The Usefulness of all Arthroscopic Repair with Biceps Incorporation in Massive Sized Fullthickness Rotator Cuff Tears

Ko,  Sang Hun; Rhee,  Young Girl; Jeon,  Hyung Min; Lee,  Chae Chil

doi:2007.10.1.106

Clin Shoulder Elb > Volume 10(1); 2007 > Article

Original Article

Journal of the Korean Shoulder and Elbow Society 2007;10(1):106-111.
DOI: https://doi.org/10.5397/CiSE.2007.10.1.106 Published online June 30, 2007.

The Usefulness of all Arthroscopic Repair with Biceps Incorporation in Massive Sized Fullthickness Rotator Cuff Tears

Sang Hun Ko, Young Girl Rhee, Hyung Min Jeon, Chae Chil Lee

Department of Orthopaedic Surgery, Ulsan University Hospital, University of Ulsan College of Medicine, Ulsan, Korea. everest@naver.com

회전근 개 파열에 있어서 이두근 건을 이용한 관절경하 봉합술의 유용성

고상훈·이용걸**·전형민·이채칠*

울산의대 울산대학교병원, 경희의료원** 정형외과학교실

Abstract

Purpose
The purpose of this paper is to clinically evaluate the usefulness of all arthroscopic repair with biceps incorporation in massive sized full thickness rotator cuff tears. Materials and Methods: This is a prospective comparative outcome study evaluating a series of all arthroscopic rotator cuff repairs with biceps incorporation on massive (range: 5~6 cm sized) from March 2003 to May 2006. Group I was twenty two cases of arthroscopically repaired with biceps incorporation, twenty cases of group II without biceps incorporation were analyzed. The average age of the patients was 58 years (range, 41~74 years), and mean follow-up was 24 months (range, 12~36 months). Results were statistically compared by Mann-Whitney test.
Results
Average VAS for pain, ADL, UCLA score were not significantly different between group I and group II (P>0.05 for each). Forward elevation strength was 4.3 in group I, 3.5 in group II (P<0.05). On postoperative follow up ultrasound, retear was 10 cases in the middle of 19 cases at group I, 15 cases in the middle of 17 cases at group II (P<0.05).
Conclusion
This study reveals that all arthroscopic repairs with biceps incorporation in massive sized full thickness rotator cuff tears is an effective surgical method and reduced retear and enhanced strength.

Key Words: Massive sized; Full thickness; All arthroscopic repair; Biceps incorporation