Arthroscopic rotator cuff repair with and without subacromial decompression is safe and effective: a clinical study
Abstract Background Subacromial decompression, that consists of the release of the coracoid-acromial ligament, subacromial bursectomy and anterior-inferior acromioplasty, has traditionally been performed in the management of this pathology. However, the purpose of subacromial decompression procedure...
| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
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BMC
2020-01-01
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| Series: | BMC Musculoskeletal Disorders |
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| Online Access: | https://doi.org/10.1186/s12891-019-3032-z |
| _version_ | 1818649000823226368 |
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| author | Umile Giuseppe Longo Stefano Petrillo Vincenzo Candela Giacomo Rizzello Mattia Loppini Nicola Maffulli Vincenzo Denaro |
| author_facet | Umile Giuseppe Longo Stefano Petrillo Vincenzo Candela Giacomo Rizzello Mattia Loppini Nicola Maffulli Vincenzo Denaro |
| author_sort | Umile Giuseppe Longo |
| collection | DOAJ |
| description | Abstract Background Subacromial decompression, that consists of the release of the coracoid-acromial ligament, subacromial bursectomy and anterior-inferior acromioplasty, has traditionally been performed in the management of this pathology. However, the purpose of subacromial decompression procedure is not clearly explained. Our reaserch aimed to analyse the differences among the outcomes of arthroscopic rotator cuff repair (RCR) made with suture anchors, with or without the subacromial decompression procedure. Methods 116 shoulders of 107 patients affected by rotator cuff (RC) tear were treated with Arthroscopic RCR. In 54 subjectes, the arthroscopic RCR and the subacromial decompression procedure (group A) were executed, whereas 53 took only arthroscopic RCR (group B). Clinical outcomes were evaluated through the use of the modified UCLA shoulder rating system, Wolfgang criteria shoulder score and Oxford shoulder score (OSS). Functional outcomes were assessed utilizing active and passive range of motion (ROM) of the shoulder, and muscle strength. The duration of the follow up and the configuration of the acromion were used to realize the comparison between the two groups. Results In patients with 2 to 5 year follow up, UCLA score resulted greater in group A patients. In subjectes with longer than five years of follow up, group B patients showed considerably greater UCLA score and OSS if related with group A patients. In subjectes that had the type II acromion, group B patients presented a significant greater strength in external rotation. Conclusion The long term clinical outcomes resulted significantly higher in patients treated only with RCR respect the ones in patients underwent to RCR with subacromial decompression. |
| first_indexed | 2024-12-17T01:27:22Z |
| format | Article |
| id | doaj.art-b8a2baacdbb44416b0b617663b94ac21 |
| institution | Directory Open Access Journal |
| issn | 1471-2474 |
| language | English |
| last_indexed | 2024-12-17T01:27:22Z |
| publishDate | 2020-01-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Musculoskeletal Disorders |
| spelling | doaj.art-b8a2baacdbb44416b0b617663b94ac212022-12-21T22:08:40ZengBMCBMC Musculoskeletal Disorders1471-24742020-01-012111810.1186/s12891-019-3032-zArthroscopic rotator cuff repair with and without subacromial decompression is safe and effective: a clinical studyUmile Giuseppe Longo0Stefano Petrillo1Vincenzo Candela2Giacomo Rizzello3Mattia Loppini4Nicola Maffulli5Vincenzo Denaro6Department of Orthopaedic and Trauma Surgery, Campus Bio-Medico UniversityDepartment of Orthopaedic and Trauma Surgery, Campus Bio-Medico UniversityDepartment of Orthopaedic and Trauma Surgery, Campus Bio-Medico UniversityDepartment of Orthopaedic and Trauma Surgery, Campus Bio-Medico UniversityDepartment of Biomedical Sciences, Humanitas UniversityDepartment of Musculoskeletal Disorders, Faculty of Medicine and Surgery, University of SalernoDepartment of Orthopaedic and Trauma Surgery, Campus Bio-Medico UniversityAbstract Background Subacromial decompression, that consists of the release of the coracoid-acromial ligament, subacromial bursectomy and anterior-inferior acromioplasty, has traditionally been performed in the management of this pathology. However, the purpose of subacromial decompression procedure is not clearly explained. Our reaserch aimed to analyse the differences among the outcomes of arthroscopic rotator cuff repair (RCR) made with suture anchors, with or without the subacromial decompression procedure. Methods 116 shoulders of 107 patients affected by rotator cuff (RC) tear were treated with Arthroscopic RCR. In 54 subjectes, the arthroscopic RCR and the subacromial decompression procedure (group A) were executed, whereas 53 took only arthroscopic RCR (group B). Clinical outcomes were evaluated through the use of the modified UCLA shoulder rating system, Wolfgang criteria shoulder score and Oxford shoulder score (OSS). Functional outcomes were assessed utilizing active and passive range of motion (ROM) of the shoulder, and muscle strength. The duration of the follow up and the configuration of the acromion were used to realize the comparison between the two groups. Results In patients with 2 to 5 year follow up, UCLA score resulted greater in group A patients. In subjectes with longer than five years of follow up, group B patients showed considerably greater UCLA score and OSS if related with group A patients. In subjectes that had the type II acromion, group B patients presented a significant greater strength in external rotation. Conclusion The long term clinical outcomes resulted significantly higher in patients treated only with RCR respect the ones in patients underwent to RCR with subacromial decompression.https://doi.org/10.1186/s12891-019-3032-zRotator cuffSubacromial decompressionArthroscopyOutcome |
| spellingShingle | Umile Giuseppe Longo Stefano Petrillo Vincenzo Candela Giacomo Rizzello Mattia Loppini Nicola Maffulli Vincenzo Denaro Arthroscopic rotator cuff repair with and without subacromial decompression is safe and effective: a clinical study BMC Musculoskeletal Disorders Rotator cuff Subacromial decompression Arthroscopy Outcome |
| title | Arthroscopic rotator cuff repair with and without subacromial decompression is safe and effective: a clinical study |
| title_full | Arthroscopic rotator cuff repair with and without subacromial decompression is safe and effective: a clinical study |
| title_fullStr | Arthroscopic rotator cuff repair with and without subacromial decompression is safe and effective: a clinical study |
| title_full_unstemmed | Arthroscopic rotator cuff repair with and without subacromial decompression is safe and effective: a clinical study |
| title_short | Arthroscopic rotator cuff repair with and without subacromial decompression is safe and effective: a clinical study |
| title_sort | arthroscopic rotator cuff repair with and without subacromial decompression is safe and effective a clinical study |
| topic | Rotator cuff Subacromial decompression Arthroscopy Outcome |
| url | https://doi.org/10.1186/s12891-019-3032-z |
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