PMID- 36584804
OWN - NLM
STAT- MEDLINE
DCOM- 20230407
LR  - 20230407
IS  - 1526-3231 (Electronic)
IS  - 0749-8063 (Linking)
VI  - 39
IP  - 5
DP  - 2023 May
TI  - Arthroscopic Repair Benefits Reparable Rotator Cuff Tear Patients Aged 65 Years 
      or Older With a History of Traumatic Events.
PG  - 1150-1158
LID - S0749-8063(22)00860-X [pii]
LID - 10.1016/j.arthro.2022.12.022 [doi]
AB  - PURPOSE: To evaluate the clinical outcomes of arthroscopic rotator cuff repair at 
      2-year follow-up in patients aged 65 years or older with a history of traumatic 
      events divided into groups based on symptom duration (<3 months, 3-6 months, and 
      >6 months from injury to surgery) and to compared patient-reported outcomes among 
      the 3 groups. METHODS: Between 2015 and 2020, 110 patients who met the inclusion 
      criteria were enrolled in this study; these patients were divided into 3 groups 
      according to symptom duration: less than 3 months (group A), 3 to 6 months (group 
      B) and more than 6 months (group C). Preoperative and 2-year postoperative 
      clinical outcomes were compared, including American Shoulder and Elbow Surgeons, 
      Constant-Murley, University of California, Los Angeles, Simple Shoulder Test, and 
      visual analog scale scores; forward elevation; external rotation; and internal 
      rotation. The minimal clinically important difference (MCID), patient acceptable 
      symptom state, substantial clinical benefit, and maximum outcome improvement were 
      also compared among the groups. RESULTS: The American Shoulder and Elbow Surgeons 
      score, as the primary outcome, improved significantly from 41.0 +/- 18.5 to 85.4 +/- 
      8.1 in group A, from 53.7 +/- 14.3 to 86.3 +/- 11.7 in group B, and from 49.7 +/- 18.5 
      to 83.9 +/- 11.9 in group C. All the other parameters showed statistically 
      significant improvements at 2-year follow-up in each group (all P < .05). There 
      was no significant difference in each parameter among the 3 groups except the 
      visual analog scale score, which did not achieve the MCID. Overall, 86 patients 
      (78.2%) exceeded the MCID, 87 patients (79.1%) achieved the patient acceptable 
      symptom state, 77 patients (70.0%) achieved substantial clinical benefit, and 62 
      patients (56.4%) achieved maximum outcome improvement without significant 
      differences among the 3 groups. CONCLUSIONS: In rotator cuff tear patients aged 
      65 years or older with a history of traumatic events, arthroscopic rotator cuff 
      repair significantly improves clinical outcomes at 2-year follow-up regardless of 
      symptom duration if the tear is fully reparable. LEVEL OF EVIDENCE: Level III, 
      prognostic retrospective study.
CI  - Copyright (c) 2022 Arthroscopy Association of North America. Published by Elsevier 
      Inc. All rights reserved.
FAU - Lu, Yi
AU  - Lu Y
AD  - Sports Medicine Department, Beijing Ji Shui Tan Hospital, Beijing, China.
FAU - Sun, Bolin
AU  - Sun B
AD  - Sports Medicine Department, Beijing Ji Shui Tan Hospital, Beijing, China.
FAU - Yang, Guang
AU  - Yang G
AD  - Sports Medicine Department, Beijing Ji Shui Tan Hospital, Beijing, China.
FAU - Li, Shangzhe
AU  - Li S
AD  - Sports Medicine Department, Beijing Ji Shui Tan Hospital, Beijing, China.
FAU - Jiang, Chunyan
AU  - Jiang C
AD  - Sports Medicine Department, Beijing Ji Shui Tan Hospital, Beijing, China. 
      Electronic address: ChunyanJ@hotmail.com.
LA  - eng
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
DEP - 20221228
PL  - United States
TA  - Arthroscopy
JT  - Arthroscopy : the journal of arthroscopic & related surgery : official 
      publication of the Arthroscopy Association of North America and the International 
      Arthroscopy Association
JID - 8506498
SB  - IM
CIN - Arthroscopy. 2023 May;39(5):1159-1160. PMID: 37019530
MH  - Humans
MH  - *Rotator Cuff Injuries/surgery
MH  - Rotator Cuff/surgery
MH  - Retrospective Studies
MH  - Treatment Outcome
MH  - Range of Motion, Articular
MH  - Arthroscopy
MH  - *Shoulder Joint/surgery
EDAT- 2022/12/31 06:00
MHDA- 2023/04/07 06:42
CRDT- 2022/12/30 19:13
PHST- 2022/05/26 00:00 [received]
PHST- 2022/11/27 00:00 [revised]
PHST- 2022/12/01 00:00 [accepted]
PHST- 2023/04/07 06:42 [medline]
PHST- 2022/12/31 06:00 [pubmed]
PHST- 2022/12/30 19:13 [entrez]
AID - S0749-8063(22)00860-X [pii]
AID - 10.1016/j.arthro.2022.12.022 [doi]
PST - ppublish
SO  - Arthroscopy. 2023 May;39(5):1150-1158. doi: 10.1016/j.arthro.2022.12.022. Epub 
      2022 Dec 28.