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Knee Surgery, Sports Traumatology, Arthroscopy

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01-02-2015 | Shoulder

Full-thickness rotator cuff tears in patients younger than 55 years: clinical outcome of arthroscopic repair in comparison with older patients

Authors: Tim Dwyer, Helen Razmjou, Richard Holtby

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

Abstract

Purpose

The purpose of this study was to examine whether younger patients had a similar response to repair of a full-thickness rotator cuff tear (RCT) as older patients.

Methods

A secondary analysis was conducted of prospectively collected data of patients with full-thickness RCTs. Patients were categorized into patients <55 years of age and patients 55 and older. Patient-related outcome measures of disability at 2 years following surgery were the Short Western Ontario Rotator Cuff (Short WORC), American Shoulder and Elbow Surgeon’s (ASES) assessment form, and absolute Constant–Murley score (ACMS).

Results

Review of the database between 2001 and 2011 identified 344 patients (median age 62, range 24–90). Of these, 83 (24 %) patients were younger than 55 years of age (median age 48, range 24–54) and 261 (76 %) were in the older age group (median age 66, range 55–90). The median follow-up was 24 months (range 23–25). Patients in the younger age group had a higher prevalence of traumatic events (p = 0.02), had sustained more work-related injuries (p < 0.0001), and had a higher ratio of smaller tears (p = 0.0001). No difference was seen between groups with respect to post-operative scores of Short WORC, ASES, or ACMS. Pre-operative scores, having a work-related claim, increased tear size, and concomitant procedures affected the 2-year outcome scores.

Conclusion

This study shows that younger patients with full-thickness RCTs who undergo an arthroscopic repair do as well as older individuals regardless of the measure used to document their recovery.

Level of evidence

Retrospective outcome study, Level II.

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Title: Full-thickness rotator cuff tears in patients younger than 55 years: clinical outcome of arthroscopic repair in comparison with older patients
Authors: Tim Dwyer
Helen Razmjou
Richard Holtby
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/s00167-014-3094-2

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Full-thickness rotator cuff tears in patients younger than 55 years: clinical outcome of arthroscopic repair in comparison with older patients

Abstract

Purpose

Methods

Results

Conclusion

Level of evidence

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Purpose

Methods

Results

Conclusion

Level of evidence

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