157 0

The development of a quantitative scoring system to predict whether a large-to-massive rotator cuff tear can be arthroscopically repaired

Title
The development of a quantitative scoring system to predict whether a large-to-massive rotator cuff tear can be arthroscopically repaired
Author
이광현
Keywords
MUSCLE FATTY DEGENERATION; REPARABILITY; TENDON; CLASSIFICATION; RECONSTRUCTION; AGREEMENT; PATTERN; ATROPHY
Issue Date
2016-12
Publisher
BRITISH EDITORIAL SOC BONE JOINT SURGERY
Citation
BONE & JOINT JOURNAL, V. 98B, No. 12, Page. 1656-1661
Abstract
Aims The aim of the study was to develop a quantitative scoring system to predict whether a large-to-massive rotator cuff tear was arthroscopically reparable prior to surgery. Patients and Methods We conducted a retrospective review of the pre-operative MR imaging and surgical records of 87 patients (87 shoulders) who underwent arthroscopic repair of a large-to-massive rotator cuff tear. Patients were divided into two groups, based on the surgical outcome of the repair. Of the 87 patients, 53 underwent complete repair (Group I) and 34 an incomplete repair (Group II). Pre-operative MR images were reviewed to quantify several variables. Between-group differences were evaluated and multiple logistic regression analysis was used to calculate the predictive value of significant variables. The reparability index (RI) was constructed using the odds ratios of significant variables and a receiver operating characteristic curve analysis performed to identify the optimal RI cutoff to differentiate between the two groups. Results The following variables were identified as independent predictors of arthroscopic reparability: the size of the defect with medial-lateral diameter (cutoff, 4.2 cm) and anterior posterior diameter (cutoff, 3.7cm); Patte's grade of muscle atrophy (cutoff, grade 3) and Goutallier grade of fatty degeneration (cutoff, grade 3). An RI cutoff value of 2.5 provided the highest differentiation between groups I and II, with an area under the curve of 0.964, and a sensitivity of 73.5% and specificity of 96.2%. Conclusion The RI developed in our study may prove to be an efficient clinical scoring system to predict whether a large-to-massive rotator cuff tear is arthroscopically reparable.
URI
https://online.boneandjoint.org.uk/doi/full/10.1302/0301-620X.98B12.BJJ-2016-0316https://repository.hanyang.ac.kr/handle/20.500.11754/102330
ISSN
2049-4394
DOI
10.1302/0301-620X.98B12.BJJ-2016-0316
Appears in Collections:
COLLEGE OF MEDICINE[S](의과대학) > MEDICINE(의학과) > Articles
Files in This Item:
There are no files associated with this item.
Export
RIS (EndNote)
XLS (Excel)
XML


qrcode

Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.

BROWSE