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Knee Surgery, Sports Traumatology, Arthroscopy
Published in: Knee Surgery, Sports Traumatology, Arthroscopy 2/2015

01-02-2015 | Shoulder

Arthroscopic repair of massive, contracted, immobile tears using interval slides: clinical and MRI structural follow-up

Authors: Randa Berdusco, John N. Trantalis, Atiba A. Nelson, Stephen Sohmer, Kristie D. More, Benjamin Wong, Richard S. Boorman, Ian K. Y. Lo

Published in: Knee Surgery, Sports Traumatology, Arthroscopy | Issue 2/2015

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Abstract

Purpose

The purpose of this study was to determine clinical and structural outcomes of arthroscopic repair of massive, contracted, immobile rotator cuff tears using interval slides.

Methods

Eleven patients who had rotator cuff tears that were irreparable using standard mobilization techniques, but were repaired using interval slides were reviewed. Patients were evaluated at mean 25.2 months (±10.3) post-operatively utilizing a standardized clinical examination and by magnetic resonance imaging (MRI).

Results

American Shoulder and Elbow Surgeons (ASES) and Simple Shoulder Test (SST) scores improved significantly (ASES p = 0.0001; SST p = 0.0001) from pre- to post-operative. Range of motion in forward elevation and external rotation increased from pre- to post-operative, though not significantly. Strength via manual muscle testing improved on forward elevation (p = 0.001) and external rotation (p = 0.007) from pre- to post-operative. Post-operative MRI demonstrated massive re-tearing to the original size in 6 patients (55 %) and intact rotator cuffs with tissue spanning the defects in 5 (45 %) patients.

Conclusions

In patients with massive, contracted, immobile tears, an interval slide technique may be utilized as a salvage procedure. Arthroscopic repair of massive, contracted, immobile rotator cuff tears using interval slide techniques can lead to good clinical and satisfactory structural outcomes.

Level of evidence

IV.
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Metadata
Title
Arthroscopic repair of massive, contracted, immobile tears using interval slides: clinical and MRI structural follow-up
Authors
Randa Berdusco
John N. Trantalis
Atiba A. Nelson
Stephen Sohmer
Kristie D. More
Benjamin Wong
Richard S. Boorman
Ian K. Y. Lo
Publication date
01-02-2015
Publisher
Springer Berlin Heidelberg
Published in
Knee Surgery, Sports Traumatology, Arthroscopy / Issue 2/2015
Print ISSN: 0942-2056
Electronic ISSN: 1433-7347
DOI
https://doi.org/10.1007/s00167-013-2683-9

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