Felix Hochberger, Marco-Christopher Rupp, Felix Boenke, Bastian Scheiderer, Sebastian Siebenlist, Lukas N. Muench, Daniel P. Berthold
{"title":"原发性外伤性前下肩脱位后肩袖撕裂，40岁或以上患者接受孤立式肩袖修复的功能效果极佳","authors":"Felix Hochberger, Marco-Christopher Rupp, Felix Boenke, Bastian Scheiderer, Sebastian Siebenlist, Lukas N. Muench, Daniel P. Berthold","doi":"10.1007/s00402-025-05785-0","DOIUrl":null,"url":null,"abstract":"<div><h3>Purpose</h3><p>To investigate the functional outcomes of patients over 40 years of age who underwent isolated rotator cuff (RC) repair (RCR) for full-thickness RC tears resulting from a primary traumatic anteroinferior shoulder dislocation and to compare these outcomes with a control group of patients who underwent RCR for instability-independent RC tears, with a minimum follow-up of two years.</p><h3>Materials and methods</h3><p>Patients aged 40 years and older were included for RCR following primary traumatic anteroinferior shoulder dislocation between 01/2012 and 06/2020 with a minimum follow-up of two years. Patients were excluded if they received an additional labral repair or capsular shift. Outcomes were compared to a control group of patients who underwent RCR without history of previous dislocations. Primary outcome measures included passive range of motion (ROM) as well as patient reported outcomes comprising the Western Ontario Shoulder Instability Index (WOSI) and Rowe score. Rates of re-dislocation were evaluated as secondary outcomes.</p><h3>Results</h3><p>Thirty-six patients were enrolled and divided into 2 groups (<i>n</i> = 18, respectively). Demographic characteristics did not significantly differ (<i>p</i> > 0.05). At final follow-up, patients affected by instability-related RC tears showed comparable functional outcomes in terms of WOSI (427.2 ± 238.9<sub>instability group (IG)</sub> vs. 431.1 ± 252.1<sub>control group (CG)</sub>; <i>p</i> = 0.962) and Rowe (87.5 ± 12.0<sub>IG</sub> vs. 91.1 ± 10.2<sub>CG</sub>; <i>p</i> = 0.339) scores as well as in terms of passive ROM (abduction: 88.1 ± 4.6°<sub>IG</sub> vs. 86.7 ± 11.5°<sub>CG</sub>; <i>p</i> = 0.637, forward elevation: 87.8 ± 6.2°<sub>IG</sub> vs. 88.3 ± 5.1°<sub>CG</sub>; <i>p</i> = 0.772, external rotation: 55.3 ± 10.5°<sub>IG</sub> vs. 50.8 ± 15.3°<sub>CG</sub>; <i>p</i> = 0.312, internal rotation: 65.3 ± 8.5<sub>IG</sub> vs. 68.8 ± 4.9<sub>CG</sub>, <i>p</i> = 0.388). No patient experienced a re-dislocation.</p><h3>Conclusion</h3><p>Patients ≥ 40 years who underwent isolated RCR without labral repair or capsular shift for a concurrent RC tear after experiencing a primary traumatic anteroinferior shoulder dislocation, achieved favorable functional outcomes along with absence of re-dislocations.</p><h3>Study design</h3><p>Retrospective case series; Level of Evidence IV.</p></div>","PeriodicalId":8326,"journal":{"name":"Archives of Orthopaedic and Trauma Surgery","volume":"145 1","pages":""},"PeriodicalIF":2.0000,"publicationDate":"2025-04-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://link.springer.com/content/pdf/10.1007/s00402-025-05785-0.pdf","citationCount":"0","resultStr":"{\"title\":\"Excellent functional outcomes in patients aged 40 years or older undergoing isolated rotator cuff repair for rotator cuff tears after primary traumatic anteroinferior shoulder dislocation\",\"authors\":\"Felix Hochberger, Marco-Christopher Rupp, Felix Boenke, Bastian Scheiderer, Sebastian Siebenlist, Lukas N. Muench, Daniel P. Berthold\",\"doi\":\"10.1007/s00402-025-05785-0\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div><h3>Purpose</h3><p>To investigate the functional outcomes of patients over 40 years of age who underwent isolated rotator cuff (RC) repair (RCR) for full-thickness RC tears resulting from a primary traumatic anteroinferior shoulder dislocation and to compare these outcomes with a control group of patients who underwent RCR for instability-independent RC tears, with a minimum follow-up of two years.</p><h3>Materials and methods</h3><p>Patients aged 40 years and older were included for RCR following primary traumatic anteroinferior shoulder dislocation between 01/2012 and 06/2020 with a minimum follow-up of two years. Patients were excluded if they received an additional labral repair or capsular shift. Outcomes were compared to a control group of patients who underwent RCR without history of previous dislocations. Primary outcome measures included passive range of motion (ROM) as well as patient reported outcomes comprising the Western Ontario Shoulder Instability Index (WOSI) and Rowe score. Rates of re-dislocation were evaluated as secondary outcomes.</p><h3>Results</h3><p>Thirty-six patients were enrolled and divided into 2 groups (<i>n</i> = 18, respectively). Demographic characteristics did not significantly differ (<i>p</i> > 0.05). At final follow-up, patients affected by instability-related RC tears showed comparable functional outcomes in terms of WOSI (427.2 ± 238.9<sub>instability group (IG)</sub> vs. 431.1 ± 252.1<sub>control group (CG)</sub>; <i>p</i> = 0.962) and Rowe (87.5 ± 12.0<sub>IG</sub> vs. 91.1 ± 10.2<sub>CG</sub>; <i>p</i> = 0.339) scores as well as in terms of passive ROM (abduction: 88.1 ± 4.6°<sub>IG</sub> vs. 86.7 ± 11.5°<sub>CG</sub>; <i>p</i> = 0.637, forward elevation: 87.8 ± 6.2°<sub>IG</sub> vs. 88.3 ± 5.1°<sub>CG</sub>; <i>p</i> = 0.772, external rotation: 55.3 ± 10.5°<sub>IG</sub> vs. 50.8 ± 15.3°<sub>CG</sub>; <i>p</i> = 0.312, internal rotation: 65.3 ± 8.5<sub>IG</sub> vs. 68.8 ± 4.9<sub>CG</sub>, <i>p</i> = 0.388). No patient experienced a re-dislocation.</p><h3>Conclusion</h3><p>Patients ≥ 40 years who underwent isolated RCR without labral repair or capsular shift for a concurrent RC tear after experiencing a primary traumatic anteroinferior shoulder dislocation, achieved favorable functional outcomes along with absence of re-dislocations.</p><h3>Study design</h3><p>Retrospective case series; Level of Evidence IV.</p></div>\",\"PeriodicalId\":8326,\"journal\":{\"name\":\"Archives of Orthopaedic and Trauma Surgery\",\"volume\":\"145 1\",\"pages\":\"\"},\"PeriodicalIF\":2.0000,\"publicationDate\":\"2025-04-09\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://link.springer.com/content/pdf/10.1007/s00402-025-05785-0.pdf\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Archives of Orthopaedic and Trauma Surgery\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://link.springer.com/article/10.1007/s00402-025-05785-0\",\"RegionNum\":3,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q2\",\"JCRName\":\"ORTHOPEDICS\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Archives of Orthopaedic and Trauma Surgery","FirstCategoryId":"3","ListUrlMain":"https://link.springer.com/article/10.1007/s00402-025-05785-0","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"ORTHOPEDICS","Score":null,"Total":0}
Excellent functional outcomes in patients aged 40 years or older undergoing isolated rotator cuff repair for rotator cuff tears after primary traumatic anteroinferior shoulder dislocation
Purpose
To investigate the functional outcomes of patients over 40 years of age who underwent isolated rotator cuff (RC) repair (RCR) for full-thickness RC tears resulting from a primary traumatic anteroinferior shoulder dislocation and to compare these outcomes with a control group of patients who underwent RCR for instability-independent RC tears, with a minimum follow-up of two years.
Materials and methods
Patients aged 40 years and older were included for RCR following primary traumatic anteroinferior shoulder dislocation between 01/2012 and 06/2020 with a minimum follow-up of two years. Patients were excluded if they received an additional labral repair or capsular shift. Outcomes were compared to a control group of patients who underwent RCR without history of previous dislocations. Primary outcome measures included passive range of motion (ROM) as well as patient reported outcomes comprising the Western Ontario Shoulder Instability Index (WOSI) and Rowe score. Rates of re-dislocation were evaluated as secondary outcomes.
Results
Thirty-six patients were enrolled and divided into 2 groups (n = 18, respectively). Demographic characteristics did not significantly differ (p > 0.05). At final follow-up, patients affected by instability-related RC tears showed comparable functional outcomes in terms of WOSI (427.2 ± 238.9instability group (IG) vs. 431.1 ± 252.1control group (CG); p = 0.962) and Rowe (87.5 ± 12.0IG vs. 91.1 ± 10.2CG; p = 0.339) scores as well as in terms of passive ROM (abduction: 88.1 ± 4.6°IG vs. 86.7 ± 11.5°CG; p = 0.637, forward elevation: 87.8 ± 6.2°IG vs. 88.3 ± 5.1°CG; p = 0.772, external rotation: 55.3 ± 10.5°IG vs. 50.8 ± 15.3°CG; p = 0.312, internal rotation: 65.3 ± 8.5IG vs. 68.8 ± 4.9CG, p = 0.388). No patient experienced a re-dislocation.
Conclusion
Patients ≥ 40 years who underwent isolated RCR without labral repair or capsular shift for a concurrent RC tear after experiencing a primary traumatic anteroinferior shoulder dislocation, achieved favorable functional outcomes along with absence of re-dislocations.
期刊介绍：
"Archives of Orthopaedic and Trauma Surgery" is a rich source of instruction and information for physicians in clinical practice and research in the extensive field of orthopaedics and traumatology. The journal publishes papers that deal with diseases and injuries of the musculoskeletal system from all fields and aspects of medicine. The journal is particularly interested in papers that satisfy the information needs of orthopaedic clinicians and practitioners. The journal places special emphasis on clinical relevance.
"Archives of Orthopaedic and Trauma Surgery" is the official journal of the German Speaking Arthroscopy Association (AGA).
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