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• W3136162682 abstract "Tears of the rotator cuff (RC), which is one of the shoulder joint stabilizers, are among the most important causes of shoulder pathologies. Patients who do not benefit from conservative treatment usually require surgical treatment, and arthroscopic repair is generally preferred. Re-rupture after RC repair is one of the most common complications. The purpose of this study was to examine the relationship of rotator cuff re-rupture (RCR) with preoperative muscle atrophy and to evaluate whether it is possible to predict its occurrence. Eighty-seven patients who underwent arthroscopic repair due to medium (1–3 cm) full-thickness RC tears and were followed for at least 1 year were evaluated. Demographic data of the patients such as age, gender, affected side, and history of diabetes mellitus, hypertension, hyperlipidemia, and smoking were collected. The repair method (singlerow or doublerow) was recorded. The Constant–Murley Shoulder Score and Oxford Shoulder Score were calculated in preoperative and final controls. In the postoperative 1st year, improvements in the RC and re-rupture were evaluated by ultrasonography (USG). Supraspinatus (SS) atrophies were classified using the modified tangent grading method based on the preoperative magnetic resonance imaging (MRI) results of the patients. On USG, 19 (21.8%) patients had re-rupture and 68 (78.2%) had healing. According to the preoperative MRI results of the patients, 48 (55.2%) patients were found to have first-degree SS muscle atrophy, 29 (33.3%) patients second-degree SS muscle atrophy, and 10 (11.5%) patients third-degree SS muscle atrophy. The atrophy degrees of re-ruptured patients on preoperative MRI were higher than those of healed patients(P<0.001). There was a statistically significant difference in terms of re-rupture according to the preoperative MRI grade of the patients (P<0.001). While re-rupture occurred in all of the third-degree cases by MRI, 24.1% of the second-degree patients and 4.2% of the first-degree patients had re-rupture. The highest rate of re-rupture was seen in third-degree cases and the lowest in first-degree cases. Regarding RCR, we can say that SS muscle atrophy is a risk factor, its probability increases as its degree increases, and it can be predicted preoperatively. We believe that these findings will guide practitioners in determining the most appropriate treatment and predicting the prognosis of patients in the postoperative period." @default.
• W3136162682 created "2021-03-29" @default.
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• W3136162682 date "2021-03-17" @default.
• W3136162682 modified "2023-09-27" @default.
• W3136162682 title "Medium Rotator Manşet Yırtıklarının Artroskopik Onarımı Sonrası Yeniden Yırtılmanın Öngörülebilirliği, Retrospektif bir Çalışma" @default.
• W3136162682 doi "https://doi.org/10.20515/otd.895350" @default.
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