Full-thickness rotator cuff tears in patients younger than 55years: clinical outcome of arthroscopic repair in comparison with older patients
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| 024 | 7 | 0 | |a 10.1007/s00167-014-3094-2 |2 doi |
| 035 | |a (NATIONALLICENCE)springer-10.1007/s00167-014-3094-2 | ||
| 245 | 0 | 0 | |a Full-thickness rotator cuff tears in patients younger than 55years: clinical outcome of arthroscopic repair in comparison with older patients |h [Elektronische Daten] |c [Tim Dwyer, Helen Razmjou, Richard Holtby] |
| 520 | 3 | |a Purpose: The purpose of this study was to examine whether younger patients had a similar response to repair of a full-thickness rotator cuff tear (RCT) as older patients. Methods: A secondary analysis was conducted of prospectively collected data of patients with full-thickness RCTs. Patients were categorized into patients <55years of age and patients 55 and older. Patient-related outcome measures of disability at 2years following surgery were the Short Western Ontario Rotator Cuff (Short WORC), American Shoulder and Elbow Surgeon's (ASES) assessment form, and absolute Constant-Murley score (ACMS). Results: Review of the database between 2001 and 2011 identified 344 patients (median age 62, range 24-90). Of these, 83 (24%) patients were younger than 55years of age (median age 48, range 24-54) and 261 (76%) were in the older age group (median age 66, range 55-90). The median follow-up was 24months (range 23-25). Patients in the younger age group had a higher prevalence of traumatic events (p=0.02), had sustained more work-related injuries (p<0.0001), and had a higher ratio of smaller tears (p=0.0001). No difference was seen between groups with respect to post-operative scores of Short WORC, ASES, or ACMS. Pre-operative scores, having a work-related claim, increased tear size, and concomitant procedures affected the 2-year outcome scores. Conclusion: This study shows that younger patients with full-thickness RCTs who undergo an arthroscopic repair do as well as older individuals regardless of the measure used to document their recovery. Level of evidence: Retrospective outcome study, Level II. | |
| 540 | |a Springer-Verlag Berlin Heidelberg, 2014 | ||
| 690 | 7 | |a Rotator cuff repair |2 nationallicence | |
| 690 | 7 | |a Young patient |2 nationallicence | |
| 690 | 7 | |a Outcome |2 nationallicence | |
| 690 | 7 | |a Arthroscopic |2 nationallicence | |
| 700 | 1 | |a Dwyer |D Tim |u University of Toronto Orthopaedic Sports Medicine, Toronto, Canada |4 aut | |
| 700 | 1 | |a Razmjou |D Helen |u Sunnybrook Health Sciences Centre, University of Toronto, Toronto, Canada |4 aut | |
| 700 | 1 | |a Holtby |D Richard |u University of Toronto Orthopaedic Sports Medicine, Toronto, Canada |4 aut | |
| 773 | 0 | |t Knee Surgery, Sports Traumatology, Arthroscopy |d Springer Berlin Heidelberg |g 23/2(2015-02-01), 508-513 |x 0942-2056 |q 23:2<508 |1 2015 |2 23 |o 167 | |
| 856 | 4 | 0 | |u https://doi.org/10.1007/s00167-014-3094-2 |q text/html |z Onlinezugriff via DOI |
| 898 | |a BK010053 |b XK010053 |c XK010000 | ||
| 900 | 7 | |a Metadata rights reserved |b Springer special CC-BY-NC licence |2 nationallicence | |
| 908 | |D 1 |a research-article |2 jats | ||
| 949 | |B NATIONALLICENCE |F NATIONALLICENCE |b NL-springer | ||
| 950 | |B NATIONALLICENCE |P 856 |E 40 |u https://doi.org/10.1007/s00167-014-3094-2 |q text/html |z Onlinezugriff via DOI | ||
| 950 | |B NATIONALLICENCE |P 700 |E 1- |a Dwyer |D Tim |u University of Toronto Orthopaedic Sports Medicine, Toronto, Canada |4 aut | ||
| 950 | |B NATIONALLICENCE |P 700 |E 1- |a Razmjou |D Helen |u Sunnybrook Health Sciences Centre, University of Toronto, Toronto, Canada |4 aut | ||
| 950 | |B NATIONALLICENCE |P 700 |E 1- |a Holtby |D Richard |u University of Toronto Orthopaedic Sports Medicine, Toronto, Canada |4 aut | ||
| 950 | |B NATIONALLICENCE |P 773 |E 0- |t Knee Surgery, Sports Traumatology, Arthroscopy |d Springer Berlin Heidelberg |g 23/2(2015-02-01), 508-513 |x 0942-2056 |q 23:2<508 |1 2015 |2 23 |o 167 | ||