What question did this study set out to answer?

To identify factors associated with healing failure in previously asymptomatic patients undergoing early arthroscopic repair for acute, trauma-related rotator cuff tears.

May 11, 2023Journal of Shoulder and Elbow SurgeryOpen Access

Factors associated with healing failure after early repair of acute, trauma-related rotator cuff tears

View Full Paper

Ask AI

Bookmark

Authors

KAKnut E. AagaardLund University KLKarl LunsjöLund University LALars AdolfssonÖrebro University

Discussion

Member takes

Implication

Cohort study reveals muscle fatty infiltration and rotator cable disruption drive healing failure after acute tear repair, highlighting structural risks.

Key Points

To identify factors associated with healing failure in previously asymptomatic patients undergoing early arthroscopic repair for acute, trauma-related rotator cuff tears.
Enrolled 62 consecutive patients (median age 61 years, range 42–75; 23% women) with acute shoulder trauma and MRI-confirmed full-thickness rotator cuff tears who underwent early arthroscopic repair with supraspinatus tendon biopsy.
Assessed tendon repair integrity at 1-year follow-up using MRI evaluated with the Sugaya classification (N=57, 92% completion).
Analyzed risk factors for failure using a causal-relation diagram evaluating age, BMI, diabetes, smoking, histopathologic degeneration (Bonar score), fatty infiltration, tear location, and tear size.
Healing failure occurred in 37% of patients (n = 21/57) at 1-year follow-up.
Healing failure was significantly associated with high supraspinatus muscle fatty infiltration (P = .01), disruption of rotator cable integrity (P = .01), and older age (P = .03).
Histopathologic tendon degeneration assessed by the Bonar score was not significantly associated with healing failure (P = .63).

Cite This Study

Aagaard et al. (2023) studied this question.

synapsesocial.com/papers/6a81f733adfa6baaaee1fe53 https://doi.org/10.1016/j.jse.2023.03.027

View Full Paper

Ask AI

Bookmark

Implication

Cohort study reveals muscle fatty infiltration and rotator cable disruption drive healing failure after acute tear repair, highlighting structural risks.

Factors associated with healing failure after early repair of acute, trauma-related rotator cuff tears

Discussion

Member takes

Implication

Key Points

Cite This Study

Factors associated with healing failure after early repair of acute, trauma-related rotator cuff tears

Discussion

Member takes

Implication

Key Points

Cite This Study

Also Consider

Also Consider