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Related Experiment Videos

Rotator cuff tears and associated nerve injuries.

T D Brown1, P M Newton, S P Steinmann

  • 1Shoulder Service, New York Orthopaedic Hospital, Columbia-Presbyterian Medical Center, NY, USA.

Orthopedics
|May 3, 2000
PubMed
Summary

Rotator cuff repair in patients with brachial plexus injuries shows mixed results, with many experiencing pain relief but less favorable functional outcomes compared to isolated repairs. Careful preoperative nerve assessment is crucial for predicting results.

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Area of Science:

  • Orthopedic Surgery
  • Neurosurgery
  • Musculoskeletal Research

Background:

  • Concomitant rotator cuff tears and infraclavicular brachial plexus injuries present a complex clinical challenge.
  • Understanding the outcomes of surgical repair in these combined injuries is essential for patient management.

Purpose of the Study:

  • To review the clinical outcomes of rotator cuff repair in patients with coexisting brachial plexus injuries.
  • To evaluate the impact of nerve injury on functional recovery after rotator cuff surgery.

Main Methods:

  • Retrospective review of 15 patients with combined rotator cuff tears and brachial plexus injuries treated between 1980 and 1989.
  • Assessment included pain, range of motion, strength, and nerve recovery.
  • Surgical repair of the rotator cuff was performed in 13 patients; 2 were treated conservatively.

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Main Results:

  • Seventeen nerve injuries were identified, primarily affecting the axillary, suprascapular, and musculocutaneous nerves.
  • Postoperative active forward elevation averaged 137 degrees and active external rotation 40 degrees.
  • 87% achieved satisfactory pain relief, with 60% reporting excellent or good function; 8 patients had complete nerve recovery.

Conclusions:

  • Rotator cuff repair in the presence of concurrent nerve injury yields less favorable results than isolated repairs.
  • Preoperative assessment of nerve injury is vital for predicting patient outcomes.
  • Combined injuries necessitate a comprehensive evaluation and tailored treatment approach.