High-Grade Bursal Side Rotator-Cuff Repair: A Surgical Outcome Review

Overview

Journal Orthop Res Rev

Publisher Dove Medical Press

Specialty Orthopedics

Date 2021 Oct 27

PMID 34703326

Citations 3

Authors

Renaldi Prasetia

Erica Kholinne

Prettysia Suvarly

Wendy Yolanda Rosa

Yuni Susanti Pratiwi

Herry Herman

Hermawan Nagar Rasyid

Bancha Chernchujit

Ronny Lesmana

Affiliations

Soon will be listed here.

Abstract

Purpose: We aimed to evaluate surgical outcomes of high-grade bursal rotator cuff-tear repairs.

Methods: This systematic review was performed in May 2020 in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines using PubMed. Inclusion criteria were English-language studies reporting the results of pain improvement, functional outcome scores, and radiographic examinations after repair of bursal side partial rotator-cuff tears at any time point in patients of any age and with all levels of evidence. Exclusion criteria were articles not in English, in vitro or animal studies, epidemiological studies, and such article types as technical notes or narrative reviews.

Results: Of 58 articles, five were included in this study, of which three and two had level III and IV evidence, respectively, four were comparative studies, and one was a case series. Visual analogue scales were used in four of the five studies, all showing improvement in pain assessment from 5.87 preoperatively to 1.02 postoperatively. All five studies showed significant improvement on each functional outcome score at the final follow-up. The retear rate for all studies was 10.97% (27 of 246).

Conclusion: High-grade bursal side partial-thickness rotator cuff-tear repair gave satisfactory results in terms of pain scores, range of motion, and functional outcomes. The retear rate was still considerably high (10.9%), necessitating better understanding of the basic science, such as molecular mechanisms during adaptation, to improve the surgical technique.

Citing Articles

The pathology of oxidative stress-induced autophagy in a chronic rotator cuff enthesis tear.

Prasetia R, Purwana S, Lesmana R, Herman H, Chernchujit B, Rasyid H Front Physiol. 2023; 14:1222099.

PMID: 37753454 PMC: 10518619. DOI: 10.3389/fphys.2023.1222099.

Functional and MRI Outcomes After In Situ Repair Versus Tear Completion Before Repair of Bursal-Side Partial-Thickness Rotator Cuff Tears.

Zhuo H, Pan L, Li J Orthop Surg. 2023; 15(8):2082-2090.

PMID: 36864555 PMC: 10432447. DOI: 10.1111/os.13693.

Optimal Management of Partial Thickness Rotator Cuff Tears: Clinical Considerations and Practical Management.

Thangarajah T, Lo I Orthop Res Rev. 2022; 14:59-70.

PMID: 35250316 PMC: 8893150. DOI: 10.2147/ORR.S348726.

References

Mathiasen R, Hogrefe C . Evaluation and Management of Rotator Cuff Tears: a Primary Care Perspective. Curr Rev Musculoskelet Med. 2018; 11(1):72-76. PMC: 5825352. DOI: 10.1007/s12178-018-9471-6. View

Bedeir Y, Jimenez A, Grawe B . Recurrent tears of the rotator cuff: Effect of repair technique and management options. Orthop Rev (Pavia). 2018; 10(2):7593. PMC: 6042049. DOI: 10.4081/or.2018.7593. View

Kim K, Rhee K, Shin H, Kim D . Mattress suture-bridge technique for bursal-side partial-thickness rotator cuff tears. Arch Orthop Trauma Surg. 2009; 130(3):407-11. DOI: 10.1007/s00402-009-0996-4. View

Wolff A, Magit D, Miller S, Wyman J, Sethi P . Arthroscopic fixation of bursal-sided rotator cuff tears. Arthroscopy. 2006; 22(11):1247.e1-4. DOI: 10.1016/j.arthro.2006.05.026. View

Shin S, Kook S, Rao N, Seo M . Clinical Outcomes of Modified Mason-Allen Single-Row Repair for Bursal-Sided Partial-Thickness Rotator Cuff Tears: Comparison With the Double-Row Suture-Bridge Technique. Am J Sports Med. 2015; 43(8):1976-82. DOI: 10.1177/0363546515587718. View

Prasetia R, Sukhapradit B, Chernchujit B . Clinical features and repair integrity after knotless - In situ suture bridge technique in high-grade bursal side rotator cuff tears. J Orthop. 2020; 20:352-358. PMC: 7352058. DOI: 10.1016/j.jor.2020.06.019. View

Yoo J, Ahn J, Lee S, Kim J . Arthroscopic full-layer repair of bursal-side partial-thickness rotator cuff tears: a small-window technique. Arthroscopy. 2007; 23(8):903.e1-4. DOI: 10.1016/j.arthro.2006.11.008. View

Ellman H . Diagnosis and treatment of incomplete rotator cuff tears. Clin Orthop Relat Res. 1990; (254):64-74. View

Sambandam S, Khanna V, Gul A, Mounasamy V . Rotator cuff tears: An evidence based approach. World J Orthop. 2015; 6(11):902-18. PMC: 4686437. DOI: 10.5312/wjo.v6.i11.902. View

10.

Kim K, Shin H, Cha S, Park J . Repair integrity and functional outcome after arthroscopic conversion to a full-thickness rotator cuff tear: articular- versus bursal-side partial tears. Am J Sports Med. 2013; 42(2):451-6. DOI: 10.1177/0363546513512770. View

11.

Xiao J, Cui G . Clinical and structural results of arthroscopic repair of bursal-side partial-thickness rotator cuff tears. J Shoulder Elbow Surg. 2014; 24(2):e41-6. DOI: 10.1016/j.jse.2014.07.008. View

12.

Fukuda H . The management of partial-thickness tears of the rotator cuff. J Bone Joint Surg Br. 2003; 85(1):3-11. DOI: 10.1302/0301-620x.85b1.13846. View

13.

Moher D, Liberati A, Tetzlaff J, Altman D . Preferred reporting items for systematic reviews and meta-analyses: the PRISMA statement. Ann Intern Med. 2009; 151(4):264-9, W64. DOI: 10.7326/0003-4819-151-4-200908180-00135. View

14.

Shin S, Jeong J, Jeon Y, Kim R . Preservation of bursal-sided tendon in partial-thickness articular-sided rotator cuff tears: a novel arthroscopic transtendon anatomic repair technique. Arch Orthop Trauma Surg. 2016; 136(12):1701-1708. DOI: 10.1007/s00402-016-2546-1. View

15.

Kamath G, Galatz L, Keener J, Teefey S, Middleton W, Yamaguchi K . Tendon integrity and functional outcome after arthroscopic repair of high-grade partial-thickness supraspinatus tears. J Bone Joint Surg Am. 2009; 91(5):1055-62. DOI: 10.2106/JBJS.G.00118. View

16.

Chernchujit B, Shahul Hamid M, Aimprasittichai S . Knotless Suture Bridge Technique in High-Grade Bursal-Sided Rotator Cuff Tears. Is This The Way Forward?. Arthrosc Tech. 2018; 6(6):e2259-e2263. PMC: 5765673. DOI: 10.1016/j.eats.2017.08.016. View

17.

Aydin N, Karaismailoglu B . High-grade bursal-side partial rotator cuff tears: comparison of mid- and long-term results following arthroscopic repair after conversion to a full-thickness tear. J Orthop Surg Res. 2017; 12(1):118. PMC: 5521121. DOI: 10.1186/s13018-017-0619-7. View

18.

Kim K, Rhee K, Shin H, Kim P . Arthroscopic footprint reconstruction of bursal-side delaminated rotator cuff tears using the suture-bridge technique. Knee Surg Sports Traumatol Arthrosc. 2009; 17(7):840-3. DOI: 10.1007/s00167-009-0730-3. View

19.

Kim Y, Lee H, Bae S, Jin H, Song H . Outcome Comparison Between in Situ Repair Versus Tear Completion Repair for Partial Thickness Rotator Cuff Tears. Arthroscopy. 2015; 31(11):2191-8. DOI: 10.1016/j.arthro.2015.05.016. View

20.

Koh K, Shon M, Lim T, Yoo J . Clinical and magnetic resonance imaging results of arthroscopic full-layer repair of bursal-side partial-thickness rotator cuff tears. Am J Sports Med. 2011; 39(8):1660-7. DOI: 10.1177/0363546511412165. View