Systematic review: nonoperative and operative treatments for rotator cuff tears

Annals of Internal Medicine
Jennifer C SeidaDavid M Sheps

Abstract

Many approaches exist for managing rotator cuff tears. To compare the benefits and harms of nonoperative and operative interventions on clinically important outcomes in adults with rotator cuff tears. 12 electronic databases (1990 to September 2009), gray literature, trial registries, and reference lists were searched. Controlled and uncontrolled studies that assessed nonoperative or operative treatments or postoperative rehabilitation for adults with confirmed rotator cuff tears were included. Operative studies in English-language publications and nonoperative and postoperative rehabilitation studies in English, French, or German were considered. Studies were assessed in duplicate. 2 reviewers assessed risk for bias by using the Cochrane Risk of Bias tool and the Newcastle-Ottawa Scale. One reviewer rated the evidence by using a modified GRADE (Grading of Recommendations Assessment, Development, and Evaluation) approach. Data were extracted by one reviewer and verified by another. 137 studies met eligibility criteria. All trials had high risk for bias. Cohort and uncontrolled studies were of moderate quality. Reported functional outcomes did not differ between open versus mini-open repair, mini-open versus arthroscopic repair,...Continue Reading

Associated Clinical Trials

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