Arthroscopy: The Journal of Arthroscopic & Related Surgery
Technical NoteMedial Rotator Cuff Failure After Arthroscopic Double-Row Rotator Cuff Repair
Section snippets
Case Series
From March 2003 to March 2006, the senior author noted medial rotator cuff failure in 5 patients who had previously had an arthroscopic double-row rotator cuff repair. The medial rotator cuff failure was ultimately diagnosed at repeat arthroscopy in all 5 cases. The mean age of this group of patients was 52 years (range, 42 to 59 years). Two were men and three were women. The dominant limb was involved in all cases. All of these patients were Workers' Compensation patients. All had previously
Discussion
To our knowledge, the pattern of medial cuff failure of arthroscopic double-row rotator cuff repair observed in this group of patients has not previously been reported. Its relation to ongoing pain and hence its ideal mode of treatment are unclear in this small group of patients.
There are numerous biomechanical and clinical reports evaluating various rotator cuff repair constructs and analyzing their potential mechanisms of failure. The commonly cited mechanism of failure in most reports is
References (30)
- et al.
Arthroscopic rotator cuff repair: Analysis of results by tear size and by repair technique-margin convergence versus direct tendon-to-bone repair
Arthroscopy
(2001) - et al.
Arthroscopic repair of medium to large full-thickness rotator cuff tears: Outcome at 2- to 6-year follow-up
J Shoulder Elbow Surg
(2002) Arthroscopic rotator cuff repair: Analysis of technique and results at 2- and 3-year follow-up
Arthroscopy
(1998)- et al.
Arthroscopic repair of full-thickness tears of the rotator cuff: 2- to 14-year follow-up
Arthroscopy
(2002) - et al.
Cuff integrity after arthroscopic versus open rotator cuff repair: A prospective study
J Shoulder Elbow Surg
(2006) - et al.
Comparison between single and double-row rotator cuff repair: A biomechanical study (SS-24)
Arthroscopy
(2006) - et al.
The effect of double-row fixation on initial repair strength in rotator cuff repair: A biomechanical study
Arthroscopy
(2006) - et al.
Functional and structural outcome after arthroscopic full-thickness rotator cuff repair: Single-row versus dual-row fixation
Arthroscopy
(2005) - et al.
The outcome and structural integrity of arthroscopic rotator cuff repair using the double-row suture anchor technique (SS-39)
Arthroscopy
(2007) - et al.
Cyclic load testing of biodegradable suture anchors containing 2 high-strength sutures
Arthroscopy
(2007)
A biomechanical and radiographic analysis of standard and intracortical suture anchors for arthroscopic rotator cuff repair
Arthroscopy
The effect of suture anchor design and orientation on suture abrasion: An in vitro study
Arthroscopy
Loop security as a determinant of tissue fixation security
Arthroscopy
Evaluation of 5 knots and 2 suture materials for arthroscopic rotator cuff repair: Very strong sutures can still slip
Arthroscopy
Arthroscopic knots: Determining the optimal balance of loop security and knot security
Arthroscopy
Cited by (0)
I.K.Y.L. has received financial support from Arthrex related to the subject of this manuscript. The other authors report no conflict of interest.