December 21, 2012
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Researchers find preoperative tear size indicative of postoperative tear rate

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Preoperative tear size was the best predictor of overall postoperative tear rate 6 months after a rotator cuff repair, according to this study.

“Tear size was the best intraoperative predictor of repair integrity after rotator cuff repair, with tears less than 2 cm2 twice as likely to heal than tears greater than 6 cm2,” Xiao L. Wu, MBBS, and colleagues stated in the study abstract.

Preoperative tears ≤ 2 cm2 were the least likely to cause retears at 10%, according to the abstract. Between 2 cm2 and 4 cm2, the risk of retear was 16% and between 4 and 6 cm2, the risk was 31%. A tear greater than 8 cm2 represented a 57% risk for retear, according to the abstract.

Other correlations with retears included repair quality, tendon mobility and tendon quality, but these associations are not as strong, according to the abstract.

Disclosure: One researcher received a grant from ArthroCare Australia Pty Ltd. to conduct this study.