IJCRR - 7(7), April, 2015
FUNCTIONAL OUTCOME OF SHOULDER FOLLOWING MINI OPEN REPAIR FOR ROTATOR CUFF INJURIES
Author: Jalaluddeen Mahin Vaidyar, Shabir Kassim, Sandeep Shibli, U. Hashir Safwan
Background: Rotator cuff injuries are a common cause of shoulder pain in the adult population. The present study aims to assess the outcome following rotator cuff repair by mini open approach
Materials and methods: This is a prospective study done on thirty patients with rotator cuff injuries. 13 full thickness and 17 partial thickness were followed up for 2 years following repair by mini open approach and functional scoring was done, preoperatively and postoperatively with the Constant and Murley scoring system.Statistical analysis of scores were done with ANOVA and pairwise comparisons between mean scores at different time intervals done with Bonferroni correction test.
Results: The mean preoperative score was 59.5 while the mean score at 2 year follow up was 91.8 which is highly significant. There was no significant difference between mean scores of the full thickness tear mini open repair versus the partial thickness tear miniopen repair.
Conclusion: Miniopen repair of rotator cuff injuries offers excellent functional outcome at 2 year followup.There is no difference in functional outcome between partial and full thickness tear treated by miniopen repair.
Keywords: Rotator cuff tear, Mini open approach, Functional outcome
Jalaluddeen Mahin Vaidyar, Shabir Kassim, Sandeep Shibli, U. Hashir Safwan. FUNCTIONAL OUTCOME OF SHOULDER FOLLOWING MINI OPEN REPAIR FOR ROTATOR CUFF INJURIES International Journal of Current Research and Review. 7(7), April, 40-44
1. Carl A Bretzke MD, et al, Ultrasonography of the Rotator Cuff Normal and Pathologic Anatomy, Invst Radiology. 1985; 20:311-315.
2. Campbell’s Operative Orthopaedics, 11th edition. Pg 2601- 2602.
3. Arthroscopic evaluation and management of rotator cuff tears Eric S. Millstein, MD, Stephen J Snyder ,MD orthop Clin N Am 34 (2003) 507-520.
4. Rotator cuff tear, http ://en.wikipedia.org/wiki/Rotator_ cuff_tear.
5. Neil S. Ghodadra et al Of Orthopaedic and Sports Physical Therapy | Volume 39 | Number 2 | February 2009 | 81.
6. Shane J. Nho, Michael K. Shindle et al ,J Bone Joint Surg Am. 2007;89:127-136.
7. Yamagughi, K: Mini-open rotator cuff repair. JBJS, 83-A, 764-772, May, 2001. 8. Levy HJ, Uribe JW. Delaney LG. arthroscopic assisted rotator cuff repair : preliminary results. arthroscopy 1990;6:55- 60.
9. Baysal D, Balyk R, Otto D, Luciak-Corea C, Beaupre L (2005) functional outcome and health-related quality of life after surgical repair of full thickness rotator cuff tear using a mini-open technique.Am J sports Med 33:1346- 1355.
10. Chun JM, Kim SY, Kim JH (2008), arthroscopically assisted mini-deltopectoral rotator cuff repair. orthopedics 31:74.
11. Duralde XA, Greene RT(2008) Mini-open rotator cuff repair via an anterosuperior approach. J Shoulder Elbow Surg 17:715-721.
12. Hanusch BC, Goodchild L, Finn P, Rangan A (2009) Large and massive tears of the rotator cuff: Functional outcome and integrity of the repair after mini-open procedure. J bone Joint Surg Br 91:201-205.
13. J Bone Joint Surg Br February 2009 vol. 91-B no. 2 201- 205.
14. DeLorme D: Die Hemmungsba?nder des Schultergelenks und ihre Bedeutung fu?r die Schulterluxationen. Arch Klin Chirurg 1910; 92:79-101.
15. Mary.S Hollister, Laurence. A. Mack, Association of Sonographically Detected Subacromial / Subdeltoid Bursal Effusion and Intraarticular Fluid with Rotator Cuff Tear, American Journal Of Radiology 1995; 165:605-606.
16. Mathieu J C M Rutten MD, Gerrit J. Jager et al, US of the rotator cuff: pitfalls, limitations and artifacts, Radiographics , RSNA . 2006; 26: 589-604.
17. Constant CR, Murley AH : A clinical method of functional assessment of the shoulder . Clin Orthop Relat Res, 1987 Jan;(214) 160-4.