Evidence map›Paper›PMID 25232074›Full record

Trial reportThe Journal of bone and joint surgery. American volume2014

Tendon repair compared with physiotherapy in the treatment of rotator cuff tears: a randomized controlled study in 103 cases with a five-year follow-up.

Stefan Moosmayer, Gerty Lund, Unni S Seljom, Benjamin Haldorsen, Ida C Svege, Toril Hennig, Are H Pripp, Hans-Jørgen Smith

2 registry-linked trialsAbstract readComparative StudyPragmatic Clinical TrialRandomized Controlled Trial
PubMed Publisher
In one paragraph

Trial report in The Journal of bone and joint surgery. American volume, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 89 papers, 9 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
89citing papers in PubMed, 9 pooled it
13.5field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT00695981 naactive not recruitingnot on this map

The Effectiveness and Cost-Effectiveness of Operative and Non-operative Management of Rotator Cuff Tear

TypeinterventionalSponsorCentral Finland Hospital DistrictRan2008 to 2028Enrolled100ConditionsRotator Cuff TearArmsRotator cuff repair, Conservative treatment
NCT00852657 nacompletednot on this map

Comparison of Surgical Treatment by Tendon Repair and Physiotherapy in the Treatment of Small and Medium-sized Tears of the Rotator Cuff

TypeinterventionalSponsorVestre Viken Hospital TrustRan2004 to 2023Enrolled103ConditionsRotator Cuff TearArmsTendon repair with acromioplasty, Physiotherapy
3 · Its place in the literature

Who cites it

89 citing papers in PubMed, 9 syntheses or guidelines pooled it, 193 citations in OpenAlex.

  1. Guideline
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  8. Surgery for rotator cuff tears.The Cochrane database of systematic reviews · 2019
    Pooled it
  9. Manual therapy and exercise for rotator cuff disease.The Cochrane database of systematic reviews · 2016
    Pooled it
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  14. Observational
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29 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

8 authors at 2 institutions in 1 country.

Stefan MoosmayerDepartments of Orthopaedic Surgery (S.M.), Physiotherapy (G.L., U.S.S., B.H., and I.C.S.), and Occupational Therapy (T.H.), Martina Hansens Hospital, Donskiveien 8, P.O.B. 823, 1306 Sandvika, Norway. E-mail address for S. Moosmayer: st.moos@online.no.
Gerty LundDepartments of Orthopaedic Surgery (S.M.), Physiotherapy (G.L., U.S.S., B.H., and I.C.S.), and Occupational Therapy (T.H.), Martina Hansens Hospital, Donskiveien 8, P.O.B. 823, 1306 Sandvika, Norway. E-mail address for S. Moosmayer: st.moos@online.no.
Unni S SeljomDepartments of Orthopaedic Surgery (S.M.), Physiotherapy (G.L., U.S.S., B.H., and I.C.S.), and Occupational Therapy (T.H.), Martina Hansens Hospital, Donskiveien 8, P.O.B. 823, 1306 Sandvika, Norway. E-mail address for S. Moosmayer: st.moos@online.no.
Benjamin HaldorsenDepartments of Orthopaedic Surgery (S.M.), Physiotherapy (G.L., U.S.S., B.H., and I.C.S.), and Occupational Therapy (T.H.), Martina Hansens Hospital, Donskiveien 8, P.O.B. 823, 1306 Sandvika, Norway. E-mail address for S. Moosmayer: st.moos@online.no.
Ida C SvegeDepartments of Orthopaedic Surgery (S.M.), Physiotherapy (G.L., U.S.S., B.H., and I.C.S.), and Occupational Therapy (T.H.), Martina Hansens Hospital, Donskiveien 8, P.O.B. 823, 1306 Sandvika, Norway. E-mail address for S. Moosmayer: st.moos@online.no.
Toril HennigDepartments of Orthopaedic Surgery (S.M.), Physiotherapy (G.L., U.S.S., B.H., and I.C.S.), and Occupational Therapy (T.H.), Martina Hansens Hospital, Donskiveien 8, P.O.B. 823, 1306 Sandvika, Norway. E-mail address for S. Moosmayer: st.moos@online.no.
Are H PrippDepartment of Biostatistics, Epidemiology and Health Economics, Oslo University Hospital, Rikshospitalet, Sognsvannsveien 20, P.O.B. 4950 Nydalen, 0424 Oslo, Norway.
Hans-Jørgen SmithDepartment of Radiology and Nuclear Medicine, Oslo University Hospital, Sognsvannsveien 20, P.O.B. 1078 Blindern, 0424 Oslo, Norway.
Martina Hansens Hospital · NOOslo University Hospital · NO

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThere is limited Level-I evidence that compares operative and nonoperative treatment of rotator cuff tears. We compared outcomes of patients treated with primary tendon repair with outcomes of those treated with physiotherapy and optional secondary tendon repair if needed.

methodsA single-center, pragmatic, randomized controlled study with follow-ups after six months and one, two, and five years was conducted in a secondary-care institution. One hundred and three patients with a rotator cuff tear not exceeding 3 cm were randomized to primary tendon repair (n = 52) or physiotherapy (n = 51). The primary outcome measure was the Constant score. Secondary outcome measures included the self-report section of the American Shoulder and Elbow Surgeons score; the physical component summary measure of the Short Form 36 Health Survey; the measurement of pain, strength, and shoulder motion; patient satisfaction; and findings from magnetic resonance imaging and sonography. Analysis was by intention to treat.

resultsThe five-year follow-up rate was 98%. Twelve of the fifty-one patients in the physiotherapy group were treated with secondary tendon repair. The results from primary tendon repair were superior to those from physiotherapy plus secondary repair, with between-group mean differences of 5.3 points on the Constant score (p = 0.05), 9.0 points on the American Shoulder and Elbow Surgeons score (p < 0.001), 1.1 cm on a 10-cm visual analog scale for pain (p < 0.001), and 1.0 cm on a 10-cm visual analog scale for patient satisfaction (p = 0.03). In 37% of tears treated with physiotherapy only, there were increasing tear sizes on ultrasound of >5 mm, over five years, associated with an inferior outcome.

conclusionsAlthough primary repair of small and medium-sized rotator cuff tears was associated with better outcome than physiotherapy treatment, the differences were small and may be below clinical importance. In the physiotherapy treatment group, there were increasing tear sizes and inferior outcomes in one-third of patients who did not undergo repair.

Indexed as

Physical Therapy ModalitiesRotator Cuff InjuriesFemaleFollow-Up StudiesHumansMagnetic Resonance ImagingMaleMiddle AgedMuscle StrengthMusculoskeletal PainPatient SatisfactionRange of Motion, ArticularRecovery of FunctionTendon InjuriesTreatment Outcome

Identifiers

PMID25232074
OpenAlexW2021802543

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.