Does arthroscopic rotator cuff repair improve patients’ activity levels?
These authors asked whether attempted arthroscopic cuff repair led to improvements in patients' activity level. For 281 shoulders from 273 patients with a mean follow-up of 3.7 years. Scores included the Simple Shoulder Test, Western Ontario Rotator Cuff Index, American Shoulder and Elbow Surgeons Standardized Shoulder Assessment Form, Single Assessment Numeric Evaluation, as well as the Shoulder Activity Level:
These authors asked whether attempted arthroscopic cuff repair led to improvements in patients' activity level. For 281 shoulders from 273 patients with a mean follow-up of 3.7 years. Scores included the Simple Shoulder Test, Western Ontario Rotator Cuff Index, American Shoulder and Elbow Surgeons Standardized Shoulder Assessment Form, Single Assessment Numeric Evaluation, as well as the Shoulder Activity Level:
The Simple Shoulder Test improved from 4 to 11. Other scores improved similarly except for the Shoulder Activity Level score which decreased from the preoperative score (12 vs. 11; P < .0001).
Comment: This study introduces yet another shoulder outcome scale, the Shoulder Activity Level. The value of this scale and the clinical significance of the differences noted is unclear. Perhaps most importantly, the paper does not relate the success of the repair (i.e. achieving durable cuff integrity) with the clinical outcome. Specifically, did patients with failed cuff repairs have different clinical outcomes than those with intact repairs?
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