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Clin Shoulder Elbow > Volume 10(1); 2007 > Article
Journal of the Korean Shoulder and Elbow Society 2007;10(1):65-72.
DOI: https://doi.org/10.5397/CiSE.2007.10.1.065    Published online June 30, 2007.
Correlation of Clinical Outcome and Cuff Integrity after Open Repair in Large and Massive Rotator Cuff Tears
Haeng Kee Noh, Joon Ho Wang, Dong Hwee Kim, Jong Woong Park, Jae Gyoon Kim, Jung Ho Park
1Department of Orthopaedic Surgery, Ansan Hospital, College of Medicine, Korea University, Ansan, Korea. canall@korea.ac.kr
2Department of Rehabilitation Medicine, Ansan Hospital, College of Medicine, Korea University, Ansan, Korea.
3Department of Orthopaedic Surgery, Sung Ae Hospital, Seoul, Korea.
대형 및 광범위 회전근 개 파열의 개방적 봉합술 후 임상적 결과와 회전근 개 연속성(integrity)의 상관 관계
노행기·왕준호·김동휘·박종웅·김재균·박정호*
고려대학교 의과대학 안산병원 정형외과, 재활의학과, 성애병원 정형외과
Abstract
Purpose
To evaluate the relationship between the clinical outcome and the cuff integrity following open repair in large and massive rotator cuff tears using ultrasonography as an imaging modality. Material and Methods: From November 2001 to April 2005, 17 cases(16 patients) who had open repair of tear measuring more than 3cm were assessed with minimal follow-up of 12 months in this study. 6 cases had a large tear and 11 cases a massive tear. There were 6 men and 11 women with a mean age of 52 years at surgery (range, 33 to 72 years). The evaluation consisted of the preoperative and postoperative shoulder scores according to UCLA shoulder scoring system and Visual analogue scale (VAS). Ultrasonography was performed by a experienced musculoskeletal physician at a minimum of 12 months postoperatively to evaluate the postoperative cuff integrity.
Results
Retear were detected in four of seventeen cases. Regardless of the presence of recurrent tear, 14 cases had UCLA score of more than 29 points (good grade). All 17 had an improvement in the functional score, which increased from an average of 15.1 to 31.2 points. All cases showed pain relief and five cases had no pain. Sixteen cases except one had the range of motion of forward elevation above 90degrees.
Conclusion
Open rotator cuff repair in large and massive tears showed low retear rate. At a minimum of twelve months follow-up, all cases had improvement on UCLA score, pain relief, increased range of motion of the shoulder regardless of retear. And the correlation between recurrent tear and function score was not statistically significant.
Key Words: Rotator cuff tear; Open repair; Ultrasonography


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