Early repair of traumatic rotator cuff tears improves functional outcomes
Journal of Shoulder and Elbow Surgery Mar 27, 2021
Gutman MJ, Joyce CD, Patel MS, et al. - This study was sought to ascertain how functional outcomes are affected by surgical timing in traumatic rotator cuff tears (RCTs). Researchers conducted a retrospective review on patients with repair of traumatic full-thickness RCTs. They assessed preoperative MRIs by two blinded reviewers to assess RCT area and muscular atrophy. They evaluated functional outcomes via American Shoulder and Elbow Surgeons score, Single Assessment Numeric Evaluation, Simple Shoulder Test, and Visual Analog scale for pain. They utilized multivariate analysis to evaluate the effect of surgical timing on functional outcomes. They conducted a subanalysis to explore outcomes in patients who underwent surgery within 3 weeks of injury. The study enrolled 206 patients (150 males and 56 females) with a mean age of 60.0 ± 9.7 and a minimum of 24 months clinical follow-up (mean 35.5; range 24 to 54.4 months). The results of this study illustrated that surgical repair of traumatic rotator cuff tears results in significant improvements in functional outcomes for all patients; nevertheless, those that have surgery within three weeks can expect the best functional outcomes with a drop in function in individuals having surgery after 4 months of injury.
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