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Clin Shoulder Elbow > Volume 12(2); 2009 > Article
Journal of the Korean Shoulder and Elbow Society 2009;12(2):109-114.
DOI: https://doi.org/10.5397/CiSE.2009.12.2.109    Published online December 31, 2009.
The Radiologic and Clinical Changes after Open Complete Repair of Massive Rotator Cuff Tears
Eun Sun Moon, Min Sun Choi, Myung Sun Kim, Il Kyu Kong, Byoung Jin Kim
Department of Orthopedic Surgery, Chonnam National University Hospital, Kwangju, Korea. minsunchoios@gmail.com
개방적 완전 봉합술로 치료한 광범위 회전근 개 파열 환자에서 치료 전후의 방사선학적 및 임상적 소견의 변화
문은선·최민선·김명선·공일규·김병진
전남대학교 의과대학 정형외과학교실
Abstract
PURPOSE
This study evaluated the preoperative and postoperative radiologic findings of patients with complete repairs after massive rotator cuff tears along with the incidence of re-tear and the clinical outcomes. MATERIALS AND METHODS: This study evaluated 33 cases who had open complete repairs for massive rotator cuff tears and these patients were followed up for more than 24 months. The clinical evaluation was performed according to the shoulder joint function test of the American Shoulder and Elbow Surgeons (ASES), and the degree of arthritis related to the massive rotator cuff tears was evaluated using the Hamada classification.
RESULTS
The ASES scores improved from 37.6 preoperatively to 85.6 postoperatively. The mean preoperative acromio-humeral interval (AHI) score was 6.5 mm, which increased to 9.3 mm immediately after surgery, and there was a decreased to 6.5 mm noted at the last follow up. The lower radiology stages of arthritis according to the classification showed better preoperative and postoperative results.
CONCLUSION
An open complete repair as the surgical treatment for a massive rotator cuff tear showed satisfactory results for pain relief and an improvement in the shoulder joint function though re-tear after surgery.
Key Words: Radiologic change; Massive rotator cuff tear; Re-tear; Open repair


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