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Archives of Orthopaedic and Trauma Surgery

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01-08-2020 | Painful Arc | Arthroscopy and Sports Medicine

Functional outcome and tendon integrity of rotator cuff reconstruction after primary traumatic glenohumeral dislocation

Authors: Felix Porschke, Sebastian Manuel Schlee, Marc Schnetzke, Stefan Studier-Fischer, Paul A. Gruetzner, Thorsten Guehring

Published in: Archives of Orthopaedic and Trauma Surgery | Issue 8/2020

Abstract

Introduction

Rotator cuff tears (rct) subsequent to glenohumeral dislocation are relevant concomitant injuries, can lead to impaired shoulder function and increase risk of recurrent dislocation.

Aim

The aim of this study was to determine the functional outcome, recurrent dislocation rate and tendon integrity after rotator cuff repair after primary traumatic shoulder dislocation.

Materials and methods

In this retrospective case series, 23 patients (age 56.4 years ± 6.3) who underwent a rotator cuff reconstruction after primary traumatic shoulder dislocation with confirmed combination of full-thickness RCT and Bankart lesion were enrolled after a minimum follow-up of 2 years. Clinical outcome (age and gender adjusted Constant Murley Score (CMS), DASH, Rowe Score) (n = 23) and sonographic tendon integrity (n = 19) were studied.

Results

After a mean follow-up of 58 ± 32 months, a CMS of 85.1% ± 14.7, DASH of 14.2 ± 20.5, and Rowe Score of 82.4 ± 15.2 indicated good functional outcome. In 4 of 19 patients (21.1%) a re-tear was found during sonographic evaluation. In 3 cases (13%), a revision was performed (2 × stiff shoulder, 1 × postoperative infection). One patient had a single traumatic re-dislocation (4.3%).

Conclusions

Patients undergone reconstruction of the rotator cuff following a primary traumatic shoulder dislocation can achieve good functional results and a low rate of recurrent dislocation. Postoperative tendon integrity is comparable with known data about non traumatic tears.

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Title: Functional outcome and tendon integrity of rotator cuff reconstruction after primary traumatic glenohumeral dislocation
Authors: Felix Porschke
Sebastian Manuel Schlee
Marc Schnetzke
Stefan Studier-Fischer
Paul A. Gruetzner
Thorsten Guehring
Publication date: 01-08-2020
Publisher: Springer Berlin Heidelberg
Keyword: Painful Arc
Published in: Archives of Orthopaedic and Trauma Surgery / Issue 8/2020
Print ISSN: 0936-8051
Electronic ISSN: 1434-3916
DOI: https://doi.org/10.1007/s00402-020-03416-4

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Functional outcome and tendon integrity of rotator cuff reconstruction after primary traumatic glenohumeral dislocation

Abstract

Introduction

Aim

Materials and methods

Results

Conclusions

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Abstract

Introduction

Aim

Materials and methods

Results

Conclusions

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