The Journal of Bone and Joint Surgery (American) 83:1052-1056 (2001)
© 2001 The Journal of Bone and Joint Surgery, Inc.
Prospective Longitudinal Analysis of Postoperative Shoulder Function
A Ten-Year Follow-up Study of Full-Thickness Rotator Cuff Tears
Leesa M. Galatz, MD,
Sean Griggs, MD,
Brian D. Cameron, MD and
Joseph P. Iannotti, MD, PhD
Investigation performed at the University of Pennsylvania,
Philadelphia, Pennsylvania
Leesa M. Galatz, MD
Department of Orthopaedic Surgery, Washington University School
of Medicine, One Barnes Hospital Plaza, 11300 West Pavilion, St.
Louis, MO 63110
Sean Griggs, MD
Houston Hand and Upper Extremity Group, 7500 Kirby Road, Houston,
TX 77030
Brian D. Cameron, MD
Stevens Orthopaedic Group, 21701 76th Street, Suite 300, Edmonds,
WA 98026
Joseph P. Iannotti, MD, PhD
Department of Orthopaedic Surgery, Cleveland Clinic Foundation,
9500 Euclid Avenue, A-41, Cleveland, OH 44195
No benefits in any form have been received or will be received
from a commercial party related directly or indirectly to the subject
of this article. No funds were received in support of this study.
A video supplement to this article is available from the Video
Journal of Orthopaedics. A video clip is available at the
JBJS web site, www.jbjs.org. The Video Journal of Orthopaedics can
be contacted at (805) 962-3410, web site: www.vjortho.com.
A commentary is available with the electronic versions of this
article, on our web site (www.jbjs.org) and on our CD-ROM (call
781-449-9780, ext. 140, to order).
Background: Rotator cuff repair is associated
with good short or mid-term results, but to date there have been
no long-term functional outcome studies demonstrating durability
of results over time. In most long-term studies, the results have
been compared with those of historical controls or with those of
other, short-term follow-up studies. The purpose of the present
prospective study was to evaluate short and long-term shoulder function
after surgical repair in a single population of patients in order
to follow changes over time.
Methods: Thirty-three patients underwent surgery,
performed by one surgeon, for the treatment of a chronic, symptomatic,
full-thickness rotator cuff defect. Data were obtained from questionnaires
and physical examinations preoperatively, at two years, and at ten
years. Identical standardized pain and function questionnaires were
used and clinical evaluation was performed in a consistent fashion
at all time-periods. The activity level, Constant score, level of
disability, shoulder function score, and patient’s subjective
rating of the outcome were determined at the time of the final follow-up
and compared with the same parameters at the two-year follow-up
examination in order to determine if early results change with time.
Results: At the ten-year follow-up examination,
there was no change in the raw Constant score determined at the
two-year examination. When the Constant score was normalized for
expected age-related changes, the percentage of patients who had
a satisfactory result at ten years was even greater than the percentage
at two years. Activity level decreased significantly over the time-period
(p = 0.005). At the final follow-up examination, twelve
patients worked at the same occupation as they had when the two-year
examination was performed, two worked at a less strenuous occupation,
and the remaining patients were retired. Only two patients retired
because of problems related to the shoulder. The level of disability
decreased over the study period, and there was a small improvement
in the patients’ self-assessment shoulder function score. The
patients’ subjective assessment of the outcome remained
unchanged.
Conclusions: The results of open rotator cuff repair
for chronic tears do not deteriorate with time (ten years). The level
of disability decreases, presumably because of a concurrent decrease
in the activity level and in the demand on the shoulder as the patient
ages. It is important to consider age-related changes when assessing
the final outcome.
 CiteULike  Connotea  Del.icio.us  Facebook  Technorati  Twitter What's this?
This article has been cited by other articles:
|
|
|
|
 
A. Bedi, A. J. S. Fox, D. Kovacevic, X.-h. Deng, R. F. Warren, and S. A. Rodeo
Doxycycline-Mediated Inhibition of Matrix Metalloproteinases Improves Healing After Rotator Cuff Repair
Am. J. Sports Med.,
February 1, 2010;
38(2):
308 - 317.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
R. F. Henn III, L. Kang, R. Z. Tashjian, and A. Green
Patients with Workers' Compensation Claims Have Worse Outcomes After Rotator Cuff Repair
J. Bone Joint Surg. Am.,
October 1, 2008;
90(10):
2105 - 2113.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
S. J. Nho, M. K. Shindle, S. L. Sherman, K. B. Freedman, S. Lyman, and J. D. MacGillivray
Systematic Review of Arthroscopic Rotator Cuff Repair and Mini-Open Rotator Cuff Repair
J. Bone Joint Surg. Am.,
October 1, 2007;
89(suppl_3):
127 - 136.
[Full Text]
[PDF]
|
|
|
|
|
|
|
R. F. Henn III, L. Kang, R. Z. Tashjian, and A. Green
Patients' Preoperative Expectations Predict the Outcome of Rotator Cuff Repair
J. Bone Joint Surg. Am.,
September 1, 2007;
89(9):
1913 - 1919.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
L. Lafosse, R. Brozska, B. Toussaint, and R. Gobezie
The Outcome and Structural Integrity of Arthroscopic Rotator Cuff Repair with Use of the Double-Row Suture Anchor Technique
J. Bone Joint Surg. Am.,
July 1, 2007;
89(7):
1533 - 1541.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
K. J. Ecklund, T. Q. Lee, J. Tibone, and R. Gupta
Rotator Cuff Tear Arthropathy
J. Am. Acad. Ortho. Surg.,
June 1, 2007;
15(6):
340 - 349.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
B. R. Wolf, W. R. Dunn, and R. W. Wright
Indications for Repair of Full-Thickness Rotator Cuff Tears
Am. J. Sports Med.,
June 1, 2007;
35(6):
1007 - 1016.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
K. Anderson, M. Boothby, D. Aschenbrener, and M. van Holsbeeck
Outcome and Structural Integrity After Arthroscopic Rotator Cuff Repair Using 2 Rows of Fixation: Minimum 2-Year Follow-Up
Am. J. Sports Med.,
December 1, 2006;
34(12):
1899 - 1905.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
J. P. Iannotti, M. J. Codsi, Y. W. Kwon, K. Derwin, J. Ciccone, and J. J. Brems
Porcine Small Intestine Submucosa Augmentation of Surgical Repair of Chronic Two-Tendon Rotator Cuff Tears. A Randomized, Controlled Trial
J. Bone Joint Surg. Am.,
June 1, 2006;
88(6):
1238 - 1244.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
A. M. Smith, J. W. Sperling, and R. H. Cofield
Rotator Cuff Repair in Patients with Rheumatoid Arthritis
J. Bone Joint Surg. Am.,
August 1, 2005;
87(8):
1782 - 1787.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
T. D. Boehm, A. Werner, S. Radtke, T. Mueller, S. Kirschner, and F. Gohlke
The effect of suture materials and techniques on the outcome of repair of the rotator cuff: A PROSPECTIVE, RANDOMISED STUDY
J Bone Joint Surg Br,
June 1, 2005;
87-B(6):
819 - 823.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
P. Boileau, N. Brassart, D. J. Watkinson, M. Carles, A. M. Hatzidakis, and S. G. Krishnan
Arthroscopic Repair of Full-Thickness Tears of the Supraspinatus: Does the Tendon Really Heal?
J. Bone Joint Surg. Am.,
June 1, 2005;
87(6):
1229 - 1240.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
J. D. O'Holleran, M. S. Kocher, M. P. Horan, K. K. Briggs, and R. J. Hawkins
Determinants of Patient Satisfaction with Outcome After Rotator Cuff Surgery
J. Bone Joint Surg. Am.,
January 1, 2005;
87(1):
121 - 126.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
G. R. Williams Jr., C. A. Rockwood Jr., L. U. Bigliani, J. P. Iannotti, and W. Stanwood
Rotator Cuff Tears: Why Do We Repair Them?
J. Bone Joint Surg. Am.,
December 1, 2004;
86(12):
2764 - 2776.
[Full Text]
[PDF]
|
|
|
|
|
|
|
S. Klepps, J. Bishop, J. Lin, O. Cahlon, A. Strauss, P. Hayes, and E. L. Flatow
Prospective Evaluation of the Effect of Rotator Cuff Integrity on the Outcome of Open Rotator Cuff Repairs
Am. J. Sports Med.,
October 1, 2004;
32(7):
1716 - 1722.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
L. M. Galatz, C. M. Ball, S. A. Teefey, W. D. Middleton, and K. Yamaguchi
The Outcome and Repair Integrity of Completely Arthroscopically Repaired Large and Massive Rotator Cuff Tears
J. Bone Joint Surg. Am.,
February 1, 2004;
86(2):
219 - 224.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
R. Z. Tashjian, R. F. Henn, L. Kang, and A. Green
The Effect of Comorbidity on Self-Assessed Function in Patients with a Chronic Rotator Cuff Tear
J. Bone Joint Surg. Am.,
February 1, 2004;
86(2):
355 - 362.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
A. V. R. Mohana-Borges, C. B. Chung, and D. Resnick
MR Imaging and MR Arthrography of the Postoperative Shoulder: Spectrum of Normal and Abnormal Findings
RadioGraphics,
January 1, 2004;
24(1):
69 - 85.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
D. T. Harryman II, C. M. Hettrich, K. L. Smith, B. Campbell, J. A. Sidles, and F. A. Matsen III
A Prospective Multipractice Investigation of Patients with Full-Thickness Rotator Cuff Tears: The Importance of Comorbidities, Practice, and Other Covariables on Self-Assessed Shoulder Function and Health Status
J. Bone Joint Surg. Am.,
March 31, 2003;
85(4):
690 - 696.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
