Evolution of nonoperatively treated symptomatic isolated full-thickness supraspinatus tears

The Journal of Bone and Joint Surgery. American Volume
Sandro F FucenteseB Jost

Abstract

The natural history of small, symptomatic rotator cuff tears is currently unclear. The purpose of the present study was to assess the clinical and structural outcomes for a consecutive series of patients with symptomatic, isolated full-thickness supraspinatus tears who had been offered rotator cuff repair but declined operative treatment. In the study period, twenty-four patients with isolated full-thickness supraspinatus tears that had been diagnosed by means of magnetic resonance arthrography were offered rotator cuff repair and elected nonoperative treatment. The twenty men and four women had an average age of fifty-two years at the time of diagnosis. At a median of forty-two months after the diagnosis, all patients were reexamined clinically according to the Constant and Murley scoring system and all shoulders underwent standard magnetic resonance imaging. At the time of follow-up, the mean subjective shoulder score was 74% of that for a normal shoulder and the mean Constant score was 75 points (relative Constant score, 86%). The mean rotator cuff tear size did not change significantly over time (95% confidence interval, 0.51 to 1.12). In two shoulders, the tear was no longer detectable on magnetic resonance imaging, in nin...Continue Reading

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Citations

Jun 25, 2013·International Orthopaedics·Patricio MeleanPeter Habermeyer
Jan 1, 2014·Journal of Shoulder and Elbow Surgery·Stefano GuminaGiuseppe Giannicola
Oct 19, 2013·Journal of Shoulder and Elbow Surgery·Michael G YeranosianFrank A Petrigliano
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Jan 8, 2018·Journal of Biomechanics·R Matthew MillerRichard E Debski

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