J Korean Orthop Assoc. 2013 Jun;48(3):213-221. Korean.
Published online Jun 24, 2013.
Copyright © 2013 by The Korean Orthopaedic Association
Original Article

Choice of Initial Operation and Functional Outcome in Rotator Cuff Repair on Both Shoulder

Ho-Jin Chang, M.D., Chang-Hyuk Choi, M.D., and Yoon-Sik Eom, M.D.
    • Department of Orthopaedic Surgery, School of Medicine, Catholic University of Daegu, Daegu, Korea.
Received November 28, 2012; Revised December 24, 2012; Accepted April 01, 2013.

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Purpose

We evaluated the influencing factors in selection of initial operation and outcomes after operative treatment of symptomatic rotator cuff tear including both sides.

Materials and Methods

From December 2000 to March 2011, 60 shoulders of 30 patients underwent arthroscopic rotator cuff repair by a single experienced shoulder surgeon in our clinic. We retrospectively compared outcome by operation order according to hand dominance, tear size and by operation timing, operation method, and tear size. Symptom period was 10 months until the first operation and 19 months until the second operation. Interval between first and second operation was nine months.

Results

In comparison by operation order according to hand dominance and tear size, the functional scores did not differ significantly between the initial repair and delayed repair group (p>0.05). In comparison in a total of 60 cases, the functional outcome according to the operation timing and method of operation was not significantly different (p>0.05). The smaller sized tear group showed significantly better functional outcome, compared to the larger sized tear group (p<0.05).

Conclusion

In cases of both-side symptomatic rotator cuff tear, most operations were performed on the more symptomatic side and the dominant arm first. The functional outcome showed improvement, regardless of operation order according to hand dominance and tear size, and regardless of operation timing and operation method as well. Tear size was the only significant factor influencing functional outcome.

Keywords
shoulder; rotator cuff tear; both sides; arthroscopic repair

Tables

Table 1
Clinical Outcomes according to Operation Order by Hand Dominance

Table 2
Clinical Outcomes according to Operation Order by Initial Tear Size

Table 3
Clinical Outcomes of Initial and Opposite Side Operation

Table 4
Comparison of Clinical Outcomes according to Operation Method

Table 5
Comparison of Clinical Outcomes according to Pre-Operation Tear Size

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