Abstract：
BACKGROUND:Although various surgical techniques have been used to treat irreparable rotator cuff tears (RCTs), debate remains regarding which treatment is most effective. The purpose of our study was to compare the outcomes of partial rotator cuff repair versus repair with augmentation of the tenotomized long head of the biceps tendon (LHBT). METHODS:This study included 76 patients with large to massive RCTs. Arthroscopic rotator cuff repair with LHBT augmentation was performed in 39 patients (group I), while partial repair was performed in 37 patients (group II). Clinical and functional outcomes were compared with a visual analog scale for pain and the American Shoulder and Elbow Surgeons score, Constant score, and Korean Shoulder Score. Magnetic resonance imaging was performed 12 months after surgery. RESULTS:The mean follow-up period was 29.6 ± 7.8 months (range, 24-51 months). Significant improvements in pain and clinical scores were observed in both groups at the last follow-up. However, there were no significant differences in pain, clinical scores, or range of motion between the 2 groups at any time point. Retears were observed in 16 patients in group I (41.0%) and 14 in group II (37.8%, P = .78). Augmented LHBT pathology was observed in 10 patients (25.6%). CONCLUSIONS:Both partial repair and repair with LHBT augmentation were effective in improving clinical and radiologic outcomes. No significant differences in clinical outcomes or repaired cuff integrity were observed between the groups. The investment of operation time and effort in augmenting the LHBT in the treatment of irreparable RCTs is not recommended.
journal_name
J Shoulder Elbow Surgjournal_title
Journal of shoulder and elbow surgeryauthors
Park SR,Sun DH,Kim J,Lee HJ,Kim JB,Kim YSdoi
10.1016/j.jse.2018.04.022subject
Has Abstractpub_date
2018-11-01 00:00:00pages
1969-1977issue
11eissn
1058-2746issn
1532-6500pii
S1058-2746(18)30307-0journal_volume
27pub_type
杂志文章abstract：:Interscalene block (ISB) of the brachial plexus is frequently used for patients undergoing ambulatory shoulder surgery. We previously reported that the incidence of postoperative complaints (neurapraxia) after an ISB was low (3% at 2 weeks), but objective neurologic assessment was not included in the study. The presen...
journal_title：Journal of shoulder and elbow surgery
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journal_title：Journal of shoulder and elbow surgery
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journal_title：Journal of shoulder and elbow surgery
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journal_title：Journal of shoulder and elbow surgery
pub_type： 杂志文章
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更新日期：2000-05-01 00:00:00
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journal_title：Journal of shoulder and elbow surgery
pub_type： 杂志文章
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journal_title：Journal of shoulder and elbow surgery
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journal_title：Journal of shoulder and elbow surgery
pub_type： 杂志文章,meta分析
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journal_title：Journal of shoulder and elbow surgery
pub_type： 杂志文章
doi：10.1067/mse.2002.119389
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journal_title：Journal of shoulder and elbow surgery
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journal_title：Journal of shoulder and elbow surgery
pub_type： 杂志文章
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journal_title：Journal of shoulder and elbow surgery
pub_type： 杂志文章,多中心研究,随机对照试验
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journal_title：Journal of shoulder and elbow surgery
pub_type： 杂志文章
doi：10.1016/s1058-2746(95)80021-2
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journal_title：Journal of shoulder and elbow surgery
pub_type： 杂志文章
doi：10.1016/s1058-2746(97)90083-5
更新日期：1997-11-01 00:00:00
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journal_title：Journal of shoulder and elbow surgery
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doi：10.1016/j.jse.2018.02.051
更新日期：2018-08-01 00:00:00
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journal_title：Journal of shoulder and elbow surgery
pub_type： 杂志文章
doi：10.1016/j.jse.2007.06.015
更新日期：2008-01-01 00:00:00
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journal_title：Journal of shoulder and elbow surgery
pub_type： 临床试验,杂志文章
doi：10.1016/s1058-2746(99)90058-7
更新日期：1999-01-01 00:00:00
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journal_title：Journal of shoulder and elbow surgery
pub_type： 杂志文章
doi：10.1016/j.jse.2012.10.035
更新日期：2013-07-01 00:00:00
abstract：BACKGROUND:Decreased acromiohumeral distance (AHD) is commonly detected in patients with massive rotator cuff tears (mRCT). Most studies evaluating fixed humeral elevation have used pre- or postoperative standardized radiography and not stress radiography. This study aimed to evaluate the predictive role of preoperativ...
journal_title：Journal of shoulder and elbow surgery
pub_type： 杂志文章
doi：10.1016/j.jse.2020.10.029
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journal_title：Journal of shoulder and elbow surgery
pub_type： 杂志文章,随机对照试验
doi：10.1016/j.jse.2013.06.020
更新日期：2013-11-01 00:00:00
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journal_title：Journal of shoulder and elbow surgery
pub_type： 杂志文章
doi：10.1016/j.jse.2004.09.008
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journal_title：Journal of shoulder and elbow surgery
pub_type： 杂志文章
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journal_title：Journal of shoulder and elbow surgery
pub_type： 杂志文章
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journal_title：Journal of shoulder and elbow surgery
pub_type： 杂志文章
doi：10.1016/j.jse.2017.07.004
更新日期：2018-01-01 00:00:00
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journal_title：Journal of shoulder and elbow surgery
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abstract：BACKGROUND:Restoration of native glenohumeral joint line is important for a successful outcome after reverse shoulder arthroplasty (RSA). The aims of this study were to quantify the restoration of glenoid joint line after structural bone grafting and RSA, and to evaluate graft incorporation, correction of glenoid versi...
journal_title：Journal of shoulder and elbow surgery
pub_type： 杂志文章
doi：10.1016/j.jse.2020.09.031
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journal_title：Journal of shoulder and elbow surgery
pub_type： 杂志文章
doi：10.1016/j.jse.2017.08.015
更新日期：2018-01-01 00:00:00
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journal_title：Journal of shoulder and elbow surgery
pub_type： 杂志文章
doi：10.1016/j.jse.2012.04.005
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journal_title：Journal of shoulder and elbow surgery
pub_type： 杂志文章
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journal_title：Journal of shoulder and elbow surgery
pub_type： 杂志文章
doi：10.1016/j.jse.2016.01.030
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abstract：BACKGROUND:Many studies that describe factors affecting outcome in primary rotator cuff repair (RCR) have been published, but so far there is no review that summarizes them. This systematic review was conducted to identify prognostic factors influencing functional (clinical) outcome and radiologically proven cuff integ...
journal_title：Journal of shoulder and elbow surgery
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