Do partial glenohumeral degenerative changes in patients undergoing arthroscopic rotator cuff repair influence clinical outcomes?
Background The prognostic factors for patients with full-thickness rotator cuff tears (RCTs) include tear size, muscle atrophy and fatty infiltration. However, the influence of early coexisting degenerative changes on RCT outcomes is unappreciated. The purpose of this study was to calculate the impa...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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Korean Shoulder and Elbow Society
2022-06-01
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| Series: | Clinics in Shoulder and Elbow |
| Subjects: | |
| Online Access: | http://www.cisejournal.org/upload/pdf/cise-2021-00612.pdf |
| _version_ | 1797334240925319168 |
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| author | Karam Al-Tawil Joseph Casey Prashant Thayaparan Adel Tavakkolizadeh Joydeep Sinha Toby Colegate-Stone |
| author_facet | Karam Al-Tawil Joseph Casey Prashant Thayaparan Adel Tavakkolizadeh Joydeep Sinha Toby Colegate-Stone |
| author_sort | Karam Al-Tawil |
| collection | DOAJ |
| description | Background The prognostic factors for patients with full-thickness rotator cuff tears (RCTs) include tear size, muscle atrophy and fatty infiltration. However, the influence of early coexisting degenerative changes on RCT outcomes is unappreciated. The purpose of this study was to calculate the impact that pre-existing partial glenohumeral cartilaginous changes have on patients undergoing arthroscopic RCT repair. Methods A study of 54 patients undergoing arthroscopic RCT repair was undertaken. The presence of co-existing patches of glenohumeral degenerative cartilaginous changes and RCT size was recorded at surgery. Pre- and postoperative outcomes were assessed using traditional (Oxford Shoulder Score [OSS], 5-level EuroQol-5D [EQ-5D-5L] questionnaire and EuroQol visual analog scale [EQ-VAS]) and patient-centric re-formatted prisms. Outcomes were assessed as an entire dataset, and sub-group analysis was performed according to the grade of co-existing arthritis and tear size. Results Significant improvements (p<0.05) in clinical outcomes were recognized when assessed using either the traditional or reformatted prisms (average % improvements in OSS, EQ-5D-5L and EQ-VAS were 47%, 33% and 43%, respectively; average improvements in pain, function, and psychological well-being were 48%, 33% and, 29%, respectively). Positive gain was noted in all sub-groups of arthritic grading and tear size. Conclusions Good clinical outcomes can be achieved following RCT repair even in the presence of local partial degenerative cartilage changes and advancing tear size. These benefits are patient-centered but require RCT repairability. |
| first_indexed | 2024-03-08T08:17:57Z |
| format | Article |
| id | doaj.art-f6b3717f5d984e10a790454914730b59 |
| institution | Directory Open Access Journal |
| issn | 2288-8721 |
| language | English |
| last_indexed | 2024-03-08T08:17:57Z |
| publishDate | 2022-06-01 |
| publisher | Korean Shoulder and Elbow Society |
| record_format | Article |
| series | Clinics in Shoulder and Elbow |
| spelling | doaj.art-f6b3717f5d984e10a790454914730b592024-02-02T07:05:20ZengKorean Shoulder and Elbow SocietyClinics in Shoulder and Elbow2288-87212022-06-0125211212010.5397/cise.2021.00612853Do partial glenohumeral degenerative changes in patients undergoing arthroscopic rotator cuff repair influence clinical outcomes?Karam Al-Tawil0Joseph Casey1Prashant Thayaparan2Adel Tavakkolizadeh3Joydeep Sinha4Toby Colegate-Stone5 Department of Orthopaedic Surgery, King’s College Hospital, London, UK King’s Health Partners, London, UK Department of Orthopaedic Surgery, King’s College Hospital, London, UK Department of Orthopaedic Surgery, King’s College Hospital, London, UK Department of Orthopaedic Surgery, King’s College Hospital, London, UK Department of Orthopaedic Surgery, King’s College Hospital, London, UKBackground The prognostic factors for patients with full-thickness rotator cuff tears (RCTs) include tear size, muscle atrophy and fatty infiltration. However, the influence of early coexisting degenerative changes on RCT outcomes is unappreciated. The purpose of this study was to calculate the impact that pre-existing partial glenohumeral cartilaginous changes have on patients undergoing arthroscopic RCT repair. Methods A study of 54 patients undergoing arthroscopic RCT repair was undertaken. The presence of co-existing patches of glenohumeral degenerative cartilaginous changes and RCT size was recorded at surgery. Pre- and postoperative outcomes were assessed using traditional (Oxford Shoulder Score [OSS], 5-level EuroQol-5D [EQ-5D-5L] questionnaire and EuroQol visual analog scale [EQ-VAS]) and patient-centric re-formatted prisms. Outcomes were assessed as an entire dataset, and sub-group analysis was performed according to the grade of co-existing arthritis and tear size. Results Significant improvements (p<0.05) in clinical outcomes were recognized when assessed using either the traditional or reformatted prisms (average % improvements in OSS, EQ-5D-5L and EQ-VAS were 47%, 33% and 43%, respectively; average improvements in pain, function, and psychological well-being were 48%, 33% and, 29%, respectively). Positive gain was noted in all sub-groups of arthritic grading and tear size. Conclusions Good clinical outcomes can be achieved following RCT repair even in the presence of local partial degenerative cartilage changes and advancing tear size. These benefits are patient-centered but require RCT repairability.http://www.cisejournal.org/upload/pdf/cise-2021-00612.pdfrotator cuff repairosteoarthritisoutcomes |
| spellingShingle | Karam Al-Tawil Joseph Casey Prashant Thayaparan Adel Tavakkolizadeh Joydeep Sinha Toby Colegate-Stone Do partial glenohumeral degenerative changes in patients undergoing arthroscopic rotator cuff repair influence clinical outcomes? Clinics in Shoulder and Elbow rotator cuff repair osteoarthritis outcomes |
| title | Do partial glenohumeral degenerative changes in patients undergoing arthroscopic rotator cuff repair influence clinical outcomes? |
| title_full | Do partial glenohumeral degenerative changes in patients undergoing arthroscopic rotator cuff repair influence clinical outcomes? |
| title_fullStr | Do partial glenohumeral degenerative changes in patients undergoing arthroscopic rotator cuff repair influence clinical outcomes? |
| title_full_unstemmed | Do partial glenohumeral degenerative changes in patients undergoing arthroscopic rotator cuff repair influence clinical outcomes? |
| title_short | Do partial glenohumeral degenerative changes in patients undergoing arthroscopic rotator cuff repair influence clinical outcomes? |
| title_sort | do partial glenohumeral degenerative changes in patients undergoing arthroscopic rotator cuff repair influence clinical outcomes |
| topic | rotator cuff repair osteoarthritis outcomes |
| url | http://www.cisejournal.org/upload/pdf/cise-2021-00612.pdf |
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