Degenerative rotator cuff tear, repair or not repair? A review of current evidence
A. A. Narvani, M. A. Imam, A. Godenèche, E. Calvo, S. Corbett, A. L. Wallace, E. Itoi
INTRODUCTION We review the literature and highlight the important factors to consider when counselling patients with non-traumatic rotator cuff tears on which route to take. Factors include the clinical outcomes of surgical and non-surgical routes, tendon healing rates with surgery (radiological outcome) and natural history of the tears if treated non-operatively.
METHODS A PRISMA-compliant search was carried out, including the online databases PubMed and Embase (TM) from 1960 to the end of June 2018.
FINDINGS S A total of 49 of the 743 (579 PubMed and 164 Embase (TM)) results yielded by the preliminary search were included in the review. There is no doubt that the non-surgical route with an appropriate physiotherapy programme has a role in the management of degenerative rotator cuff tears. This is especially the case in patients with significant risk factors for surgery, those who do not wish to go through a surgical treatment and those with small, partial and irreparable tears. However, rotator cuff repair has a good clinical outcome with significant improvements in pain, range of motion, strength, quality of life and sleep patterns.
Annals of the Royal College of Surgeons of England
https://doi.org/10.1308/rcsann.2019.0173
Arthroscopy/adverse effects
Musculoskeletal Pain/etiology
Range of Motion, Articular
Rotator Cuff Injuries/complications
Rotator Cuff Tear Arthropathy/etiology
Shoulder Joint/physiopathology
SURGICAL REPAIR
CONSERVATIVE TREATMENT
SLEEP DISTURBANCE
STRUCTURAL FAILURE
RISK-FACTORS
FULL-THICKNESS
SHOULDER FUNCTION
ARTHROSCOPIC REPAIR
Impingement
10.1308/rcsann.2019.0173
Published_VersionFinal published version, 249 KB
Narvani, A. A., Imam, M. A., Godenèche, A., Calvo, E., Corbett, S., Wallace, A. L., & Itoi, E. (2020). Degenerative rotator cuff tear, repair or not repair? A review of current evidence. Annals of the Royal College of Surgeons of England, 102(4), 248-255. https://doi.org/10.1308/rcsann.2019.0173
Narvani, A. A. ; Imam, M. A. ; Godenèche, A. ; Calvo, E. ; Corbett, S. ; Wallace, A. L. ; Itoi, E. / Degenerative rotator cuff tear, repair or not repair? A review of current evidence. In: Annals of the Royal College of Surgeons of England. 2020 ; Vol. 102, No. 4. pp. 248-255.
@article{581d7103a39f4caaa8ccad02279091f6,
title = "Degenerative rotator cuff tear, repair or not repair? A review of current evidence",
abstract = "INTRODUCTION We review the literature and highlight the important factors to consider when counselling patients with non-traumatic rotator cuff tears on which route to take. Factors include the clinical outcomes of surgical and non-surgical routes, tendon healing rates with surgery (radiological outcome) and natural history of the tears if treated non-operatively.METHODS A PRISMA-compliant search was carried out, including the online databases PubMed and Embase (TM) from 1960 to the end of June 2018.FINDINGS S A total of 49 of the 743 (579 PubMed and 164 Embase (TM)) results yielded by the preliminary search were included in the review. There is no doubt that the non-surgical route with an appropriate physiotherapy programme has a role in the management of degenerative rotator cuff tears. This is especially the case in patients with significant risk factors for surgery, those who do not wish to go through a surgical treatment and those with small, partial and irreparable tears. However, rotator cuff repair has a good clinical outcome with significant improvements in pain, range of motion, strength, quality of life and sleep patterns.",
keywords = "Arthroscopy/adverse effects, Humans, Musculoskeletal Pain/etiology, Patient Selection, Physical Therapy Modalities, Quality of Life, Range of Motion, Articular, Risk Factors, Rotator Cuff Injuries/complications, Rotator Cuff Tear Arthropathy/etiology, Shoulder Joint/physiopathology, Treatment Outcome, TENDON, SURGICAL REPAIR, CONSERVATIVE TREATMENT, FOLLOW-UP, SLEEP DISTURBANCE, Shoulder, Repair, STRUCTURAL FAILURE, RISK-FACTORS, Degenerative, FULL-THICKNESS, SHOULDER FUNCTION, ARTHROSCOPIC REPAIR, Impingement, Rotator cuff tears",
author = "Narvani, {A. A.} and Imam, {M. A.} and A. Goden{\`e}che and E. Calvo and S. Corbett and Wallace, {A. L.} and E. Itoi",
doi = "10.1308/rcsann.2019.0173",
journal = "Annals of The Royal College of Surgeons of England ",
publisher = "Royal College of Surgeons of England",
Narvani, AA, Imam, MA, Godenèche, A, Calvo, E, Corbett, S, Wallace, AL & Itoi, E 2020, 'Degenerative rotator cuff tear, repair or not repair? A review of current evidence', Annals of the Royal College of Surgeons of England, vol. 102, no. 4, pp. 248-255. https://doi.org/10.1308/rcsann.2019.0173
Degenerative rotator cuff tear, repair or not repair? A review of current evidence. / Narvani, A. A.; Imam, M. A.; Godenèche, A.; Calvo, E.; Corbett, S.; Wallace, A. L.; Itoi, E.
In: Annals of the Royal College of Surgeons of England, Vol. 102, No. 4, 03.04.2020, p. 248-255.
T1 - Degenerative rotator cuff tear, repair or not repair? A review of current evidence
AU - Narvani, A. A.
AU - Imam, M. A.
AU - Godenèche, A.
AU - Calvo, E.
AU - Corbett, S.
AU - Wallace, A. L.
AU - Itoi, E.
N2 - INTRODUCTION We review the literature and highlight the important factors to consider when counselling patients with non-traumatic rotator cuff tears on which route to take. Factors include the clinical outcomes of surgical and non-surgical routes, tendon healing rates with surgery (radiological outcome) and natural history of the tears if treated non-operatively.METHODS A PRISMA-compliant search was carried out, including the online databases PubMed and Embase (TM) from 1960 to the end of June 2018.FINDINGS S A total of 49 of the 743 (579 PubMed and 164 Embase (TM)) results yielded by the preliminary search were included in the review. There is no doubt that the non-surgical route with an appropriate physiotherapy programme has a role in the management of degenerative rotator cuff tears. This is especially the case in patients with significant risk factors for surgery, those who do not wish to go through a surgical treatment and those with small, partial and irreparable tears. However, rotator cuff repair has a good clinical outcome with significant improvements in pain, range of motion, strength, quality of life and sleep patterns.
AB - INTRODUCTION We review the literature and highlight the important factors to consider when counselling patients with non-traumatic rotator cuff tears on which route to take. Factors include the clinical outcomes of surgical and non-surgical routes, tendon healing rates with surgery (radiological outcome) and natural history of the tears if treated non-operatively.METHODS A PRISMA-compliant search was carried out, including the online databases PubMed and Embase (TM) from 1960 to the end of June 2018.FINDINGS S A total of 49 of the 743 (579 PubMed and 164 Embase (TM)) results yielded by the preliminary search were included in the review. There is no doubt that the non-surgical route with an appropriate physiotherapy programme has a role in the management of degenerative rotator cuff tears. This is especially the case in patients with significant risk factors for surgery, those who do not wish to go through a surgical treatment and those with small, partial and irreparable tears. However, rotator cuff repair has a good clinical outcome with significant improvements in pain, range of motion, strength, quality of life and sleep patterns.
KW - Arthroscopy/adverse effects
KW - Musculoskeletal Pain/etiology
KW - Patient Selection
KW - Physical Therapy Modalities
KW - Quality of Life
KW - Range of Motion, Articular
KW - Rotator Cuff Injuries/complications
KW - Rotator Cuff Tear Arthropathy/etiology
KW - Shoulder Joint/physiopathology
KW - Treatment Outcome
KW - TENDON
KW - SURGICAL REPAIR
KW - CONSERVATIVE TREATMENT
KW - SLEEP DISTURBANCE
KW - Shoulder
KW - Repair
KW - STRUCTURAL FAILURE
KW - RISK-FACTORS
KW - Degenerative
KW - FULL-THICKNESS
KW - SHOULDER FUNCTION
KW - ARTHROSCOPIC REPAIR
KW - Impingement
KW - Rotator cuff tears
U2 - 10.1308/rcsann.2019.0173
DO - 10.1308/rcsann.2019.0173
JO - Annals of The Royal College of Surgeons of England
JF - Annals of The Royal College of Surgeons of England
Narvani AA, Imam MA, Godenèche A, Calvo E, Corbett S, Wallace AL et al. Degenerative rotator cuff tear, repair or not repair? A review of current evidence. Annals of the Royal College of Surgeons of England. 2020 Apr 3;102(4):248-255. https://doi.org/10.1308/rcsann.2019.0173