Arthroscopy: The Journal of Arthroscopic & Related Surgery
Systematic ReviewDoes the Literature Confirm Superior Clinical Results in Radiographically Healed Rotator Cuffs After Rotator Cuff Repair?
Section snippets
Literature Search
We searched Medline, CINAHL (Cumulative Index to Nursing and Allied Health Literature), and the Cochrane Central Register of Controlled Trials for all literature published from January 1966 to December 2008 using the following key words: shoulder, rotator cuff, rotator cuff tear, rotator cuff repair, arthroscopic, integrity, healed, magnetic resonance imaging (MRI), computed tomography arthrography (CTA), and ultrasound. General search terms were chosen to prevent the possibility of missing
Literature Search
There were 640,597 articles found with all of the general search terms; these were limited to the English language and human subjects, leaving 441,432 articles. Each of the search terms was then combined with one other term by use of PubMed advanced search to locate those pertinent to the study. The abstracts of each of the combined searches were then reviewed to determine appropriateness for inclusion in the study. There were 35 articles that were deemed appropriate for the analysis. Of the 35
Discussion
As surgical techniques for arthroscopic rotator cuff repair become more advanced and less invasive, hopefully, patient satisfaction after surgery will continue to improve. Of concern is that despite high patient satisfaction rates, healing rates after arthroscopic rotator cuff repair as low as 6% have been reported.30 However, the relation between structural healing of the rotator cuff and clinical outcomes remains poorly defined. Our study qualitatively describes the clinical results of
Conclusions
This systematic review suggests that some important differences in clinical outcomes likely exist between patients with healed and nonhealed rotator cuff repairs; however, the results of this systematic review cannot definitely state that the results for healed rotator cuff repairs are better based on any of the clinical outcomes because of the mixed results in the studies included. With regard to the primary clinical outcome measures used in each study, 7 of 13 studies found a statistical
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The authors report no conflict of interest.