Our Summary

This research study aimed to see if repairing full-thickness rotator cuff tears (a type of shoulder injury) quickly after trauma could prevent issues with the healing process. The study involved 62 patients who had this type of injury and underwent arthroscopic repair (a minimally invasive surgical procedure) within six weeks of the injury. The researchers checked the patients’ tendon health one year after the surgery using MR images and other scoring systems.

The results showed an improvement in patients’ health outcomes over two years. However, only two out of three patients had perfectly healed rotator cuffs when checked with MRI after one year. This suggests that rapid repair after injury doesn’t necessarily prevent healing failures in full-thickness rotator cuff tears.

FAQs

  1. What was the main aim of this research study on rotator cuff tears?
  2. What method was used to check the patients’ tendon health after the surgery?
  3. Did rapid repair of full-thickness rotator cuff tears prevent healing failures according to the study?

Doctor’s Tip

To help with your recovery after rotator cuff repair surgery, it is important to follow your doctor’s post-operative instructions carefully. This may include attending physical therapy sessions, avoiding certain activities that could strain your shoulder, and taking any prescribed medications as directed. It’s also important to communicate any pain or discomfort you may be experiencing with your doctor so they can adjust your treatment plan accordingly. Remember that healing takes time, so be patient and consistent with your rehabilitation efforts for the best outcome.

Suitable For

Patients who are typically recommended for rotator cuff repair are those who have full-thickness rotator cuff tears that are causing significant pain, weakness, and limited range of motion. These tears are often a result of trauma or overuse injuries. Patients who have tried non-surgical treatments such as physical therapy and cortisone injections with little to no improvement may also be recommended for surgery. Additionally, patients who have tears that are large or have been present for a long time may also benefit from rotator cuff repair. It is important for patients to discuss their specific symptoms and medical history with a healthcare provider to determine if rotator cuff repair is the best treatment option for them.

Timeline

Before the rotator cuff repair:

  1. Patient experiences a traumatic injury to the shoulder, resulting in a full-thickness rotator cuff tear.
  2. Patient undergoes imaging tests, such as MRI, to confirm the diagnosis of a rotator cuff tear.
  3. Patient may experience pain, weakness, and limited range of motion in the shoulder due to the tear.
  4. Patient consults with an orthopedic surgeon to discuss treatment options, including arthroscopic repair.
  5. Surgery is scheduled, and pre-operative preparations are made.

After the rotator cuff repair:

  1. Patient undergoes arthroscopic repair surgery to repair the torn rotator cuff within six weeks of the injury.
  2. Patient undergoes post-operative rehabilitation, including physical therapy, to help restore shoulder strength and range of motion.
  3. Patient may experience pain and discomfort in the shoulder in the immediate post-operative period.
  4. Patient follows a rehabilitation program to gradually increase shoulder strength and function.
  5. Patient undergoes follow-up imaging tests, such as MRI, to assess the healing of the repaired rotator cuff.
  6. Patient continues to work on shoulder exercises and rehabilitation to optimize shoulder function and prevent re-injury.

What to Ask Your Doctor

  1. What is a full-thickness rotator cuff tear and how does it occur?
  2. Is arthroscopic repair the most effective treatment option for my specific injury?
  3. What is the typical recovery time and rehabilitation process following rotator cuff repair surgery?
  4. Are there any potential risks or complications associated with the surgery?
  5. How successful is the surgery in terms of long-term outcomes and preventing future shoulder issues?
  6. What factors can affect the success of the surgery and healing process?
  7. Will I need physical therapy after the surgery, and if so, what does that involve?
  8. Are there any lifestyle changes or precautions I should take to prevent re-injury of the rotator cuff?
  9. How often will I need follow-up appointments to monitor my progress post-surgery?
  10. Are there any alternative treatment options to consider before opting for surgery?

Reference

Authors: Aagaard KE, Lunsjö K, Frobell R. Journal: Bone Joint J. 2019 May;101-B(5):603-609. doi: 10.1302/0301-620X.101B5.BJJ-2018-0867.R1. PMID: 31038994