Surgical, nonoperative treatment of rotator cuff tears yielded similar outcomes
Published results showed no significant differences in clinical outcomes at 12 months among patients with acute traumatic rotator cuff tears who received either surgical treatment or nonoperative treatment.
Researchers randomly assigned 58 patients with acute traumatic rotator cuff tears mainly involving the supraspinatus to receive either surgical repair (n=32) or physiotherapy (n=26). Researchers considered a group difference in the Constant-Murley score at 12-month follow-up as the primary outcome and differences in the Western Ontario Rotator Cuff index, numerical rating scale and EuroQol-5D-VAS as secondary outcomes. Retear rate, tear progression, fatty infiltration and atrophy were assessed with MRI.
Results showed a median Constant-Murley score of 83 and 78 in the repair group and physiotherapy group, respectively, with a between-group difference in medians of 4.5. Researchers also found the repair group had a Western Ontario Rotator Cuff index of 91% vs. 86% in the physiotherapy group and a between-group difference of 4.5. Researchers noted no differences in the numerical rating scale and EQ-5D-VAS between the groups. Retear occurred in 6.5% of patients in the repaired group, while 29.2% of patients in the physiotherapy group had tear progression of greater than 5 mm, according to results. – by Casey Tingle
Disclosures: The authors report no relevant financial disclosures.