Arthroscopy: The Journal of Arthroscopic and Related Surgery
Volume 26, Issue 3 , Pages 302-309 , March 2010

Arthroscopic Repair of Full-Thickness Rotator Cuff Tears: Is There Tendon Healing in Patients Aged 65 Years or Older?

  • Christophe Charousset, M.D.

      Affiliations

    • Institut Ostéo Articulaire Paris Courcelles, Paris, France
    • Corresponding Author InformationAddress correspondence and reprint requests to Christophe Charousset, M.D., Institut Ostéo Articulaire Paris Courcelles, 60 rue de Courcelles, 75008 Paris, France
    • ,
  • Laurence Bellaïche, M.D.

      Affiliations

    • Service de Radiologie, Clinique Bachaumont, Paris, France
    • ,
  • Kunal Kalra, M.D.

      Affiliations

    • Institut Ostéo Articulaire Paris Courcelles, Paris, France
    • ,
  • David Petrover, M.D.

      Affiliations

    • Service de Radiologie, Clinique Bachaumont, Paris, France

Received 1 April 2009 ,Accepted 20 August 2009.

References 

  1. Bennett WF. Arthroscopic repair of full-thickness supraspinatus tears (small-to-medium): A prospective study with 2-4 year follow-up. Arthroscopy. 2003;19:249–256
  2. Burkhart SS, Danaceau SM, Pearce CE. Arthroscopic rotator cuff repair: Analysis of results by tear size and by repair technique—Margin convergence versus direct tendon-to-bone repair. Arthroscopy. 2001;17:905–912
  3. Gartsman GM, Khaan M, Hammerman SM. Arthroscopic repair of full-thickness tears of the rotator cuff. J Bone Joint Surg Am. 1998;80:832–840
  4. Murray TF, Lajtai G, Mileski RM, Snyder SJ. Arthroscopic repair of medium to large full-thickness rotator cuff tears: Outcome at 2 to 6 year follow-up. J Shoulder Elbow Surg. 2002;11:19–24
  5. Tauro JC. Arthroscopic rotator cuff repair: Analysis of technique and results at 2 and 3 years follow-up. Arthroscopy. 1998;14:45–51
  6. Wolf E, Pennington T, Agrawal V. Arthroscopic rotator cuff repair: 4 to 10 years results. Arthroscopy. 2004;20:5–12
  7. Boileau P, Brassart N, Watkinson DJ, Carles M, Hatzidakis AM, Krishnan SG. Arthroscopic repair of full-thickness tears of the supraspinatus: Does the tendon really heal?. J Bone Joint Surg Am. 2005;87:1229–1240
  8. Charousset C, Duranthon LD, Grimberg J, Bellaiche L. Arthro-C-scan analysis of rotator cuff tears healing after arthroscopic repair: Analysis of predictive factors in a consecutive series of 167 arthroscopic repairs. Rev Chir Orthop Reparatrice Appar Mot. 2006;92:223–234(in French)
  9. Flurin PH, Landreau P, Gregory T, et al. Cuff integrity after arthroscopic rotator cuff repair: Correlation with clinical results in 576 cases. Arthroscopy. 2007;23:340–346
  10. Huijsmans PE, Pritchard MP, Berghs BM, van Rooyen KS, Wallace AL, de Beer JF. Arthroscopic rotator cuff repair with double-row fixation. J Bone Joint Surg Am. 2007;89:1248–1257
  11. Lafosse L, Brozska R, Toussaint B, Gobezie R. The outcome and structural integrity of arthroscopic rotator cuff repair with use of the double-row suture anchor technique. J Bone Joint Surg Am. 2007;89:1533–1541
  12. Sugaya H, Maeda K, Matsuki K, Moriishi J. Repair integrity and functional outcome after arthroscopic double-row rotator cuff repair (A prospective outcome study). J Bone Joint Surg Am. 2007;89:953–960
  13. Ellman H, Hanker G, Bayer M. Repair of the rotator cuff (End-result study of factors influencing reconstruction). J Bone Joint Surg Am. 1986;68:1136–1144
  14. Iannotti JP, Bernot MP, Kuhlman JR, Kelley MJ, Williams GR. Postoperative assessment of shoulder function: A prospective study of full-thickness rotator cuff tears. J Shoulder Elbow Surg. 1996;5:449–457
  15. Pai VS, Lawson DA. Rotator cuff repair in a district hospital setting: Outcomes and analysis of prognostic factors. J Shoulder Elbow Surg. 2001;10:236–241
  16. Romeo AA, Hang DW, Bach BR, Shott S. Repair of full thickness rotator cuff tears (Gender, age, and other factors affecting outcome). Clin Orthop Relat Res. 1999;243–255
  17. Grondel RJ, Savoie FH, Field LD. Rotator cuff repairs in patients 62 years of age or older. J Shoulder Elbow Surg. 2001;10:97–99
  18. Lam F, Mok D. Open repair of massive rotator cuff tears in patients aged sixty-five years or over: Is it worthwhile?. J Shoulder Elbow Surg. 2004;13:517–521
  19. Rebuzzi E, Coletti N, Schiavetti S, Giusto F. Arthroscopic rotator cuff repair in patients older than 60 years. Arthroscopy. 2005;21:48–54
  20. Worland RL, Arredondo J, Angles F, Lopez-Jimenez F. Repair of massive rotator cuff tears in patients older than 70 years. J Shoulder Elbow Surg. 1999;8:26–30
  21. Hamada K, Fukuda H, Mikasa M, Kobayashi Y. Roentgenographic findings in massive rotator cuff tears (A long-term observation). Clin Orthop Relat Res. 1990;92–96
  22. Goutallier D, Postel JM, Bernageau J, Lavau L, Voisin MC. Fatty muscle degeneration in cuff ruptures (Pre- and postoperative evaluation by CT scan). Clin Orthop Relat Res. 1994;78–83
  23. Thomazeau H, Gleyze P, Frank A, Levigne C, Walch G, Devallet P. Arthroscopic debridement of full-thickness tears of the rotator cuff: A retrospective multicenter study of 283 cases with 3-year follow-up. Rev Chir Orthop Reparatrice Appar Mot. 2000;86:136–142(in French)
  24. Charousset C, Grimberg J, Bellaïche L, Petrover D, Kalra K. The time for functional recovery after arthroscopic rotator cuff repair: Correlation with tendon healing controlled by computed tomography arthrography. Arthroscopy. 2008;24:25–33
  25. Constant CR, Murley AH. A clinical method of functional assessment of the shoulder. Clin Orthop Relat Res. 1987;160–164
  26. Jaffe M, Frank A, Beaufils P. Endoscopic acromioplasty in total rupture of the rotator cuff. Rev Chir Orthop Reparatrice Appar Mot. 1994;80:369–378(in French)
  27. Kempf JF, Gleyze P, Bonnomet F, et al. A multicenter study of 210 rotator cuff tears treated by arthroscopic acromioplasty. Arthroscopy. 1999;15:56–66
  28. Rockwood CA, Lyons FR. Shoulder impingement syndrome: Diagnosis, radiographic evaluation, and treatment with a modified Neer acromioplasty. J Bone Joint Surg Am. 1993;75:409–424
  29. Esch JC, Ozerkis LR, Helgager JA, Kane N, Lilliott N. Arthroscopic subacromial decompression: Results according to the degree of rotator cuff tear. Arthroscopy. 1988;4:241–249
  30. Zvijac JE, Levy HJ, Lemak LJ. Arthroscopic subacromial decompression in the treatment of full thickness rotator cuff tears: A 3- to 6-year follow-up. Arthroscopy. 1994;10:518–523
  31. Itoi E, Tabata S. Conservative treatment of rotator cuff tears. Clin Orthop Relat Res. 1992;165–173
  32. Yamaguchi K, Tetro A, Blam O, Evanoff B, Teefey A, Middleton W. Natural history of asymptomatic rotator cuff tears: A longitudinal analysis of asymptomatic tears detected sonographically. J Shoulder Elbow Surg. 2001;10:199–203
  33. Kim DH, ElAttrache NS, Tibone JE, et al. Biomechanical comparison of a single-row versus double-row suture anchor technique for rotator cuff repair. Am J Sports Med. 2006;34:407–414
  34. Ma CB, Comerford L, Wilson J, Puttlitz CM. Biomechanical evaluation of arthroscopic rotator cuff repairs: Double-row compared with single-row fixation. J Bone Joint Surg Am. 2006;88:403–410
  35. Meier SW, Meier JD. The effect of double-row fixation on initial repair strength in rotator cuff repair: A biomechanical study. Arthroscopy. 2006;22:1168–1173
  36. Park MC, Tibone JE, ElAttrache NS, Ahmad CS, Jun BJ, Lee TQ. Part II: Biomechanical assessment for a footprint-restoring transosseous-equivalent rotator cuff repair technique compared with a double-row repair technique. J Shoulder Elbow Surg. 2007;16:469–476
  37. Smith CD, Alexander S, Hill AM, et al. A biomechanical comparison of single and double-row fixation in arthroscopic rotator cuff repair. J Bone Joint Surg Am. 2006;88:2425–2431
  38. Charousset C, Grimberg J, Bellaiche L, Petrover D. Can a double-row anchorage technique improve tendon healing in arthroscopic rotator cuff repair? (A prospective, nonrandomized, comparative study of double-row and single-row anchorage techniques with computed tomographic arthrography tendon healing assessment). Am J Sports Med. 2007;35:1247–1253
  39. Sugaya H, Maeda K, Matsuki K, Moriishi J. Functional and structural outcome after arthroscopic full-thickness rotator cuff repair: Single-row versus dual-row fixation. Arthroscopy. 2005;21:1307–1316
  40. Charousset C, Bellaïche L, Duranthon LD, Grimberg J. Accuracy of CT arthrography in the assessment of tears of the rotator cuff. Bone Joint Surg Br. 2005;87:824–828

 The authors report no conflict of interest.

PII: S0749-8063(09)00824-X

doi: 10.1016/j.arthro.2009.08.027

Arthroscopy: The Journal of Arthroscopic and Related Surgery
Volume 26, Issue 3 , Pages 302-309 , March 2010

Article Tools

* Image Usage & Resolution