Arthroscopic Rotator Cuff Repair: Prospective Evaluation With Sequential Ultrasonography
Background Recent studies have demonstrated predictable healing after arthroscopic rotator cuff repair at a single time point, but few studies have evaluated tendon healing over time. Hypothesis Rotator cuff tears that are intact on ultrasound at 1 time point will remain intact, and clinical results...
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| Veröffentlicht in: | The American journal of sports medicine 2009-10, Vol.37 (10), p.1938-1945 |
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| container_issue | 10 |
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| container_title | The American journal of sports medicine |
| container_volume | 37 |
| creator | Nho, Shane J. Adler, Ronald S. Tomlinson, Daniel P. Allen, Answorth A. Cordasco, Frank A. Warren, Russell F. Altchek, David W. MacGillivray, John D. |
| description | Background
Recent studies have demonstrated predictable healing after arthroscopic rotator cuff repair at a single time point, but few studies have evaluated tendon healing over time.
Hypothesis
Rotator cuff tears that are intact on ultrasound at 1 time point will remain intact, and clinical results will improve regardless of healing status.
Study Design
Cohort study; Level of evidence, 3.
Methods
The Arthroscopic Rotator Cuff Registry was established to determine the effectiveness of arthroscopic rotator cuff repair with clinical outcomes using the American Shoulder and Elbow Surgeons score and ultrasound at 1 and 2 years, postoperatively. Patients were assigned to 1 of 3 groups based on ultrasound appearance: group 1, rotator cuff tendon intact at 1 and 2 years (n = 63); group 2, rotator cuff tendon defect at 1 and 2 years (n = 23); group 3, rotator cuff tendon defect at 1 year but no defect at 2 years (n = 7).
Results
The ultrasound appearance was consistent at 1 and 2 years for 86 of the 93 patients (92.5%). The patients in group 1 had a significantly lower mean age (57.8 ± 9.8 years) than the patients of group 2 (63.6 ± 8.6 years; P = .04). Group 2 had a significantly greater rotator cuff tear size (4.36 ± 1.6 cm) than group 1 (2.84 ± 1.1 cm; P = .00025). Each group had a significant improvement in American Shoulder and Elbow Surgeons scores from baseline to 2-year follow-up.
Conclusion
All intact rotator cuff tendons at 1 year remained intact at 2 years. A small group of patients with postoperative imaging did not appear healed by ultrasound at 1 year but did so at 2 years. Patients demonstrated improvement in American Shoulder and Elbow Surgeons shoulder scores, range of motion, and strength, regardless of tendon healing status on ultrasound. |
| doi_str_mv | 10.1177/0363546509335764 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_746274484</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sage_id>10.1177_0363546509335764</sage_id><sourcerecordid>734063379</sourcerecordid><originalsourceid>FETCH-LOGICAL-c378t-d8cabf2dab8dbb6c9f1156ddaea4046d5111585a4c67f892ee3041a814c83c353</originalsourceid><addsrcrecordid>eNqF0M9LwzAUB_AgipvTuycZgniqvuTlV49j-AsGwtBzSdNEO7q1Ju3B_97OFYWBeArhfd7Ly5eQcwo3lCp1CyhRcCkgRRRK8gMypkKwBFGKQzLelpNtfUROYlwBAFVSH5MRTQVSKWFMprPQvoc62rop7XRZt6atw3TeeT9dusaU4ZQceVNFdzacE_J6f_cyf0wWzw9P89kisah0mxTamtyzwuS6yHNpU0-pkEVhnOHAZSFof9fCcCuV1ylzDoFToym3Gi0KnJDr3dwm1B-di222LqN1VWU2ru5iprhkinPN_5fIQSKqtJeXe3JVd2HTfyNjVIFA-Y1gh2wfQwzOZ00o1yZ8ZhSybcrZfsp9y8Uwt8vXrvhtGGLtwdUATLSm8sFsbBl_HGPAQEjWu2Tnonlzv8v9-fAXPn2ODQ</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>217053679</pqid></control><display><type>article</type><title>Arthroscopic Rotator Cuff Repair: Prospective Evaluation With Sequential Ultrasonography</title><source>Access via SAGE</source><source>MEDLINE</source><source>Alma/SFX Local Collection</source><creator>Nho, Shane J. ; Adler, Ronald S. ; Tomlinson, Daniel P. ; Allen, Answorth A. ; Cordasco, Frank A. ; Warren, Russell F. ; Altchek, David W. ; MacGillivray, John D.</creator><creatorcontrib>Nho, Shane J. ; Adler, Ronald S. ; Tomlinson, Daniel P. ; Allen, Answorth A. ; Cordasco, Frank A. ; Warren, Russell F. ; Altchek, David W. ; MacGillivray, John D.</creatorcontrib><description>Background
Recent studies have demonstrated predictable healing after arthroscopic rotator cuff repair at a single time point, but few studies have evaluated tendon healing over time.
Hypothesis
Rotator cuff tears that are intact on ultrasound at 1 time point will remain intact, and clinical results will improve regardless of healing status.
Study Design
Cohort study; Level of evidence, 3.
Methods
The Arthroscopic Rotator Cuff Registry was established to determine the effectiveness of arthroscopic rotator cuff repair with clinical outcomes using the American Shoulder and Elbow Surgeons score and ultrasound at 1 and 2 years, postoperatively. Patients were assigned to 1 of 3 groups based on ultrasound appearance: group 1, rotator cuff tendon intact at 1 and 2 years (n = 63); group 2, rotator cuff tendon defect at 1 and 2 years (n = 23); group 3, rotator cuff tendon defect at 1 year but no defect at 2 years (n = 7).
Results
The ultrasound appearance was consistent at 1 and 2 years for 86 of the 93 patients (92.5%). The patients in group 1 had a significantly lower mean age (57.8 ± 9.8 years) than the patients of group 2 (63.6 ± 8.6 years; P = .04). Group 2 had a significantly greater rotator cuff tear size (4.36 ± 1.6 cm) than group 1 (2.84 ± 1.1 cm; P = .00025). Each group had a significant improvement in American Shoulder and Elbow Surgeons scores from baseline to 2-year follow-up.
Conclusion
All intact rotator cuff tendons at 1 year remained intact at 2 years. A small group of patients with postoperative imaging did not appear healed by ultrasound at 1 year but did so at 2 years. Patients demonstrated improvement in American Shoulder and Elbow Surgeons shoulder scores, range of motion, and strength, regardless of tendon healing status on ultrasound.</description><identifier>ISSN: 0363-5465</identifier><identifier>EISSN: 1552-3365</identifier><identifier>DOI: 10.1177/0363546509335764</identifier><identifier>PMID: 19531660</identifier><identifier>CODEN: AJSMDO</identifier><language>eng</language><publisher>Thousand Oaks, CA: SAGE Publications</publisher><subject>Adult ; Aged ; Arthroscopy ; Biological and medical sciences ; Diseases of the osteoarticular system ; Endoscopy ; Female ; Follow-Up Studies ; Humans ; Investigative techniques, diagnostic techniques (general aspects) ; Juxtaarticular diseases. Extraarticular rhumatism ; Male ; Medical sciences ; Middle Aged ; Prospective Studies ; Recovery of Function ; Rotator Cuff - diagnostic imaging ; Rotator Cuff - surgery ; Rotator Cuff Injuries ; Sports injuries ; Sports medicine ; Studies ; Tendons ; Treatment Outcome ; Ultrasonic imaging ; Ultrasonography ; Wound healing</subject><ispartof>The American journal of sports medicine, 2009-10, Vol.37 (10), p.1938-1945</ispartof><rights>2009 INIST-CNRS</rights><rights>Copyright Sage Publications Ltd. Oct 2009</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c378t-d8cabf2dab8dbb6c9f1156ddaea4046d5111585a4c67f892ee3041a814c83c353</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://journals.sagepub.com/doi/pdf/10.1177/0363546509335764$$EPDF$$P50$$Gsage$$H</linktopdf><linktohtml>$$Uhttps://journals.sagepub.com/doi/10.1177/0363546509335764$$EHTML$$P50$$Gsage$$H</linktohtml><link.rule.ids>315,781,785,21820,27925,27926,43622,43623</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=22020562$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/19531660$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Nho, Shane J.</creatorcontrib><creatorcontrib>Adler, Ronald S.</creatorcontrib><creatorcontrib>Tomlinson, Daniel P.</creatorcontrib><creatorcontrib>Allen, Answorth A.</creatorcontrib><creatorcontrib>Cordasco, Frank A.</creatorcontrib><creatorcontrib>Warren, Russell F.</creatorcontrib><creatorcontrib>Altchek, David W.</creatorcontrib><creatorcontrib>MacGillivray, John D.</creatorcontrib><title>Arthroscopic Rotator Cuff Repair: Prospective Evaluation With Sequential Ultrasonography</title><title>The American journal of sports medicine</title><addtitle>Am J Sports Med</addtitle><description>Background
Recent studies have demonstrated predictable healing after arthroscopic rotator cuff repair at a single time point, but few studies have evaluated tendon healing over time.
Hypothesis
Rotator cuff tears that are intact on ultrasound at 1 time point will remain intact, and clinical results will improve regardless of healing status.
Study Design
Cohort study; Level of evidence, 3.
Methods
The Arthroscopic Rotator Cuff Registry was established to determine the effectiveness of arthroscopic rotator cuff repair with clinical outcomes using the American Shoulder and Elbow Surgeons score and ultrasound at 1 and 2 years, postoperatively. Patients were assigned to 1 of 3 groups based on ultrasound appearance: group 1, rotator cuff tendon intact at 1 and 2 years (n = 63); group 2, rotator cuff tendon defect at 1 and 2 years (n = 23); group 3, rotator cuff tendon defect at 1 year but no defect at 2 years (n = 7).
Results
The ultrasound appearance was consistent at 1 and 2 years for 86 of the 93 patients (92.5%). The patients in group 1 had a significantly lower mean age (57.8 ± 9.8 years) than the patients of group 2 (63.6 ± 8.6 years; P = .04). Group 2 had a significantly greater rotator cuff tear size (4.36 ± 1.6 cm) than group 1 (2.84 ± 1.1 cm; P = .00025). Each group had a significant improvement in American Shoulder and Elbow Surgeons scores from baseline to 2-year follow-up.
Conclusion
All intact rotator cuff tendons at 1 year remained intact at 2 years. A small group of patients with postoperative imaging did not appear healed by ultrasound at 1 year but did so at 2 years. Patients demonstrated improvement in American Shoulder and Elbow Surgeons shoulder scores, range of motion, and strength, regardless of tendon healing status on ultrasound.</description><subject>Adult</subject><subject>Aged</subject><subject>Arthroscopy</subject><subject>Biological and medical sciences</subject><subject>Diseases of the osteoarticular system</subject><subject>Endoscopy</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Humans</subject><subject>Investigative techniques, diagnostic techniques (general aspects)</subject><subject>Juxtaarticular diseases. Extraarticular rhumatism</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Prospective Studies</subject><subject>Recovery of Function</subject><subject>Rotator Cuff - diagnostic imaging</subject><subject>Rotator Cuff - surgery</subject><subject>Rotator Cuff Injuries</subject><subject>Sports injuries</subject><subject>Sports medicine</subject><subject>Studies</subject><subject>Tendons</subject><subject>Treatment Outcome</subject><subject>Ultrasonic imaging</subject><subject>Ultrasonography</subject><subject>Wound healing</subject><issn>0363-5465</issn><issn>1552-3365</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2009</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqF0M9LwzAUB_AgipvTuycZgniqvuTlV49j-AsGwtBzSdNEO7q1Ju3B_97OFYWBeArhfd7Ly5eQcwo3lCp1CyhRcCkgRRRK8gMypkKwBFGKQzLelpNtfUROYlwBAFVSH5MRTQVSKWFMprPQvoc62rop7XRZt6atw3TeeT9dusaU4ZQceVNFdzacE_J6f_cyf0wWzw9P89kisah0mxTamtyzwuS6yHNpU0-pkEVhnOHAZSFof9fCcCuV1ylzDoFToym3Gi0KnJDr3dwm1B-di222LqN1VWU2ru5iprhkinPN_5fIQSKqtJeXe3JVd2HTfyNjVIFA-Y1gh2wfQwzOZ00o1yZ8ZhSybcrZfsp9y8Uwt8vXrvhtGGLtwdUATLSm8sFsbBl_HGPAQEjWu2Tnonlzv8v9-fAXPn2ODQ</recordid><startdate>20091001</startdate><enddate>20091001</enddate><creator>Nho, Shane J.</creator><creator>Adler, Ronald S.</creator><creator>Tomlinson, Daniel P.</creator><creator>Allen, Answorth A.</creator><creator>Cordasco, Frank A.</creator><creator>Warren, Russell F.</creator><creator>Altchek, David W.</creator><creator>MacGillivray, John D.</creator><general>SAGE Publications</general><general>Sage Publications</general><general>Sage Publications Ltd</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>7TS</scope><scope>K9.</scope><scope>NAPCQ</scope><scope>U9A</scope><scope>7X8</scope></search><sort><creationdate>20091001</creationdate><title>Arthroscopic Rotator Cuff Repair</title><author>Nho, Shane J. ; Adler, Ronald S. ; Tomlinson, Daniel P. ; Allen, Answorth A. ; Cordasco, Frank A. ; Warren, Russell F. ; Altchek, David W. ; MacGillivray, John D.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c378t-d8cabf2dab8dbb6c9f1156ddaea4046d5111585a4c67f892ee3041a814c83c353</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2009</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Arthroscopy</topic><topic>Biological and medical sciences</topic><topic>Diseases of the osteoarticular system</topic><topic>Endoscopy</topic><topic>Female</topic><topic>Follow-Up Studies</topic><topic>Humans</topic><topic>Investigative techniques, diagnostic techniques (general aspects)</topic><topic>Juxtaarticular diseases. Extraarticular rhumatism</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Prospective Studies</topic><topic>Recovery of Function</topic><topic>Rotator Cuff - diagnostic imaging</topic><topic>Rotator Cuff - surgery</topic><topic>Rotator Cuff Injuries</topic><topic>Sports injuries</topic><topic>Sports medicine</topic><topic>Studies</topic><topic>Tendons</topic><topic>Treatment Outcome</topic><topic>Ultrasonic imaging</topic><topic>Ultrasonography</topic><topic>Wound healing</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Nho, Shane J.</creatorcontrib><creatorcontrib>Adler, Ronald S.</creatorcontrib><creatorcontrib>Tomlinson, Daniel P.</creatorcontrib><creatorcontrib>Allen, Answorth A.</creatorcontrib><creatorcontrib>Cordasco, Frank A.</creatorcontrib><creatorcontrib>Warren, Russell F.</creatorcontrib><creatorcontrib>Altchek, David W.</creatorcontrib><creatorcontrib>MacGillivray, John D.</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>Physical Education Index</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Premium</collection><collection>MEDLINE - Academic</collection><jtitle>The American journal of sports medicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Nho, Shane J.</au><au>Adler, Ronald S.</au><au>Tomlinson, Daniel P.</au><au>Allen, Answorth A.</au><au>Cordasco, Frank A.</au><au>Warren, Russell F.</au><au>Altchek, David W.</au><au>MacGillivray, John D.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Arthroscopic Rotator Cuff Repair: Prospective Evaluation With Sequential Ultrasonography</atitle><jtitle>The American journal of sports medicine</jtitle><addtitle>Am J Sports Med</addtitle><date>2009-10-01</date><risdate>2009</risdate><volume>37</volume><issue>10</issue><spage>1938</spage><epage>1945</epage><pages>1938-1945</pages><issn>0363-5465</issn><eissn>1552-3365</eissn><coden>AJSMDO</coden><abstract>Background
Recent studies have demonstrated predictable healing after arthroscopic rotator cuff repair at a single time point, but few studies have evaluated tendon healing over time.
Hypothesis
Rotator cuff tears that are intact on ultrasound at 1 time point will remain intact, and clinical results will improve regardless of healing status.
Study Design
Cohort study; Level of evidence, 3.
Methods
The Arthroscopic Rotator Cuff Registry was established to determine the effectiveness of arthroscopic rotator cuff repair with clinical outcomes using the American Shoulder and Elbow Surgeons score and ultrasound at 1 and 2 years, postoperatively. Patients were assigned to 1 of 3 groups based on ultrasound appearance: group 1, rotator cuff tendon intact at 1 and 2 years (n = 63); group 2, rotator cuff tendon defect at 1 and 2 years (n = 23); group 3, rotator cuff tendon defect at 1 year but no defect at 2 years (n = 7).
Results
The ultrasound appearance was consistent at 1 and 2 years for 86 of the 93 patients (92.5%). The patients in group 1 had a significantly lower mean age (57.8 ± 9.8 years) than the patients of group 2 (63.6 ± 8.6 years; P = .04). Group 2 had a significantly greater rotator cuff tear size (4.36 ± 1.6 cm) than group 1 (2.84 ± 1.1 cm; P = .00025). Each group had a significant improvement in American Shoulder and Elbow Surgeons scores from baseline to 2-year follow-up.
Conclusion
All intact rotator cuff tendons at 1 year remained intact at 2 years. A small group of patients with postoperative imaging did not appear healed by ultrasound at 1 year but did so at 2 years. Patients demonstrated improvement in American Shoulder and Elbow Surgeons shoulder scores, range of motion, and strength, regardless of tendon healing status on ultrasound.</abstract><cop>Thousand Oaks, CA</cop><pub>SAGE Publications</pub><pmid>19531660</pmid><doi>10.1177/0363546509335764</doi><tpages>8</tpages></addata></record> |
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| subjects | Adult Aged Arthroscopy Biological and medical sciences Diseases of the osteoarticular system Endoscopy Female Follow-Up Studies Humans Investigative techniques, diagnostic techniques (general aspects) Juxtaarticular diseases. Extraarticular rhumatism Male Medical sciences Middle Aged Prospective Studies Recovery of Function Rotator Cuff - diagnostic imaging Rotator Cuff - surgery Rotator Cuff Injuries Sports injuries Sports medicine Studies Tendons Treatment Outcome Ultrasonic imaging Ultrasonography Wound healing |
| title | Arthroscopic Rotator Cuff Repair: Prospective Evaluation With Sequential Ultrasonography |
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