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The Journal of Bone and Joint Surgery, Vol 68, Issue 6 887-891, Copyright © 1986 by Journal of Bone and Joint Surgery, Inc
Surgical treatment of tears of the rotator cuff in athletes
JE Tibone, B Elrod, FW Jobe, RK Kerlan, VS Carter, CL Shields, SJ Lombardo and L Yocum
Forty-five athletes with either a partial or a complete tear of the rotator
cuff were treated with anterior acromioplasty and repair of the tear. The
minimum duration of follow-up was twenty-four months (average, forty-two
months). Thirty patients had an incomplete tear and fifteen had a complete
tear. Postoperatively, thirty-nine (87 per cent) of the patients stated
that they were improved compared with their preoperative status, although
only thirty-four patients (76 per cent) felt that they had a significant
reduction of pain postoperatively. Objectively, twenty-five (56 per cent)
of the patients were rated as having a good result, which allowed them to
return to their former competitive level without significant pain. Twelve
(41 per cent) of the twenty-nine athletes who had been involved in pitching
and throwing returned to their former competitive status. Seven (32 per
cent) of the twenty-two pitchers and throwers who had been active at a
professional or collegiate level returned to the same competitive level. In
our experience, a repair of the rotator cuff combined with an acromioplasty
in a young athletic population provides satisfactory relief of pain but
does not guarantee that the patient will be able to return to his or her
former competitive status in all sports.
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