PMID- 30903255
OWN - NLM
STAT- MEDLINE
DCOM- 20200507
LR  - 20211204
IS  - 1432-5195 (Electronic)
IS  - 0341-2695 (Linking)
VI  - 43
IP  - 7
DP  - 2019 Jul
TI  - Significant improvement in patient self-assessed comfort and function at six 
      weeks after the smooth and move procedure for shoulders with irreparable rotator 
      cuff tears and retained active elevation.
PG  - 1659-1667
LID - 10.1007/s00264-019-04310-4 [doi]
AB  - BACKGROUND: It has been documented that the smooth and move procedure-smoothing 
      the proximal humeral surface while maintaining the coracoacromial arch-can 
      provide clinically significant long-term improvement in function for patients 
      having irreparable rotator cuff tears with retained active elevation. This study 
      sought to demonstrate that clinically significant gains in comfort, function, and 
      active motion can be realized as early as 6 weeks after this procedure. METHODS: 
      We conducted a prospective cohort study of the 6-week clinical outcomes for 48 
      patients enrolled prior to a smooth and move procedure for irreparable rotator 
      cuff tears. Prior rotator cuff repair had been attempted in 28 (70%). RESULTS: In 
      40 patients with preoperative and 6-week postoperative measurements, the Simple 
      Shoulder Test scores improved from an average of 3.4 +/- 2.8 preoperatively to 
      5.7 +/- 3.5 at 6 weeks (p < 0.001), an improvement that exceeded the published 
      values for the minimal clinically important difference (MCID). The clinical 
      outcomes were not worse for the 18 shoulders with irreparable tears of both the 
      supraspinatus and infraspinatus. In 30 patients with preoperative and 6-week 
      postoperative objective measurements of active motion, the average abduction 
      improved from 93(+/- 43) to 123(+/- 47) degrees  (p = 0.005) and the average flexion improved 
      from 102(+/- 46) to 126(+/- 44) degrees  (p = 0.023). CONCLUSIONS: In addition to its 
      previously documented long-term effectiveness for shoulders with irreparable 
      rotator cuff tears and retained active elevation, this study demonstrates that 
      the smooth and move procedure provides clinically significant improvement as 
      early as 6 weeks after surgery.
FAU - Matsen, Frederick A 3rd
AU  - Matsen FA 3rd
AUID- ORCID: 0000-0002-6465-4826
AD  - Department of Orthopaedics and Sports Medicine, University of Washington Medical 
      Center, 1959 NE Pacific Street, Box 356500, Seattle, WA, 98195-6500, USA. 
      matsen@uw.edu.
FAU - Whitson, Anastasia
AU  - Whitson A
AD  - Department of Orthopaedics and Sports Medicine, University of Washington Medical 
      Center, 1959 NE Pacific Street, Box 356500, Seattle, WA, 98195-6500, USA.
FAU - Jackins, Sarah E
AU  - Jackins SE
AD  - Department of Rehabilitation, University of Washington, 1959 NE Pacific St., Box 
      354745, Seattle, WA, 98195, USA.
FAU - Hsu, Jason E
AU  - Hsu JE
AD  - Department of Orthopaedics and Sports Medicine, University of Washington Medical 
      Center, 1959 NE Pacific Street, Box 356500, Seattle, WA, 98195-6500, USA.
LA  - eng
PT  - Journal Article
DEP - 20190322
PL  - Germany
TA  - Int Orthop
JT  - International orthopaedics
JID - 7705431
SB  - IM
MH  - Adult
MH  - Aged
MH  - Arthralgia/etiology/surgery
MH  - Female
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - Movement
MH  - Prospective Studies
MH  - Range of Motion, Articular
MH  - Recovery of Function
MH  - Rotator Cuff Injuries/complications/*surgery
MH  - Self Report
MH  - Shoulder Injuries
MH  - Shoulder Joint/*surgery
OTO - NOTNLM
OT  - Active abduction
OT  - Active flexion
OT  - Clinical outcomes
OT  - Irreparable rotator cuff tear
OT  - Smooth and move procedure
EDAT- 2019/03/25 06:00
MHDA- 2020/05/08 06:00
CRDT- 2019/03/24 06:00
PHST- 2019/02/04 00:00 [received]
PHST- 2019/02/12 00:00 [accepted]
PHST- 2019/03/25 06:00 [pubmed]
PHST- 2020/05/08 06:00 [medline]
PHST- 2019/03/24 06:00 [entrez]
AID - 10.1007/s00264-019-04310-4 [pii]
AID - 10.1007/s00264-019-04310-4 [doi]
PST - ppublish
SO  - Int Orthop. 2019 Jul;43(7):1659-1667. doi: 10.1007/s00264-019-04310-4. Epub 2019 
      Mar 22.