Predictive factors of subtle residual shoulder symptoms after transtendinous arthroscopic cuff repair: A clinical study

Alessandro Castagna, Giacomo Delle Rose, Marco Conti, Stephen J. Snyder, Mario Borroni, Raffaele Garofalo

Research output: Contribution to journalArticle

Abstract

Background: Transtendinous repair is a well-known technique for the arthroscopic management of partial rotator cuff tear. However, there are not a lot of clinical follow-up studies in the literature reporting data on this approach, and, moreover, potential factors responsible to influence the outcomes have not been investigated. Purpose: To evaluate clinical outcomes after arthroscopic transtendinous repair and to identify predictive factors of residual shoulder symptoms. Study Design: Case series; Level of evidence, 4. Methods: Fifty-four patients with a mean age of 56.7 ± 8.8 years (range, 31-71 years) who had undergone an arthroscopic transtendon repair for a painful articular-sided rotator cuff tear with a minimum of 2 years of follow-up were contacted. Clinical outcomes using a patient-based questionnaire, the Constant score, University of California at Los Angeles score, Simple Shoulder Test, and visual analog scale were evaluated. The influence of patient age, presence or absence of a trauma responsible for the cuff tear, presence of associated shoulder lesions, millimeters of exposed footprint, and millimeters of torn tendon retraction on the outcomes were assessed. Results: The mean cuff tear exposure footprint was 5.2 mm, and the mean retraction of the torn part of the tendon was 8 mm. Only one patient reported dissatisfaction with surgery because of persistence of pain during overhead activities. After arthroscopic repair, University of California at Los Angeles, Constant, and Simple Shoulder Test scores were significantly improved from 14.1, 45.3, and 9.8 to 32.9, 90.6, and 0.8, respectively (P

Original languageEnglish
Pages (from-to)103-108
Number of pages6
JournalAmerican Journal of Sports Medicine
Volume37
Issue number1
DOIs
Publication statusPublished - Jan 2009

Keywords

  • Articular cuff tear
  • Footprint
  • Partial-thickness rotator cuff tear
  • Tendon retraction
  • Transtendon repair

ASJC Scopus subject areas

  • Orthopedics and Sports Medicine
  • Physical Therapy, Sports Therapy and Rehabilitation

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