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Functional and Radiologic Outcomes of Degenerative Versus Traumatic Full-Thickness Rotator Cuff Tears Involving the Supraspinatus Tendon.
Baum, Cornelia; Audigé, Laurent; Stojanov, Thomas; Müller, Sebastian A; Candrian, Christian; Müller, Andreas M; Rosso, Claudio; Fankhauser, Lena; Willscheid, Gernot; Moroder, Philipp; Akgün, Doruk; Danzinger, Victor; Gebauer, Henry; Imiolczyk, Jan-Philipp; Karpinski, Katrin; Lacheta, Lucca; Minkus, Marvin; Paksoy, Alp; Samaniego, Eduardo; Thiele, Kathi; Weiss, Isabella; Suter, Thomas; Müller-Lebschi, Julia; Mueller, Sebastian; Saner, Markus; Haag-Schumacher, Claudia; Tamborrini-Schütz, Giorgio; Trong, Mai Lan Dao; Buitrago-Tellez, Carlos; Hasler, Julian; Riede, Ulf; Weber, Sandra; Moor, Beat; Biner, Matthias; Fournier, Sarah; Gallusser, Nicolas; Marietan, Deborah; Pawlak, Sebastien; Spormann, Christoph; Hansen, Britta; Mamisch, Nadja; Durchholz, Holger; Bräm, Jakob; Cunningham, Gregory; Kourhani, Abed; Ossipow, Sarah; Simao, Patricia; Lädermann, Alexandre; Egli, Rainer; Erdbrink, Stephanie.
Affiliation
  • Baum C; Department of Orthopaedic and Trauma Surgery, University Hospital Basel, Basel, Switzerland.
  • Audigé L; Investigation performed at University Hospital Basel, Basel and the Schulthess Klinik, Zurich, Switzerland.
  • Stojanov T; Surgical Outcome Research Center, Department of Clinical Research, University Hospital of Basel, Basel, Switzerland; Research and Development, Shoulder and Elbow Surgery, Schulthess Klinik, Zurich, Switzerland.
  • Müller SA; Investigation performed at University Hospital Basel, Basel and the Schulthess Klinik, Zurich, Switzerland.
  • Candrian C; Department of Orthopaedic and Trauma Surgery, University Hospital Basel, Basel, Switzerland; Research and Development, Shoulder and Elbow Surgery, Schulthess Klinik, Zurich, Switzerland.
  • Müller AM; Department of Orthopaedic and Trauma Surgery, Shoulder and Elbow, Cantonal Hospital Baselland, Bruderholz, Switzerland; Faculty of Medicine, University of Basel, Basel, Switzerland.
  • Rosso C; Investigation performed at University Hospital Basel, Basel and the Schulthess Klinik, Zurich, Switzerland.
  • Fankhauser L; Trauma and Ortho Unit, Ospedale Regionale di Lugano, Lugano, Switzerland.
  • Willscheid G; Investigation performed at University Hospital Basel, Basel and the Schulthess Klinik, Zurich, Switzerland.
  • Moroder P; Investigation performed at University Hospital Basel, Basel and the Schulthess Klinik, Zurich, Switzerland.
  • Akgün D; Department of Orthopaedic and Trauma Surgery, University Hospital Basel, Basel, Switzerland.
  • Danzinger V; Investigation performed at University Hospital Basel, Basel and the Schulthess Klinik, Zurich, Switzerland.
  • Gebauer H; Principal Investigator [PI]).
  • Imiolczyk JP; Investigation performed at University Hospital Basel, Basel and the Schulthess Klinik, Zurich, Switzerland.
  • Karpinski K; Investigation performed at University Hospital Basel, Basel and the Schulthess Klinik, Zurich, Switzerland.
  • Lacheta L; Charitè Medicine University, Berlin, DE.
  • Minkus M; Investigation performed at University Hospital Basel, Basel and the Schulthess Klinik, Zurich, Switzerland.
  • Paksoy A; Investigation performed at University Hospital Basel, Basel and the Schulthess Klinik, Zurich, Switzerland.
  • Samaniego E; Investigation performed at University Hospital Basel, Basel and the Schulthess Klinik, Zurich, Switzerland.
  • Thiele K; Investigation performed at University Hospital Basel, Basel and the Schulthess Klinik, Zurich, Switzerland.
  • Weiss I; Investigation performed at University Hospital Basel, Basel and the Schulthess Klinik, Zurich, Switzerland.
  • Suter T; Investigation performed at University Hospital Basel, Basel and the Schulthess Klinik, Zurich, Switzerland.
  • Müller-Lebschi J; Investigation performed at University Hospital Basel, Basel and the Schulthess Klinik, Zurich, Switzerland.
  • Mueller S; Investigation performed at University Hospital Basel, Basel and the Schulthess Klinik, Zurich, Switzerland.
  • Saner M; Investigation performed at University Hospital Basel, Basel and the Schulthess Klinik, Zurich, Switzerland.
  • Haag-Schumacher C; Investigation performed at University Hospital Basel, Basel and the Schulthess Klinik, Zurich, Switzerland.
  • Tamborrini-Schütz G; Investigation performed at University Hospital Basel, Basel and the Schulthess Klinik, Zurich, Switzerland.
  • Trong MLD; Investigation performed at University Hospital Basel, Basel and the Schulthess Klinik, Zurich, Switzerland.
  • Buitrago-Tellez C; Cantonal Hospital Baselland, Bruderholz, CH.
  • Hasler J; Investigation performed at University Hospital Basel, Basel and the Schulthess Klinik, Zurich, Switzerland.
  • Riede U; Investigation performed at University Hospital Basel, Basel and the Schulthess Klinik, Zurich, Switzerland.
  • Weber S; Investigation performed at University Hospital Basel, Basel and the Schulthess Klinik, Zurich, Switzerland.
  • Moor B; Investigation performed at University Hospital Basel, Basel and the Schulthess Klinik, Zurich, Switzerland.
  • Biner M; Investigation performed at University Hospital Basel, Basel and the Schulthess Klinik, Zurich, Switzerland.
  • Fournier S; Investigation performed at University Hospital Basel, Basel and the Schulthess Klinik, Zurich, Switzerland.
  • Gallusser N; Public Hospital Solothurn, Solothurn, CH.
  • Marietan D; Investigation performed at University Hospital Basel, Basel and the Schulthess Klinik, Zurich, Switzerland.
  • Pawlak S; Investigation performed at University Hospital Basel, Basel and the Schulthess Klinik, Zurich, Switzerland.
  • Spormann C; Investigation performed at University Hospital Basel, Basel and the Schulthess Klinik, Zurich, Switzerland.
  • Hansen B; Investigation performed at University Hospital Basel, Basel and the Schulthess Klinik, Zurich, Switzerland.
  • Mamisch N; Investigation performed at University Hospital Basel, Basel and the Schulthess Klinik, Zurich, Switzerland.
  • Durchholz H; Hôpital du Valais-Centre Hospitalier du Valais Romand, Martigny, CH.
  • Bräm J; Investigation performed at University Hospital Basel, Basel and the Schulthess Klinik, Zurich, Switzerland.
  • Cunningham G; Investigation performed at University Hospital Basel, Basel and the Schulthess Klinik, Zurich, Switzerland.
  • Kourhani A; Investigation performed at University Hospital Basel, Basel and the Schulthess Klinik, Zurich, Switzerland.
  • Ossipow S; Investigation performed at University Hospital Basel, Basel and the Schulthess Klinik, Zurich, Switzerland.
  • Simao P; Investigation performed at University Hospital Basel, Basel and the Schulthess Klinik, Zurich, Switzerland.
  • Lädermann A; Investigation performed at University Hospital Basel, Basel and the Schulthess Klinik, Zurich, Switzerland.
  • Egli R; Endoclinic, Zurich, CH.
  • Erdbrink S; Investigation performed at University Hospital Basel, Basel and the Schulthess Klinik, Zurich, Switzerland.
Am J Sports Med ; 52(2): 441-450, 2024 02.
Article de En | MEDLINE | ID: mdl-38259113
ABSTRACT

BACKGROUND:

Arthroscopic rotator cuff repair (ARCR) is among the most commonly performed orthopaedic procedures. Several factors-including age, sex, and tear severity-have been identified as predictors for outcome after repair. The influence of the tear etiology on functional and structural outcome remains controversial.

PURPOSE:

To investigate the influence of tear etiology (degenerative vs traumatic) on functional and structural outcomes in patients with supraspinatus tendon tears. STUDY

DESIGN:

Cohort study; Level of evidence, 2.

METHODS:

Patients undergoing ARCR from 19 centers were prospectively enrolled between June 2020 and November 2021. Full-thickness, nonmassive tears involving the supraspinatus tendon were included. Tears were classified as degenerative (chronic shoulder pain, no history of trauma) or traumatic (acute, traumatic onset, no previous shoulder pain). Range of motion, strength, the Subjective Shoulder Value, the Oxford Shoulder Score (OSS), and the Constant-Murley Score (CMS) were assessed before (baseline) and 6 and 12 months after ARCR. The Subjective Shoulder Value and the OSS were also determined at the 24-month follow-up. Repair integrity after 12 months was documented, as well as additional surgeries up to the 24-month follow-up. Tear groups were compared using mixed models adjusted for potential confounding effects.

RESULTS:

From a cohort of 973 consecutive patients, 421 patients (degenerative tear, n = 230; traumatic tear, n = 191) met the inclusion criteria. The traumatic tear group had lower mean baseline OSS and CMS scores but significantly greater score changes 12 months after ARCR (OSS, 18 [SD, 8]; CMS, 34 [SD,18] vs degenerative OSS, 15 [SD, 8]; CMS, 22 [SD, 15]) (P < .001) and significantly higher 12-month overall scores (OSS, 44 [SD, 5]; CMS, 79 [SD, 9] vs degenerative OSS, 42 [SD, 7]; CMS, 76 [SD, 12]) (P≤ .006). At the 24-month follow-up, neither the OSS (degenerative, 44 [SD, 6]; traumatic, 45 [SD, 6]; P = .346) nor the rates of repair failure (degenerative, 14 [6.1%]; traumatic 12 [6.3%]; P = .934) and additional surgeries (7 [3%]; 7 [3.7%]; P = .723) differed between groups.

CONCLUSION:

Patients with degenerative and traumatic full-thickness supraspinatus tendon tears who had ARCR show satisfactory short-term functional results. Although patients with traumatic tears have lower baseline functional scores, they rehabilitate over time and show comparable clinical results 1 year after ARCR. Similarly, degenerative and traumatic rotator cuff tears show comparable structural outcomes, which suggests that degenerated tendons retain healing potential.
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Texte intégral: 1 Collection: 01-internacional Base de données: MEDLINE Sujet principal: Lacérations / Lésions de la coiffe des rotateurs Type d'étude: Etiology_studies / Incidence_studies / Observational_studies / Prognostic_studies / Risk_factors_studies Limites: Humans Langue: En Journal: Am J Sports Med Année: 2024 Type de document: Article Pays d'affiliation: Suisse
Texte intégral
Ajouter à My VHL
Imprimer
XML
PubMed Links
Recherche sur Google

Texte intégral: 1 Collection: 01-internacional Base de données: MEDLINE Sujet principal: Lacérations / Lésions de la coiffe des rotateurs Type d'étude: Etiology_studies / Incidence_studies / Observational_studies / Prognostic_studies / Risk_factors_studies Limites: Humans Langue: En Journal: Am J Sports Med Année: 2024 Type de document: Article Pays d'affiliation: Suisse