TR
EN
Arthroscopic repair results of full thickness rotator cuff tears
Abstract
Objectives: This study was designed to evaluate the functional results of arthroscopic repair of full-thickness tears of the rotator cuff and to investigate the degree of fatty degeneration of the rotator cuff muscles and recurrent ruptures by magnetic resonance imaging (MRI).
Methods: Twenty-two patients (9 males, 13 females; mean age 56 years; range 38 to 71 years) underwent arthroscopic repair of full-thickness tears of the rotator cuff following conservative treatment for a mean of 15 months (range 45 days to 120 months). Involvement was in the right shoulder in 17 patients, being on the dominant side in 77%. The range of motion was measured with a goniometer, and muscle strength by manual examination. Clinical and functional evaluations were made by physical examination and according to the American Shoulder and Elbow Surgeons Standardized Shoulder Assessment Form (ASES) and the UCLA scale. Fatty degeneration of the rotator cuff muscles and recurrence were analyzed by MRI. The mean follow-up was 24 months (range 12 to 36 months).
Results: The mean active forward flexion and external rotation increased from 105° to 160° (p<0.05) and from 41° to 44° (p>0.05), respectively. The strength of the supraspinatus and infraspinatus muscles significantly increased (p<0.05). The mean ASES and UCLA scores significantly increased from 25.4 to 86.7 and from 10.6 to 25.6, respectively (p<0.05). The mean healing time was three months (range 1 to 12 months). Twenty patients (90.9%) were satisfied with the result of the treatment. On MRI scans, recurrent ruptures were detected in seven patients (31.8%); the extent of fatty degeneration of the rotator cuff muscles did not differ preand postoperatively (p>0.05).
Conclusion: Arthroscopic repair of full-thickness tears of the rotator cuff yields high clinical and functional success rates.
Methods: Twenty-two patients (9 males, 13 females; mean age 56 years; range 38 to 71 years) underwent arthroscopic repair of full-thickness tears of the rotator cuff following conservative treatment for a mean of 15 months (range 45 days to 120 months). Involvement was in the right shoulder in 17 patients, being on the dominant side in 77%. The range of motion was measured with a goniometer, and muscle strength by manual examination. Clinical and functional evaluations were made by physical examination and according to the American Shoulder and Elbow Surgeons Standardized Shoulder Assessment Form (ASES) and the UCLA scale. Fatty degeneration of the rotator cuff muscles and recurrence were analyzed by MRI. The mean follow-up was 24 months (range 12 to 36 months).
Results: The mean active forward flexion and external rotation increased from 105° to 160° (p<0.05) and from 41° to 44° (p>0.05), respectively. The strength of the supraspinatus and infraspinatus muscles significantly increased (p<0.05). The mean ASES and UCLA scores significantly increased from 25.4 to 86.7 and from 10.6 to 25.6, respectively (p<0.05). The mean healing time was three months (range 1 to 12 months). Twenty patients (90.9%) were satisfied with the result of the treatment. On MRI scans, recurrent ruptures were detected in seven patients (31.8%); the extent of fatty degeneration of the rotator cuff muscles did not differ preand postoperatively (p>0.05).
Conclusion: Arthroscopic repair of full-thickness tears of the rotator cuff yields high clinical and functional success rates.
Keywords
Ayrıntılar
Birincil Dil
İngilizce
Konular
Sağlık Kurumları Yönetimi
Bölüm
Araştırma Makalesi
Yayımlanma Tarihi
11 Eylül 2006
Gönderilme Tarihi
7 Mart 2014
Kabul Tarihi
-
Yayımlandığı Sayı
Yıl 2005 Cilt: 39 Sayı: 2
APA
Ozbaydar, M., Tonbul, M., & Yalaman, O. (2006). Arthroscopic repair results of full thickness rotator cuff tears. Acta Orthopaedica et Traumatologica Turcica, 39(2), 114-120. https://izlik.org/JA78KP27TG
AMA
1.Ozbaydar M, Tonbul M, Yalaman O. Arthroscopic repair results of full thickness rotator cuff tears. Acta Orthopaedica et Traumatologica Turcica. 2006;39(2):114-120. https://izlik.org/JA78KP27TG
Chicago
Ozbaydar, Mehmet, Murat Tonbul, ve Okan Yalaman. 2006. “Arthroscopic repair results of full thickness rotator cuff tears”. Acta Orthopaedica et Traumatologica Turcica 39 (2): 114-20. https://izlik.org/JA78KP27TG.
EndNote
Ozbaydar M, Tonbul M, Yalaman O (01 Eylül 2006) Arthroscopic repair results of full thickness rotator cuff tears. Acta Orthopaedica et Traumatologica Turcica 39 2 114–120.
IEEE
[1]M. Ozbaydar, M. Tonbul, ve O. Yalaman, “Arthroscopic repair results of full thickness rotator cuff tears”, Acta Orthopaedica et Traumatologica Turcica, c. 39, sy 2, ss. 114–120, Eyl. 2006, [çevrimiçi]. Erişim adresi: https://izlik.org/JA78KP27TG
ISNAD
Ozbaydar, Mehmet - Tonbul, Murat - Yalaman, Okan. “Arthroscopic repair results of full thickness rotator cuff tears”. Acta Orthopaedica et Traumatologica Turcica 39/2 (01 Eylül 2006): 114-120. https://izlik.org/JA78KP27TG.
JAMA
1.Ozbaydar M, Tonbul M, Yalaman O. Arthroscopic repair results of full thickness rotator cuff tears. Acta Orthopaedica et Traumatologica Turcica. 2006;39:114–120.
MLA
Ozbaydar, Mehmet, vd. “Arthroscopic repair results of full thickness rotator cuff tears”. Acta Orthopaedica et Traumatologica Turcica, c. 39, sy 2, Eylül 2006, ss. 114-20, https://izlik.org/JA78KP27TG.
Vancouver
1.Mehmet Ozbaydar, Murat Tonbul, Okan Yalaman. Arthroscopic repair results of full thickness rotator cuff tears. Acta Orthopaedica et Traumatologica Turcica [Internet]. 01 Eylül 2006;39(2):114-20. Erişim adresi: https://izlik.org/JA78KP27TG