ArticleOrthopaedic journal of sports medicine2026
Midterm Outcomes of Concomitant Arthroscopic Rotator Cuff Repair and Microfracture of Humeral Head, Focal, Full-thickness Cartilage Lesions.
Article in Orthopaedic journal of sports medicine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Background: The treatment of full-thickness cartilage lesions of the humeral head in active-duty servicemembers (ADSMs) who have concomitant full-thickness rotator cuff tears and focal cartilage lesions of the humeral head is uncommon and presents clinical challenges. Purpose: To compare the midterm clinical and functional outcomes of ADSMs who underwent isolated arthroscopic rotator cuff repair (ARCR) with those who underwent ARCR and concomitant humeral head microfracture (HHMfx) for focal, full-thickness cartilage lesions of the humeral head. Study Design: Cohort study; Level of evidence, 3. Methods: This was a retrospective analysis of ADSMs from a single duty-station who underwent ARCR for full-thickness rotator cuff tears between January 2014 and June 2019 with a minimum follow-up of 5 years. Patients who underwent ARCR + HHMfx were compared with those who underwent isolated ARCR based on outcome measures including the visual analog scale (VAS), Single Assessment Numeric Evaluation (SANE), American Shoulder and Elbow Surgeons (ASES) score, and range of motion. Statistical analysis was performed using paired Results: A total of 74 patients were eligible for inclusion, with 22 undergoing ARCR + HHMfx and 52 undergoing isolated ARCR. Significant postoperative improvements were observed in all patient-reported outcome measures ( Conclusion: ARCR + HHMfx resulted in significant improvements in pain, function, and patient-reported outcomes at midterm follow-up that were comparable to outcomes for isolated ARCR. Although return-to-work and return-to-sport rates were slightly higher with the isolated ARCR group, this did not reach statistical significance, and the 95% TSA-free survival rate suggests that this combined approach appears to be a viable joint-preserving option for select patients with concomitant rotator cuff tears and focal humeral head cartilage lesions. However, study limitations include the retrospective design, small sample size, and heterogeneity introduced by concomitant procedures.
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