The Journal of Bone and Joint Surgery (American). 2009;91:494.
doi:10.2106/JBJS.9102.ebo2
© 2009 The Journal of Bone and Joint Surgery, Inc.
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Evidence-Based Orthopaedics

Mini-Open Rotator Cuff Repair Improved Quality of Life at 3 Months

Mohtadi NG, Hollinshead RM, Sasyniuk TM, Fletcher JA, Chan DS, Li FX. A Randomized Clinical Trial Comparing Open to Arthroscopic Acromioplasty with Mini-Open Rotator Cuff Repair for Full-Thickness Rotator Cuff Tears: Disease-Specific Quality of Life Outcome at an Average 2-Year Follow-up. Am J Sports Med. 2008 Jun;36:1043-51.[Abstract/Free Full Text]

The first 20% of the full text of this article appears below.

Question: In patients who have full-thickness rotator cuff tears and in whom nonsurgical treatment has failed, does standard open acromioplasty with rotator cuff repair or arthroscopic acromioplasty with mini-open rotator cuff repair lead to better quality of life?

Design: Randomized (allocation concealed), blinded (Functional Shoulder Elevation Test [FSET] outcome assessor) controlled trial with 2-year follow-up.

Setting: University of Calgary.

Patients: 73 English-speaking patients who were ≥18 years of age, had unremitting pain in the affected shoulder, had failed nonsurgical treatment of ≥3 months, had weakness of the rotator cuff (Medical Research Council grade 4–, 4, or 4+), and had a diagnostic imaging result confirming a full-thickness rotator cuff tear. Exclusion criteria included a muscle strength grade of ≤3 for the affected shoulder and previous surgery to the affected shoulder. . . . [Full Text of this Article]

Robin R. Richards, MD, FRCSC

Sunnybrook Health Sciences Centre
Toronto, Ontario, Canada


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