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Partial Rotator Cuff Repair Provides Improved Patient-Reported Outcome Measures Following Superior Capsule

Jarret M Woodmass1, Eric R Wagner2, Kathryn M Welp3

  • 1Pan Am Clinic, University of Manitoba, Winnipeg, Manitoba, Canada.

Arthroscopy, Sports Medicine, and Rehabilitation
|August 29, 2022
PubMed
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This summary is machine-generated.

Adding infraspinatus rotator cuff repair (RCR) to superior capsule reconstruction (SCR) significantly improves shoulder function outcomes. This combined approach enhances patient-reported results for irreparable rotator cuff tears compared to SCR alone.

Area of Science:

  • Orthopedic Surgery
  • Shoulder Reconstruction
  • Rotator Cuff Repair

Background:

  • Superior capsule reconstruction (SCR) is a treatment for irreparable rotator cuff tears.
  • The role of concomitant rotator cuff repair (RCR) during SCR is not fully understood.
  • Evaluating the impact of adding infraspinatus RCR to SCR on patient outcomes is crucial.

Purpose of the Study:

  • To assess the effect of concomitant partial rotator cuff repair (infraspinatus) on patient-reported outcomes after superior capsule reconstruction (SCR).
  • To compare clinical outcomes between SCR alone and SCR with concomitant infraspinatus repair (SCR+RCR).

Main Methods:

  • A retrospective cohort study comparing 180 patients undergoing SCR.
  • Patients were divided into two groups: SCR alone (163) and SCR+RCR (17).

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  • Outcome measures included pain (VAS), ASES Shoulder Function, ASES Shoulder Index, and SANE scores at 3, 6, 12, and 24 months postoperatively.

    • Main Results:

    • Both SCR alone and SCR+RCR significantly improved pain and function at 2 years (P < .001).
    • The SCR+RCR group showed significantly better ASES Index (87.6 vs 78.2, P = .048) and ASES Function (25.5 vs 21.7, P = .02) scores at 24 months.
    • No significant difference in SANE scores was observed between the groups at 24 months (P = .07).

    Conclusions:

    • Superior capsule reconstruction (SCR) offers modest improvements in pain and function for irreparable rotator cuff tears.
    • Concomitant infraspinatus rotator cuff repair (RCR) with SCR leads to significantly better functional outcomes (ASES Index and Function) at 2 years compared to SCR alone.