Outcomes after arthroscopic revision rotator cuff repair

The American Journal of Sports Medicine
Dana P PiaseckiAnthony A Romeo

Abstract

Although a number of reports have documented outcomes after open revision rotator cuff repair, there are few studies reporting results after arthroscopic revision. Arthroscopic repair of failed rotator cuff results in significant improvement in shoulder functional outcome and pain relief. Case series; Level of evidence, 4. Multiple variables including demographic data, the number of prior ipsilateral shoulder surgeries, and tear size were recorded from chart review. An independent examiner then measured shoulder strength, range of motion, and shoulder functional outcome scores including American Shoulder and Elbow Surgeons score, Simple Shoulder Test, and visual analog pain scale. Paired t tests were performed to compare preoperative and postoperative measures. Additionally, contingency table analysis was performed to identify prognostic factors for failure of repair requiring further surgery and American Shoulder and Elbow Surgeons score less than 50. Fifty-four patients (88.5%) were available for follow-up evaluation with a mean age of 54.9 +/- 10.1 years (range, 22.7-82.5 years) and a mean follow-up of 31.1 +/- 11.9 months. American Shoulder and Elbow Surgeons scores improved from 43.8 +/- 5.7 (mean +/- 95% confidence interv...Continue Reading

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Nov 1, 2012·Operative Orthopädie und Traumatologie·M Scheibel
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