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BMC Musculoskeletal Disorders
Published in: BMC Musculoskeletal Disorders 1/2020

01-12-2020 | Arthroscopic Rotator Cuff Repair | Research article

Arthroscopic rotator cuff repair with and without subacromial decompression is safe and effective: a clinical study

Authors: Umile Giuseppe Longo, Stefano Petrillo, Vincenzo Candela, Giacomo Rizzello, Mattia Loppini, Nicola Maffulli, Vincenzo Denaro

Published in: BMC Musculoskeletal Disorders | Issue 1/2020

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Abstract

Background

Subacromial decompression, that consists of the release of the coracoid-acromial ligament, subacromial bursectomy and anterior-inferior acromioplasty, has traditionally been performed in the management of this pathology. However, the purpose of subacromial decompression procedure is not clearly explained. Our reaserch aimed to analyse the differences among the outcomes of arthroscopic rotator cuff repair (RCR) made with suture anchors, with or without the subacromial decompression procedure.

Methods

116 shoulders of 107 patients affected by rotator cuff (RC) tear were treated with Arthroscopic RCR. In 54 subjectes, the arthroscopic RCR and the subacromial decompression procedure (group A) were executed, whereas 53 took only arthroscopic RCR (group B). Clinical outcomes were evaluated through the use of the modified UCLA shoulder rating system, Wolfgang criteria shoulder score and Oxford shoulder score (OSS). Functional outcomes were assessed utilizing active and passive range of motion (ROM) of the shoulder, and muscle strength. The duration of the follow up and the configuration of the acromion were used to realize the comparison between the two groups.

Results

In patients with 2 to 5 year follow up, UCLA score resulted greater in group A patients. In subjectes with longer than five years of follow up, group B patients showed considerably greater UCLA score and OSS if related with group A patients. In subjectes that had the type II acromion, group B patients presented a significant greater strength in external rotation.

Conclusion

The long term clinical outcomes resulted significantly higher in patients treated only with RCR respect the ones in patients underwent to RCR with subacromial decompression.
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Metadata
Title
Arthroscopic rotator cuff repair with and without subacromial decompression is safe and effective: a clinical study
Authors
Umile Giuseppe Longo
Stefano Petrillo
Vincenzo Candela
Giacomo Rizzello
Mattia Loppini
Nicola Maffulli
Vincenzo Denaro
Publication date
01-12-2020
Publisher
BioMed Central
Published in
BMC Musculoskeletal Disorders / Issue 1/2020
Electronic ISSN: 1471-2474
DOI
https://doi.org/10.1186/s12891-019-3032-z

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