PDF(Pubmed)
Abstract：
UNASSIGNED: The purpose of this study was to evaluate and compare the clinical and structural outcomes after arthroscopic repair of isolated supraspinatus tears in patients older than 70 years vs. patients younger than 50 years to determine whether age influences the treatment of these tears.
UNASSIGNED: We conducted a retrospective, comparative study of 87 shoulders of 86 patients older than 70 years who underwent rotator cuff repair after isolated full-thickness supraspinatus tear between January 2010 and December 2020. A control group of 87 patients younger than 50 years was matched for sex, body mass index, smoking habits, tendon retraction according to Patte and fatty infiltration according to Goutallier. Clinical assessment used Constant-Murley Score (CMS), age- and sex-matched Constant Scores and Subjective Shoulder Value at 6 months. Cuff integrity was evaluated using ultrasonography based on the Sugaya criteria, types I-II-III being considered as healed.
UNASSIGNED: The CMS significantly improved by +17.91 points in elderly patients compared with +7.47 points in controls (P < .1) and activity (P = .2), mobility (P < .1), and strength (P < .1). The adjusted CMS significantly improved by +24.94 in elderly patients compared with +8.49 points in controls (P < .1). The Subjective Shoulder Value improved by +29.48 points in elderly patients compared with +23.47 points in controls. The improvement was similar in both groups. (P < .10). Satisfaction was similar in both groups (P = .31). Regarding structural outcomes, patients younger than 50 years presented better results in terms of healing than patients older than 70 years, as the healing rate was 73.7% in the elderly group and 88.5% in the control group (P = .1). The clinical outcomes were not significantly associated with the tendon healing (P = .1).
UNASSIGNED: Functional gain for patients older than 70 years is better than their younger peers despite their low-grade healing. Arthroscopic repair after isolated supraspinatus tears should be considered as a valuable treatment regardless the age.
UNASSIGNED: We conducted a retrospective, comparative study of 87 shoulders of 86 patients older than 70 years who underwent rotator cuff repair after isolated full-thickness supraspinatus tear between January 2010 and December 2020. A control group of 87 patients younger than 50 years was matched for sex, body mass index, smoking habits, tendon retraction according to Patte and fatty infiltration according to Goutallier. Clinical assessment used Constant-Murley Score (CMS), age- and sex-matched Constant Scores and Subjective Shoulder Value at 6 months. Cuff integrity was evaluated using ultrasonography based on the Sugaya criteria, types I-II-III being considered as healed.
UNASSIGNED: The CMS significantly improved by +17.91 points in elderly patients compared with +7.47 points in controls (P < .1) and activity (P = .2), mobility (P < .1), and strength (P < .1). The adjusted CMS significantly improved by +24.94 in elderly patients compared with +8.49 points in controls (P < .1). The Subjective Shoulder Value improved by +29.48 points in elderly patients compared with +23.47 points in controls. The improvement was similar in both groups. (P < .10). Satisfaction was similar in both groups (P = .31). Regarding structural outcomes, patients younger than 50 years presented better results in terms of healing than patients older than 70 years, as the healing rate was 73.7% in the elderly group and 88.5% in the control group (P = .1). The clinical outcomes were not significantly associated with the tendon healing (P = .1).
UNASSIGNED: Functional gain for patients older than 70 years is better than their younger peers despite their low-grade healing. Arthroscopic repair after isolated supraspinatus tears should be considered as a valuable treatment regardless the age.
摘要：
■这项研究的目的是评估和比较70岁以上患者关节镜修复孤立性冈上肌撕裂后的临床和结构结果50岁以下的患者，以确定年龄是否影响这些眼泪的治疗。
■我们进行了回顾，2010年1月至2020年12月,86例70岁以上患者中87例肩关节的对比研究.对照组87例年龄小于50岁的患者进行性别匹配，身体质量指数,吸烟习惯,根据Patte进行肌腱回缩，根据Goutallier进行脂肪浸润。临床评估使用恒定-Murley评分(CMS)，年龄和性别匹配的恒定分数和6个月时的主观肩关节值。根据Sugaya标准使用超声检查评估袖口完整性，I-II-III型被认为已治愈。
■老年患者的CMS与对照组的7.47分（P<1）和活动（P=2）相比，显着改善了17.91分，流动性（P<.1），和强度(P<.1)。与对照组的8.49分相比，老年患者的校正CMS显着改善了24.94分（P<1）。与对照组的23.47分相比，老年患者的主观肩关节值提高了29.48分。两组的改善相似。(P<.10)。两组的满意度相似（P=0.31）。关于结构性结果，50岁以下的患者在愈合方面比70岁以上的患者有更好的效果，老年组治愈率为73.7％，对照组为88.5％（P=1）。临床结果与肌腱愈合无显著相关性(P=1)。
70岁以上患者的功能增益优于年轻的同龄人，尽管他们的愈合程度较低。无论年龄大小，孤立性冈上肌撕裂后的关节镜修复都应被视为有价值的治疗方法。
■我们进行了回顾，2010年1月至2020年12月,86例70岁以上患者中87例肩关节的对比研究.对照组87例年龄小于50岁的患者进行性别匹配，身体质量指数,吸烟习惯,根据Patte进行肌腱回缩，根据Goutallier进行脂肪浸润。临床评估使用恒定-Murley评分(CMS)，年龄和性别匹配的恒定分数和6个月时的主观肩关节值。根据Sugaya标准使用超声检查评估袖口完整性，I-II-III型被认为已治愈。
■老年患者的CMS与对照组的7.47分（P<1）和活动（P=2）相比，显着改善了17.91分，流动性（P<.1），和强度(P<.1)。与对照组的8.49分相比，老年患者的校正CMS显着改善了24.94分（P<1）。与对照组的23.47分相比，老年患者的主观肩关节值提高了29.48分。两组的改善相似。(P<.10)。两组的满意度相似（P=0.31）。关于结构性结果，50岁以下的患者在愈合方面比70岁以上的患者有更好的效果，老年组治愈率为73.7％，对照组为88.5％（P=1）。临床结果与肌腱愈合无显著相关性(P=1)。
70岁以上患者的功能增益优于年轻的同龄人，尽管他们的愈合程度较低。无论年龄大小，孤立性冈上肌撕裂后的关节镜修复都应被视为有价值的治疗方法。
