Back to Search
Start Over
Clinical outcome and structural integrity of all-arthroscopic repair of degenerative subscapularis tendon tears.
- Source :
-
Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA [Knee Surg Sports Traumatol Arthrosc] 2013 Jul; Vol. 21 (7), pp. 1620-5. Date of Electronic Publication: 2012 Jul 27. - Publication Year :
- 2013
-
Abstract
- Purpose: The purpose of this study was to evaluate the clinical outcome of all-arthroscopic repair of degenerative subscapularis tendon tears and post-operative structural integrity using magnetic resonance imaging with a short-term follow-up.<br />Methods: Twenty-one patients were treated all-arthroscopically for a full-thickness degenerative subscapularis tendon tear. Median patient age was 55 years (range, 41-69). Median follow-up was 25 months (range, 15-44). Patients were evaluated prior to surgery and at follow-up: active range of motion, VAS pain, Simple Shoulder Test (SST), and the Disabilities of the Arm, Shoulder, and Hand score (DASH). At final follow-up, the Constant-Murley score was evaluated.<br />Results: Mean active range of motion showed significant post-operative improvement (p < 0.001). VAS pain improved from 8.3 (SD ± 1.3) pre-operatively to 2.7 (SD ± 1.8) post-operatively (<0.001); SST increased from 20 % (SD ± 26) pre-operatively to 83 % (SD ± 27) post-operatively (<0.001); DASH scores improved 67 (SD ± 19) to 18 (SD ± 21) post-operatively (<0.001). Post-operative Constant-Murley score was 79 (SD ± 12). Two patients had failure of the repair on post-operative MRI. Twelve cases (57 %) showed post-operative progression of fatty muscle infiltration.<br />Conclusion: All-arthroscopic repair is an effective treatment modality for degenerative subscapularis tendon tears with an anterosuperior tear pattern with good clinical results and high patient satisfaction. Although there was a high tendon-to-bone healing rate, fatty muscle infiltration was progressive in more than half of the patients.<br />Level of Evidence: Therapeutic case series, Level IV.
- Subjects :
- Adult
Aged
Disability Evaluation
Female
Humans
Magnetic Resonance Imaging
Male
Middle Aged
Pain Measurement
Range of Motion, Articular physiology
Rotation
Shoulder Joint physiopathology
Tendon Injuries diagnosis
Tendon Injuries physiopathology
Treatment Outcome
Arthroscopy methods
Shoulder Joint surgery
Tendon Injuries surgery
Subjects
Details
- Language :
- English
- ISSN :
- 1433-7347
- Volume :
- 21
- Issue :
- 7
- Database :
- MEDLINE
- Journal :
- Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA
- Publication Type :
- Academic Journal
- Accession number :
- 22836229
- Full Text :
- https://doi.org/10.1007/s00167-012-2147-7