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Impact of diaphyseal cortical thickness on functional outcomes after arthroscopic rotator cuff repair

Arthroscopy Aug 20, 2019

Lee M, et al. - Via a total of 210 patients who underwent arthroscopic repair of full-thickness supraspinatus tears, researchers examined the impact of combined cortical thickness (CCT) of the proximal humerus on arthroscopic rotator cuff tear repair outcomes. In the patients with higher CCT, at 6 months' follow-up, the Constant shoulder score (CSS) and University of California at Los Angeles Shoulder rating scale (UCLASS) were greater. CSS, UCLASS, and Oxford shoulder score (OSS) were higher in the patients with greater CCT at 12 months' follow-up. CSS and OSS were greater in the patients with higher CCT, at 24 months' follow-up. In conclusion, however, a higher CCT was not related to clinically notable variations in functional outcomes, additional studies investigating postoperative imaging as well as perioperative optimization of BMD may generate valuable conclusions relative to the influence of CCT on cuff healing and functional outcomes.
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