Summary: Glenohumeral joint synovitis might be more involved in the pathogenesis for pain and tear progression of rotator cuff disease compared with subacromial space synovitis.

Synovitis of the glenohumeral joint (GHJ) and subacromial space (SAS) is one of the most common findings during arthroscopic rotator cuff repair (RCR). The purpose of this study is to determine clinical factors associated with the degree of synovitis in patients with a rotator cuff tear and whether macroscopic synovitis affects early clinical outcomes following arthroscopic RCR. Arthroscopic videos of 230 patients treated with arthroscopic RCR were randomly reviewed by two experienced shoulder surgeons. The synovitis scores of the GHJ using David’s grading system and the SAS using Jo’s grading system were rated with a consensus. Univariate and multivariate analyses were used to identify the associations between the synovitis scores and various parameters, including demographics, preoperative, and postoperative clinical outcomes. Univariate analyses revealed that age, side, body mass index, duration of symptoms, preoperative stiffness, diabetes, muscle atrophy, fatty infiltration, tear size, preoperative clinical scores, and preoperative range of motion were significantly associated with the GHJ synovitis score (all P < .05). Multivariate analyses revealed that the duration of symptoms, tear size, and diabetes were significantly associated with the GHJ synovitis score (P = .048, P = .025, P = .011, respectively). Longer duration of symptoms, larger tear size, and the presence of diabetes were independently associated with increased GHJ synovitis in patients with a rotator cuff tear. These results suggest that GHJ synovitis might be more involved in the pathogenesis for pain and tear progression of rotator cuff disease compared with SAS synovitis.

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The Influence of Different Rotator Cuff Tears in Relation to Glenoid Depth on Glenohumeral Stability - A Robotic Biomechanical Analysis ePoster Presentation Sebastian Oenning, MD, GERMANY Mats Jonas Wiethölter, MD, GERMANY Jens Wermers, MD, GERMANY Alina Köhler, MD, GERMANY Sebastian Oenning, MD, GERMANY Michael J. Raschke, MD, Prof., GERMANY J. Christoph Katthagen, MD, GERMANY
Structured Exercise Therapy Improves Shoulder Function and Patient Reported Outcomes Without Increasing Tear Size for Individuals With Isolated Supraspinatus Tear ePoster Presentation Luke Mattar, BS, UNITED STATES Camille Johnson, M.S., UNITED STATES Tom Gale, MS, UNITED STATES Adam J. Popchak, DPT, PhD, UNITED STATES William Anderst, PhD, UNITED STATES Volker Musahl, MD, Prof., UNITED STATES James J. Irrgang, PT, PhD, FAPTA, UNITED STATES Richard E Debski, PhD, UNITED STATES
Factors Affecting Clinical Results of Re-Tear Cases After Arthroscopic Repair of Large and Massive Rotator Cuff Tears ePoster Presentation Hideyasu Kaieda, MD, JAPAN Hironori Kakoi, MD, PhD, JAPAN Yasunari Fujii, MD, JAPAN
Disparities In Access To Operative Management Of Rotator Cuff Tears: A Nationwide Sampling ePoster Presentation Zachary Logan LaPorte, BA, UNITED STATES Nathan J Cherian, MD, UNITED STATES Christopher T Eberlin, BS, UNITED STATES Michael Peter Kucharik, BS, UNITED STATES Kieran Sinclair Dowley, BA, UNITED STATES Kaveh A. Torabian, MS, UNITED STATES Michael C Dean, BA, UNITED STATES Stephen M Gillinov, AB, UNITED STATES Scott D Martin, MD, UNITED STATES
Surgical Outcome Following Arthroscopic Rotator Cuff Tear Repair in a Low-Income Population: Quality of Life Improvement ePoster Presentation Mohamed Amine Gharbi , MD, TUNISIA Houssem Eddine Chahed, MD, TUNISIA Moatassem Belleh Jelassi, MD, TUNISIA Rami Triki, TUNISIA Anis Tebourbi, MD, TUNISIA Ramzi Bouzidi, PhD, TUNISIA Khelil Ezzaouia, PhD, TUNISIA Mouadh Nefiss, MD, TUNISIA
Clinical Results And Retear Rates After Arthroscopic Rotator Cuff Repair With Manipulation Under Anesthesia ePoster Presentation Yoshitsugu Takeda, MD, PhD, JAPAN Naoto Suzue, MD, PhD, JAPAN

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Chronicity is Associated With the Glenohumeral Synovitis in Patients with a Rotator Cuff Tear

Chronicity is Associated With the Glenohumeral Synovitis in Patients with a Rotator Cuff Tear

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Chronicity is Associated With the Glenohumeral Synovitis in Patients with a Rotator Cuff Tear

Chronicity is Associated With the Glenohumeral Synovitis in Patients with a Rotator Cuff Tear

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