Discordance between anatomical and clinical results in rotator cuff repair

Articles in JSES on the Prospective evaluation of arthroscopic cuff repairs at five years demonstrate that healing as evidenced by ultrasound 'did not correspond to clinical outcomes'. Larger tears in older patients who had concomitant procedures, such as biceps or AC joint procedures, were more likely to have defects by ultrasound at five years, but no preoperative or intra-operative factors were found to be predictive of an excellent functional result at five years.

These results are consistent with previous work indicating that the outcome of cuff surgery depends on many factors and that patients having cuff surgery may have good functional outcomes, even if the cuff does not remain intact.

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