PMID- 36033196
OWN - NLM
STAT- PubMed-not-MEDLINE
LR  - 20220830
IS  - 2666-061X (Electronic)
IS  - 2666-061X (Linking)
VI  - 4
IP  - 4
DP  - 2022 Aug
TI  - Arthroscopic Superior Capsular Reconstruction for Massive Irreparable Rotator 
      Cuff Tears Results in Significant Improvements in Patient Reported Outcomes and 
      Range of Motion: A Systematic Review.
PG  - e1523-e1537
LID - 10.1016/j.asmr.2022.04.021 [doi]
AB  - PURPOSE: The purposes of this study were to evaluate the clinical outcomes (with 
      the minimum mean follow-up period of 2 years) of arthroscopic superior capsular 
      reconstruction (ASCR) using different grafts for massive irreparable rotator cuff 
      tears (MIRCTs) and to explore whether margin convergence in ASCR affects range of 
      motion (ROM) outcomes. METHODS: This systematic review was registered in PROSPERO 
      and was then conducted following PRISMA guidelines by searching the databases: 
      MEDLINE, EMBASE, Web of Science, and Cochrane Library database before April 2021. 
      These literature searches investigating the clinical outcomes of ASCR were 
      included. The methodological quality of included studies was assessed using the 
      MINORS criteria. The data, including margin convergence, patient-reported outcome 
      scores, range of motion, and complications, were extracted and analyzed. The 
      minimal clinically important differences (MCID) criteria was used to define 
      clinical significance. RESULTS: 15 studies met the inclusion criteria. All 
      studies reported statistically significant improvements in visual analog scale 
      scores (range: 2.07 to 7.1) and American Shoulder and Elbow Surgeons scores 
      (range: 18.1 to 58). Significant improvements of Constant scores were noted in 4 
      of 5 reporting studies (mean improvement ranged from 14.64 to 50.79). Active 
      forward flexion/elevation (11 studies), active abduction (4 studies), and active 
      external rotation (8 studies) displayed improvements in all reporting studies, 
      with mean changes ranging from 12 to 73.68, 19 to 89.21, and 1 to 24.74, 
      respectively. The mean change of postoperative acromiohumeral distance ranged 
      from -0.86 mm to 3.2 mm in 9 studies. The postoperative complication rate of ASCR 
      ranged from 4.5% to 47.6%. The anterior margin convergence in SCR was associated 
      with a relatively poor improvement in active external rotation. CONCLUSIONS: ASCR 
      contributes to significant improvements in patient-reported clinical outcomes and 
      ROM at follow-up after a mean of more than two years, emerging as a viable option 
      for patients with MIRCTs. The anterior margin convergence should be prudently 
      chosen, especially in ASCR using fascia lata autograft, on account of the 
      probable restriction on postoperative active external rotation. LEVEL OF 
      EVIDENCE: Level IV, systematic review of Level III and IV studies.
CI  - (c) 2022 Published by Elsevier Inc. on behalf of the Arthroscopy Association of 
      North America.
FAU - Wang, Yongjian
AU  - Wang Y
AD  - Department of Orthopedics, First People's Hospital of Wenling, Affiliated Wenling 
      Hospital of Wenzhou Medical University, Wenling, hejiang, PR China.
FAU - Ding, Wei
AU  - Ding W
AD  - Department of Orthopedic Surgery, Ningbo Medical Center Lihuili Hospital, Ningbo, 
      PR China.
FAU - Xu, Jungang
AU  - Xu J
AD  - Department of Orthopaedic Surgery, 2nd Affiliated Hospital, School of Medicine, 
      Zhejiang University, Hangzhou, China.
FAU - Ruan, Dengfeng
AU  - Ruan D
AD  - Department of Orthopaedic Surgery, 2nd Affiliated Hospital, School of Medicine, 
      Zhejiang University, Hangzhou, China.
FAU - Heng, Boon Chin
AU  - Heng BC
AD  - Peking University School of Stomatology, Beijing, PR China.
FAU - Ding, Qianhai
AU  - Ding Q
AD  - Department of Orthopaedic Surgery, 2nd Affiliated Hospital, School of Medicine, 
      Zhejiang University, Hangzhou, China.
FAU - Shen, Lingfang
AU  - Shen L
AD  - Air Force Health Care Center for Special Services, Hangzhou, PR China.
FAU - Ding, Shaohua
AU  - Ding S
AD  - Department of Orthopedic Surgery, Ningbo Medical Center Lihuili Hospital, Ningbo, 
      PR China.
FAU - Shen, Weiliang
AU  - Shen W
AD  - Department of Orthopaedic Surgery, 2nd Affiliated Hospital, School of Medicine, 
      Zhejiang University, Hangzhou, China; Orthopaedics Research Institute of Zhejiang 
      University, Zhejiang, PR China; China Orthopaedic Regenerative Medicine (CORMed), 
      Hangzhou, PR China; Dr. Li Dak Sum and Yip Yio Chin Center for Stem Cell and 
      Regenerative Medicine, Zhejiang University, Zhejiang, PR China; Department of 
      Sports Medicine, School of Medicine, Zhejiang University, Zhejiang, PR China; 
      Department of Orthopedics, Huzhou Central Hospital, Affiliated Central Hospital 
      of Huzhou University, Zhejiang University Huzhou Hospital, Huzhou, Zhejiang, PR 
      China.
LA  - eng
PT  - Journal Article
PT  - Review
DEP - 20220705
PL  - United States
TA  - Arthrosc Sports Med Rehabil
JT  - Arthroscopy, sports medicine, and rehabilitation
JID - 101765256
PMC - PMC9402467
EDAT- 2022/08/30 06:00
MHDA- 2022/08/30 06:01
PMCR- 2022/07/05
CRDT- 2022/08/29 04:50
PHST- 2021/10/24 00:00 [received]
PHST- 2022/04/16 00:00 [revised]
PHST- 2022/04/19 00:00 [accepted]
PHST- 2022/08/29 04:50 [entrez]
PHST- 2022/08/30 06:00 [pubmed]
PHST- 2022/08/30 06:01 [medline]
PHST- 2022/07/05 00:00 [pmc-release]
AID - S2666-061X(22)00063-3 [pii]
AID - 10.1016/j.asmr.2022.04.021 [doi]
PST - epublish
SO  - Arthrosc Sports Med Rehabil. 2022 Jul 5;4(4):e1523-e1537. doi: 
      10.1016/j.asmr.2022.04.021. eCollection 2022 Aug.