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The clinical outcomes of infraspinatus rotational transfer for irreparable posterosuperior rotator cuff tears: a preliminary report

BACKGROUND: This study aimed to examine the preliminary clinical results of the infraspinatus rotational transfer procedure for irreparable posterosuperior rotator cuff tears. METHODS: This study included 34 patients (mean age, 68.4 years). Their mean tear width and length measurements were 50.9 mm...

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Detalles Bibliográficos
Autores principales: Harada, Nobuya, Ishitani, Eiichi, Gotoh, Masafumi, Shiba, Naoto
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Korean Shoulder and Elbow Society 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9471820/
https://www.ncbi.nlm.nih.gov/pubmed/35791682
http://dx.doi.org/10.5397/cise.2021.00731
Descripción
Sumario:BACKGROUND: This study aimed to examine the preliminary clinical results of the infraspinatus rotational transfer procedure for irreparable posterosuperior rotator cuff tears. METHODS: This study included 34 patients (mean age, 68.4 years). Their mean tear width and length measurements were 50.9 mm and 50.6 mm, respectively. The functional outcomes, including physician-determined and patient-reported scores, were evaluated before and at 1 year after surgery. The structural outcomes determined using the magnetic resonance imaging examination results were also assessed. RESULTS: The clinical scores significantly improved after surgery compared with the scores before surgery: the Constant-Murley score (53.3±21.1 to 76.8±10.5), University of California at Los Angeles Shoulder score (15.6±3.6 to 27.8±6.7), American Shoulder and Elbow Surgeons Shoulder score (51.8±18.3 to 89.1±13.5), and WORC score (925.0±436.8 to 480.3±373.2) (all p<0.001). Postoperative re-tears were noted in two patients (5.9%). CONCLUSIONS: One year postoperatively, the patient’s clinical scores significantly improved, with a re-tear rate of 5.9%.