Predictors of re-rupture after arthroscopic rotator cuff repair: the role of age and systemic comorbidities

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Key Points

This study aims to identify comorbidities that influence re-rupture after arthroscopic rotator cuff repair and assess the risk contributions of age and diabetes mellitus.
Retrospective review of 481 patients undergoing primary arthroscopic full-thickness rotator cuff repair.
Included 392 patients after exclusions; analyzed demographic variables and comorbidities from preoperative records.
Functional outcomes assessed using Visual Analog Scale (VAS), American Shoulder and Elbow Surgeons (ASES) and Constant scores.
The re-rupture rate was 18.6% with 73 out of 392 patients experiencing re-rupture.
Patients with re-rupture had significantly larger tears averaging 38.9±9.2 mm, p<0.05.
Comorbidities like diabetes mellitus and factors such as bone mineral density were significant predictors.

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Retrospective review identifies comorbidities influencing re-rupture in rotator cuff repair patients, suggesting targeted preoperative management.

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Altay et al. (2026) studied this question.

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