Original articleFunctional outcome of arthroscopic rotator cuff repairs: A correlation of anatomic and clinical results
Section snippets
Study design
This study used data prospectively collected on all patients undergoing single-row arthroscopic rotator cuff tendon repair at The Cleveland Clinic between May 2000 and March 2003. During this time, 85 patients underwent single-row arthroscopic rotator cuff tendon repair. The indication for surgery was failure to respond to nonoperative management for at least 6 months. Patients were included if they had a torn rotator cuff isolated to the supraspinatus tendon determined by physical examination
Results
The results of this study are divided into anatomic and functional outcome. The anatomic results are defined by the postoperative ultrasound examination. The functional results are defined by the data collected from questions on the PENN evaluation, SF-36, and the Actual Physical Activity question. The no tear group consisted of 18 patients without any signs of tear during the ultrasound examination, and 12 patients with either a partial-thickness or full-thickness tear were considered to have
Discussion
The outcome of arthroscopic rotator cuff repair was evaluated on 4 different levels: anatomic (structural integrity of rotator cuff), shoulder-specific patient-assessed measures (PENN questionnaire), general health-related quality of life (SF-36 questionnaire), and patient-assessed level of physical activity. These methods of evaluation are interrelated, but they are different in their sensitivity to detect change from the preoperative to the postoperative period. The most sensitive functional
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