caa a22 4500 605460175 CHVBK 20210128100237.0 cr unu---uuuuu 210128e20150201xx s 000 0 eng 10.1007/s00167-014-3094-2 doi (NATIONALLICENCE)springer-10.1007/s00167-014-3094-2 Full-thickness rotator cuff tears in patients younger than 55years: clinical outcome of arthroscopic repair in comparison with older patients [Elektronische Daten] [Tim Dwyer, Helen Razmjou, Richard Holtby] 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. Springer-Verlag Berlin Heidelberg, 2014 Rotator cuff repair nationallicence Young patient nationallicence Outcome nationallicence Arthroscopic nationallicence Dwyer Tim University of Toronto Orthopaedic Sports Medicine, Toronto, Canada aut Razmjou Helen Sunnybrook Health Sciences Centre, University of Toronto, Toronto, Canada aut Holtby Richard University of Toronto Orthopaedic Sports Medicine, Toronto, Canada aut Knee Surgery, Sports Traumatology, Arthroscopy Springer Berlin Heidelberg 23/2(2015-02-01), 508-513 0942-2056 23:2<508 2015 23 167 https://doi.org/10.1007/s00167-014-3094-2 text/html Onlinezugriff via DOI BK010053 XK010053 XK010000 Metadata rights reserved Springer special CC-BY-NC licence nationallicence 1 research-article jats NATIONALLICENCE NATIONALLICENCE NL-springer NATIONALLICENCE 856 40 https://doi.org/10.1007/s00167-014-3094-2 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Dwyer Tim University of Toronto Orthopaedic Sports Medicine, Toronto, Canada aut NATIONALLICENCE 700 1- Razmjou Helen Sunnybrook Health Sciences Centre, University of Toronto, Toronto, Canada aut NATIONALLICENCE 700 1- Holtby Richard University of Toronto Orthopaedic Sports Medicine, Toronto, Canada aut NATIONALLICENCE 773 0- Knee Surgery, Sports Traumatology, Arthroscopy Springer Berlin Heidelberg 23/2(2015-02-01), 508-513 0942-2056 23:2<508 2015 23 167