Outcome of rotator cuff repair surgery: A local study

Naif Hamam, Ali Alsakkak, Adeeb M Buhlaigah, Sajjad Bosror
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Abstract

Background: Rotator cuff disease (RCD) is one among the various contributing causes of shoulder pain and results in weakness, restricting shoulder range of motion and impacting patient's quality of live negatively. Over decades, RCD has been one of the most common encountered conditions in orthopedic clinics and treated by upper-extremity surgeons. Purpose: The purpose of the study is to identify patients diagnosed with RCD and to compare the clinical outcome of the pain score with functional impairment of shoulder pre- and post-operatively. Study Design: This was a prospective cohort study. Methods: A total of 44 patients who had undergone or would undergo surgical repair for rotator cuff (RC) tear in 6-month period were identified and enrolled in this study. Patients who refused to participate and those who had fracture in shoulder girdle were excluded from the study. Clinical evaluation of rotator cuff tear was done using a prevalidated data collection tool which is Oxford shoulder score (OSS) through structured interview in orthopedic clinic and the oss score was measured pre- and post-operatively. Results: Forty-four patients with RCD were included in this study. The mean age was 52.91 ± 7.562 years and 55.7% of them were males. OSS was applied before and after the surgery. The lower the score means the higher the level of pain and activity restriction. We found a great and significant increase in the score after the surgery (45.56) compared to the score before the surgery (11.18). Conclusion: Surgical repair of RC tear produced satisfactory clinical outcomes in reducing pain and improving the overall condition.
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肩袖修复手术的结果:一项局部研究
背景:肩袖疾病(RCD)是引起肩关节疼痛的多种原因之一,导致肩关节无力,限制肩关节活动范围,对患者的生活质量产生负面影响。几十年来,RCD一直是骨科诊所和上肢外科医生最常见的疾病之一。目的:本研究的目的是识别诊断为RCD的患者,并比较术前和术后肩功能损伤患者疼痛评分的临床结果。研究设计:这是一项前瞻性队列研究。方法:选取6个月内已行或拟行肩袖撕裂手术修复术的患者44例,纳入本研究。拒绝参与的患者和肩带骨折的患者被排除在研究之外。通过骨科诊所的结构化访谈,采用预先验证的数据收集工具牛津肩评分(OSS)进行肩袖撕裂的临床评估,并在术前和术后测量OSS评分。结果:44例RCD患者纳入本研究。平均年龄为52.91±7.562岁,男性占55.7%。手术前后分别应用OSS。分数越低意味着疼痛和活动受限的程度越高。术后评分(45.56分)较术前评分(11.18分)有显著提高。结论:手术修复RC撕裂在减轻疼痛和改善整体状况方面取得了满意的临床效果。
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