liu.seSearch for publications in DiVA
Change search
CiteExportLink to record
Permanent link

Direct link
Cite
Citation style
  • apa
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • oxford
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf
Factors associated with healing failure after early repair of acute, trauma-related rotator cuff tears
Helsingborg Hosp, Sweden; Lund Univ, Sweden.
Helsingborg Hosp, Sweden; Lund Univ, Sweden.
Linköping University, Department of Biomedical and Clinical Sciences, Division of Surgery, Orthopedics and Oncology. Linköping University, Faculty of Medicine and Health Sciences. Region Östergötland, Center for Surgery, Orthopaedics and Cancer Treatment, Department of Orthopaedics in Linköping.ORCID iD: 0000-0001-7873-3093
Lund Univ, Sweden.
Show others and affiliations
2023 (English)In: Journal of shoulder and elbow surgery, ISSN 1058-2746, E-ISSN 1532-6500, Vol. 32, no 10, p. 2074-2081Article in journal (Refereed) Published
Abstract [en]

Background: Healing failure after rotator cuff repair is a challenging problem. Acute, trauma-related tears are considered a separate entity and are often treated surgically. The aim of this study was to identify factors associated with healing failure in previously asymp-tomatic patients with trauma-related rotator cuff tears treated with early arthroscopic repair. Methods: This study included 62 consecutively recruited patients (23% women; median age, 61 years; age range, 42-75 years) with acute symptoms in a previously asymptomatic shoulder and a magnetic resonance imaging-verified full-thickness rotator cuff tear after shoulder trauma. All patients were offered, and underwent, early arthroscopic repair, during which a biopsy specimen was har-vested from the supraspinatus tendon and analyzed for signs of degeneration. Of the patients, 57 (92%) completed 1-year follow-up and underwent assessment of repair integrity on magnetic resonance images according to the Sugaya classification. Risk factors for heal-ing failure were investigated using a causal-relation diagram where age, body mass index, tendon degeneration (Bonar score), diabetes mellitus, fatty infiltration (FI), sex, smoking, tear location regarding integrity of the rotator cable, and tear size (number of ruptured tendons and tendon retraction) were included and analyzed. Results: Healing failure at 1 year was identified in 37% of patients (n = 21). A high degree of FI of the supraspinatus muscle (P = .01), a tear location including disruption of rotator cable integrity (P = .01), and old age (P = .03) were associated with healing failure. Tendon degeneration as determined by histopathology was not associated with healing failure at 1-year follow-up (P = .63). Conclusion: Older age, increased FI of the supraspinatus muscle, and a tear including disruption of the rotator cable increased the risk of healing failure after early arthroscopic repair in patients with trauma-related full-thickness rotator cuff tears. Level of evidence: Level I; Prospective Cohort Design; Prognosis Study

Place, publisher, year, edition, pages
MOSBY-ELSEVIER , 2023. Vol. 32, no 10, p. 2074-2081
Keywords [en]
Rotator cuff tear; tendon healing; subacute repair; risk factors; healing failure; tendon degeneration; rotator cable
National Category
Surgery
Identifiers
URN: urn:nbn:se:liu:diva-198838DOI: 10.1016/j.jse.2023.03.027ISI: 001080456800001PubMedID: 37178969OAI: oai:DiVA.org:liu-198838DiVA, id: diva2:1808756
Note

Funding Agencies|Stig och Ragna Gorthon Research Foundation; Thelma Zoegas Foundation, Helsingborg, Sweden; Region Ostergotland Research Council, Linkoping, Sweden

Available from: 2023-11-01 Created: 2023-11-01 Last updated: 2024-04-15

Open Access in DiVA

fulltext(718 kB)28 downloads
File information
File name FULLTEXT01.pdfFile size 718 kBChecksum SHA-512
5b0d34bc9adf4ea3c3853b8c16fc27b73f3bbf82877bf263587fd82cfbf14c2ce3c9cfcbf641a88ead7d6582c88b1118e8b4878a149440c597002eb6ca37fe93
Type fulltextMimetype application/pdf

Other links

Publisher's full textPubMed

Search in DiVA

By author/editor
Adolfsson, LarsBjörnsson Hallgren, Hanna
By organisation
Division of Surgery, Orthopedics and OncologyFaculty of Medicine and Health SciencesDepartment of Orthopaedics in Linköping
In the same journal
Journal of shoulder and elbow surgery
Surgery

Search outside of DiVA

GoogleGoogle Scholar
Total: 28 downloads
The number of downloads is the sum of all downloads of full texts. It may include eg previous versions that are now no longer available

doi
pubmed
urn-nbn

Altmetric score

doi
pubmed
urn-nbn
Total: 162 hits
CiteExportLink to record
Permanent link

Direct link
Cite
Citation style
  • apa
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • oxford
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf