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Staged bilateral rotator cuff repair yielded good clinical outcomes in both shoulders
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Regardless of hand dominance or chronologic incidence, patients who underwent staged bilateral rotator cuff repair had good clinical outcomes with excellent healing rates in both shoulders, according to results.
Researchers obtained clinical outcome scores, including the American Shoulder and Elbow Surgeons (ASES), Single Assessment Numeric Evaluation and Rowe measures in 55 patients who underwent staged bilateral arthroscopic rotator cuff surgery with at least 2-years follow-up. An independent, fellowship-trained musculoskeletal radiologist performed clinical and ultrasound evaluation on a subset of patients.
Results showed outcome measures had no clinical or statistical difference. The dominant shoulder had an average ASES score of 86.5 vs. 89.6 in the nondominant shoulder, according to results. Investigators found a complete healing rate of 88% in their review of available ultrasounds for 34 shoulders. Researchers noted clinically relevant, lower ASES scores among 12% of shoulders with retearing of the rotator cuff compared with shoulders with confirmed healed repairs (72.5 vs. 86.2). – by Casey Tingle
Disclosure: The researchers report no relevant financial disclosures.
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