisfactory results, whereas none of the patients with partial-thickness tears had unsatisfactory results. Pain was improved in 5 of 6 shoulders with partial-thickness cuff tears, whereas only 5 of 10 with full-thickness tears had an improvement with regard to pain. Motion did not improve in either group. Patients with RA who require operative intervention for pain relief because of rotator cuff tearing can be treated successfully with debridement alone. However, pain relief was less predictable with large or massive tears when compared with partial-thickness tears, and functional gains were not achieved in either group. |
| doi_str_mv | 10.1016/j.jse.2006.04.014 |
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We performed a review of 16 shoulders with underlying RA that underwent arthroscopic rotator cuff tear debridement; there were 10 full-thickness tears and 6 partial-thickness tears. Of the 10 patients with full-thickness rotator cuff tears, 8 had unsatisfactory results, whereas none of the patients with partial-thickness tears had unsatisfactory results. Pain was improved in 5 of 6 shoulders with partial-thickness cuff tears, whereas only 5 of 10 with full-thickness tears had an improvement with regard to pain. Motion did not improve in either group. Patients with RA who require operative intervention for pain relief because of rotator cuff tearing can be treated successfully with debridement alone. 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We performed a review of 16 shoulders with underlying RA that underwent arthroscopic rotator cuff tear debridement; there were 10 full-thickness tears and 6 partial-thickness tears. Of the 10 patients with full-thickness rotator cuff tears, 8 had unsatisfactory results, whereas none of the patients with partial-thickness tears had unsatisfactory results. Pain was improved in 5 of 6 shoulders with partial-thickness cuff tears, whereas only 5 of 10 with full-thickness tears had an improvement with regard to pain. Motion did not improve in either group. Patients with RA who require operative intervention for pain relief because of rotator cuff tearing can be treated successfully with debridement alone. However, pain relief was less predictable with large or massive tears when compared with partial-thickness tears, and functional gains were not achieved in either group.</description><subject>Adult</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Arthritis, Rheumatoid - complications</subject><subject>Arthroscopy</subject><subject>Biological and medical sciences</subject><subject>Debridement - methods</subject><subject>Diseases of the osteoarticular system</subject><subject>Endoscopy</subject><subject>Female</subject><subject>Humans</subject><subject>Inflammatory joint diseases</subject><subject>Investigative techniques, diagnostic techniques (general aspects)</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Orthopedics</subject><subject>Rotator Cuff - surgery</subject><subject>Rotator Cuff Injuries</subject><issn>1058-2746</issn><issn>1532-6500</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2007</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kU2L1TAUhoMozjj6A9xIN7prPflo0iIIw-AXDrhQ1yFNTrip_bgmqcP8e1PuhQEXrnIWz_smeQ4hLyk0FKh8OzZjwoYByAZEA1Q8Ipe05ayWLcDjMkPb1UwJeUGepTQCQC-APSUXVEHbcoBL8vU65kNck12PwVZxzSavsbKb95XDIQaHMy65Ckt1NDmUMVV3IR-qeMBtLmxwldkbQg7pOXnizZTwxfm8Ij8_fvhx87m-_fbpy831bW0Fl7kenABvGKWOej9wqTrrZMd8KynS1vSqR9Gj8wyMUgyd4t4z4zscFBeOdfyKvDn1HuP6e8OU9RySxWkyC65b0rLread6KCA9gbb8MEX0-hjDbOK9pqB3g3rUxaDeDWoQuhgsmVfn8m2Y0T0kzsoK8PoMmGTN5KNZbEgPXM-g44oX7t2Jw6LiT8Coky0CLboQ0Wbt1vDfZ7z_J22nsIRy4S-8xzSuW1yKY011Yhr0933V-6ZBAtAWev4XN9-kGA</recordid><startdate>2007</startdate><enddate>2007</enddate><creator>Smith, Adam M., MD</creator><creator>Sperling, John W., MD</creator><creator>Cofield, Robert H., MD</creator><general>Mosby, Inc</general><general>Elsevier</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>2007</creationdate><title>Arthroscopic rotator cuff debridement in patients with rheumatoid arthritis</title><author>Smith, Adam M., MD ; Sperling, John W., MD ; Cofield, Robert H., MD</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c436t-bd40fa211d1ffb3678cd682f561e15a979e49edf20a772ed73ff2af8eb734d283</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2007</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Arthritis, Rheumatoid - complications</topic><topic>Arthroscopy</topic><topic>Biological and medical sciences</topic><topic>Debridement - methods</topic><topic>Diseases of the osteoarticular system</topic><topic>Endoscopy</topic><topic>Female</topic><topic>Humans</topic><topic>Inflammatory joint diseases</topic><topic>Investigative techniques, diagnostic techniques (general aspects)</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Orthopedics</topic><topic>Rotator Cuff - surgery</topic><topic>Rotator Cuff Injuries</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Smith, Adam M., MD</creatorcontrib><creatorcontrib>Sperling, John W., MD</creatorcontrib><creatorcontrib>Cofield, Robert H., MD</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of shoulder and elbow surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Smith, Adam M., MD</au><au>Sperling, John W., MD</au><au>Cofield, Robert H., MD</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Arthroscopic rotator cuff debridement in patients with rheumatoid arthritis</atitle><jtitle>Journal of shoulder and elbow surgery</jtitle><addtitle>J Shoulder Elbow Surg</addtitle><date>2007</date><risdate>2007</risdate><volume>16</volume><issue>1</issue><spage>31</spage><epage>36</epage><pages>31-36</pages><issn>1058-2746</issn><eissn>1532-6500</eissn><abstract>There is little information available concerning the results of rotator cuff debridement in patients with rheumatoid arthritis (RA). We performed a review of 16 shoulders with underlying RA that underwent arthroscopic rotator cuff tear debridement; there were 10 full-thickness tears and 6 partial-thickness tears. Of the 10 patients with full-thickness rotator cuff tears, 8 had unsatisfactory results, whereas none of the patients with partial-thickness tears had unsatisfactory results. Pain was improved in 5 of 6 shoulders with partial-thickness cuff tears, whereas only 5 of 10 with full-thickness tears had an improvement with regard to pain. Motion did not improve in either group. Patients with RA who require operative intervention for pain relief because of rotator cuff tearing can be treated successfully with debridement alone. However, pain relief was less predictable with large or massive tears when compared with partial-thickness tears, and functional gains were not achieved in either group.</abstract><cop>New York, NY</cop><pub>Mosby, Inc</pub><pmid>17055300</pmid><doi>10.1016/j.jse.2006.04.014</doi><tpages>6</tpages></addata></record> |
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| ispartof | Journal of shoulder and elbow surgery, 2007, Vol.16 (1), p.31-36 |
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| subjects | Adult Aged Aged, 80 and over Arthritis, Rheumatoid - complications Arthroscopy Biological and medical sciences Debridement - methods Diseases of the osteoarticular system Endoscopy Female Humans Inflammatory joint diseases Investigative techniques, diagnostic techniques (general aspects) Male Medical sciences Middle Aged Orthopedics Rotator Cuff - surgery Rotator Cuff Injuries |
| title | Arthroscopic rotator cuff debridement in patients with rheumatoid arthritis |
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