Evidence map›Paper›PMID 39379901›Full record

ArticleBMC musculoskeletal disorders2024

Comparative analysis of functional outcomes in arthroscopic repair for traumatic and non-traumatic rotator cuff injuries.

Aixin Liu, Mingxing Wang, Baorui Zhang, Tong Lai, Gongyi Wu, Shilin Liu, Tao Zhang

Abstract readComparative Study
In one paragraph

Article in BMC musculoskeletal disorders, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

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3citing papers in PubMed
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3 · Its place in the literature

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3 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

7 authors.

Aixin Liu *Department of Orthopaedic Surgery, Lu'an Hospital of Traditional Chinese Medicine Affiliated of Anhui University of Traditional Chinese Medicine, Lu'an, 237000, Anhui, China.
Mingxing Wang *Department of Oncology, Lu'an Hospital of Traditional Chinese Medicine Affiliated of Anhui, University of Traditional Chinese Medicine, Lu'an, 237000, Anhui, China.
Baorui ZhangDepartment of Rehabilitation, Lu'an Hospital of Traditional Chinese Medicine Affiliated of Anhui, University of Traditional Chinese Medicine, Lu'an, 237000, Anhui, China.
Tong LaiDepartment of Rehabilitation, Lu'an Hospital of Traditional Chinese Medicine Affiliated of Anhui, University of Traditional Chinese Medicine, Lu'an, 237000, Anhui, China.
Gongyi WuDepartment of Orthopaedic Surgery, Lu'an Hospital of Traditional Chinese Medicine Affiliated of Anhui University of Traditional Chinese Medicine, Lu'an, 237000, Anhui, China.
Shilin LiuDepartment of Neurosurgery, The First Affiliated Hospital of Anhui Medical University, Hefei, 230001, Anhui, China. shilin_sj@163.com.
Tao ZhangDepartment of Orthopaedic Surgery, Lu'an City Hospital of Traditional Chinese Medicine, Lu'an, 237000, Anhui, China. 1163022767@qq.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe impact of the etiology of rotator cuff injury (RCI) on outcomes after rotator cuff repair remains unclear. This study aimed to evaluate the postoperative outcomes of patients with RCIs of different etiologies and identify the risk factors affecting prognosis.

methodsThis study included 73 patients with RCI who underwent arthroscopic rotator cuff repair. The patients were categorized into either a traumatic group or a non-traumatic group based on their history of trauma. Preoperative and postoperative assessments included shoulder range of motion, muscle strength, and physical examination findings specific to the shoulder for both groups. Clinical differences between arthroscopic repair of traumatic and non-traumatic RCIs were evaluated using univariate analysis. Logistic regression analysis determined independent risk factors for rotator cuff repair prognosis.

resultsAmong the 73 patients, 31 were in the traumatic group and 42 in the non-traumatic group, with a minimum postoperative follow-up of 12 months and a mean follow-up of 13.8 months. The duration of the disease was significantly longer in the non-traumatic group compared with the traumatic group (P < 0.001). The mean tear area was more significant in the traumatic group than in the non-traumatic group (P = 0.003), and the preoperative pain level and functional scores were better in the non-traumatic group compared with the traumatic group. Postoperatively, there were no differences between the two groups regarding scores, joint mobility, strength, and complications. At 12 months postoperatively, multivariate regression analysis indicated that full-layer tear (OR = 5.106, 95% CI: 1.137-22.927, P = 0.033), fat infiltration (OR = 6.020, 95% CI: 1.113-32.554, P = 0.037), and tear area (OR = 6.038, 95% CI: 2.122-17.177, P < 0.001) significantly affected the University of California at Los Angeles (UCLA) score.

conclusionCompared with non-traumatic RCI, traumatic RCI presents with more pronounced pain and impaired joint function preoperatively yet demonstrates comparable postoperative clinical outcomes. Full-layer tears, fat infiltration, and large tear areas are unfavorable factors affecting rotator cuff repair, and postoperative rehabilitation management of these patients should be emphasized.

Indexed as

ArthroscopyRange of Motion, ArticularRotator Cuff InjuriesAdultAgedFemaleFollow-Up StudiesHumansMaleMiddle AgedMuscle StrengthRecovery of FunctionRetrospective StudiesRisk FactorsRotator CuffTreatment OutcomeNon-traumaticPrognostic factorsShoulder cuff repairTraumatic

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PMID39379901
PMCPMC11459858

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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.