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Arthroscopic rotator cuff repair in active patients younger than 45 Years: a prospective analysis with a mean 5-year follow-up

Authors :
Marco-Christopher Rupp, MD
Peter Chang, MD
Marilee P. Horan, MPH
Zaamin B. Hussain, MD
Jonathan A. Godin, MD
Jonas Pogorzelski, MD
Peter J. Millett, MD, MSc
Source :
JSES International, Vol 8, Iss 4, Pp 798-805 (2024)
Publication Year :
2024
Publisher :
Elsevier, 2024.

Abstract

Background: To report clinical and activity-specific outcomes after arthroscopic rotator cuff repair (ARCR) for full-thickness supraspinatus tears in active individuals aged less than or equal to 45 years. The pre hoc hypothesis was that patients in this age group would demonstrate significant improvements in clinical outcomes following ARCR along with a significant improvement of athletic abilities. Methods: Patients were included in this study if they were (1) active individuals aged between 18 and 45 years at the time of surgery, (2) had a full-thickness rotator cuff tear of the supraspinatus tendon with or without anterior or posterior extension, and (3) underwent ARCR. Preoperative and postoperative patient-reported outcomes scores including the American Shoulder and Elbow Surgeons (ASES) score; Disabilities of Arm, Shoulder and Hand; Single Assessment Numeric Evaluation; and Short Form-12 Physical Component Summary were prospectively collected and postoperative patient satisfaction (scale of 1-10) was recorded at a minimum of 2 years postoperatively. Attainment of the minimal clinically important difference and patient acceptable symptom state for the ASES was calculated. Athletic activity–specific outcomes and return to activity were investigated prospectively via a custom-made comprehensive questionnaire. Results: Between November 2005 and June 2020, of 1149 RCRs performed by the senior author, 54 patients (mean age 40.9 years, 13 female; follow-up 69.7 ± 35.2 months in a range of 24.6-179.6 months) were included into the outcomes analysis. Of those, 4 patients (7.4%) had progressed to revision RCR. At a follow-up of 5.8 years, outcome scores had significantly improved compared to preoperative baselines (ASES 55.6 ± 13.8 to 90.1 + 15.8; P

Details

Language :
English
ISSN :
26666383
Volume :
8
Issue :
4
Database :
Directory of Open Access Journals
Journal :
JSES International
Publication Type :
Academic Journal
Accession number :
edsdoj.789eaef3cf3e4c09a07128be262fc16b
Document Type :
article
Full Text :
https://doi.org/10.1016/j.jseint.2024.03.002