Deep partial rotator cuff tear: transtendon repair or tear completion and repair? A randomized clinical trial

Verfasser / Beitragende:
[Alessandro Castagna, Mario Borroni, Raffaele Garofalo, Giacomo Rose, Eugenio Cesari, Roberto Padua, Marco Conti, Stefano Gumina]
Ort, Verlag, Jahr:
2015
Enthalten in:
Knee Surgery, Sports Traumatology, Arthroscopy, 23/2(2015-02-01), 460-463
Format:
Artikel (online)
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024 7 0 |a 10.1007/s00167-013-2536-6  |2 doi 
035 |a (NATIONALLICENCE)springer-10.1007/s00167-013-2536-6 
245 0 0 |a Deep partial rotator cuff tear: transtendon repair or tear completion and repair? A randomized clinical trial  |h [Elektronische Daten]  |c [Alessandro Castagna, Mario Borroni, Raffaele Garofalo, Giacomo Rose, Eugenio Cesari, Roberto Padua, Marco Conti, Stefano Gumina] 
520 3 |a Purpose: The purpose of this study is to compare the clinical and subjective difference between transtendon repair or complete/repair in two homogeneous groups of patients affected by deep partial articular supraspinatus tear. Methods: Seventy-four patients were randomized in two groups of 37 patients each. The first group (A) was treated with arthroscopic transtendon repair while the second group (B) was treated with an arthroscopic completion of the tear and formal repair. All the patients were revaluated at a minimum 2years of follow-up with Constant score and Visual Analogic Scale (VAS). Results: Constant score improved by a mean value of 25 (95% CI 21-28) (p<0.0001) and of 29 (95% CI 26-31) (p<0.0001), respectively; VAS score decreased by a mean value of 3.4 (95% CI 2.9-3.9) (p<0.0001) and of 3.6 (95% CI 3.3-4.0) (p<0.0001), respectively. The improvement was higher in both groups for the ADL, and in Group B, the improvement in strength was higher than in Group A. There were no statistical differences between the two different techniques. Conclusion: Both repairing techniques of deep partial supraspinatus tear provide good results in terms of function and pain. There were no statistically significant differences between the two techniques. Level of evidence: Prospective comparative study, Level II. 
540 |a Springer-Verlag Berlin Heidelberg, 2013 
690 7 |a Rotator cuff tear  |2 nationallicence 
690 7 |a Partial supraspinatus tear  |2 nationallicence 
690 7 |a Arthroscopy  |2 nationallicence 
690 7 |a Transtendon  |2 nationallicence 
700 1 |a Castagna  |D Alessandro  |u IRCCS Istituto Clinico Humanitas, Rozzano, Italy  |4 aut 
700 1 |a Borroni  |D Mario  |u IRCCS Istituto Clinico Humanitas, Rozzano, Italy  |4 aut 
700 1 |a Garofalo  |D Raffaele  |u Ente Ecclesiastico, Ospedale Generale Regionale F. Miulli, Acquaviva delle Fonti, Italy  |4 aut 
700 1 |a Rose  |D Giacomo  |u IRCCS Istituto Clinico Humanitas, Rozzano, Italy  |4 aut 
700 1 |a Cesari  |D Eugenio  |u Cliniche Gavazzeni, Bergamo, Italy  |4 aut 
700 1 |a Padua  |D Roberto  |u Casa di Cura Villa Stuart, Rome, Italy  |4 aut 
700 1 |a Conti  |D Marco  |u IRCCS Istituto Clinico Humanitas, Rozzano, Italy  |4 aut 
700 1 |a Gumina  |D Stefano  |u Clinica Ortopedica Università La Sapienza, Rome, Italy  |4 aut 
773 0 |t Knee Surgery, Sports Traumatology, Arthroscopy  |d Springer Berlin Heidelberg  |g 23/2(2015-02-01), 460-463  |x 0942-2056  |q 23:2<460  |1 2015  |2 23  |o 167 
856 4 0 |u https://doi.org/10.1007/s00167-013-2536-6  |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/s00167-013-2536-6  |q text/html  |z Onlinezugriff via DOI 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Castagna  |D Alessandro  |u IRCCS Istituto Clinico Humanitas, Rozzano, Italy  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Borroni  |D Mario  |u IRCCS Istituto Clinico Humanitas, Rozzano, Italy  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Garofalo  |D Raffaele  |u Ente Ecclesiastico, Ospedale Generale Regionale F. Miulli, Acquaviva delle Fonti, Italy  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Rose  |D Giacomo  |u IRCCS Istituto Clinico Humanitas, Rozzano, Italy  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Cesari  |D Eugenio  |u Cliniche Gavazzeni, Bergamo, Italy  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Padua  |D Roberto  |u Casa di Cura Villa Stuart, Rome, Italy  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Conti  |D Marco  |u IRCCS Istituto Clinico Humanitas, Rozzano, Italy  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Gumina  |D Stefano  |u Clinica Ortopedica Università La Sapienza, Rome, Italy  |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), 460-463  |x 0942-2056  |q 23:2<460  |1 2015  |2 23  |o 167