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Full-thickness rotator cuff tears in patients younger than 55 years: clinical outcome of arthroscopic repair in comparison with older patients

Knee Surgery, Sports Traumatology, Arthroscopy volume 23, pages 508–513 (2015)Cite this article

Abstract

Purpose

The purpose of this study was to examine whether younger patients had a similar response to repair of a full-thickness rotator cuff tear (RCT) as older patients.

Methods

A secondary analysis was conducted of prospectively collected data of patients with full-thickness RCTs. Patients were categorized into patients <55 years of age and patients 55 and older. Patient-related outcome measures of disability at 2 years following surgery were the Short Western Ontario Rotator Cuff (Short WORC), American Shoulder and Elbow Surgeon’s (ASES) assessment form, and absolute Constant–Murley score (ACMS).

Results

Review of the database between 2001 and 2011 identified 344 patients (median age 62, range 24–90). Of these, 83 (24 %) patients were younger than 55 years of age (median age 48, range 24–54) and 261 (76 %) were in the older age group (median age 66, range 55–90). The median follow-up was 24 months (range 23–25). Patients in the younger age group had a higher prevalence of traumatic events (p = 0.02), had sustained more work-related injuries (p < 0.0001), and had a higher ratio of smaller tears (p = 0.0001). No difference was seen between groups with respect to post-operative scores of Short WORC, ASES, or ACMS. Pre-operative scores, having a work-related claim, increased tear size, and concomitant procedures affected the 2-year outcome scores.

Conclusion

This study shows that younger patients with full-thickness RCTs who undergo an arthroscopic repair do as well as older individuals regardless of the measure used to document their recovery.

Level of evidence

Retrospective outcome study, Level II.

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Author information

Affiliations

  1. University of Toronto Orthopaedic Sports Medicine, Toronto, Canada

    Tim Dwyer & Richard Holtby

  2. Women’s College and Mt Sinai Hospital, 76 Grenville St, Toronto, M5S1B1, Canada

    Tim Dwyer

  3. Sunnybrook Health Sciences Centre, University of Toronto, Toronto, Canada

    Helen Razmjou & Richard Holtby

Authors
  1. Tim Dwyer
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  2. Helen Razmjou
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  3. Richard Holtby
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Correspondence to Tim Dwyer.

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Dwyer, T., Razmjou, H. & Holtby, R. Full-thickness rotator cuff tears in patients younger than 55 years: clinical outcome of arthroscopic repair in comparison with older patients. Knee Surg Sports Traumatol Arthrosc 23, 508–513 (2015). https://doi.org/10.1007/s00167-014-3094-2

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  • DOI: https://doi.org/10.1007/s00167-014-3094-2

Keywords

  • Rotator cuff repair
  • Young patient
  • Outcome
  • Arthroscopic