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May 1, 2005American Journal of Roentgenology

Surgically Repaired Massive Rotator Cuff Tears: MRI of Tendon Integrity, Muscle Fatty Degeneration, and Muscle Atrophy Correlated with Intraoperative and Clinical Findings

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Key result

Surgical repair of massive rotator cuff tears yielded a favorable clinical outcome in 71.4% of patients at 44.4 months, despite an 89.2% rate of postoperative full-thickness tears.

Why the study?

Does MRI evaluation of tendon integrity and muscle degeneration predict clinical outcomes in patients with surgically repaired massive rotator cuff tears?

Population

28 patients with surgically proven massive rotator cuff tears

Design

Cohort

Follow-up

mean 44.4 months

Authors

JMJosé María Asencio MelladoUniversidad de Santiago de ChileJCJ. CalmetHospital Universitari Joan XXIII de TarragonaMOMontserrat OlonaHospital Universitari i Politècnic La Fe

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Implication

May support repair consideration in massive tears despite high re-tear rates; leaves open MRI predictors' value for outcomes.

Study Design

Type

Observational (n=28)

Structured PICO

Does MRI evaluation of tendon integrity and muscle degeneration predict clinical outcomes in patients with surgically repaired massive rotator cuff tears?

P
Population
28 patients with surgically proven massive rotator cuff tears evaluated retrospectively at a mean follow-up of 44.4 months.
E
Exposure
Surgical repair (22 complete, 6 partial) with preoperative and postoperative MRI evaluation
O
Outcome
Clinical assessment using the University of California at Los Angeles score and correlation with MRI findings (rotator cuff tear size, fatty degeneration, muscle atrophy)patient reported

Open repair of massive rotator cuff tears can yield favorable clinical outcomes despite a high rate of recurrent tears, with smaller preoperative tear size and less postoperative fatty degeneration predicting success.

Cite This Study

Mellado et al. (2005) conducted an observational in massive rotator cuff tears (n=28). Surgical repair was evaluated on Favorable clinical result. Surgical repair of massive rotator cuff tears yielded a favorable clinical outcome in 71.4% of patients at 44.4 months, despite an 89.2% rate of postoperative full-thickness tears.

synapsesocial.com/papers/6a96faac8a4936f1ceb30cb7https://doi.org/10.2214/ajr.184.5.01841456
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Fatty Muscle Degeneration in Cuff Ruptures1994 · 2,149 citations
  2. 2Clinical Outcome After Structural Failure of Rotator Cuff Repairs*2000 · 527 citations
  3. 3Magnetic resonance imaging of the shoulder. Sensitivity, specificity, and predictive value.1991 · 442 citations
  4. 4Repair of the rotator cuff. End-result study of factors influencing reconstruction.1986 · 1,023 citations
  5. 5The intercruciate band of the human knee1999 · 36 citations