Arthroscopic rotator cuff repair with and without subacromial decompression is safe and effective: a clinical study

BMC Musculoskeletal Disorders

Mattia Loppini¹  Nicola Maffulli²  Vincenzo Candela³  Vincenzo Denaro³  Umile Giuseppe Longo³  Giacomo Rizzello³  Stefano Petrillo³ 

[1] Department of Biomedical Sciences, Humanitas University;Department of Musculoskeletal Disorders, Faculty of Medicine and Surgery, University of Salerno;Department of Orthopaedic and Trauma Surgery, Campus Bio-Medico University;

关键词: Rotator cuff;    Subacromial decompression;    Arthroscopy;    Outcome;   

DOI  :  10.1186/s12891-019-3032-z

来源: DOAJ

【 摘 要 】

Abstract Background Subacromial decompression, that consists of the release of the coracoid-acromial ligament, subacromial bursectomy and anterior-inferior acromioplasty, has traditionally been performed in the management of this pathology. However, the purpose of subacromial decompression procedure is not clearly explained. Our reaserch aimed to analyse the differences among the outcomes of arthroscopic rotator cuff repair (RCR) made with suture anchors, with or without the subacromial decompression procedure. Methods 116 shoulders of 107 patients affected by rotator cuff (RC) tear were treated with Arthroscopic RCR. In 54 subjectes, the arthroscopic RCR and the subacromial decompression procedure (group A) were executed, whereas 53 took only arthroscopic RCR (group B). Clinical outcomes were evaluated through the use of the modified UCLA shoulder rating system, Wolfgang criteria shoulder score and Oxford shoulder score (OSS). Functional outcomes were assessed utilizing active and passive range of motion (ROM) of the shoulder, and muscle strength. The duration of the follow up and the configuration of the acromion were used to realize the comparison between the two groups. Results In patients with 2 to 5 year follow up, UCLA score resulted greater in group A patients. In subjectes with longer than five years of follow up, group B patients showed considerably greater UCLA score and OSS if related with group A patients. In subjectes that had the type II acromion, group B patients presented a significant greater strength in external rotation. Conclusion The long term clinical outcomes resulted significantly higher in patients treated only with RCR respect the ones in patients underwent to RCR with subacromial decompression.

【 授权许可】

Unknown