Degenerative rotator cuff tear, repair or not repair? A review of current evidence

A. A. Narvani, M. A. Imam, A. Godenèche, E. Calvo, S. Corbett, A. L. Wallace, E. Itoi

Research output: Contribution to journalReview article

5 Citations (Scopus)
3 Downloads (Pure)

Abstract

INTRODUCTION We review the literature and highlight the important factors to consider when counselling patients with non-traumatic rotator cuff tears on which route to take. Factors include the clinical outcomes of surgical and non-surgical routes, tendon healing rates with surgery (radiological outcome) and natural history of the tears if treated non-operatively.

METHODS A PRISMA-compliant search was carried out, including the online databases PubMed and Embase (TM) from 1960 to the end of June 2018.

FINDINGS S A total of 49 of the 743 (579 PubMed and 164 Embase (TM)) results yielded by the preliminary search were included in the review. There is no doubt that the non-surgical route with an appropriate physiotherapy programme has a role in the management of degenerative rotator cuff tears. This is especially the case in patients with significant risk factors for surgery, those who do not wish to go through a surgical treatment and those with small, partial and irreparable tears. However, rotator cuff repair has a good clinical outcome with significant improvements in pain, range of motion, strength, quality of life and sleep patterns.

Original languageEnglish
Pages (from-to)248-255
Number of pages8
JournalAnnals of the Royal College of Surgeons of England
Volume102
Issue number4
Early online date3 Jan 2020
DOIs
Publication statusPublished - 3 Apr 2020

Keywords

  • Arthroscopy/adverse effects
  • Humans
  • Musculoskeletal Pain/etiology
  • Patient Selection
  • Physical Therapy Modalities
  • Quality of Life
  • Range of Motion, Articular
  • Risk Factors
  • Rotator Cuff Injuries/complications
  • Rotator Cuff Tear Arthropathy/etiology
  • Shoulder Joint/physiopathology
  • Treatment Outcome
  • TENDON
  • SURGICAL REPAIR
  • CONSERVATIVE TREATMENT
  • FOLLOW-UP
  • SLEEP DISTURBANCE
  • Shoulder
  • Repair
  • STRUCTURAL FAILURE
  • RISK-FACTORS
  • Degenerative
  • FULL-THICKNESS
  • SHOULDER FUNCTION
  • ARTHROSCOPIC REPAIR
  • Impingement
  • Rotator cuff tears

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