Efficacy of the Extensive Subacromial Bursectomy in Arthroscopic Rotator Cuff Repair

Not Applicable

Completed

Conditions: Diseases of the musculo-skeletal system and connective tissue

Registration Number: KCT0002860

Lead Sponsor: Seoul National University Hospital

Brief Summary: Three patients in the limited bursectomy group and 4 patients in the extensive bursectomy group group were lost to follow up, and these patients were excluded from the analysis. Finally, 71 patients were included in the analysis (36 in the limited bursectomy and 35 in the extensive bursectomy group). Pain VAS scores in the two groups were not significantly different at any time (all Ps > 0.005). In terms of postoperative range of motion, forwad flexion showed no intergroup difference during follow up. However, external rotation was significantly better in the limited bursectomy group at 6 mo and 1 yr postoperatively (31° ± 15°vs 22° ± 16°, p = 0.020 and 40° ± 19° vs 27° ± 20°, p = 0.009, respectively). Internal rotation at the back tend to be better at 6 mo postoperatively in the limited bursectomy group (spine level: 11.4 ± 2.6 vs 12.6 ± 3.0, p = 0.091). Healing failures in the two groups were non-significantly different at 5 weeks, 3, 6 and 12 months (all Ps > 0.005). Marked bursal thickening was more frequently observed in the extensive bursectomy group (18/32 in the limited bursectomy group and 27/32 in the extensive bursectomy group) at 6 months after surgery (p = 0.014).

Detailed Description: Not available

Recruitment & Eligibility

Status: Completed

Sex: All

Target Recruitment: 71

Inclusion Criteria

1) full thickness rotator cuff tear verified by preoperative MRI and confirmed at time of surgery, and complete repair was possible arthroscopically

Exclusion Criteria

1. previous ipsilateral shoulder surgery
2. incomplete repair
3. rheumatoid arthritis
4. Parkinsonism or Alzheimer’s disease
5. refusal to participate
6. the need for an additional procedure, such as, acromioplasty or SLAP repair.

Study & Design

Study Type: Interventional Study

Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
Visual analogue scale (VAS) pain score

Secondary Outcome Measures

Name	Time	Method
Passive ranges of motion (ROMs) (forward flexion, external rotation, and internal rotation);Integrity of repair by radiologic evaluation;bursal thickness by radiologic evaluation