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Similar outcomes after all-layers, bursal layer-only repair for delaminated rotator cuff tears
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Results from this retrospective comparative study demonstrated the all-layers repair for delaminated rotator cuff repair compared with the bursal layer-only repair did not result in better clinical outcomes or structural integrity.
Researchers evaluated 112 patients who underwent arthroscopic rotator cuff repair for posteriorly delaminated tears. Patients were divided into the all-layers repair group if articular later was able to be reduced to its footprint and patients were assigned to the bursal later-only repair group if reduction was not possible or only marginally possible under tension.
Investigators evaluated patients with VAS for pain, the subjective shoulder value, University of California, Los Angeles (UCLA) shoulder score, the American Shoulder and Elbow Surgeon (ASES) score and shoulder active range of motion. At 6 months postoperatively, investigators performed either MR arthrography (MRA) or CT arthrography (CTA) for structural integrity assessments.
Findings at the 2-year follow-up showed mean scores from preoperative to postoperative had significantly improved in both groups for VAS, subjective shoulder value, ASES score, UCLA shoulder score and active range of motion. None of the values were significantly different among the groups, according to researchers. Investigators noted groups were not significantly with regards to follow-up MRA and CTA results. ‒ by Monica Jaramillo
Disclosures: The researchers report no relevant financial disclosures.
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