PMID- 28455737
OWN - NLM
STAT- MEDLINE
DCOM- 20180418
LR  - 20181202
IS  - 1432-5195 (Electronic)
IS  - 0341-2695 (Linking)
VI  - 41
IP  - 7
DP  - 2017 Jul
TI  - Treatment of irreparable cuff tears with smoothing of the humeroscapular motion 
      interface without acromioplasty.
PG  - 1423-1430
LID - 10.1007/s00264-017-3486-2 [doi]
AB  - PURPOSE: We sought to determine whether shoulders with irreparable rotator cuff 
      tears and retained active elevation can be durably improved using a conservative 
      surgical procedure that smoothes the interface between the proximal humeral 
      convexity and the concave undersurface of the coracoacromial arch followed by 
      immediate range of motion exercises. METHODS: We reviewed 151 patients with a 
      mean age of 63.4 (range 40-90) years at a mean of 7.3 (range 2-19) years after 
      this surgery. RESULTS: In 77 shoulders with previously unrepaired irreparable 
      tears, simple shoulder test (SST) scores improved from an average of 4.6 (range 
      0-12) to 8.5 (range 1-12) (p < 0.001). Fifty-four patients (70%) improved by at 
      least the minimally clinically important difference (MCID) of 2 SST points. For 
      74 shoulders with irreparable failed prior repairs, SST scores improved from 4.0 
      (range 0-11) to 7.5 (range 0-12) (p < 0.001). Fifty-four patients (73%) improved 
      by the MCID of 2 SST points. CONCLUSION: Smoothing of the humeroscapular 
      interface can improve symptomatic shoulders with irreparable cuff tears and 
      retained active elevation. This conservative procedure offers an alternative to 
      more complex procedures in the management of irreparable rotator cuff tears. 
      LEVEL OF EVIDENCE: Level IV.
FAU - Hsu, Jason E
AU  - Hsu JE
AD  - Department of Orthopaedics and Sports Medicine, University of Washington, 1959 NE 
      Pacific St, Seattle, WA, 98195, USA.
FAU - Gorbaty, Jacob
AU  - Gorbaty J
AD  - Department of Orthopaedics, Carolinas Medical Center, 1000 Blythe Blvd, 
      Charlotte, NC, 28203, USA.
FAU - Lucas, Robert
AU  - Lucas R
AD  - John Muir Health, 3717 Mt. Diablo Blvd. #100, Lafayette, CA, 94549, USA.
FAU - Russ, Stacy M
AU  - Russ SM
AD  - Department of Orthopaedics and Sports Medicine, University of Washington, 1959 NE 
      Pacific St, Seattle, WA, 98195, USA.
FAU - Matsen, Frederick A 3rd
AU  - Matsen FA 3rd
AD  - Department of Orthopaedics and Sports Medicine, University of Washington, 1959 NE 
      Pacific St, Seattle, WA, 98195, USA. matsen@u.washington.edu.
AD  - Department of Orthopaedics and Sports Medicine, University of Washington Medical 
      Center, 1959 NE Pacific Street, Box 356500, Seattle, WA, 98195-6500, USA. 
      matsen@u.washington.edu.
LA  - eng
PT  - Journal Article
DEP - 20170428
PL  - Germany
TA  - Int Orthop
JT  - International orthopaedics
JID - 7705431
SB  - IM
MH  - Adult
MH  - Aged
MH  - Aged, 80 and over
MH  - Cohort Studies
MH  - Conservative Treatment/*methods
MH  - Female
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - Patient Reported Outcome Measures
MH  - Range of Motion, Articular
MH  - Retrospective Studies
MH  - Rotator Cuff/*surgery
MH  - Rotator Cuff Injuries/*surgery
MH  - Shoulder Joint/*surgery
MH  - Treatment Outcome
OTO - NOTNLM
OT  - Humeroscapular motion interface
OT  - Irreparable cuff tears
OT  - Patient reported outcome
OT  - Smooth and move
EDAT- 2017/04/30 06:00
MHDA- 2018/04/19 06:00
CRDT- 2017/04/30 06:00
PHST- 2017/04/02 00:00 [received]
PHST- 2017/04/07 00:00 [accepted]
PHST- 2017/04/30 06:00 [pubmed]
PHST- 2018/04/19 06:00 [medline]
PHST- 2017/04/30 06:00 [entrez]
AID - 10.1007/s00264-017-3486-2 [pii]
AID - 10.1007/s00264-017-3486-2 [doi]
PST - ppublish
SO  - Int Orthop. 2017 Jul;41(7):1423-1430. doi: 10.1007/s00264-017-3486-2. Epub 2017 
      Apr 28.