Subscribe to RSS
Download PDF
DOI: 10.1055/s-0041-1741025
Arthroscopic Treatment of Rotator Cuff Rupture in Patients Under 55 years Old versus Patients Older than 65 Years Old
Article in several languages: português | English
Abstract
Objective To evaluate patients submitted to arthroscopic repair of the rotator cuff (RC) comparing the results of muscle, functional strength, and pain obtained in 2 distinct groups: patients < 55 years old (G55) and patients > 65 years old (G65).
Methods Data collection was performed with 63 participants (29 < 55 years old and 34 > 65 years old), in 2 moments, analyzing: A) demographic, surgical and RC lesion characteristics; B) functional variables, muscle strength, and pain.
Results Higher levels of anterior elevation force, lateral, and medial rotation of the operated shoulder were observed in group G55. However, when the difference between these forces of the operated shoulder and of the contralateral shoulder was evaluated, there was no significant difference between the groups. The other variables of function and pain were similar (p > 0.05). There was also no difference between the groups in the University of California at Los Angeles Shoulder Rating Scale (UCLA) (p = 0.56) and Constant-Murley Score (p = 0.99) scores.
Conclusion Arthroscopic repair of the RC in older, active, selected patients may achieve functional improvement and quality of life similar to that performed in younger patients.
Financial Support
There was no financial support from public, commercial, or not-for-profit sources.
Work developed at the Instituto do Ombro de Brasília, Brasília, DF and the Centro Universitário de Brasília, Brasília, DF, Brazil.
Publication History
Received: 08 June 2021
Accepted: 09 September 2021
Article published online:
09 February 2022
© 2022. Sociedade Brasileira de Ortopedia e Traumatologia. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commecial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)
Thieme Revinter Publicações Ltda.
Rua do Matoso 170, Rio de Janeiro, RJ, CEP 20270-135, Brazil
-
Referências
- 1
Tempelhof S,
Rupp S,
Seil R.
Age-related prevalence of rotator cuff tears in asymptomatic shoulders. J Shoulder
Elbow Surg 1999; 8 (04) 296-299
MissingFormLabel
- 2 Hattrup SJ. Rotator cuff repair: relevance of patient age. J Shoulder Elbow Surg 1995; 4 (02) 95-100
- 3 Lafosse L, Brzoska R, Toussaint B, Gobezie R. The outcome and structural integrity of arthroscopic rotator cuff repair with use of the double-row suture anchor technique. Surgical technique. J Bone Joint Surg Am 2008; 90 (Suppl 2 Pt 2): 275-286
- 4 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
- 5 Pai VS, Lawson DA. Rotator cuff repair in a district hospital setting: outcomes and analysis of prognostic factors. J Shoulder Elbow Surg 2001; 10 (03) 236-241
- 6 Boileau P, Brassart N, Watkinson DJ, Carles M, Hatzidakis AM, Krishnan SG. Arthroscopic repair of full-thickness tears of the supraspinatus: does the tendon really heal?. J Bone Joint Surg Am 2005; 87 (06) 1229-1240
- 7 Gazielly DF, Gleyze P, Montagnon C. Functional and anatomical results after rotator cuff repair. Clin Orthop Relat Res 1994; (304) 43-53
- 8 Krishnan SG, Harkins DC, Schiffern SC, Pennington SD, Burkhead WZ. Arthroscopic repair of full-thickness tears of the rotator cuff in patients younger than 40 years. Arthroscopy 2008; 24 (03) 324-328
- 9 Lin EC, Mall NA, Dhawan A. et al. Arthroscopic primary rotator cuff repairs in patients aged younger than 45 years. Arthroscopy 2013; 29 (05) 811-817
- 10 Miyazaki AN, Fregoneze M, Santos PD. et al. Avaliação dos resultados do reparo artroscópico de lesões do manguito rotador em pacientes com até 50 anos de idade. Rev Bras Ortop 2011; 46 (03) 276-280
- 11 Davidson J, Burkhart SS. The geometric classification of rotator cuff tears: a system linking tear pattern to treatment and prognosis. Arthroscopy 2010; 26 (03) 417-424
- 12 Andrade RP, Correa Filho MRC, Queiroz BC. Lesões do manguito rotador. Rev Bras Ortop 2004; 39 (11/12): 621-635
- 13 Amstutz HC, Sew Hoy AL, Clarke IC. UCLA anatomic total shoulder arthroplasty. Clin Orthop Relat Res 1981; (155) 7-20
- 14 Constant CR, Murley AH. A clinical method of functional assessment of the shoulder. Clin Orthop Relat Res 1987; (214) 160-164
- 15 Scott J, Huskisson EC. Graphic representation of pain. Pain 1976; 2 (02) 175-184
- 16
Barreto RP,
Barbosa ML,
Balbinotti MA,
Mothes FC,
da Rosa LH,
Silva MF.
The Brazilian version of the Constant-Murley Score (CMS-BR): convergent and construct
validity, internal consistency, and unidimensionality. Rev Bras Ortop 2016; 51 (05)
515-520
MissingFormLabel
- 17 Oku EC, Andrade AP, Stadiniky SP, Carrera EF, Tellini GG. Tradução e adaptação cultural do Modified-University of California at Los Angeles Shoulder Rating Scale para a língua portuguesa. Rev Bras Reumatol 2006; 46 (04) 246-252
- 18 Carbonel I, Martinez AA, Calvo A, Ripalda J, Herrera A. Single-row versus double-row arthroscopic repair in the treatment of rotator cuff tears: a prospective randomized clinical study. Int Orthop 2012; 36 (09) 1877-1883
- 19 Godinho GG, França FdeO, Freitas JM. et al. Result from arthroscopic surgical treatment of renewed tearing of the rotator cuff of the shoulder. Rev Bras Ortop 2015; 50 (01) 89-93
- 20 Miyazaki AN, da Silva LA, Santos PD, Checchia SL, Cohen C, Giora TS. Evaluation of the results from arthroscopic surgical treatment of rotator cuff injuries in patients aged 65 years and over. Rev Bras Ortop 2015; 50 (03) 305-311
- 21 Gilotra M, O'Brien MJ, Savoie 3rd. FH. Arthroscopic Rotator Cuff Repair: Indication and Technique. Instr Course Lect 2016; 65: 83-92
- 22 Lo IK, Burkhart SS. Double-row arthroscopic rotator cuff repair: re-establishing the footprint of the rotator cuff. Arthroscopy 2003; 19 (09) 1035-1042
- 23 Grondel RJ, Savoie 3rd. FH, Field LD. Rotator cuff repairs in patients 62 years of age or older. J Shoulder Elbow Surg 2001; 10 (02) 97-99
- 24 Rebuzzi E, Coletti N, Schiavetti S, Giusto F. Arthroscopic rotator cuff repair in patients older than 60 years. Arthroscopy 2005; 21 (01) 48-54
- 25 Romeo AA, Hang DW, Bach Jr BR, Shott S. Repair of full thickness rotator cuff tears. Gender, age, and other factors affecting outcome. Clin Orthop Relat Res 1999; (367) 243-255
- 26 Osti L, Papalia R, Del Buono A, Denaro V, Maffulli N. Comparison of arthroscopic rotator cuff repair in healthy patients over and under 65 years of age. Knee Surg Sports Traumatol Arthrosc 2010; 18 (12) 1700-1706
- 27 Moraiti C, Valle P, Maqdes A. et al. Comparison of functional gains after arthroscopic rotator cuff repair in patients over 70 years of age versus patients under 50 years of age: a prospective multicenter study. Arthroscopy 2015; 31 (02) 184-190
- 28 De Castro Veado MA, Prata EF, Gomes DC. Lesão do manguito rotador em pacientes maiores de 65 anos: avaliação da função, integridade e força. Rev Bras Ortop 2015; 50 (03) 318-323
- 29 Millar NL, Wu X, Tantau R, Silverstone E, Murrell GA. Open versus two forms of arthroscopic rotator cuff repair. Clin Orthop Relat Res 2009; 467 (04) 966-978
- 30 DeHaan AM, Axelrad TW, Kaye E, Silvestri L, Puskas B, Foster TE. Does double-row rotator cuff repair improve functional outcome of patients compared with single-row technique? A systematic review. Am J Sports Med 2012; 40 (05) 1176-1185
- 31 Chen M, Xu W, Dong Q, Huang Q, Xie Z, Mao Y. Outcomes of single-row versus double-row arthroscopic rotator cuff repair: a systematic review and meta-analysis of current evidence. Arthroscopy 2013; 29 (08) 1437-1449