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Research Article | Volume 13 Issue:2 (, 2023) | Pages 404 - 410
A Study on Arthroscopic Repair of Rotator Cuff Tear in a Tertiary Care Hospital
Under a Creative Commons license
Open Access
DOI : 10.5083/ejcm
Published
April 27, 2023
Abstract

Background: From minor bursal or articular side irritation and tendonitis to severe degenerative rotator cuff arthropathy, rotator cuff illness includes a broad spectrum of pathology. Adults of all ages can develop rotator cuff disease, and other shoulder conditions must be checked out by a thorough medical history and physical examination1.  Objectives: 1. To identify significant predictors of the functional outcome of rotator cuff repair, such as age, sex, side, tear size, fixation techniques, smoking, and associated pathology. 2. To evaluated the functional outcome of arthroscopic repair of full-thickness rotator cuff tears. Material & Methods:  This prospective study done in the Department of Orthopaedics, MVJ Medical College and Research Hospital, Hoskote, from February 2022 to January 2023. We included the patients who have undergone Arthroscopic repair of Rotator cuff tear in the Department of Orthopaedics. The functional outcome was assessed by two scoring systems, UCLA and ASES. Results: The incidence of partial thickness tears was 11 out of 20 evaluated and full thickness tears noted in rest. Restriction of external rotation seen in 16 patients. Arm lift off was positive in 90% patients. Belly press was positive in 60 % patients. Jobes empty can test is positive in all the cases.   Conclusion: Arthroscopic rotator cuff repair offered good results and enabled the same reconstruction as with open technique and avoided its complications. Arthroscopic rotator cuff repair is technically demanding procedure that needs prerequisite skills as diagnostic shoulder arthroscopy, arthroscopic subacromial decompression, and arthroscopic knot tying. It has been observed adherence to strict post-operative physiotherapy is key for achieving full range of movement and pain free activities of daily living.

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