Outcomes after arthroscopic repair of rotator cuff tears in the setting of mild to moderate glenohumeral osteoarthritis  

作　　者：Ian S Hong Allison J Rao Tyler L CarlLee Joshua D Meade Daniel J Hurwit Gregory Scarola David P Trofa Shadley C Schiffern Nady Hamid Patrick M Connor James E Fleischli Bryan Michael Saltzman 

机构地区：[1]Department of Orthopedic Surgery,Atrium Health Musculoskeletal Institute,Charlotte,NC 28207,United States [2]Department of Sports Medicine,Orthocarolina Research Institute,Charlotte,NC 28207,United States [3]Department of Orthopedic Surgery,Columbia University Irving Medical Center,New York City,NY 10032,United States [4]Department of Orthopaedic Surgery,Carolinas Medical Center,Charlotte,NC 28207,United States [5]Department of Orthopedic Surgery,OrthoCarolina Sports Medicine Center,Charlotte,NC 28207,United States

出　　处：《World Journal of Orthopedics》2022年第7期631-643,共13页世界骨科杂志（英文版）

摘　　要：BACKGROUND Rotator cuff pathology is a very common source of shoulder pain.Similarly,osteoarthritis of the glenohumeral joint can cause shoulder pain and produce similar symptoms.Surgical management can be indicated for both pathologies,however,outcomes data is limited when examining rotator cuff repair(RCR) in the setting of glenohumeral arthritis(GHOA).Thus,this study sought to determine outcomes for patients who undergo RCR in the setting of GHOA.AIM To evaluate if a relationship exists between outcomes of RCR in the setting of GHOA.METHODS This was a retrospective analysis of patients who underwent arthroscopic rotator cuff repair with concurrent glenohumeral osteoarthritis between 2010-2017.Patients were stratified based on rotator cuff tear size and glenohumeral osteoarthritis severity.Cohorts were paired 1:1 with patients without glenohumeral osteoarthritis.Patients included had a minimum two year follow-up.Rate of conversion to total shoulder arthroplasty,complication rates following initial surgery,and patient-reported outcome measures were collected.RESULTS A total of 142 patients were included.The number of patients that required total shoulder arthroplasty within two years after index surgery was low.2/71(2.8%) patients with GHOA,and 1/71(1.4%) without GHOA.Following rotator cuff repair,both groups showed favorable patientreported outcomes.CONCLUSION Patients with glenohumeral osteoarthritis who underwent arthroscopic rotator cuff repair showed comparable outcomes to patients without glenohumeral osteoarthritis.

关 键 词：Rotator cuff repair Rotator cuff tear Glenohumeral osteoarthritis SHOULDER ARTHROSCOPIC OUTCOMES 

分 类 号：R687.4[医药卫生—骨科学]