Summary: Additional posterior capsular release resulted in an increased range and power of internal rotation for superior capsular release in arthroscopic repair of large to massive rotator cuff tears.

Introduction

Superior capsular release had been used to reduce tendon tension especially in arthroscopic repair of large to massive rotator cuff tears. Some authors have recently used a more extensive release of capsules in arthroscopic cuff repair for adequate reduction of torn tendons to footprints. This study was performed to explore the effects of additional posterior capsular release for superior capsular release in arthroscopic repair of large to massive rotator cuff tears.

Materials And Methods

We compared 26 shoulders that underwent superior and posterior capsular release with 26 shoulders that underwent superior capsular release alone in arthroscopic repair of large to massive rotator cuff tears. The visual analog scale (VAS) for pain, American Shoulder and Elbow Surgeon’s score (ASES), Constant score, range of motion and muscle power were checked at preoperatively and 2 years postoperatively. Follow-up ultrasound was checked at 2 years postoperatively.

Results

In the two groups, the overall mean functional outcomes improved after surgery. Participants in the study group that underwent superior and posterior capsular release showed more improvement in the mean values of the internal rotation range and the internal rotation power at 2 years after surgery than participants in the control group that underwent superior capsular release, alone (P<0.001 and P=0.001). On the follow-up ultrasound, participants in the control group showed a higher retear rate than participants in the study group, but this difference did not reach a statistical significance (study : control = 3 (11.5%): 6 (23.1%), P=.465).

Conclusion

Additional posterior capsular release resulted in an increased range and power of internal rotation for superior capsular release in arthroscopic repair of large to massive rotator cuff tears.

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Is Superior and Posterior Capsular Release More Effective Than Superior Capsular Release Alone in Arthroscopic Repair of Large to Massive Rotator Cuff Tear?

Is Superior and Posterior Capsular Release More Effective Than Superior Capsular Release Alone in Arthroscopic Repair of Large to Massive Rotator Cuff Tear?

Introduction

Materials And Methods

Results

Conclusion

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Is Superior and Posterior Capsular Release More Effective Than Superior Capsular Release Alone in Arthroscopic Repair of Large to Massive Rotator Cuff Tear?

Is Superior and Posterior Capsular Release More Effective Than Superior Capsular Release Alone in Arthroscopic Repair of Large to Massive Rotator Cuff Tear?

Introduction

Materials And Methods

Results

Conclusion

More 2023 ISAKOS Congress Content