Functional and Radiologic Outcomes of Degenerative Versus Traumatic Full-Thickness Rotator Cuff Tears Involving the Supraspinatus Tendon-Reference-Cited by-同舟云学术

Functional and Radiologic Outcomes of Degenerative Versus Traumatic Full-Thickness Rotator Cuff Tears Involving the Supraspinatus Tendon

Published:2024-01-23 Issue:2 Volume:52 Page:441-450
ISSN:0363-5465
Container-title:The American Journal of Sports Medicine
language:en
Short-container-title:Am J Sports Med

Author:

Baum Cornelia¹²,Audigé Laurent³²,Stojanov Thomas⁴²,Müller Sebastian A.⁵²,Candrian Christian⁶²,Müller Andreas M.¹²,Rosso Claudio⁷²,Fankhauser Lena²,Willscheid Gernot⁸²,Moroder Philipp²,Akgün Doruk²,Danzinger Victor²,Gebauer Henry²,Imiolczyk Jan-Philipp²,Karpinski Katrin²,Lacheta Lucca²,Minkus Marvin²,Paksoy Alp²,Samaniego Eduardo²,Thiele Kathi²,Weiss Isabella⁹²,Suter Thomas²,Müller-Lebschi Julia²,Mueller Sebastian²,Saner Markus²,Haag-Schumacher Claudia²,Tamborrini-Schütz Giorgio¹⁰²,Trong Mai Lan Dao²,Buitrago-Tellez Carlos²,Hasler Julian²,Riede Ulf²,Weber Sandra¹¹²,Moor Beat²,Biner Matthias²,Fournier Sarah²,Gallusser Nicolas²,Marietan Deborah²,Pawlak Sebastien¹²²,Spormann Christoph²,Hansen Britta²,Mamisch Nadja¹³²,Durchholz Holger²,Bräm Jakob¹⁴²,Cunningham Gregory²,Kourhani Abed²,Ossipow Sarah²,Simao Patricia¹⁵²,Lädermann Alexandre¹⁶²,Egli Rainer²,Erdbrink Stephanie²,Flückiger Remy²,Lombardo Paolo²,Pinworasarn Tawan²,Scacchi Philipp²,Weihs Johannes²,Zumstein Matthias¹⁷²,Flury Matthias²,Berther Ralph²,Ehrmann Christine²,Hübscher Larissa¹⁸²,Schwappach David¹⁹²,Eid Karim²,Bensler Susanne²,Fritz Yannick²,Grünberger Nisha²,Kriechling Philipp²,Langthaler Daniel²,Niehaus Richard²,Nobs Raffaela²⁰²,Benninger Emanuel²,de Groot Quintin²,Doert Aleksis²,Ebert Sebastian²,Grimm Philemon²,Mottier Fabian²,Pisan Markus²,Schätz Jan²,Schwank Ariane²,Wiedenbach Julian²¹²,Scheibel Markus²,Audigé Laurent²,Bellmann Frederik²,Brune Daniela²,de Jong Marije²,Diermayr Stefan²,Endell David²,Etter Marco²,Freislederer Florian²,Gkikopoulos Nikitas²,Glanzmann Michael²,Grobet Cécile²,Jung Christian²,Moro Fabrizio²,Moroder Philipp²,Ringer Ralph²,Schätz Jan²,Schwyzer Hans-Kaspar²,Weber Béatrice²,Wehrli Martina²,Wirth Barbara²,Nötzli Manuela²,Franz Anne²,Oswald Jörg²,Steiger Birgit²,Ameziane Yacine²,Child Christopher²,Spagna Giovanni²²²,Candrian Christian²,Del Grande Filippo²,Feltri Pietro²,Filardo Giuseppe²,Marbach Francesco²,Schönweger Florian²³²,Jost Bernhard²,Badulescu Michael²,Lüscher Stephanie²,Napieralski Fabian²,Öhrström Lena²,Olach Martin²,Rechsteiner Jan²,Scheler Jörg²,Spross Christian²,Zdravkovic Vilijam²⁴²,Zumstein Matthias A.²,Chlasta Adrian²,Gerber Kate²,Hayoz Annabel²,Müller-Lebschi Julia²,Schuster Frederick²⁵²,Wieser Karl²,Borbas Paul²,Bouaicha Samy²,Camenzind Roland²,Catanzaro Sabrina²,Gerber Christian²,Grubhofer Florian²,Hasler Anita²,Hochreiter Bettina²,Marcus Roy²,Selman Farah²,Sutter Reto²,Wyss Sabine²⁶²,Appenzeller-Herzog Christian²⁷²,Aghlmandi Soheila²,Ahlborn Ilona²,Baum Cornelia²,Eckers Franziska²,Grezda Kushtrim²,Hatz Simone²,Hunziker Sabina²,Stojanov Thomas²,Taha Mohy²,Tamborrini-Schütz Giorgio²,Mueller Andreas Marc²,

Affiliation:

1. Department of Orthopaedic and Trauma Surgery, University Hospital Basel, Basel, Switzerland

2. Investigation performed at University Hospital Basel, Basel and the Schulthess Klinik, Zurich, Switzerland

3. Surgical Outcome Research Center, Department of Clinical Research, University Hospital of Basel, Basel, Switzerland; Research and Development, Shoulder and Elbow Surgery, Schulthess Klinik, Zurich, Switzerland

4. Department of Orthopaedic and Trauma Surgery, University Hospital Basel, Basel, Switzerland; Research and Development, Shoulder and Elbow Surgery, Schulthess Klinik, Zurich, Switzerland

5. Department of Orthopaedic and Trauma Surgery, Shoulder and Elbow, Cantonal Hospital Baselland, Bruderholz, Switzerland; Faculty of Medicine, University of Basel, Basel, Switzerland

6. Trauma and Ortho Unit, Ospedale Regionale di Lugano, Lugano, Switzerland

7. Principal Investigator [PI])

8. Charitè Medicine University, Berlin, DE

9. Cantonal Hospital Baselland, Bruderholz, CH

10. Public Hospital Solothurn, Solothurn, CH

11. Hôpital du Valais–Centre Hospitalier du Valais Romand, Martigny, CH

12. Endoclinic, Zurich, CH

13. Klinik Gut, St Moritz, CH

14. Hirslanden Clinique la Colline, Geneva, CH

15. La Tour Hospital, Meyrin, CH

16. Inselspital, Bern, CH

17. In-Motion, Wallisellen, CH

18. Institute of Social and Preventive Medicine, University of Bern, Bern, CH

19. Cantonal Hospital of Baden, Baden, CH

20. Cantonal Hospital of Winterthur, Winterthur, CH

21. Schulthess Klinik, Zurich, CH

22. Ospedale Regionale di Lugano, Lugano, CH

23. Cantonal Hospital of St. Gallen, St. Gallen, CH

24. Orthopädie Sonnenhof, Bern, CH

25. University Clinic Balgrist, Zurich, CH

26. University Library Basel, University of Basel, Basel, CH

27. University Hospital of Basel, Basel, CH

Abstract

Background: Arthroscopic rotator cuff repair (ARCR) is among the most commonly performed orthopaedic procedures. Several factors—including age, sex, and tear severity—have been identified as predictors for outcome after repair. The influence of the tear etiology on functional and structural outcome remains controversial. Purpose: To investigate the influence of tear etiology (degenerative vs traumatic) on functional and structural outcomes in patients with supraspinatus tendon tears. Study Design: Cohort study; Level of evidence, 2. Methods: Patients undergoing ARCR from 19 centers were prospectively enrolled between June 2020 and November 2021. Full-thickness, nonmassive tears involving the supraspinatus tendon were included. Tears were classified as degenerative (chronic shoulder pain, no history of trauma) or traumatic (acute, traumatic onset, no previous shoulder pain). Range of motion, strength, the Subjective Shoulder Value, the Oxford Shoulder Score (OSS), and the Constant-Murley Score (CMS) were assessed before (baseline) and 6 and 12 months after ARCR. The Subjective Shoulder Value and the OSS were also determined at the 24-month follow-up. Repair integrity after 12 months was documented, as well as additional surgeries up to the 24-month follow-up. Tear groups were compared using mixed models adjusted for potential confounding effects. Results: From a cohort of 973 consecutive patients, 421 patients (degenerative tear, n = 230; traumatic tear, n = 191) met the inclusion criteria. The traumatic tear group had lower mean baseline OSS and CMS scores but significantly greater score changes 12 months after ARCR (OSS, 18 [SD, 8]; CMS, 34 [SD,18] vs degenerative: OSS, 15 [SD, 8]; CMS, 22 [SD, 15]) ( P < .001) and significantly higher 12-month overall scores (OSS, 44 [SD, 5]; CMS, 79 [SD, 9] vs degenerative: OSS, 42 [SD, 7]; CMS, 76 [SD, 12]) ( P≤ .006). At the 24-month follow-up, neither the OSS (degenerative, 44 [SD, 6]; traumatic, 45 [SD, 6]; P = .346) nor the rates of repair failure (degenerative, 14 [6.1%]; traumatic 12 [6.3%]; P = .934) and additional surgeries (7 [3%]; 7 [3.7%]; P = .723) differed between groups. Conclusion: Patients with degenerative and traumatic full-thickness supraspinatus tendon tears who had ARCR show satisfactory short-term functional results. Although patients with traumatic tears have lower baseline functional scores, they rehabilitate over time and show comparable clinical results 1 year after ARCR. Similarly, degenerative and traumatic rotator cuff tears show comparable structural outcomes, which suggests that degenerated tendons retain healing potential.

Funder

Schweizerischer Nationalfonds zur FÃ¶rderung der Wissenschaftlichen Forschung

Schweizerische Gesellschaft fÃ¼r OrthopÃ¤die und Traumotologie

Publisher

SAGE Publications

Subject

Physical Therapy, Sports Therapy and Rehabilitation,Orthopedics and Sports Medicine

Link

http://journals.sagepub.com/doi/pdf/10.1177/03635465231219253

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