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Factors affecting satisfaction in patients with a rotator cuff retear: CT arthrography-based study

PURPOSE: The relationship between retear that may occur after rotator cuff repair and patient satisfaction is not well established. This study aimed to determine whether the types and size of the retear evaluated by computed tomography arthrography (CTA) influenced patient satisfaction. We also anal...

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Autores principales: Lee, Bong Gun, Kim, Joo-Hak, Lee, Chang-Hun, Eim, Seong Hyuk, Han, Kyeong-Jin, Choi, Wan-Sun
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10262456/
https://www.ncbi.nlm.nih.gov/pubmed/37312057
http://dx.doi.org/10.1186/s12891-023-06617-1
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author Lee, Bong Gun
Kim, Joo-Hak
Lee, Chang-Hun
Eim, Seong Hyuk
Han, Kyeong-Jin
Choi, Wan-Sun
author_facet Lee, Bong Gun
Kim, Joo-Hak
Lee, Chang-Hun
Eim, Seong Hyuk
Han, Kyeong-Jin
Choi, Wan-Sun
author_sort Lee, Bong Gun
collection PubMed
description PURPOSE: The relationship between retear that may occur after rotator cuff repair and patient satisfaction is not well established. This study aimed to determine whether the types and size of the retear evaluated by computed tomography arthrography (CTA) influenced patient satisfaction. We also analyzed the patient factors that could affect patient satisfaction. PATIENTS AND METHODS: A total of 50 patients who were diagnosed with rotator cuff retear after undergoing arthroscopic rotator cuff repair were included in this study. All the patients were dichotomously classified into the satisfactory or dissatisfactory groups according to the patients’ self-classifications. CTA was used to assess the attachment status of the footprint, detect retear on the medial side of the footprint of the repaired cuff, and determine the retear size. Demographic factors, including sex, age, occupation, dominant upper extremity, duration of pain, presence of diabetes mellitus, trauma history, history of ipsilateral shoulder surgery, repair technique, worker’s compensation status, and functional shoulder score, were investigated. RESULTS: Thirty-nine patients were classified into the satisfactory group and 11 patients were classified into the dissatisfactory group. There were no differences in age, sex, occupation, dominant hand, duration of pain, presence of diabetes mellitus, trauma history, history of ipsilateral shoulder surgery, repair technique, worker’s compensation, and duration of follow-up between the two groups. However, the postoperative American Shoulder and Elbow Surgeon (ASES) score (P < 0.01), visual analog scale (VAS) pain level (P < 0.01), anteroposterior (AP) length (P < 0.01), and area of the retear site (P < 0.01) were significantly different. CONCLUSION: The AP length and area of the retear site estimated using CTA were confirmed as the significant risk factors for dissatisfaction. However, the type of repaired rotator cuff judged by the attachment status of the footprint did not correlate with patient satisfaction. In addition, the postoperative VAS pain scale and ASES score was correlated with patient satisfaction.
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spelling pubmed-102624562023-06-15 Factors affecting satisfaction in patients with a rotator cuff retear: CT arthrography-based study Lee, Bong Gun Kim, Joo-Hak Lee, Chang-Hun Eim, Seong Hyuk Han, Kyeong-Jin Choi, Wan-Sun BMC Musculoskelet Disord Research PURPOSE: The relationship between retear that may occur after rotator cuff repair and patient satisfaction is not well established. This study aimed to determine whether the types and size of the retear evaluated by computed tomography arthrography (CTA) influenced patient satisfaction. We also analyzed the patient factors that could affect patient satisfaction. PATIENTS AND METHODS: A total of 50 patients who were diagnosed with rotator cuff retear after undergoing arthroscopic rotator cuff repair were included in this study. All the patients were dichotomously classified into the satisfactory or dissatisfactory groups according to the patients’ self-classifications. CTA was used to assess the attachment status of the footprint, detect retear on the medial side of the footprint of the repaired cuff, and determine the retear size. Demographic factors, including sex, age, occupation, dominant upper extremity, duration of pain, presence of diabetes mellitus, trauma history, history of ipsilateral shoulder surgery, repair technique, worker’s compensation status, and functional shoulder score, were investigated. RESULTS: Thirty-nine patients were classified into the satisfactory group and 11 patients were classified into the dissatisfactory group. There were no differences in age, sex, occupation, dominant hand, duration of pain, presence of diabetes mellitus, trauma history, history of ipsilateral shoulder surgery, repair technique, worker’s compensation, and duration of follow-up between the two groups. However, the postoperative American Shoulder and Elbow Surgeon (ASES) score (P < 0.01), visual analog scale (VAS) pain level (P < 0.01), anteroposterior (AP) length (P < 0.01), and area of the retear site (P < 0.01) were significantly different. CONCLUSION: The AP length and area of the retear site estimated using CTA were confirmed as the significant risk factors for dissatisfaction. However, the type of repaired rotator cuff judged by the attachment status of the footprint did not correlate with patient satisfaction. In addition, the postoperative VAS pain scale and ASES score was correlated with patient satisfaction. BioMed Central 2023-06-13 /pmc/articles/PMC10262456/ /pubmed/37312057 http://dx.doi.org/10.1186/s12891-023-06617-1 Text en © The Author(s) 2023 https://creativecommons.org/licenses/by/4.0/Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data.
spellingShingle Research
Lee, Bong Gun
Kim, Joo-Hak
Lee, Chang-Hun
Eim, Seong Hyuk
Han, Kyeong-Jin
Choi, Wan-Sun
Factors affecting satisfaction in patients with a rotator cuff retear: CT arthrography-based study
title Factors affecting satisfaction in patients with a rotator cuff retear: CT arthrography-based study
title_full Factors affecting satisfaction in patients with a rotator cuff retear: CT arthrography-based study
title_fullStr Factors affecting satisfaction in patients with a rotator cuff retear: CT arthrography-based study
title_full_unstemmed Factors affecting satisfaction in patients with a rotator cuff retear: CT arthrography-based study
title_short Factors affecting satisfaction in patients with a rotator cuff retear: CT arthrography-based study
title_sort factors affecting satisfaction in patients with a rotator cuff retear: ct arthrography-based study
topic Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10262456/
https://www.ncbi.nlm.nih.gov/pubmed/37312057
http://dx.doi.org/10.1186/s12891-023-06617-1
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