Adamson G J, Tibone J E
Kerlan-Jobe Orthopaedic Clinic, Inglewood, Calif.
J Shoulder Elbow Surg. 1993 Mar;2(2):57-63. doi: 10.1016/1058-2746(93)90001-W. Epub 2009 Feb 25.
A review of 30 patients who underwent a primary repair of their rotator cuff 10 years previously was performed. The average age of the patients at the time the operation was performed was 51 years (range 20 to 65 years). Twenty-seven men and three women were reviewed. An acromioplasty was performed in all patients. No patient had a distal clavicle excision. There were 12 small, 11 medium, five large, and two massive tears. A significant decrease in pain after surgery and a return to preinjury activities occurred in 82% of the patients. Subjective results were excellent or good in 70% of the patients. Good or excellent results were achieved in 80% of the 25 patients with objective data. In the overall results (subjective and objective), 64% of the patients had a good or excellent outcome. By Neer's criteria, 72% satisfactory results were achieved. No significant prognostic indicators were identified in this study, although a trend toward better results occurred in patients less than 55 years old and in those patients with smallor medium-sized tears. The findings of this study confirm the view that the results of rotator cuff repairs do not deteriorate, with follow-up extending to 10 years.
对10年前接受肩袖初次修复的30例患者进行了回顾性研究。手术时患者的平均年龄为51岁（范围20至65岁）。共回顾了27名男性和3名女性。所有患者均进行了肩峰成形术。无一例患者进行远端锁骨切除术。其中有12例小撕裂、11例中等撕裂、5例大撕裂和2例巨大撕裂。82%的患者术后疼痛显著减轻并恢复到受伤前的活动水平。70%的患者主观结果为优或良。在有客观数据的25例患者中，80%取得了良好或优异的结果。综合主观和客观结果，64%的患者预后为良好或优异。根据Neer标准，72%的结果令人满意。本研究未发现显著的预后指标，不过年龄小于55岁以及存在小撕裂或中等撕裂的患者有取得更好结果的趋势。本研究结果证实了以下观点：随着随访时间延长至10年，肩袖修复的效果并未恶化。
