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2024, Number 3

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Ortho-tips 2024; 20 (3)

Rotator cuff injuries. Literature review

Lanuza-Lira A, García-Ramírez JA, Acosta-Olivo CA, Villarreal-Villarreal GA, Garza-Borjón AE, Camarillo-Valdéz VH, Garza-Salazar JF

Language: Spanish
References: 46
Page: 196-203
PDF size: 220.21 Kb.


ABSTRACT

Introduction: rotator cuff injuries cause disability and shoulder pain. Identification and adequate treatment will lead us to a good evolution in these patients. Objectives: the objective of the study was to perform a narrative review of the literature on rotator cuff injuries, as well as the current surgical management between single and double row. Material and methods: articles addressing description and treatment of rotator cuff tears from 2016 to 2023 (randomized, prospective and retrospective cohorts, as well as systematic reviews and meta-analyses) were included. The information in this review was based primarily on PubMed searches using the terms "rotator cuff" in combination with "double-row", "single-row", "shoulder arthroscopy", "randomized", and "meta-analysis" employing appropriate filters. The search was completed by a manual search of articles for additional relevant material. English-language publications were selected based on their relevance to the concepts discussed. We mainly included articles published in the last seven years for clinical trials, meta-analyses, and reviews that reported follow-up results equal to or greater than one year. In addition, reviews of articles considered classics in the literature were performed. Results: a total of seven studies were reviewed, including four randomized controlled trials and three retrospective studies, with a total of 854 patients included, comparing the surgical treatment of complete rotator cuff injuries between single and double row. Better results were found in the functionality scales (UCLA, ASES y CONSTANT) in patients managed with double row. Conclusions: currently the evidence suggests the superiority of the use of the double row in total rotator cuff tears, however, there are limitations of the studies, regarding the description of the patients, for example: The studies do not describe the classification of fatty infiltration of the patients, time of evolution (chronic or acute lesions), surgical technique and materials used, so it is considered that these results may vary.


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