Tools
ToolsNarvani, 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
Preview |
PDF (Published_Version)
- Published Version
Download (255kB) | Preview |
Abstract
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 |
| Related URLs: | |
| Depositing User: | LivePure Connector |
| Date Deposited: | 01 Feb 2020 04:25 |
| Last Modified: | 22 Oct 2022 05:48 |
| URI: | https://ueaeprints.uea.ac.uk/id/eprint/73948 |
| DOI: | 10.1308/rcsann.2019.0173 |
Downloads
Downloads per month over past year
Actions (login required)
 |
View Item |