Isolated Subacromial Balloon Spacer Implantation for Massive Irreparable Rotator Cuff Tears Is Associated With Improvement in Pain and Function at a Minimum 1-Year Follow-Up

IF 5.4 1区医学 Q1 ORTHOPEDICS

Arthroscopy-The Journal of Arthroscopic and Related Surgery Pub Date : 2025-12-01 Epub Date: 2025-06-19 DOI:10.1016/j.arthro.2025.06.009

Mohamad Y. Fares M.D., M.Sc., Peter Boufadel M.D., Jonathan Koa B.Sc., Jaspal Singh M.D., Joseph A. Abboud M.D.

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引用次数: 0

Abstract

Purpose

To evaluate the efficacy of isolated subacromial balloon spacer implantation in patients with massive irreparable rotator cuff tears (MIRCTs), as evidenced by changes in patient-reported outcomes and range-of-motion values.

Methods

A retrospective review of prospectively collected data was conducted for patients with MIRCTs who underwent subacromial balloon spacer implantation alone without any concomitant procedures, with a minimum 1-year follow-up. Patient demographics and preoperative magnetic resonance imaging findings were recorded. Outcomes included the American Shoulder and Elbow Surgeons (ASES) score, visual analog scale (VAS) pain score, active forward elevation, complications, and reoperations.

Results

A total of 34 patients (18 women, 16 men) were included. The mean age was 65.9 years, and the mean follow-up period was 15.9 months. On preoperative magnetic resonance imaging, the mean posterosuperior rotator cuff tear size was 3.57 cm, mean retraction size was 3.7 cm, 71% were Goutailler grade III/IV, and 94% had none or minimal osteoarthritis. There were no complications, and 2 patients (5.9%) underwent conversion to reverse shoulder arthroplasty. Significant improvements were observed in mean forward elevation (136.6

°

to 150.4

°

, P = .009), ASES scores (39.5 to 76.1, P < .001), and VAS scores (6.1 to 2.1, P < .001) at final follow-up. At the final follow-up, 90.3% of patients reached the minimal clinically important difference for ASES scores, and 87.1% reached the minimal clinically important difference for VAS scores.

Conclusions

Isolated subacromial balloon spacer implantation is an effective treatment option for patients with MIRCTs, evident by the significant improvements in forward elevation and high rates of clinically meaningful ASES and VAS scores at a minimum 1-year follow-up.

Level of Evidence

Level IV, retrospective case series.

查看原文本刊更多论文

在至少一年的随访中，肩峰下孤立球囊植入治疗大量不可修复的肩袖撕裂与疼痛和功能改善相关。

目的：本研究的目的是通过患者报告的结果和活动范围值的变化来评估分离的肩峰下球囊垫片植入mirct患者的疗效。方法：回顾性分析前瞻性收集的MIRCT患者的数据，这些患者单独接受肩峰下球囊垫片植入，没有任何伴随手术，随访时间至少为一年。记录患者人口统计资料和术前MRI结果。结果包括美国肩肘外科医生（ASES）评分、视觉模拟评分（VAS）疼痛评分、主动前抬高、并发症和再手术。结果：共纳入34例患者，其中女性18例，男性16例。平均年龄65.9岁，平均随访时间15.9个月。术前MRI显示，平均后上肩袖撕裂大小为3.57 cm，平均后上肩袖撕裂大小为3.7 cm， 71%为Goutailler III/IV级，94%无骨关节炎或轻度骨关节炎。无并发症，2例患者（5.9%）接受了反向肩关节置换术。观察到平均前抬高（136.6°至150.4°，p=0.009）， as评分（39.5至76.1）显著改善。结论：孤立肩峰下气囊间隔植入是mirct患者的有效治疗选择，其前抬高明显改善，至少1年随访时具有临床意义的as和VAS评分率高。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Arthroscopy-The Journal of Arthroscopic and Related Surgery 医学-外科

CiteScore

9.30

自引率

17.00%

发文量

555

审稿时长

58 days

期刊介绍： Nowhere is minimally invasive surgery explained better than in Arthroscopy, the leading peer-reviewed journal in the field. Every issue enables you to put into perspective the usefulness of the various emerging arthroscopic techniques. The advantages and disadvantages of these methods -- along with their applications in various situations -- are discussed in relation to their efficiency, efficacy and cost benefit. As a special incentive, paid subscribers also receive access to the journal expanded website.