Clinics in Shoulder and Elbow

Korean Shoulder and Elbow Society (대한견·주관절의학회)
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Arthroscopic Assisted Mini-open Repair of Rotator Cuff Tear - 5∼8 Years Follow-up Results -

관절경 보조 소절개 봉합술을 이용한 회전근 개 파열의 치료 - 5∼8년 추시 결과 -

  • Kim Young-Mo (Department of Orthopedic Surgery, School of Medicine, Chungnam National University) ;
  • Rhee Kwang-Jin (Department of Orthopedic Surgery, School of Medicine, Chungnam National University) ;
  • Shin Hyun-Dae (Department of Orthopedic Surgery, School of Medicine, Chungnam National University) ;
  • Byun Ki-Yong (Dunsan Byun Orthopedic Hospital, School of Medicine) ;
  • Kim Kyung-Cheon (Department of Orthopedic Surgery, School of Medicine, Chungnam National University) ;
  • Hong Ui-Pyo (Department of Orthopedic Surgery, School of Medicine, Chungnam National University)
  • 김영모 (충남대학교 의과대학 정형외과학교실) ;
  • 이광진 (충남대학교 의과대학 정형외과학교실) ;
  • 신현대 (충남대학교 의과대학 정형외과학교실) ;
  • 변기용 (둔산 변정형외과병원) ;
  • 김경천 (충남대학교 의과대학 정형외과학교실) ;
  • 홍의표 (충남대학교 의과대학 정형외과학교실)
  • Published : 2004.06.01
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Abstract

Purpose: To report our experience of treatment of rotator cuff tear and evaluate the mid-term outcome. Materials and Methods: We have performed 50 cases of mini-open rotator cuff repair from March 1996 to March 1999. Male to female ratio was 34：16, the average age 46.5(23∼57) years old, mean follow-up period was 78(62∼93) months. All-arthroscopic repair and open repair cases were excluded. Mean symptomatic period was 12.5(6∼38) months, operation was indicated in cases of no improvement by 6 months of conservative management. Preoperative simple radiographs and Magnetic resonance arthrography were obtained in all cases. We also observed the inflammation, synovitis, thickness of tear and associated pathology intraoperatively. We evaluated pain, function, and range of motion by UCLA score. Results: Overall UCLA score was mean 29.5 points. Excellent 25, good 18, poor 7 cases. Mean pain score was improved 2.6 to 7.5, 44 cases(88%) were improved and 6 cases(12%) were not improved. Mean functional score was improved 3.4 to 8.5, and activity at follow up, 25 cases(50%) were same, 8 cases(14%) were above, 17 cases(34%) were below compared with preoperative level. Mean active forward flexion was preoperative 112° to postoperative 160°, forward flexion strength was improved 3.8 to 4.7. 43 cases(86%) of patients were satisfied at the result, 7 cases(14%) were not satisfied or aggravated. Results: Mini-open rotator cuff repair was effective method in treating rotator cuff tear.

Keywords

References

  1. Baker CL and Liu SH: Comparison of Open and Arthroscopicall Assisted Rotator Cuff Repair. Am J Sports Med, 23(1):99-, 1995. https://doi.org/10.1177/036354659502300117
  2. Blevins FT, Djurasovic M, Flatow EL and Vogel KG: Biology of the rotator cuff tendon. Orthop Clin North Am, 28(1):1-16,1997. https://doi.org/10.1016/S0030-5898(05)70260-1
  3. Codman Ea, Boston MA and Thomas Todd: Rupture of the supraspinatus tendon and other lesions in or about the subacromial bursa. The shoulder, 1934.
  4. Cofield RH: Current concepts review. Rotator cuff disease of the shoulder. J Bone Joint Surg, 67-A(6):974-979,1985.
  5. Eilman H, Hanker G and Bayer M: Repair of the ratator cuff: End-result study of fators influencing reconstruction. J Bone Joint Surg, 68-A: 1136-1144,1986.
  6. Gartsman GH: Arthroscopic Assessment of Rotator Cuff Tear Reparability. Arthroscopy, 12(5):546-549,1996. https://doi.org/10.1016/S0749-8063(96)90192-9
  7. Goldberg, Benjamin A, Lippitt, Steven B, Matsen III and Frederick A: Improvement in Comfort and Function After Cuff Repair Without Acromioplasty. Clin Orthop, 2001(390):142-150, 2001.
  8. Herzog RJ: Magnetic resonance imaging of the shoulder. J Bone Joint Surg, 79-A(6):934-954, 1997
  9. Iannotti JP: Full-thickness rotator cuff tears. Factors affecting surgical outcome. J AAOS, 2(2):87-95,1994.
  10. Kody MH and Paulos LE: Arthroscopically Enhanced "Miniapproach" to Rotator Cuff Repair. Am J Sports Med, 22(1): 19-, 1994. https://doi.org/10.1177/036354659402200104
  11. Matsen FA, Lippitt SB, Sidles JA and Harryman DT: Practical evaluation and management of the shoulder. Philadelphia, WB Saunders Co., 1994.
  12. Neer CS: Impingement lesion. Clin orthop, 173:70-77,1983.
  13. Ozaki J, Fujimoto S, Nakagawa Y, Masuhara K and Tamai S: Tears of the rotator cuff of the shoulder associated with pathological changes in the acromion. A study in cadaver. J Bone Joint Surg, 70-A:1224-1230,1988.
  14. Rathbun JB and Macnab I: The microvascular pattern of the rotator cuff. J Bone Joint Surg, 52-B:540-553,1970. https://doi.org/10.1302/0301-620X.52B3.540
  15. Tauro JC: Completing Arthroscopic Knots With a Broken Suture Limb. Arthroscopy, 13(2):268-270,1997. https://doi.org/10.1016/S0749-8063(97)90169-9
  16. Teefey SA, Hasan SA, Middleton WD, Patel M, Wright RW and Yamaguchi K: Ultrasonography of the Rotator Cuff. A Comparison of Ultrasonographic and Arthroscopic Findings in One Hundred Consecutive Cases, J Bone Joint Surg, 82(4):498-504,2000. https://doi.org/10.2106/00004623-200004000-00005
  17. Uhthoff HK, FRCSC and Sano H: Pathology of failure of the rotator cuff rendon. Orthop Clin N Am, 28(1):31-41,1997. https://doi.org/10.1016/S0030-5898(05)70262-5
  18. Yamaguchi K, Sher JS, Andersen WK, Gar-retson R, Uribe JW, Hechtman K and Nevias: Glenohumeral motion in patients with rotator cuff tears. A comparison of asymptomatic and symptomatic shoulders. J shoulder Elbow Surg, 9(1):6-11,2000. https://doi.org/10.1016/S1058-2746(00)90002-8

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  2. The Evaluation for the Usefulness of Arthroscopic Miniopen Repair which Related with Large and Massive Sized Full Thickness Rotator Cuff Tear and Clinical Results vol.9, pp.1, 2006, https://doi.org/10.5397/CiSE.2006.9.1.083