Degenerative rotator cuff tear, repair or not repair? A review of current evidence

Narvani, A. A., Imam, M. A., Godenèche, A., Calvo, E., Corbett, S., Wallace, A. L. and Itoi, E. (2020) Degenerative rotator cuff tear, repair or not repair? A review of current evidence. Annals of the Royal College of Surgeons of England, 102 (4). pp. 248-255. ISSN 0035-8843

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INTRODUCTION We review the literature and highlight the important factors to consider when counselling patients with non-traumatic rotator cuff tears on which route to take. Factors include the clinical outcomes of surgical and non-surgical routes, tendon healing rates with surgery (radiological outcome) and natural history of the tears if treated non-operatively. METHODS A PRISMA-compliant search was carried out, including the online databases PubMed and Embase (TM) from 1960 to the end of June 2018. FINDINGS S A total of 49 of the 743 (579 PubMed and 164 Embase (TM)) results yielded by the preliminary search were included in the review. There is no doubt that the non-surgical route with an appropriate physiotherapy programme has a role in the management of degenerative rotator cuff tears. This is especially the case in patients with significant risk factors for surgery, those who do not wish to go through a surgical treatment and those with small, partial and irreparable tears. However, rotator cuff repair has a good clinical outcome with significant improvements in pain, range of motion, strength, quality of life and sleep patterns.

Item Type: Article
Uncontrolled Keywords: adverse effects,humans,etiology,patient selection,physical therapy modalities,quality of life,range of motion, articular,risk factors,complications,etiology,physiopathology,treatment outcome,tendon,surgical repair,conservative treatment,follow-up,sleep disturbance,shoulder,repair,structural failure,risk-factors,degenerative,full-thickness,shoulder function,arthroscopic repair,impingement,rotator cuff tears
Faculty \ School: Faculty of Medicine and Health Sciences > Norwich Medical School
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Depositing User: LivePure Connector
Date Deposited: 01 Feb 2020 04:25
Last Modified: 22 Oct 2022 05:48
DOI: 10.1308/rcsann.2019.0173


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