000106150 001__ 106150
000106150 005__ 20230519145354.0
000106150 0247_ $$2doi$$a10.1016/j.jse.2020.05.010
000106150 0248_ $$2sideral$$a119961
000106150 037__ $$aART-2021-119961
000106150 041__ $$aeng
000106150 100__ $$aLobo-Escolar, L.
000106150 245__ $$aRisk factors for symptomatic retears after arthroscopic repair of full-thickness rotator cuff tears
000106150 260__ $$c2021
000106150 5060_ $$aAccess copy available to the general public$$fUnrestricted
000106150 5203_ $$aBackground: Factors affecting a rotator cuff symptomatic retear after arthroscopic repair have yet to be clearly identified, since they usually influence the surgical decisions.
Methods: Consecutive patients with full-thickness tear of the supraspinatus who underwent arthroscopic repair were retrospectively analyzed. Cases of symptomatic retear, defined as Sugaya type IV and V on magnetic resonance imaging, associated with intensive pain and/or functional impairment were identified at follow-up. The patients with no symptomatic retear were selected as the control group. Information from potential risk factors of symptomatic retear, including depression and subacromial corticosteroid injections, was extracted from the medical records. The statistical analysis included multivariant logistic regression.
Results: The symptomatic retear rate was 9.5% in 158 patients. Patients in the symptomatic retear group were more likely to be smoking, to have massive tears, a short acromiohumeral distance, and moderate to severe fatty infiltration. They also had had more frequently subacromial corticosteroid injections and depression. However, following the multiple logistic regression analysis, only massive tears and moderate to severe fatty infiltration remained significantly associated. Similarly, in relation to the study hypothesis, both corticosteroid injections (odds ratio [OR] 6.66, 95% confidence interval [CI] 1.49, 29.81; P =.013) and depression (OR 8.26, IC 1.04, 65.62; P =.046) were significantly associated with symptomatic retear risk.
Conclusions: This study found support for the hypothesis that both depression and corticosteroid infiltration before surgery are independent risk factors for symptomatic retear after arthroscopic repair of rotator cuff.
000106150 540__ $$9info:eu-repo/semantics/openAccess$$aAll rights reserved$$uhttp://www.europeana.eu/rights/rr-f/
000106150 590__ $$a3.507$$b2021
000106150 591__ $$aORTHOPEDICS$$b24 / 86 = 0.279$$c2021$$dQ2$$eT1
000106150 591__ $$aSURGERY$$b56 / 214 = 0.262$$c2021$$dQ2$$eT1
000106150 591__ $$aSPORT SCIENCES$$b32 / 88 = 0.364$$c2021$$dQ2$$eT2
000106150 594__ $$a5.7$$b2021
000106150 592__ $$a1.511$$b2021
000106150 593__ $$aMedicine (miscellaneous)$$c2021$$dQ1
000106150 593__ $$aSurgery$$c2021$$dQ1
000106150 593__ $$aOrthopedics and Sports Medicine$$c2021$$dQ1
000106150 655_4 $$ainfo:eu-repo/semantics/article$$vinfo:eu-repo/semantics/acceptedVersion
000106150 700__ $$aRamazzini-Castro, R.
000106150 700__ $$aCodina-Grañó, D.
000106150 700__ $$0(orcid)0000-0002-1252-2397$$aLobo, E.$$uUniversidad de Zaragoza
000106150 700__ $$aMinguell-Monyart, J.
000106150 700__ $$aArdèvol, J.
000106150 7102_ $$11011$$2615$$aUniversidad de Zaragoza$$bDpto. Microb.Ped.Radio.Sal.Pú.$$cÁrea Medic.Prevent.Salud Públ.
000106150 773__ $$g30, 1 (2021), P27-33$$pJ. Shoulder Elbow Surg.$$tJournal of shoulder and elbow surgery$$x1058-2746
000106150 8564_ $$s175137$$uhttps://zaguan.unizar.es/record/106150/files/texto_completo.pdf$$yPostprint
000106150 8564_ $$s2243296$$uhttps://zaguan.unizar.es/record/106150/files/texto_completo.jpg?subformat=icon$$xicon$$yPostprint
000106150 909CO $$ooai:zaguan.unizar.es:106150$$particulos$$pdriver
000106150 951__ $$a2023-05-18-13:29:25
000106150 980__ $$aARTICLE