Arthroscopy: The Journal of Arthroscopic & Related Surgery
Original articleArthroscopic Side-to-Side Rotator Cuff Repair
Section snippets
Methods
The results of 105 consecutive arthroscopic rotator cuff repairs in 104 patients performed by the senior author (E.M.W.) over a 6-year period between February 1990 and February 1996 were evaluated. Initially, a retrospective clinical chart review was performed for each case. Nine patients were lost to follow-up, leaving 96 shoulders in 95 patients available for evaluation with an average follow-up of 73 months (range, 48 to 120 months). Forty-two of these patients who underwent repair of a
Results
Ninety-eight percent of patients had good and excellent postoperative scores with 23 excellent (55%), 18 good (43%), and 1 poor result (2%). The average UCLA score was 33. Forty-one of the 42 patients (98%) rated their surgery as being successful and were satisfied with the repair. One patient rated his surgery as unsuccessful.
The UCLA shoulder scoring system evaluated for strength, pain, and function (Table 1). The mean response in all patients grading their strength was 4.6 (range 2–5), mean
Discussion
Rotator cuff tears are often attritional in nature and the defect present often involves more than just an avulsion of the musculotendinous cuff from the greater tuberosity of the humerus. Burkhart9 has eloquently described a broad classification scheme to which rotator cuff tears can be classified: crescent-shaped or U-shaped tears. He describes the crescent-shaped tear as a disruption of the tendinous insertion from the greater tuberosity of the humerus without a large element of retraction.
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