Evaluation of the Functional Outcomes of Arthroscopic Surgical Treatment of Complete Rotator Cuff Lesion with Minimum Follow-up of 10 Years^[*]

Abstract

Objectives To analyze the functional outcomes in patients submitted to videoarthroscopic surgical treatment for compleat rotator cuff tears of the shoulder, with a minimum follow-up of 10 years.

Methods A total of 63 patients (63 shoulders) underwent videoarthroscopic surgical repair for compleat rotator cuff tears with a minimum follow-up of 10 years. The postoperative functional outcomes of these patients were evaluated using the Constant and University of California at Los Angeles (UCLA) scores.

Results The functional evaluation revealed mean UCLA and Constant scores of 26 and 93 points, respectively. Ninety-one percent of the subjects had satisfactory Constant scores, whereas 62% presented satisfactory UCLA scores.

Conclusion The arthroscopic repair of rotator cuff complete tear was effective even in the long term (minimum follow-up period of 10 years). The age of the patients before surgery, size of the lesion, the degree of fatty infiltration, and evaluation of muscle trophism are important predictors of prognosis.

Keywords

shoulder - arthroscopy - rupture - rotator cuff - evaluation studies

^* Study performed by the Shoulder Surgery and Rehabilitation Group from Belo Horizonte, MG, Brazil (Ortopédico BH, Hospital Belo Horizonte and Lifecenter).

Publication History

Received: 10 October 2018

Accepted: 26 February 2019

Publication Date:
22 September 2020 (online)

• Referências

• 1 White JJ, Titchener AG, Fakis A, Tambe AA, Hubbard RB, Clark DI. An epidemiological study of rotator cuff pathology using The Health Improvement Network database. Bone Joint J 2014; 96-B [phone]
• 2 Veado MAC, Gomes TPO, Pinto RZA. Análise funcional e estrutural do reparo das lesões extensas do manguito rotador. Rev Bras Ortop 2006; 41 (08) 294-301
• 3 Collin P, Kempf JF, Molé D. , et al. Société Française de Chirurgie Orthopédique et Traumatologique (SoFCOT). Ten-Year Multicenter Clinical and MRI Evaluation of Isolated Supraspinatus Repairs. J Bone Joint Surg Am 2017; 99 (16) 1355-1364
• 4 Godinho GG, França FO, Freitas JM. et al. Avaliação da integridade anatômica por exame de ultrassom e funcional pelo índice de Constant & Murley do manguito rotador após reparo artroscópico. Rev Bras Ortop 2010; 45 (02) 174-180
• 5 Rutten MJ, Spaargaren GJ, van Loon T, de Waal Malefijt MC, Kiemeney LA, Jager GJ. Detection of rotator cuff tears: the value of MRI following ultrasound. Eur Radiol 2010; 20 (02) 450-457
• 6 Ghodadra NS, Provencher MT, Verma NN, Wilk KEW, Romeo AA. Open, mini-open, and all-arthroscopic rotator cuff repair surgery: indications and implications for rehabilitation. J Orthop Sports Phys Ther 2009; 39 (02) 81-89
• 7 Gartsman GM, Khan M, Hammerman SM. Arthroscopic repair of full-thickness tears of the rotator cuff. J Bone Joint Surg Am 1998; 80 (06) 832-840
• 8 Checchia SL, Doneux PS, Miyazaki AN. et al. Avaliação dos resultados obtidos na reparação artroscópica das lesões do manguito rotador. Rev Bras Ortop 2005; 40 (05) 229-238
• 9 Godinho GG, Souza JM, Bicalho LA. Reparo das rupturas do manguito rotator do ombro pela videoartroscopia cirúrgica: técnica. Rev Bras Ortop 1996; 31 (04) 284-288
• 10 Levine WN, Barron OA, Yamaguchi K, Pollock RG, Flatow EL, Bigliani LU. Arthroscopic distal clavicle resection from a bursal approach. Arthroscopy 1998; 14 (01) 52-56
• 11 McLAUGHLIN HL. On the frozen shoulder. Bull Hosp Jt Dis 1951; 12 (02) 383-393
• 12 O'Brien SJ, Pagnani MJ, Fealy S, McGlynn SR, Wilson JB. The active compression test: a new and effective test for diagnosing labral tears and acromioclavicular joint abnormality. Am J Sports Med 1998; 26 (05) 610-613
• 13 Goutallier D, Postel JM, Radier C, Bernageau J, Zilber S. Long-term functional and structural outcome in patients with intact repairs 1 year after open transosseous rotator cuff repair. J Shoulder Elbow Surg 2009; 18 (04) 521-528
• 14 Zanetti M, Gerber C, Hodler J. Quantitative assessment of the muscles of the rotator cuff with magnetic resonance imaging. Invest Radiol 1998; 33 (03) 163-170
• 15 Cofield RH. Subscapular muscle transposition for repair of chronic rotator cuff tears. Surg Gynecol Obstet 1982; 154 (05) 667-672
• 16 Constant CR, Murley AH. A clinical method of functional assessment of the shoulder. Clin Orthop Relat Res 1987; (214) 160-164
• 17 Amstutz HC, Sew Hoy AL, Clarke IC. UCLA anatomic total shoulder arthroplasty. Clin Orthop Relat Res 1981; (155) 7-20
• 18 Boehm D. Valuation of the Constant score. In: Habermeyer P, Magosch P, Lichtenberg S. , eds. Classifications and scores of the shoulder. Heidelberg: Springer; 2006: 204
• 19 Ellman H, Hanker G, Bayer M. Repair of the rotator cuff. End-result study of factors influencing reconstruction. J Bone Joint Surg Am 1986; 68 (08) 1136-1144
• 20 Galatz LM, Griggs S, Cameron BD, Iannotti JP. Prospective longitudinal analysis of postoperative shoulder function : a ten-year follow-up study of full-thickness rotator cuff tears. J Bone Joint Surg Am 2001; 83 (07) 1052-1056
• 21 Miyazaki AN, Santos PD, da Silva LA, do Val Sella G, Checchia SL, Yonamine AM. Os bons resultados funcionais do reparo artroscópico das lesões extensas do manguito rotador mantêm-se em longo prazo?. Rev Bras Ortop 2015; 51 (01) 40-44
• 22 Paxton ES, Teefey SA, Dahiya N, Keener JD, Yamaguchi K, Galatz LM. Clinical and radiographic outcomes of failed repairs of large or massive rotator cuff tears: minimum ten-year follow-up. J Bone Joint Surg Am 2013; 95 (07) 627-632
• 23 Miškulin M, Vrgoč G, Sporiš G, Dulic O, Gavrilovic G, Milanović Z. Single-row arthroscopic cuff repair with double-loaded anchors provides good shoulder function in long-term follow-up. Int Orthop 2015; 39 (02) 233-240
• 24 Wolf EM, Pennington WT, Agrawal V. Arthroscopic rotator cuff repair: 4- to 10-year results. Arthroscopy 2004; 20 (01) 5-12
• 25 Nové-Josserand L, Collin P, Godenèche A, Walch G, Meyer N, Kempf JF. ; SOFCOT. Ten-year clinical and anatomic follow-up after repair of anterosuperior rotator cuff tears: influence of the subscapularis. J Shoulder Elbow Surg 2017; 26 (10) 1826-1833
• 26 Kluger R, Bock P, Mittlböck M, Krampla W, Engel A. Long-term survivorship of rotator cuff repairs using ultrasound and magnetic resonance imaging analysis. Am J Sports Med 2011; 39 (10) 2071-2081
• 27 DeFranco MJ, Bershadsky B, Ciccone J, Yum JK, Iannotti JP. Functional outcome of arthroscopic rotator cuff repairs: a correlation of anatomic and clinical results. J Shoulder Elbow Surg 2007; 16 (06) 759-765
• 28 Sugaya H, Maeda K, Matsuki K, Moriishi J. Functional and structural outcome after arthroscopic full-thickness rotator cuff repair: single-row versus dual-row fixation. Arthroscopy 2005; 21 (11) 1307-1316