A prospective randomized clinical trial comparing arthroscopic single- and double-row rotator cuff repair: magnetic resonance imaging and early clinical evaluation.
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| Title: | A prospective randomized clinical trial comparing arthroscopic single- and double-row rotator cuff repair: magnetic resonance imaging and early clinical evaluation. |
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| Authors: | Burks RT (AUTHOR), Crim J (AUTHOR), Brown N (AUTHOR), Fink B (AUTHOR), Greis PE (AUTHOR) |
| Source: | American Journal of Sports Medicine. Apr2009, Vol. 37 Issue 4, p674-682. 9p. |
| Abstract: | BACKGROUND: Double-row arthroscopic rotator cuff repair has become more popular, and some studies have shown better footprint coverage and improved biomechanics of the repair. HYPOTHESIS: Double-row rotator cuff repair leads to superior cuff integrity and early clinical results compared with single-row repair. STUDY DESIGN: Randomized controlled trial; Level of evidence, 1. METHODS: Forty patients were randomized to either single-row or double-row rotator cuff repair at the time of surgical intervention. Patients were followed with clinical measures (UCLA, Constant, WORC, SANE, ASES, as well as range of motion, internal rotation strength, and external rotation strength). Magnetic resonance imaging (MRI) studies were performed on each shoulder preoperatively, 6 weeks, 3 months, and 1 year after repair. RESULTS: Mean anteroposterior tear size by MRI was 1.8 cm. A mean of 2.25 anchors for single row (SR) and 3.2 for double row (DR) were used. There were 2 retears at 1 year in each group. There were 2 additional cases that had severe thinning in the DR repair group at 1 year. The MRI measurements of footprint coverage, tendon thickness, and tendon signal showed no significant differences between the 2 repair groups. At 1 year, there were no differences in any of the postoperative measures of motion or strength. At 1 year, mean WORC (SR, 84.8; DR, 87.9), Constant (SR, 77.8; DR, 74.4), ASES (SR, 85.9; DR, 85.5), UCLA (SR, 28.6; DR, 29.5), and SANE (SR, 90.9; DR, 89.9) scores showed no significant differences between groups. CONCLUSIONS: No clinical or MRI differences were seen between patients repaired with a SR or DR technique. [ABSTRACT FROM AUTHOR] |
| Copyright of American Journal of Sports Medicine is the property of Sage Publications Inc. and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.) | |
| Database: | Education Research Complete |
| FullText | Text: Availability: 0 |
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| Header | DbId: ehh DbLabel: Education Research Complete An: 105494983 AccessLevel: 6 PubType: Academic Journal PubTypeId: academicJournal PreciseRelevancyScore: 0 |
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| Items | – Name: Title Label: Title Group: Ti Data: A prospective randomized clinical trial comparing arthroscopic single- and double-row rotator cuff repair: magnetic resonance imaging and early clinical evaluation. – Name: Author Label: Authors Group: Au Data: <searchLink fieldCode="AR" term="%22Burks+RT%22">Burks RT</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Crim+J%22">Crim J</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Brown+N%22">Brown N</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Fink+B%22">Fink B</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Greis+PE%22">Greis PE</searchLink> (AUTHOR) – Name: TitleSource Label: Source Group: Src Data: <searchLink fieldCode="JN" term="%22American+Journal+of+Sports+Medicine%22">American Journal of Sports Medicine</searchLink>. Apr2009, Vol. 37 Issue 4, p674-682. 9p. – Name: Abstract Label: Abstract Group: Ab Data: BACKGROUND: Double-row arthroscopic rotator cuff repair has become more popular, and some studies have shown better footprint coverage and improved biomechanics of the repair. HYPOTHESIS: Double-row rotator cuff repair leads to superior cuff integrity and early clinical results compared with single-row repair. STUDY DESIGN: Randomized controlled trial; Level of evidence, 1. METHODS: Forty patients were randomized to either single-row or double-row rotator cuff repair at the time of surgical intervention. Patients were followed with clinical measures (UCLA, Constant, WORC, SANE, ASES, as well as range of motion, internal rotation strength, and external rotation strength). Magnetic resonance imaging (MRI) studies were performed on each shoulder preoperatively, 6 weeks, 3 months, and 1 year after repair. RESULTS: Mean anteroposterior tear size by MRI was 1.8 cm. A mean of 2.25 anchors for single row (SR) and 3.2 for double row (DR) were used. There were 2 retears at 1 year in each group. There were 2 additional cases that had severe thinning in the DR repair group at 1 year. The MRI measurements of footprint coverage, tendon thickness, and tendon signal showed no significant differences between the 2 repair groups. At 1 year, there were no differences in any of the postoperative measures of motion or strength. At 1 year, mean WORC (SR, 84.8; DR, 87.9), Constant (SR, 77.8; DR, 74.4), ASES (SR, 85.9; DR, 85.5), UCLA (SR, 28.6; DR, 29.5), and SANE (SR, 90.9; DR, 89.9) scores showed no significant differences between groups. CONCLUSIONS: No clinical or MRI differences were seen between patients repaired with a SR or DR technique. [ABSTRACT FROM AUTHOR] – Name: AbstractSuppliedCopyright Label: Group: Ab Data: <i>Copyright of American Journal of Sports Medicine is the property of Sage Publications Inc. and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.) |
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| RecordInfo | BibRecord: BibEntity: Identifiers: – Type: doi Value: 10.1177/0363546508328115 Languages: – Code: eng Text: English PhysicalDescription: Pagination: PageCount: 9 StartPage: 674 Titles: – TitleFull: A prospective randomized clinical trial comparing arthroscopic single- and double-row rotator cuff repair: magnetic resonance imaging and early clinical evaluation. Type: main BibRelationships: HasContributorRelationships: – PersonEntity: Name: NameFull: Burks RT – PersonEntity: Name: NameFull: Crim J – PersonEntity: Name: NameFull: Brown N – PersonEntity: Name: NameFull: Fink B – PersonEntity: Name: NameFull: Greis PE IsPartOfRelationships: – BibEntity: Dates: – D: 01 M: 04 Text: Apr2009 Type: published Y: 2009 Identifiers: – Type: issn-print Value: 03635465 Numbering: – Type: volume Value: 37 – Type: issue Value: 4 Titles: – TitleFull: American Journal of Sports Medicine Type: main |
| ResultId | 1 |
