Hong Ian S, Rao Allison J, CarlLee Tyler L, Meade Joshua D, Hurwit Daniel J, Scarola Gregory, Trofa David P, Schiffern Shadley C, Hamid Nady, Connor Patrick M, Fleischli James E, Saltzman Bryan Michael
Department of Orthopedic Surgery, Atrium Health Musculoskeletal Institute, Charlotte, NC 28207, United States.
Department of Sports Medicine, Orthocarolina Research Institute, Charlotte, NC 28207, United States.
World J Orthop. 2022 Jul 18;13(7):631-643. doi: 10.5312/wjo.v13.i7.631.
Rotator cuff pathology is a very common source of shoulder pain. Similarly, osteoarthritis of the glenohumeral joint can cause shoulder pain and produce similar symptoms. Surgical management can be indicated for both pathologies, however, outcomes data is limited when examining rotator cuff repair (RCR) in the setting of glenohumeral arthritis (GHOA). Thus, this study sought to determine outcomes for patients who undergo RCR in the setting of GHOA.
To evaluate if a relationship exists between outcomes of RCR in the setting of GHOA.
This was a retrospective analysis of patients who underwent arthroscopic rotator cuff repair with concurrent glenohumeral osteoarthritis between 2010-2017. Patients were stratified based on rotator cuff tear size and glenohumeral osteoarthritis severity. Cohorts were paired 1:1 with patients without glenohumeral osteoarthritis. Patients included had a minimum two year follow-up. Rate of conversion to total shoulder arthroplasty, complication rates following initial surgery, and patient-reported outcome measures were collected.
A total of 142 patients were included. The number of patients that required total shoulder arthroplasty within two years after index surgery was low. 2/71 (2.8%) patients with GHOA, and 1/71 (1.4%) without GHOA. Following rotator cuff repair, both groups showed favorable patient-reported outcomes.
Patients with glenohumeral osteoarthritis who underwent arthroscopic rotator cuff repair showed comparable outcomes to patients without glenohumeral osteoarthritis.
肩袖病变是肩部疼痛的常见原因。同样，盂肱关节骨关节炎也可导致肩部疼痛并产生类似症状。这两种病症都可能需要手术治疗，然而，在盂肱关节炎（GHOA）背景下检查肩袖修复（RCR）时，疗效数据有限。因此，本研究旨在确定在GHOA背景下接受RCR治疗的患者的疗效。
评估在GHOA背景下RCR的疗效之间是否存在关联。
这是一项对2010年至2017年间接受关节镜下肩袖修复并伴有盂肱骨关节炎的患者的回顾性分析。患者根据肩袖撕裂大小和盂肱骨关节炎严重程度进行分层。各队列与无盂肱骨关节炎的患者按1:1配对。纳入的患者至少随访两年。收集了转换为全肩关节置换术的比例、初次手术后的并发症发生率以及患者报告的疗效指标。
共纳入142例患者。初次手术后两年内需要进行全肩关节置换术的患者数量较少。GHOA患者中有2/71（2.8%），无GHOA患者中有1/71（1.4%）。肩袖修复后，两组患者报告的疗效均良好。
接受关节镜下肩袖修复的盂肱骨关节炎患者与无盂肱骨关节炎的患者疗效相当。
