Does Preoperative Conservative Management Affect the Success of Arthroscopic Repair of Partial Rotator Cuff Tear?

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dc.authoridAtaoglu, Baybars/0000-0003-1359-7013
dc.contributor.authorAyanoglu, Tacettin
dc.contributor.authorOzer, Mustafa
dc.contributor.authorCetinkaya, Mehmet
dc.contributor.authorKaptan, Ahmet Yigit
dc.contributor.authorUlucakoy, Coskun
dc.contributor.authorAtaoglu, Baybars
dc.contributor.authorKanatli, Ulunay
dc.date.accessioned2024-09-25T19:59:59Z
dc.date.available2024-09-25T19:59:59Z
dc.date.issued2022
dc.departmentAbant İzzet Baysal Üniversitesien_US
dc.description.abstractBackground The aim of this study is to examine the effect of preoperative conservative treatment on the success of high-grade bursal/articular-sided partial rotator cuff repair. Methods Patients who had undergone shoulder arthroscopy in institution for Ellman Stage 3 bursal-side or articular-side partial tears between January 2008 and April 2018 were investigated retrospectively. This study assessed 201 patients diagnosed with isolated partial rotator cuff tears with a history of failed conservative management and persistent shoulder pain who underwent arthroscopic surgery. The demographic data of patients and pre- and postoperative The American Shoulder and Elbow Surgeons Shoulder Scores (ASES) that were recorded in the archive were evaluated. Results While 55 of the patients with Ellman grade 3 bursal-sided partial tears received preoperative conservative management for at least 6 months (Group 1), 62 of them could not tolerate conservative management and early arthroscopic repair was performed (Group 2). On the other hand, 42 of the patients with Ellman grade 3 articular-sided tears received preoperative conservative management (Group 3), 42 of them could not tolerate preoperative conservative management (Group 4). The mean ASES score improvement was 52.33 +/- 8.55 for Group 1, 54.68 +/- 11.29 for Group 2, 48.4 +/- 7.77 for Group 3 and 49.33 +/- 10.05 for Group 4. A statistically significant difference was found between the groups with one-way ANOVA test (p = 0.05). With the Tukey test, this difference was seen to be caused by Group 2. Conclusion Although there are many factors affecting its success, conservative management should be the first option in the treatment of partial rotator cuff tears. However, we think that it should not be insisted especially in patients with bursal-sided tears (> 50% of the tendon thickness) that cannot tolerate conservative management due to severe pain since the results of early arthroscopic repair of bursal-sided tears were found to be better.en_US
dc.identifier.doi10.1007/s43465-021-00479-2
dc.identifier.endpage294en_US
dc.identifier.issn0019-5413
dc.identifier.issn1998-3727
dc.identifier.issue2en_US
dc.identifier.pmid35140860en_US
dc.identifier.scopus2-s2.0-85112249055en_US
dc.identifier.scopusqualityQ3en_US
dc.identifier.startpage289en_US
dc.identifier.urihttps://doi.org/10.1007/s43465-021-00479-2
dc.identifier.urihttps://hdl.handle.net/20.500.12491/14021
dc.identifier.volume56en_US
dc.identifier.wosWOS:000684059200001en_US
dc.identifier.wosqualityQ4en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherSpringer Heidelbergen_US
dc.relation.ispartofIndian Journal of Orthopaedicsen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.snmzYK_20240925en_US
dc.subjectShoulderen_US
dc.subjectArthroscopyen_US
dc.subjectBursal-sided partial rotator cuff tearsen_US
dc.subjectArticular-sided partial rotator cuff tearsen_US
dc.subjectConservative treatmenten_US
dc.subjectArthroscopic repairen_US
dc.titleDoes Preoperative Conservative Management Affect the Success of Arthroscopic Repair of Partial Rotator Cuff Tear?en_US
dc.typeArticleen_US

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