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Knee Surgery, Sports Traumatology, Arthroscopy

Published in:

01-02-2015 | Shoulder

Long-term outcome after arthroscopic rotator cuff treatment

Authors: Pietro Spennacchio, Giuseppe Banfi, Davide Cucchi, Riccardo D’Ambrosi, Paolo Cabitza, Pietro Randelli

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

Abstract

Purpose

Arthroscopic techniques have become the gold standard in the operative management of several pathologic conditions of the shoulder. The purpose of this systematic review was to present the long-term outcomes following arthroscopic treatment of rotator cuff pathology.

Methods

A comprehensive literature review was performed to identify studies reporting clinical or structural results of arthroscopic rotator cuff repairs (ARCRs) at least 5 years after surgery.

Results

Ten articles were selected, which described 483 procedures. Study type, surgical approaches, complications, evidences of structural integrity of the repaired lesions, preoperative and postoperative functional scores are identified, analyzed and discussed. Satisfactory results are presented by all authors, and significant postoperative improvement is reported by all the studies with available preoperative data; 16 of 483 cases were re-operated.

Conclusion

Although high-level evidences are lacking, ARCR appears to be an effective and safe option to treat the symptoms of rotator cuff tears and to provide successful clinical results durable with time. Current evidences are insufficient to clearly define the relationship between structural integrity of repaired cuffs and long-term clinical outcome. The available data do not allow to draw conclusions regarding the long-term superiority of double-row versus single-row repairs.

Level of evidence

Review of level II, III and IV studies, Level IV.

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Title: Long-term outcome after arthroscopic rotator cuff treatment
Authors: Pietro Spennacchio
Giuseppe Banfi
Davide Cucchi
Riccardo D’Ambrosi
Paolo Cabitza
Pietro Randelli
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/s00167-014-3234-8

2024 ASCO Annual Meeting

Springer Medicine

Long-term outcome after arthroscopic rotator cuff treatment

Abstract

Purpose

Methods

Results

Conclusion

Level of evidence

2024 ASCO Annual Meeting

Springer Medicine

Abstract

Purpose

Methods

Results

Conclusion

Level of evidence

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