medigraphic.com
ISSN 1561-3100 (Print)

2012, Number 1

<< Back Next >>

Revista Cubana de Ortopedia y Traumatología 2012; 26 (1)

Arthroscopic repair of total ruptures of rotator cuff

García MO, Hernández RAR, Candelario ÁJL, González HD, Buess E

Language: Spanish
References: 33
Page: 40-52
PDF size: 211.13 Kb.


ABSTRACT

Introduction: the rupture of rotator cuff (tendons of the subscapularis, supraspinatus, infraspinatus and teres minor muscles) is a disease affecting the shoulder with a high incidence. It is more frequent present in persons practicing repetitive exercises and there is a background of trauma. Arthroscopic diagnosis with its advantages is definite and exact and the appropriate interpretation of it guarantees the success of repair.
Objective: to assess the results of the arthroscopic repairs with the method of suture and anchorage in the total ruptures of rotator cuff applied in the Orthopedics service from October, 2007 to April, 2009.
Methods: authors analyzed the resultrs from 42 patients with total ruptures of rotator cuff, assessed using the Constant-Muley scale. A mean follow-up of 15.5 months was carried out with predominance of male sex (69 %) and an average age of 56 years at surgery.
Results: in the patients included surgery was carried out in the dominant limb in the 66.6 %. The first general assessment of results at 6 postoperative months showed an 83.3 % of excellent, goods and fair results. With time the results improved, at 12 months it was obtained the 97.6 % of excellent, good and fair results in the series.
Conclusions: the results of arthroscopic repairs of present series of cases are comparable with reports available in literature.


REFERENCES

  1. Bjelle A. Epidemiology of shoulder problems. Baillieres Clin Rheumatol.1989;(3):437-51.

  2. Chard MD, Hazelman R, Hazelman BL, King RH, Reiss BB. Shoulder disorders in the elderly: a community survey. Arthritis Rheumatism. 1991;34(6):766-9.

  3. Green S, Buchbinder R, Glazier R, Forbes A. Systematic Review of randomised controlled trials of interventions for painful shoulder: selection criteria, outcome assessment, and efficacy. British Med J. 1998;316:345-60.

  4. Bot SDM, van der Waal JM, Terwee CB. Incidence and prevalence of complaints of the neck and upper extremity in general practice. Annals Rheumatis Disease. 2005;64(1):118-23.

  5. Bridges-Webb C, Britt H, Miles D, Neary S, Charles J, Traynor V, et al. Morbidity and treatment in general practice in Australia 1990-1991. Med J Australia. 1992;(Suppl 157):S1-S56.

  6. Gomoll AH, Katz JN, Warner JJP, Millett PJ. Rotator cuff disorders: recognition and management among patients with shoulder pain. Arthritis Rheumatism. 2004;50:3751-61.

  7. Sher JS, Uribe JW, Posada A, Murphy BJ, Zlatkin BM. Abnormal findings on magnetic resonance images of asymptomatic shoulder. J Bone Joint Surg (Am). 1995;77:10-5.

  8. Ogata S, Uhthoff HK. Acromial enthesopathy and rotator cuff tear. Clin Orthopaedics Related Research. 1990;254:39-48.

  9. Yamaguchi K, Tetro A, Blam O, Evanoff B, Teefey S, Middleton W, et al. Natural history of asymptomatic rotator cuff tears: a longitudinal analysis of asymptomatic tears detected sonographically. J Shoulder Elbow Surg. 2001;10:199-203.

  10. Croft P, Pope D, Silman A. The clinical course of shoulder pain: prospective cohort in primary care. British Med J. 1996;313:601-2.

  11. Van der Windt DA, Koes BW, Boeke AJ, Deville W, De Jong BA, Bouter LM. Shoulder Disorders in general practice: prognostic indicators of outcome. British J General Practice. 1996;46(410):519-23.

  12. Gary M, Gartsman MD, Samer S, Hasan MD. What's new in shoulder and elbow surgery. J Bone Joint Surg (Am). 2005;87:226-40.

  13. Burkhart SS, Danaceau SM, Pearce CEJr. Arthroscopic rotator cuff repair: Analysis of results by tear size and by repair technique margin convergene versus direct tendon-to-bone repair. Arthroscopy: J Arthroscopic Related Surg. 2001;17(9):905-12.

  14. Burkhart SS, Danaceau SM, Pearce ChE. Arthroscopic rotator cuff repair: Analysis of results by tear size and by repair technique- margin convergene versus direct tendon-to-bone repair. Arthroscopy: J Arthroscopic Related Surg. 2001;17(9):905-12.

  15. Gartsman GM, Khaan M, Hammerman SM. Arthroscopic repair of full-thickness tears of the rotator cuff. J Bone Joint Surg Am. 1998;80:832-40.

  16. Bennet WF. Arthroscopic repair of full-thickness supraspinatus tears (small-to-medium): A prospective study with 2-4 year follow-up. Arthroscopy. 2003;19(3):249-56.

  17. Wolf E, Pennington T, Agrawal V. Arthroscopic rotator cuff repair: 4- to 10-year results. Arthroscopy. 2004;20(1):5-12.

  18. Boileau P, Brassart N, Watkinson DJ, Carles M, Hatzidakis AM, Krishnan SG, et al. Arthroscopic repair of full-thickness tears of the supraspinatus: Does the tendon really heal? J Bone Joint Surg Am. 2005;87(6):1229-40.

  19. Charousset C, Grimberg J, Duranthon LD, Bellaiche L. Arthro-C-scan analysis of rotator cuff tears healing after arthroscopic repair: Analysis of predictive factors in a consecutive series of 167 arthroscopic repairs. Rev Chir Orthop Reparatrice Appar Mot. 2006;92:223-34.

  20. Buess E, Steuber KU, Waibl B. Open versus arthroscopic rotator cuff repair: A comparative view of 96 cases. Arthroscopy. 2005;21(5):597-604.

  21. Snyder SJ. Shoulder Arthroscopy. 2nd ed. New York: MGraw-Hill Lippincott Williams and Wilkins; 2003.

  22. Ellman H, Kay SP, Wirth M. Arthroscopic treatment of full-thickness rotator cuff tears: 2- to 7-year follow-up study. Arthroscopy. 1993;9(2):195-200.

  23. Burkhart SS, Athanasiou KA, Wirth MA. Margin convergence: A method of reducing strain in massive rotator cuff tears. Arthroscopy: J Arthroscopic Related Surg. 1996;12(3):335-8. Constant CR, Murley AH. A clinical method of functional assessment of the shoulder. Clin Orthop Relat Res. 1987;(214):160-4.

  24. Posada A, Uribe JW, Hechtman KS, Tjin-A-Tsoi EW, Zvijac JE. Mini-deltoid splitting rotator cuff repair: Do results deteriorate with time? Arthroscopy: J Arthroscopic Related Surg. 2000;16(2):137-41.

  25. Burkhart SS. A stepwise approach to arthroscopic rotator cuff repair based on biomechanical principles. Arthroscopy: J Arthroscopic Related Surg. 2000;16(1):82-90.

  26. Cole BJ, ElAttrache NS, Anbari A. Arthroscopic rotator cuff repairs: An anatomic and biomechanical rationale for different suture-anchor repair configurations. Arthroscopy: J Arthroscopic Related Surg. 2007;23(6):662-9.

  27. Nho SJ, Yadav H, Pensak M, Dodson CC, Good CR, MacGillivray JD . Biomechanical fixation in arthroscopic rotator cuff repair. Arthroscopy: J Arthroscopic Related Surg. 2007;23(1):94-102.

  28. Flurin PH, Landreau P, Gregory T. Cuff integrity after arthroscopic rotator cuff repair: Correlation with clinical. Arthroscopy: J Arthroscopic Related Surg. 2007;23:340-6.

  29. Sugaya H, Maeda K, Matsuki K, Moriishi J. Repair integrity and functional outcome after arthroscopic double-row rotator cuff repair. J Bone Joint Surg Am. 2007; 89(5): 953-60.

  30. Grasso A, Milano G, Salvatore M , Falcone G, Fabbriciani C. Single-row versus double row arthroscopic rotator cuff repair: A prospective randomized clinical study. Arthroscopy: J Arthroscopic Related Surg. 2009;25(1): 4-12.

  31. Charousset Ch, Bellache L, Kalra K, Petrover D. Arthroscopic repair of full-thickness rotator cuff tears: is there tendon healing in patients aged 65 years or older? Arthroscopy: J Arthroscopic Related Surg. 2010;26(3):302-9.

  32. Slabaugh MA, Nho SJ, Grumet, RC, Wilson JB, Seroyer ST, Frank RM, et al. Does the literature confirm superior clinical results in radiographically healed hotator cuffs after rotator cuff repair. Arthroscopy: J Arthroscopic Related Surg. 2010;26(3):393-403.

  33. Prasathaporn N, Kuptniratsaikul S, Kongrukgreatiyos K. Single-row repair versus double row repair of full-thickness rotator cuff tears. Arthroscopy: J Arthroscopic Related Surg. 2011;27(7):978-85.




2020     |     www.medigraphic.com