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KMID : 1036220220250030195
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Clinics in Shoulder and Elbow
2022 Volume.25 No. 3 p.195 ~ p.201
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The clinical outcomes of infraspinatus rotational transfer for irreparable posterosuperior rotator cuff tears: a preliminary report
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Harada Nobuya
Ishitani Eiichi
Gotoh Masafumi
Shiba Naoto
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Abstract
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Background: This study aimed to examine the preliminary clinical results of the infraspinatus rotational transfer procedure for irreparable posterosuperior rotator cuff tears.
Methods: This study included 34 patients (mean age, 68.4 years). Their mean tear width and length measurements were 50.9 mm and 50.6 mm, respectively. The functional outcomes, including physician-determined and patient-reported scores, were evaluated before and at 1 year after surgery. The structural outcomes determined using the magnetic resonance imaging examination results were also assessed.
Results: The clinical scores significantly improved after surgery compared with the scores before surgery: the Constant-Murley score (53.3±21.1 to 76.8±10.5), University of California at Los Angeles Shoulder score (15.6±3.6 to 27.8±6.7), American Shoulder and Elbow Surgeons Shoulder score (51.8±18.3 to 89.1±13.5), and WORC score (925.0±436.8 to 480.3±373.2) (all p<0.001). Postoperative re-tears were noted in two patients (5.9%).
Conclusions: One year postoperatively, the patient’s clinical scores significantly improved, with a re-tear rate of 5.9%.
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KEYWORD
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Shoulder, Rotator cuff tear, Treatment outcome
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