PMID- 36864555
OWN - NLM
STAT- MEDLINE
DCOM- 20230818
LR  - 20230819
IS  - 1757-7861 (Electronic)
IS  - 1757-7853 (Print)
IS  - 1757-7853 (Linking)
VI  - 15
IP  - 8
DP  - 2023 Aug
TI  - Functional and MRI Outcomes After In Situ Repair Versus Tear Completion Before 
      Repair of Bursal-Side Partial-Thickness Rotator Cuff Tears.
PG  - 2082-2090
LID - 10.1111/os.13693 [doi]
AB  - OBJECTIVE: The optimal repair method for bursal-side partial-thickness rotator 
      cuff tears (PTRCTs) involving >50% of the thickness remains a controversial 
      topic. The study was aimed to compare the functional and magnetic resonance 
      imaging (MRI) outcomes after in situ repair or tear completion before repair of 
      bursal-side PTRCTs. METHODS: A retrospective clinical study was conducted 
      involving 58 patients who underwent in situ repair or tear completion before 
      repair of bursal-side PTRCTs between January 2019 and December 2020. These 
      patients were divided into two groups: the in situ repair group and the tear 
      completion before repair group. Functional assessment consisted of active range 
      of motion (ROM), visual analog scale (VAS), American Shoulder and Elbow Surgeons 
      (ASES) score, and Constant-Murley score. The percentages of patients in each 
      group achieving the minimal clinical important difference (MCID) of the 
      functional scores were determined. The healing status of the rotator cuff was 
      assessed by postoperative MRI. RESULTS: There were no statistically significant 
      differences between the two groups in terms of demographic data. The mean 
      follow-up period was 14.53 +/- 2.64 months in the in situ repair group and 
      15.40 +/- 2.66 months in the tear completion before repair group. At the final 
      follow-up, the forward elevation, external rotation, and internal rotation 
      improved significantly in both groups. The VAS, ASES score, and Constant-Murley 
      score improved significantly in the in situ repair group (5.17 +/- 2.00 points to 
      0.11 +/- 0.41 points, p = 0.001; 44.04 +/- 17.40 points to 95.47 +/- 4.32 points, 
      p = 0.001; 49.50 +/- 14.38 points to 93.50 +/- 3.49 points, p = 0.001) and in the 
      tear completion before repair group (5.43 +/- 3.32 points to 0.03 +/- 0.18 points, 
      p = 0.001; 41.50 +/- 19.59 points to 95.94 +/- 2.68 points, p = 0.001; 47.54 +/- 17.13 
      points to 93.97 +/- 2.61 points, p = 0.001). Postoperative MRI revealed that the 
      re-tear rate was 7.1% (2/28) in the in situ repair group and 3.3% (1/30) in the 
      tear completion before repair group. No significant differences were observed in 
      terms of the functional scores, the percentages of patients achieving the MCID of 
      the functional scores, and the re-tear rate between the two groups (p > 0.05). 
      CONCLUSIONS: Both in situ repair and tear completion before repair yielded 
      satisfactory clinical outcomes for patients with bursal-side PTRCTs. No 
      significant differences were observed in the functional and MRI outcomes between 
      the two groups.
CI  - (c) 2023 The Authors. Orthopaedic Surgery published by Tianjin Hospital and John 
      Wiley & Sons Australia, Ltd.
FAU - Zhuo, Hongwu
AU  - Zhuo H
AD  - Department of Sport's Medicine, The Second Affiliated Hospital of Fujian 
      Traditional Chinese Medical University, Fuzhou, China.
FAU - Pan, Ling
AU  - Pan L
AD  - Department of Sport's Medicine, The Second Affiliated Hospital of Fujian 
      Traditional Chinese Medical University, Fuzhou, China.
FAU - Li, Jian
AU  - Li J
AUID- ORCID: 0000-0001-5950-1326
AD  - Department of Sport's Medicine, The Second Affiliated Hospital of Fujian 
      Traditional Chinese Medical University, Fuzhou, China.
LA  - eng
GR  - 2022J01839/Natural Science Foundation of Fujian Province/
PT  - Journal Article
DEP - 20230302
PL  - Australia
TA  - Orthop Surg
JT  - Orthopaedic surgery
JID - 101501666
SB  - IM
MH  - Humans
MH  - *Rotator Cuff Injuries/diagnostic imaging/surgery
MH  - Retrospective Studies
MH  - Arthroscopy/methods
MH  - Treatment Outcome
MH  - Rupture/surgery
MH  - Magnetic Resonance Imaging
MH  - *Joint Diseases
MH  - Range of Motion, Articular
PMC - PMC10432447
OTO - NOTNLM
OT  - Bursal-Side
OT  - Repair
OT  - Rotator Cuff
OT  - Tear
COIS- The authors declare that they have no competing interests.
EDAT- 2023/03/03 06:00
MHDA- 2023/08/18 06:42
PMCR- 2023/03/02
CRDT- 2023/03/02 23:43
PHST- 2023/01/30 00:00 [revised]
PHST- 2022/08/24 00:00 [received]
PHST- 2023/02/08 00:00 [accepted]
PHST- 2023/08/18 06:42 [medline]
PHST- 2023/03/03 06:00 [pubmed]
PHST- 2023/03/02 23:43 [entrez]
PHST- 2023/03/02 00:00 [pmc-release]
AID - OS13693 [pii]
AID - 10.1111/os.13693 [doi]
PST - ppublish
SO  - Orthop Surg. 2023 Aug;15(8):2082-2090. doi: 10.1111/os.13693. Epub 2023 Mar 2.