See the published version of this preprint at BMC Musculoskeletal Disorders.
This is a preprint, a preliminary version of a manuscript that has not completed peer review at a journal. Research Square does not conduct peer review prior to posting preprints. The posting of a preprint on this server should not be interpreted as an endorsement of its validity or suitability for dissemination as established information or for guiding clinical practice.
Learn more about In Review
A new preprint design is coming!
We have improved readability, clarity, accessibility, and opportunities for engagement.
Research article
Cheng-Long Pan
The Fifth Affiliated Hospital of Southern Medical University
Corresponding Author
ORCiD: https://orcid.org/0000-0002-6376-5022
License:
This work is licensed under a CC BY 4.0 License. Read Full License
Background: Arthroscopic repair has been recommended for young patients with full-thickness rotator cuff tear (RCT), but the healing rates raise concern. The SCOI (Southern California Orthopedic Institute) row has been developed over three decades of experience, which reported an excellent clinical outcome. However, studies that focus purely on a younger patient population remains limited in number. The current study aims to discuss the initial tendon-to-bone healing after repairing full-thickness RCT with SCOI row method in young cohort.
Methods: Patients younger than 55 years who had a full-thickness RCT and underwent an arthroscopic repair with SCOI row method were reviewed. Clinical outcome were assessed at baseline, 3 and 6 months post-operatively. Visual analog scale (VAS), University of California at Angeles (UCLA) scale and Constant-Murley score were completed to assess pain and function. Active range of motion was also examined, including abduction and flexion of the involved shoulder. Preoperative MRI was performed to assess the condition of torn tendon, while postoperative MRIs in 3 and 6 months post-operatively were carried out to assess the tendon-to-bone healing. Repeated measurement ANOVA and chi-square test were used where applicable.
Results: 89 patients (57 males and 32 females) who met the criteria were including in the study, with a mean age of 44.14 ± 8.638 years. Compared with baseline, clinical outcome was significantly improved in 3 and 6 months post operation, supported by improvement in VAS, UCLA score and Constant-Murley score, as well as range of motions. Greater improvement was also noted in 6-month postoperative assessment than 3-month postoperative assessment. Three- and six-month postoperative MRI demonstrated an intact repair in all shoulders, and regeneration of the footprint, which supported the manifestation of tendon-to-bone healing. The mean thickness of regeneration tissue was 7.35±0.76mm when measured in 3-month postoperative MRI, and 7.75±0.79mm in 6-month MRI, which showed statistical difference (P=0.002). The total satisfactory rate reached 93.3%.
Conclusion: Arthroscopic primary rotator cuff repair of fullthickness RCT with SCOI row method in patients aged younger than 55 years provides excellent clinical outcomes and rapid regeneration of footprint.
Keywords
rotator cuff tear, arthroscopic repair, single-row, regeneration, bone marrow vents
Figure 1
Figure 2
Figure 3
Loading...
Badges
Prescreen
This manuscript passed our Prescreen assessment
Complete author information
Appropriate declaration statements
Potential risks to human health
Prescreen
Peer Review Timeline
CURRENT STATUS: Published
View the published article at BMC Musculoskeletal Disorders.
Version 1
Posted 29 Jan, 2021
No community comments so far
Editorial decision: Major revision
On 30 Jan, 2021
Review #2 received
Received 29 Jan, 2021
Reviewer #2 agreed
On 23 Jan, 2021
Reviewer #1 agreed
On 22 Jan, 2021
Review #1 received
Received 22 Jan, 2021
Editor assigned
On 20 Jan, 2021
Reviewers invited
Invitations sent on 20 Jan, 2021
Submission checks complete
On 20 Jan, 2021
Editor invited
On 20 Jan, 2021
First submitted
On 08 Dec, 2020
Metrics
Comments: 0
PDF Downloads: ...
HTML Views: ...
Subject Areas
Orthopedics
Learn more about our company.
A new preprint design is coming!
We have improved readability, clarity, accessibility, and opportunities for engagement.
See the published version of this preprint at BMC Musculoskeletal Disorders.
This is a preprint, a preliminary version of a manuscript that has not completed peer review at a journal. Research Square does not conduct peer review prior to posting preprints. The posting of a preprint on this server should not be interpreted as an endorsement of its validity or suitability for dissemination as established information or for guiding clinical practice.
Learn more about In Review
Research article
Cheng-Long Pan
The Fifth Affiliated Hospital of Southern Medical University
Corresponding Author
ORCiD: https://orcid.org/0000-0002-6376-5022
Badges
Prescreen
This manuscript passed our Prescreen assessment
Complete author information
Appropriate declaration statements
Potential risks to human health
Prescreen
Peer Review Timeline
CURRENT STATUS: Published
View the published article at BMC Musculoskeletal Disorders.
Version 1
Posted 29 Jan, 2021
No community comments so far
Editorial decision: Major revision
On 30 Jan, 2021
Review #2 received
Received 29 Jan, 2021
Reviewer #2 agreed
On 23 Jan, 2021
Reviewer #1 agreed
On 22 Jan, 2021
Review #1 received
Received 22 Jan, 2021
Editor assigned
On 20 Jan, 2021
Reviewers invited
Invitations sent on 20 Jan, 2021
Submission checks complete
On 20 Jan, 2021
Editor invited
On 20 Jan, 2021
First submitted
On 08 Dec, 2020
Metrics
Comments: 0
PDF Downloads: ...
HTML Views: ...
Subject Areas
Orthopedics
License:
This work is licensed under a CC BY 4.0 License. Read Full License
View the published article at BMC Musculoskeletal Disorders.
Background: Arthroscopic repair has been recommended for young patients with full-thickness rotator cuff tear (RCT), but the healing rates raise concern. The SCOI (Southern California Orthopedic Institute) row has been developed over three decades of experience, which reported an excellent clinical outcome. However, studies that focus purely on a younger patient population remains limited in number. The current study aims to discuss the initial tendon-to-bone healing after repairing full-thickness RCT with SCOI row method in young cohort.
Methods: Patients younger than 55 years who had a full-thickness RCT and underwent an arthroscopic repair with SCOI row method were reviewed. Clinical outcome were assessed at baseline, 3 and 6 months post-operatively. Visual analog scale (VAS), University of California at Angeles (UCLA) scale and Constant-Murley score were completed to assess pain and function. Active range of motion was also examined, including abduction and flexion of the involved shoulder. Preoperative MRI was performed to assess the condition of torn tendon, while postoperative MRIs in 3 and 6 months post-operatively were carried out to assess the tendon-to-bone healing. Repeated measurement ANOVA and chi-square test were used where applicable.
Results: 89 patients (57 males and 32 females) who met the criteria were including in the study, with a mean age of 44.14 ± 8.638 years. Compared with baseline, clinical outcome was significantly improved in 3 and 6 months post operation, supported by improvement in VAS, UCLA score and Constant-Murley score, as well as range of motions. Greater improvement was also noted in 6-month postoperative assessment than 3-month postoperative assessment. Three- and six-month postoperative MRI demonstrated an intact repair in all shoulders, and regeneration of the footprint, which supported the manifestation of tendon-to-bone healing. The mean thickness of regeneration tissue was 7.35±0.76mm when measured in 3-month postoperative MRI, and 7.75±0.79mm in 6-month MRI, which showed statistical difference (P=0.002). The total satisfactory rate reached 93.3%.
Conclusion: Arthroscopic primary rotator cuff repair of fullthickness RCT with SCOI row method in patients aged younger than 55 years provides excellent clinical outcomes and rapid regeneration of footprint.
Figure 1
Figure 2
Figure 3
Loading...