Arthroscopic rotator cuff repair decreased pain, improved outcomes in patients of all ages

Issue: November 2022

ByMax R. Wursta

Fact checked byKristine Houck, MA, ELS

ATLANTA — Arthroscopic repair of massive rotator cuff tears decreased pain, improved clinical outcomes and increased return to activity in patients of all ages, according to presented data.

“There are various definitions for [massive rotator cuff tears] (MRCTs), and increased age has been reported as a negative predictor as well as for healing and outcomes,” Matthew T. Provencher, MD, MBA, MC, USNR (ret.), said in his presentation at the American Shoulder and Elbow Surgeons Annual Meeting, here.

Provencher and colleagues at the Steadman Philippon Research Institute analyzed data on 51 patients (mean age of 59.7 years; range of 39 to 74 years) who underwent 53 arthroscopic rotator cuff repairs (ARCRs) of a MRCT between February 2006 and October 2016. Outcome measures included ASES, SANE, Quick Disabilities of the Arm, Shoulder and Hand Score (QuickDASH), short form 12 physical component summary (SF-12 PCS), patient satisfaction, subsequent surgery and conversion to reverse shoulder arthroplasty.

Matthew T. Provencher

At a minimum follow-up of 5 years, 46 shoulders had complete outcomes scores. Mean ASES scores improved from 58.7 to 96.9; mean SANE scores improved from 60.2 to 90.8; mean QuickDASH scores improved from 34.9 to 8.4; and mean SF-12 PCS scores improved from 40.8 to 52.6. Median patient satisfaction scores were 10 out of 10. Provencher and colleagues concluded Goutallier grade and age were not associated with any outcome measures.

“Overall, we demonstrated significantly improved clinical scores, decreased pain, increased return to activity at midterm follow-up, irrespective of patient age,” Provencher said. “We still need more time, more patients and probably multicenter data to really see how these are going to do over time,” he said.

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Sources/Disclosures

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Source:

Dey-Hazra R-O, et al. Paper 12. Presented at: American Shoulder and Elbow Surgeons Annual Meeting; Oct. 6-9, 2022; Atlanta.

Disclosures: Provencher reports receiving royalties from Arthrex, Arthrosurface, Elsevier and SLACK Incorporated; receiving financial or material support from Elsevier and SLACK Incorporated; being a paid consultant for Arthrex and the Joint Restoration Foundation (Allosource); and being on the editorial or governing board for Arthroscopy, Knee, Orthopedics and SLACK Incorporated.

American Shoulder and Elbow Surgeons Annual Meeting

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Arthroscopic rotator cuff repair decreased pain, improved outcomes in patients of all ages

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