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The effect of waiting time on operatively treated non-traumatic rotator cuff tears

  • Original Article
  • Published:
European Orthopaedics and Traumatology

Abstract

Background and aims

Early surgical intervention yields good clinical results in the treatment of rotator cuff tear. The aim of this study was to evaluate the effect of duration of symptoms on the outcome of operatively treated non-traumatic rotator cuff tears.

Materials and methods

A prospectively collected cohort of 311 shoulders with arthroscopically repaired non-traumatic rotator cuff tears was analysed. The patient data were gathered to an electronic database. The Constant score was used as an outcome measure and was measured preoperatively, and at 1 year after the operation.

Results

Three hundred and five patients (136 females, 169 males) were available for final follow-up (dropout rate 2 %). The mean age of females was 60 years (SD 8.8), and for males, it was 59 years (SD 7.9). The mean size of the rotator cuff tear was 21.2 mm (SD 15.3). The absolute mean pre- and post-operative Constant score was 50.4 (SD 14.5) and 71.3 (SD 13.8) (p < 0.001) in women and 58.5 (SD 16.6) and 79.3 (SD 14.0) (p < 0.001) in men, respectively. The mean waiting time was 22 months in women (SD 11.8) and 23 months in men (SD 12.3). The waiting time correlated with the preoperative age- and tear size-adjusted Constant score in women (r = 0.29, p < 0.0001) and in men (r = 0.32, p < 0.0001). The waiting time did not correlate with the post-operative age- and tear size-adjusted Constant score in women (r = −0.04, p = 0.6410) nor in men (r = 0.115, p = 0.1413).

Conclusions

We found no correlation between the waiting time and the outcome of operatively treated non-traumatic rotator cuff tears.

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References

  1. Yamaguchi K, Tetro AM, Blam O, Evanoff BA, Teefey SA, Middleton WD (2001) Natural history of asymptomatic rotator cuff tears: a longitudinal analysis of asymptomatic tears detected sonographically. J Should Elbow Surg 10(3):199–203

    Article  CAS  Google Scholar 

  2. Jerosch J, Muller T, Castro WH (1991) The incidence of rotator cuff rupture. An anatomic study. Acta Orthop Belg 57(2):124–129

    PubMed  CAS  Google Scholar 

  3. Sher JS, Uribe JW, Posada A, Murphy BJ, Zlatkin MB (1995) Abnormal findings on magnetic resonance images of asymptomatic shoulders. J Bone Joint Surg Am 77(1):10–15

    PubMed  CAS  Google Scholar 

  4. Tempelhof S, Rupp S, Seil R (1999) Age-related prevalence of rotator cuff tears in asymptomatic shoulders. J Should Elbow Surg 8(4):296–299

    Article  CAS  Google Scholar 

  5. Haviv B, Dolev E, Haber M, Mayo L, Biggs D (2010) Arthroscopic rotator cuff repair: clinical outcome of 607 patients. Knee Surg Sports Traumatol Arthrosc 18(12):1707–1711. doi:10.1007/s00167-010-1091-7

    Article  PubMed  Google Scholar 

  6. Kukkonen J, Joukainen A, Itala A, Aarimaa V (2013) Operatively treated traumatic versus non-traumatic rotator cuff ruptures: a registry study. Ups J Med Sci 118(1):29–34. doi:10.3109/03009734.2012.715597

    Google Scholar 

  7. Abrams JS, Song FS (2012) Arthroscopic repair techniques for massive rotator cuff tears. Instr Course Lect 61:121–130

    PubMed  Google Scholar 

  8. Ministry of Social Affairs and Health (1992) The Act on the Status and Rights of Patients 785/1992. Ministry of Social Affairs and Health, Finland

  9. Blevins FT, Djurasovic M, Flatow EL, Vogel KG (1997) Biology of the rotator cuff tendon. Orthop Clin North Am 28(1):1–16

    Article  PubMed  CAS  Google Scholar 

  10. Cofield RH, Parvizi J, Hoffmeyer PJ, Lanzer WL, Ilstrup DM, Rowland CM (2001) Surgical repair of chronic rotator cuff tears. A prospective long-term study. J Bone Joint Surg Am 83-A(1):71–77

    PubMed  CAS  Google Scholar 

  11. Sugaya H, Maeda K, Matsuki K, Moriishi J (2007) Repair integrity and functional outcome after arthroscopic double-row rotator cuff repair. A prospective outcome study. J Bone Joint Surg Am 89(5):953–960

    Article  PubMed  Google Scholar 

  12. Harris JD, Pedroza A, Jones GL (2012) Predictors of pain and function in patients with symptomatic, atraumatic full-thickness rotator cuff tears: a time-zero analysis of a prospective patient cohort enrolled in a structured physical therapy program. Am J Sports Med 40(2):359–366. doi:10.1177/0363546511426003

    Article  PubMed  Google Scholar 

  13. Prasad N, Odumala A, Elias F, Jenkins T (2005) Outcome of open rotator cuff repair. An analysis of risk factors. Acta Orthop Belg 71(6):662–666

    PubMed  Google Scholar 

  14. Vastamaki M (1986) Factors influencing the operative results of rotator cuff rupture. Int Orthop 10(3):177–181

    Article  PubMed  CAS  Google Scholar 

  15. Tanaka M, Itoi E, Sato K, Hamada J, Hitachi S, Tojo Y, Honda M, Tabata S (2010) Factors related to successful outcome of conservative treatment for rotator cuff tears. Ups J Med Sci 115(3):193–200. doi:10.3109/03009734.2010.493246

    Article  PubMed  Google Scholar 

  16. Braune C, von Eisenhart-Rothe R, Welsch F, Teufel M, Jaeger A (2003) Mid-term results and quantitative comparison of postoperative shoulder function in traumatic and non-traumatic rotator cuff tears. Arch Orthop Trauma Surg 123(8):419–424. doi:10.1007/s00402-003-0548-2

    Article  PubMed  Google Scholar 

  17. Oh JH, Kim SH, Ji HM, Jo KH, Bin SW, Gong HS (2009) Prognostic factors affecting anatomic outcome of rotator cuff repair and correlation with functional outcome. Arthroscopy 25(1):30–39. doi:10.1016/j.arthro.2008.08.010

    Article  PubMed  Google Scholar 

  18. Kirkley A, Griffin S, Dainty K (2003) Scoring systems for the functional assessment of the shoulder. Arthroscopy 19(10):1109–1120

    Article  PubMed  Google Scholar 

  19. Gilbart MK, Gerber C (2007) Comparison of the subjective shoulder value and the Constant score. J Should Elbow Surg 16(6):717–721. doi:10.1016/j.jse.2007.02.123

    Article  Google Scholar 

  20. Katolik LI, Romeo AA, Cole BJ, Verma NN, Hayden JK, Bach BR (2005) Normalization of the Constant score. J Should Elbow Surg 14(3):279–285. doi:10.1016/j.jse.2004.10.009

    Article  Google Scholar 

  21. Charousset C, Grimberg J, Duranthon LD, Bellaiche L, Petrover D, Kalra K (2008) The time for functional recovery after arthroscopic rotator cuff repair: correlation with tendon healing controlled by computed tomography arthrography. Arthroscopy 24(1):25–33. doi:10.1016/j.arthro.2007.07.023

    Article  PubMed  Google Scholar 

  22. Jost B, Pfirrmann CW, Gerber C, Switzerland Z (2000) Clinical outcome after structural failure of rotator cuff repairs. J Bone Joint Surg Am 82(3):304–314

    PubMed  CAS  Google Scholar 

  23. Knudsen HB, Gelineck J, Sojbjerg JO, Olsen BS, Johannsen HV, Sneppen O (1999) Functional and magnetic resonance imaging evaluation after single-tendon rotator cuff reconstruction. J Should Elbow Surg 8(3):242–246

    Article  CAS  Google Scholar 

  24. Liu SH, Baker CL (1994) Arthroscopically assisted rotator cuff repair: correlation of functional results with integrity of the cuff. Arthroscopy 10(1):54–60

    Article  PubMed  CAS  Google Scholar 

  25. Hantes ME, Karidakis GK, Vlychou M, Varitimidis S, Dailiana Z, Malizos KN (2011) A comparison of early versus delayed repair of traumatic rotator cuff tears. Knee Surg Sports Traumatol Arthrosc 19(10):1766–1770. doi:10.1007/s00167-011-1396-1

    Article  PubMed  Google Scholar 

  26. Petersen SA, Murphy TP (2011) The timing of rotator cuff repair for the restoration of function. J Shoulder Elbow Surg 20(1):62–68. doi:10.1016/j.jse.2010.04.045

    Article  PubMed  Google Scholar 

  27. Itoi E, Tabata S (1992) Conservative treatment of rotator cuff tears. Clin Orthop Relat Res 275:165–173

    PubMed  Google Scholar 

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Authors and Affiliations

  1. Department of Orthopaedics and Traumatology, Turku University Hospital, P.O. Box 28, 20701, Turku, Finland

    Juha Kukkonen, Kari Isotalo, Petri Virolainen & Ville Äärimaa

  2. Department of Biostatistics, University of Turku, Lemminkäisenkatu 1, 20014, Turun yliopisto, Finland

    Tommi Kauko

  3. Department of Orthopaedics and Traumatology, Kuopio University Hospital, P.O. Box 1777, 70211, Kuopio, Finland

    Antti Joukainen

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  1. Juha Kukkonen
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  2. Tommi Kauko
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Correspondence to Juha Kukkonen.

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Kukkonen, J., Kauko, T., Joukainen, A. et al. The effect of waiting time on operatively treated non-traumatic rotator cuff tears. Eur Orthop Traumatol 4, 147–152 (2013). https://doi.org/10.1007/s12570-013-0171-9

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  • DOI: https://doi.org/10.1007/s12570-013-0171-9

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