Long-term follow-up of perianchor cyst formation after rotator cuff repair
Background: Perianchor cyst formation (PCF) can occur after arthroscopic rotator cuff repair with poly-L-lactic acid (PLLA) anchors; however, little is known about PCF after all-suture anchor (ASA) use. Methods: We reviewed patients who underwent double-row arthroscopic rotator cuff repair from 2012...
| Main Authors: | , , , , , , , |
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| Format: | Article |
| Language: | English |
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Elsevier
2021-09-01
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| Series: | JSES International |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S2666638321001596 |
| _version_ | 1818724615287996416 |
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| author | Douglas Matijakovich, MD David Solomon, MD Carlos L. Benitez, MD, MSc Hsin-Hui Huang, MD, PhD Jashvant Poeran, MD, PhD Natalie Berger, BA Amir Lebaschi, MD Aruna Seneviratne, MD |
| author_facet | Douglas Matijakovich, MD David Solomon, MD Carlos L. Benitez, MD, MSc Hsin-Hui Huang, MD, PhD Jashvant Poeran, MD, PhD Natalie Berger, BA Amir Lebaschi, MD Aruna Seneviratne, MD |
| author_sort | Douglas Matijakovich, MD |
| collection | DOAJ |
| description | Background: Perianchor cyst formation (PCF) can occur after arthroscopic rotator cuff repair with poly-L-lactic acid (PLLA) anchors; however, little is known about PCF after all-suture anchor (ASA) use. Methods: We reviewed patients who underwent double-row arthroscopic rotator cuff repair from 2012 to 2017 with ASAs implanted in the medial row and PLLA anchors in the lateral row. We evaluated PCF (graded on magnetic resonance imaging) and compared physical examination and functional surveys between patients with PCF (WC) and without PCF (WoC) at long-term follow-up. Results: Among twenty-two patients (23 shoulders), 93% of PLLA anchors (vs. 79% ASA) displayed a grade 0 PCF, P = .100. No PLLA anchors had a grade 3 or 4 PCF, compared to 11% of ASAs, P = .158. At a mean postoperative follow-up time of 113 weeks, there was no significant difference between WC and WoC cohorts with regard to range of motion, rotator cuff strength, American Shoulder and Elbow Surgeons survey scores, or retear rates. However, the WoC cohort had a significantly higher University of California at Los Angeles shoulder survey score at final follow-up (34.3 WoC vs. 30.9 WC, P = .024). Conclusion: No difference was found in PCF between ASAs and PLLA anchors. At long-term follow-up, WoC patients had significantly improved functional outcome scores, based on the University of California at Los Angeles survey, but equivalent range of motion and rotator cuff strength examinations compared with WC patients. |
| first_indexed | 2024-12-17T21:29:14Z |
| format | Article |
| id | doaj.art-3da3becb5d6f4195a560592d6e11997f |
| institution | Directory Open Access Journal |
| issn | 2666-6383 |
| language | English |
| last_indexed | 2024-12-17T21:29:14Z |
| publishDate | 2021-09-01 |
| publisher | Elsevier |
| record_format | Article |
| series | JSES International |
| spelling | doaj.art-3da3becb5d6f4195a560592d6e11997f2022-12-21T21:31:57ZengElsevierJSES International2666-63832021-09-0155863868Long-term follow-up of perianchor cyst formation after rotator cuff repairDouglas Matijakovich, MD0David Solomon, MD1Carlos L. Benitez, MD, MSc2Hsin-Hui Huang, MD, PhD3Jashvant Poeran, MD, PhD4Natalie Berger, BA5Amir Lebaschi, MD6Aruna Seneviratne, MD7Department of Orthopaedic Surgery, Mount Sinai Hospital, New York, NY, USA; Corresponding author: Douglas Matijakovich, MD, Department of Orthopaedic Surgery, Mount Sinai Hospital, 5 E 98th Street – 9th Floor, New York, NY 10029, USA.Department of Orthopaedic Surgery, Mount Sinai Hospital, New York, NY, USADepartment of Radiology, Mount Sinai West, New York, NY, USADepartment of Population Health Science & Policy, Icahn School of Medicine at Mount Sinai, New York, NY, USADepartment of Population Health Science & Policy, Icahn School of Medicine at Mount Sinai, New York, NY, USAIcahn School of Medicine at Mount Sinai, New York, NY, USADepartment of Orthopaedic Surgery, University of Connecticut, Farmington, CT, USADepartment of Orthopaedic Surgery, Mount Sinai Hospital, New York, NY, USABackground: Perianchor cyst formation (PCF) can occur after arthroscopic rotator cuff repair with poly-L-lactic acid (PLLA) anchors; however, little is known about PCF after all-suture anchor (ASA) use. Methods: We reviewed patients who underwent double-row arthroscopic rotator cuff repair from 2012 to 2017 with ASAs implanted in the medial row and PLLA anchors in the lateral row. We evaluated PCF (graded on magnetic resonance imaging) and compared physical examination and functional surveys between patients with PCF (WC) and without PCF (WoC) at long-term follow-up. Results: Among twenty-two patients (23 shoulders), 93% of PLLA anchors (vs. 79% ASA) displayed a grade 0 PCF, P = .100. No PLLA anchors had a grade 3 or 4 PCF, compared to 11% of ASAs, P = .158. At a mean postoperative follow-up time of 113 weeks, there was no significant difference between WC and WoC cohorts with regard to range of motion, rotator cuff strength, American Shoulder and Elbow Surgeons survey scores, or retear rates. However, the WoC cohort had a significantly higher University of California at Los Angeles shoulder survey score at final follow-up (34.3 WoC vs. 30.9 WC, P = .024). Conclusion: No difference was found in PCF between ASAs and PLLA anchors. At long-term follow-up, WoC patients had significantly improved functional outcome scores, based on the University of California at Los Angeles survey, but equivalent range of motion and rotator cuff strength examinations compared with WC patients.http://www.sciencedirect.com/science/article/pii/S2666638321001596Perianchor cystAnchorRotator cuffPLLAASAShoulder |
| spellingShingle | Douglas Matijakovich, MD David Solomon, MD Carlos L. Benitez, MD, MSc Hsin-Hui Huang, MD, PhD Jashvant Poeran, MD, PhD Natalie Berger, BA Amir Lebaschi, MD Aruna Seneviratne, MD Long-term follow-up of perianchor cyst formation after rotator cuff repair JSES International Perianchor cyst Anchor Rotator cuff PLLA ASA Shoulder |
| title | Long-term follow-up of perianchor cyst formation after rotator cuff repair |
| title_full | Long-term follow-up of perianchor cyst formation after rotator cuff repair |
| title_fullStr | Long-term follow-up of perianchor cyst formation after rotator cuff repair |
| title_full_unstemmed | Long-term follow-up of perianchor cyst formation after rotator cuff repair |
| title_short | Long-term follow-up of perianchor cyst formation after rotator cuff repair |
| title_sort | long term follow up of perianchor cyst formation after rotator cuff repair |
| topic | Perianchor cyst Anchor Rotator cuff PLLA ASA Shoulder |
| url | http://www.sciencedirect.com/science/article/pii/S2666638321001596 |
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