Skip to main content

Evaluation of Functional Outcome of Arthroscopic Rotator Cuff Repair Using Southern California Orthopedic Institute Technique

Abstract

Background

The number of anchors and modality of fixation to be used has been a point of debate in the arthroscopic management of rotator cuff repair. Southern California Orthopedic Institute (SCOI) technique has shown better anatomical healing of tendons using single-row anchors. In this study, we evaluated the functional outcomes of arthroscopic rotator cuff repair using the SCOI technique, in Indian population.

Materials and Methods

Thirty two patients (16 males and 16 females) were included in the study, and underwent an arthroscopic repair of small-to-medium-sized rotator cuff tear, at a single institution, for 12 months. Postoperatively, patients were evaluated using UCLA score and Constant-Murley score, and range of motion was analyzed and documented using photographs.

Results

Mean age was 57.06 years, and the most common cause of cuff tear was a traumatic degeneration. Mean UCLA score improved from preoperative 8.75 to postoperative 31.79, at 12 months, with the P < 0.001. Similarly, mean Constant-Murley score improved from preoperative 20.66 to postoperative 81.31, at 12 months, with P < 0.001.

Conclusion

We conclude that the SCOI single-row technique proves to be a good and effective modality of treatment in the arthroscopic management of small-to-medium-sized rotator cuff tears. In Indian population, considering cost-effectiveness, single-row repair of rotator cuff tears using SCOI technique can be an interesting option in its management.

This is a preview of subscription content, access via your institution.

References

  1. Kumar R, Jadhav U. Functional evaluation of patient after arthroscopic repair of rotator cuff tear. J Clin Orthop Trauma 2014;5:84–90.

    Article  Google Scholar 

  2. Millett PJ, Warth RJ, Dornan GJ, Lee JT, Spiegl UJ. Clinical and structural outcomes after arthroscopic single-row versus double-row rotator cuff repair: A systematic review and meta-analysis of level I randomized clinical trials. J Shoulder Elbow Surg 2014;23:586–97.

    Article  Google Scholar 

  3. Mascarenhas R, Chalmers PN, Sayegh ET, Bhandari M, Verma NN, Cole BJ. Is double-row rotator cuff repair clinically superior to single-row rotator cuff repair: A systematic review of overlapping meta-analyses. Arthroscopy 2014;30:1156–65.

    Article  Google Scholar 

  4. Snyder SJ. Arthroscopic Evaluation and Treatment of BursalSided, Intratendon, and Full-Thickness Rotator Cuff Tears Using the SCOI Row Technique. In: Shoulder Arthroscopy. Third Edition. Edited by Snyder SJ, Philadelphia. Wolters Kluwer Health; 2015: 277–300.

  5. Snyder SJ. Arthroscopic classification of rotator cuff lesions and surgical decision making. Shoulder Arthroscopy. 2nd ed. Philadelphia: Lippincott Williams & Wilkins; 2003. p. 201–7.

    Google Scholar 

  6. Patte D. Classification of rotator cuff lesions. Clin Orthop Relat Res 1990;254 81–6.

    Google Scholar 

  7. Goutallier D, Postel JM, Bernageau J, Lavau L, Voisin MC. Fatty muscle degeneration in cuff ruptures. Pre- and postoperative evaluation by CT scan. Clin Orthop Relat Res 1994;304:78–83.

    Google Scholar 

  8. Snyder SJ, editor. Diagnostic arthroscopy of the shoulder: Normal anatomy and variations. Shoulder Arthroscopy. 3rd ed. Philadelphia: Wolters Kluwer Health; 2015. p. 16.

    Google Scholar 

  9. McMillan ER, Caspari RB. Arthroscopic knot-tying techniques. In An Atlas of Shoulder Arthroscopy, Imhoff AB, Ticker JB, Fu FH (eds). London: Martin Dunitz, 2003. 81–95.

    Chapter  Google Scholar 

  10. Dini AA, Snyder AJ. Rotator cuff repair—the SCOI row method. Medicina Fluminensis. 2015;51.

  11. Snyder SJ, editor. Postoperative protocols – Physical therapy. In: Shoulder Arthroscopy. 3rd ed. Philadelphia: Wolters Kluwer Health; 2015. p. 380–3.

    Google Scholar 

  12. Amstutz HC, Hoy AL, Clarke IC. UCLA anatomic total shoulder arthroplasty. Clinical orthopaedics and related research 1981;155:7–20.

    Google Scholar 

  13. Constant CR, Murley AG. A clinical method of functional assessment of the shoulder. Clinical orthopaedics and related research. 1987;214:160–4.

    Google Scholar 

  14. Gartsman GM, Khan M, Hammerman SM. Arthroscopic repair of full-thickness tears of the rotator cuff. J Bone Joint Surg Am 1998;80:832–40.

    CAS  Article  Google Scholar 

  15. Tempelhof S, Rupp S, Seil R. Age-related prevalence of rotator cuff tears in asymptomatic shoulders. J Shoulder Elbow Surg 1999;8:296–9.

    CAS  Article  Google Scholar 

  16. Milgrom C, Schaffler M, Gilbert S, van Holsbeeck M. Rotator-cuff changes in asymptomatic adults. The effect of age, hand dominance and gender. J Bone Joint Surg Br 1995;77:296–8.

    CAS  Article  Google Scholar 

  17. Burks RT, Crim J, Brown N, Fink B, Greis PE. A prospective randomized clinical trial comparing arthroscopic single- and double-row rotator cuff repair: Magnetic resonance imaging and early clinical evaluation. Am J Sports Med 2009;37:674–82.

    Article  Google Scholar 

  18. Ghodadra NS, Provencher MT, Verma NN, Wilk KE, Romeo AA. Open, mini-open, and all-arthroscopic rotator cuff repair surgery: Indications and implications for rehabilitation. J Orthop Sports Phys Ther 2009;39:81–9.

    Article  Google Scholar 

  19. Ji JH, Shafi M, Kim WY, Kim YY. Clinical outcomes of arthroscopic single and double row repair in full thickness rotator cuff tears. Indian J Orthop 2010;44:308–13.

    Article  Google Scholar 

Download references

Author information

Affiliations

Authors

Corresponding author

Correspondence to Ankur Parikh.

Rights and permissions

Reprints and Permissions

About this article

Verify currency and authenticity via CrossMark

Cite this article

Kamat, N., Parikh, A. & Agrawal, P. Evaluation of Functional Outcome of Arthroscopic Rotator Cuff Repair Using Southern California Orthopedic Institute Technique. JOIO 53, 396–401 (2019). https://doi.org/10.4103/ortho.IJOrtho_444_17

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.4103/ortho.IJOrtho_444_17

Keywords

  • Cost-effectiveness
  • rotator cuff
  • single-row repair
  • Southern California Orthopedic Institute technique