Superior Capsular Reconstruction Using the Biceps Tendon in the Treatment of Irreparable Massive Rotator Cuff Tears Improves Patient-Reported Outcome Scores: A Systematic Review
Purpose: To systematically evaluate the clinical outcomes of superior capsular reconstruction (SCR) using the long head of the biceps tendon for irreparable massive rotator cuff tears. Methods: Multiple electronic databases were searched for studies treating massive and/or irreparable rotator cuff t...
| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
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Elsevier
2022-06-01
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| Series: | Arthroscopy, Sports Medicine, and Rehabilitation |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2666061X22000451 |
| _version_ | 1818202033124016128 |
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| author | Naga Suresh Cheppalli, M.B.B.S. Prabhudev Prasad Purudappa, M.B.B.S. Sreenivasulu Metikala, M.B.B.S. Krishna I. Reddy, M.B.B.S. Amit Singla, M.B.B.S. Harshadkumar A. Patel, M.B.B.S. Srinath Kamineni, M.D. |
| author_facet | Naga Suresh Cheppalli, M.B.B.S. Prabhudev Prasad Purudappa, M.B.B.S. Sreenivasulu Metikala, M.B.B.S. Krishna I. Reddy, M.B.B.S. Amit Singla, M.B.B.S. Harshadkumar A. Patel, M.B.B.S. Srinath Kamineni, M.D. |
| author_sort | Naga Suresh Cheppalli, M.B.B.S. |
| collection | DOAJ |
| description | Purpose: To systematically evaluate the clinical outcomes of superior capsular reconstruction (SCR) using the long head of the biceps tendon for irreparable massive rotator cuff tears. Methods: Multiple electronic databases were searched for studies treating massive and/or irreparable rotator cuff tears with SCR using the biceps tendon while retaining its proximal attachment to the superior glenoid. A PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-analyses) flowchart was created. All the included studies were assessed for quality with the Modified Coleman Methodology Score. Multiple variables including patient demographic characteristics, functional scores, visual analog scale (VAS) scores, and complications were extracted and analyzed. Results: Seven studies were included in this review, with a total of 133 patients. The age range of patients was 39 to 82 years, and the duration of follow-up ranged from 6 to 40.7 months. Various validated scoring systems were used for functional outcome evaluation in all studies; all of them showed postoperative improvement greater than the minimal clinically important difference. The VAS score improvement ranged from 3.8 to 7.1. Five studies reported improvement in shoulder forward elevation, with a range of 22° to 95°. Three studies reported retear rates of 21%, 37%, and 66% on postoperative magnetic resonance imaging scans. Two studies reported complications, with the first study reporting revision surgery in 4 of 35 patients and the second study reporting 1 infection and 1 case of deltoid detachment (open procedure) among 17 patients. Conclusions: SCR using the long head of the biceps tendon is a safe and effective procedure. VAS and patient-reported outcome scores showed significant improvement with minimal short-term complications. Level of Evidence: Level IV, systematic review of Level III and IV studies. |
| first_indexed | 2024-12-12T03:03:01Z |
| format | Article |
| id | doaj.art-b21cad65ef394fde9bbb11707a89389d |
| institution | Directory Open Access Journal |
| issn | 2666-061X |
| language | English |
| last_indexed | 2024-12-12T03:03:01Z |
| publishDate | 2022-06-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Arthroscopy, Sports Medicine, and Rehabilitation |
| spelling | doaj.art-b21cad65ef394fde9bbb11707a89389d2022-12-22T00:40:36ZengElsevierArthroscopy, Sports Medicine, and Rehabilitation2666-061X2022-06-0143e1235e1243Superior Capsular Reconstruction Using the Biceps Tendon in the Treatment of Irreparable Massive Rotator Cuff Tears Improves Patient-Reported Outcome Scores: A Systematic ReviewNaga Suresh Cheppalli, M.B.B.S.0Prabhudev Prasad Purudappa, M.B.B.S.1Sreenivasulu Metikala, M.B.B.S.2Krishna I. Reddy, M.B.B.S.3Amit Singla, M.B.B.S.4Harshadkumar A. Patel, M.B.B.S.5Srinath Kamineni, M.D.6Department of Orthopedic and Rehabilitation, University of New Mexico, Albuquerque, New Mexico, U.S.AVA Boston Health Care, Boston, Massachusetts, U.S.A; Address correspondence to Prabhudev Prasad Purudappa, M.B.B.S., VA Boston Health Care, 150 S Huntington Ave, Boston, MA 02130, U.S.A.Department of Orthopaedic Surgery, Virginia Commonwealth University, Richmond, Virginia, U.S.ADepartment of Orthopedics and Sports Medicine, University of Cincinnati, Cincinnati, Ohio, U.S.A; Orthopedics Department, Cincinnati VA Medical Center, Cincinnati, Ohio, U.S.ASt. Barnabas Hospital, Bronx, New York, U.S.A; Albert Einstein College of Medicine, Bronx, New York, U.S.ADepartment of Orthopedic Surgery, Westchester Medical Center, New York Medical College, Valhalla, New York, U.S.AUniversity of Kentucky, Lexington, Kentucky, U.S.APurpose: To systematically evaluate the clinical outcomes of superior capsular reconstruction (SCR) using the long head of the biceps tendon for irreparable massive rotator cuff tears. Methods: Multiple electronic databases were searched for studies treating massive and/or irreparable rotator cuff tears with SCR using the biceps tendon while retaining its proximal attachment to the superior glenoid. A PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-analyses) flowchart was created. All the included studies were assessed for quality with the Modified Coleman Methodology Score. Multiple variables including patient demographic characteristics, functional scores, visual analog scale (VAS) scores, and complications were extracted and analyzed. Results: Seven studies were included in this review, with a total of 133 patients. The age range of patients was 39 to 82 years, and the duration of follow-up ranged from 6 to 40.7 months. Various validated scoring systems were used for functional outcome evaluation in all studies; all of them showed postoperative improvement greater than the minimal clinically important difference. The VAS score improvement ranged from 3.8 to 7.1. Five studies reported improvement in shoulder forward elevation, with a range of 22° to 95°. Three studies reported retear rates of 21%, 37%, and 66% on postoperative magnetic resonance imaging scans. Two studies reported complications, with the first study reporting revision surgery in 4 of 35 patients and the second study reporting 1 infection and 1 case of deltoid detachment (open procedure) among 17 patients. Conclusions: SCR using the long head of the biceps tendon is a safe and effective procedure. VAS and patient-reported outcome scores showed significant improvement with minimal short-term complications. Level of Evidence: Level IV, systematic review of Level III and IV studies.http://www.sciencedirect.com/science/article/pii/S2666061X22000451 |
| spellingShingle | Naga Suresh Cheppalli, M.B.B.S. Prabhudev Prasad Purudappa, M.B.B.S. Sreenivasulu Metikala, M.B.B.S. Krishna I. Reddy, M.B.B.S. Amit Singla, M.B.B.S. Harshadkumar A. Patel, M.B.B.S. Srinath Kamineni, M.D. Superior Capsular Reconstruction Using the Biceps Tendon in the Treatment of Irreparable Massive Rotator Cuff Tears Improves Patient-Reported Outcome Scores: A Systematic Review Arthroscopy, Sports Medicine, and Rehabilitation |
| title | Superior Capsular Reconstruction Using the Biceps Tendon in the Treatment of Irreparable Massive Rotator Cuff Tears Improves Patient-Reported Outcome Scores: A Systematic Review |
| title_full | Superior Capsular Reconstruction Using the Biceps Tendon in the Treatment of Irreparable Massive Rotator Cuff Tears Improves Patient-Reported Outcome Scores: A Systematic Review |
| title_fullStr | Superior Capsular Reconstruction Using the Biceps Tendon in the Treatment of Irreparable Massive Rotator Cuff Tears Improves Patient-Reported Outcome Scores: A Systematic Review |
| title_full_unstemmed | Superior Capsular Reconstruction Using the Biceps Tendon in the Treatment of Irreparable Massive Rotator Cuff Tears Improves Patient-Reported Outcome Scores: A Systematic Review |
| title_short | Superior Capsular Reconstruction Using the Biceps Tendon in the Treatment of Irreparable Massive Rotator Cuff Tears Improves Patient-Reported Outcome Scores: A Systematic Review |
| title_sort | superior capsular reconstruction using the biceps tendon in the treatment of irreparable massive rotator cuff tears improves patient reported outcome scores a systematic review |
| url | http://www.sciencedirect.com/science/article/pii/S2666061X22000451 |
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