PDF(Pubmed)
Abstract：
BACKGROUND: The effects of the timing of surgical repair on the outcomes of traumatic and non-traumatic rotator cuff injuries (RCI) remain elusive. Thus, this study aimed to compare differences in outcomes following the repair of traumatic and non-traumatic RCI at varying time points.
METHODS: The study population comprised 87 patients with traumatic and non-traumatic RCI who underwent arthroscopic rotator cuff repair and were followed up for a minimum of 6 months. Next, the trauma and the non-trauma groups were stratified into subgroups according to the time of injury (early repair: occurring within 3 months; delayed repair: occurring after 3 months). Measurements before and after surgical interventions were compared to evaluate the effect of the duration of RCI on the functional status of patients in the trauma and non-trauma groups. Primary evaluation indices included the Visual Analog Scale (VAS) pain score, American Shoulder and Elbow Surgeons (ASES) score, Constant shoulder function score, and the University of California, Los Angeles (UCLA) shoulder score. Secondary evaluation indices consisted of shoulder range of motion (ROM), postoperative rotator cuff retear rate, and incidence of joint stiffness.
RESULTS: Among the 40 patients in the trauma group, 22 underwent early repair, whereas the remaining 18 underwent delayed repair. In the non-trauma group consisting of 47 patients, 18 underwent early repair, whereas the remaining 29 underwent delayed repair. The minimum clinical follow-up time was 6 months, with an average follow-up time of 10.2 months. During postoperative follow-up, 1 and 6 patients who underwent early and delayed repair experienced re-tear in the trauma group, respectively. Contrastingly, 3 and 8 patients who underwent early and delayed repair presented with re-tear in the non-trauma group, respectively.
CONCLUSIONS: Early repair of traumatic RCI yielded superior outcomes, including improved range of motion, lower pain symptoms, and lower risk of postoperative re-tears compared to delayed repair. Additionally, non-surgical treatment is recommended as the preferred approach for patients with non-traumatic RCI.
METHODS: The study population comprised 87 patients with traumatic and non-traumatic RCI who underwent arthroscopic rotator cuff repair and were followed up for a minimum of 6 months. Next, the trauma and the non-trauma groups were stratified into subgroups according to the time of injury (early repair: occurring within 3 months; delayed repair: occurring after 3 months). Measurements before and after surgical interventions were compared to evaluate the effect of the duration of RCI on the functional status of patients in the trauma and non-trauma groups. Primary evaluation indices included the Visual Analog Scale (VAS) pain score, American Shoulder and Elbow Surgeons (ASES) score, Constant shoulder function score, and the University of California, Los Angeles (UCLA) shoulder score. Secondary evaluation indices consisted of shoulder range of motion (ROM), postoperative rotator cuff retear rate, and incidence of joint stiffness.
RESULTS: Among the 40 patients in the trauma group, 22 underwent early repair, whereas the remaining 18 underwent delayed repair. In the non-trauma group consisting of 47 patients, 18 underwent early repair, whereas the remaining 29 underwent delayed repair. The minimum clinical follow-up time was 6 months, with an average follow-up time of 10.2 months. During postoperative follow-up, 1 and 6 patients who underwent early and delayed repair experienced re-tear in the trauma group, respectively. Contrastingly, 3 and 8 patients who underwent early and delayed repair presented with re-tear in the non-trauma group, respectively.
CONCLUSIONS: Early repair of traumatic RCI yielded superior outcomes, including improved range of motion, lower pain symptoms, and lower risk of postoperative re-tears compared to delayed repair. Additionally, non-surgical treatment is recommended as the preferred approach for patients with non-traumatic RCI.
摘要：
背景：手术修复时机对创伤性和非创伤性肩袖损伤（RCI）结局的影响仍然难以捉摸。因此，本研究旨在比较不同时间点创伤性和非创伤性RCI修复后结局的差异.
方法：研究人群包括87例创伤性和非创伤性RCI患者，他们接受了关节镜肩袖修复，并随访至少6个月。接下来,根据损伤时间(早期修复:3个月内发生;延迟修复:3个月后发生),将创伤组和非创伤组分为亚组.比较手术干预前后的测量结果，以评估RCI持续时间对创伤和非创伤组患者功能状态的影响。主要评价指标包括视觉模拟量表(VAS)疼痛评分,美国肩肘外科医师（ASES）评分，肩关节功能评分恒定,和加州大学，洛杉矶（UCLA）肩膀得分。次要评价指标包括肩部活动范围(ROM)，术后肩袖再撕裂率，和接头刚度的发生率。
结果：在创伤组的40例患者中，22人接受了早期修复，而其余18人接受了延迟修复。在由47名患者组成的非创伤组中，18人接受了早期修复，而其余29人接受了延迟修复。最短临床随访时间为6个月,平均随访10.2个月。术后随访期间,创伤组中有1例和6例接受早期和延迟修复的患者经历了再撕裂，分别。相反，3和8例接受早期和延迟修复的患者在非创伤组中出现了再撕裂，分别。
结论：创伤性RCI的早期修复产生了更好的结果，包括改进的运动范围，较低的疼痛症状，与延迟修复相比，术后再撕裂的风险较低。此外,非手术治疗被推荐为非创伤性RCI患者的首选治疗方法.
方法：研究人群包括87例创伤性和非创伤性RCI患者，他们接受了关节镜肩袖修复，并随访至少6个月。接下来,根据损伤时间(早期修复:3个月内发生;延迟修复:3个月后发生),将创伤组和非创伤组分为亚组.比较手术干预前后的测量结果，以评估RCI持续时间对创伤和非创伤组患者功能状态的影响。主要评价指标包括视觉模拟量表(VAS)疼痛评分,美国肩肘外科医师（ASES）评分，肩关节功能评分恒定,和加州大学，洛杉矶（UCLA）肩膀得分。次要评价指标包括肩部活动范围(ROM)，术后肩袖再撕裂率，和接头刚度的发生率。
结果：在创伤组的40例患者中，22人接受了早期修复，而其余18人接受了延迟修复。在由47名患者组成的非创伤组中，18人接受了早期修复，而其余29人接受了延迟修复。最短临床随访时间为6个月,平均随访10.2个月。术后随访期间,创伤组中有1例和6例接受早期和延迟修复的患者经历了再撕裂，分别。相反，3和8例接受早期和延迟修复的患者在非创伤组中出现了再撕裂，分别。
结论：创伤性RCI的早期修复产生了更好的结果，包括改进的运动范围，较低的疼痛症状，与延迟修复相比，术后再撕裂的风险较低。此外,非手术治疗被推荐为非创伤性RCI患者的首选治疗方法.
