Does Side Dominance Affect the Clinical and Functional Outcomes Following Arthroscopic Rotator Cuff Repair?

Authors : Erdal UZUN, Abdulhamit MISIR, Ahmert GÜNEY

Pages : 106-114

Doi:10.19127/mbsjohs.708230

View : 17 | Download : 8

Publication Date : 2020-04-30

Article Type : Research Paper

Abstract :Objectives: The aims of this study were to evaluate the mid-term functional outcomes following arthroscopic rotator cuff repair insert ignore into journalissuearticles values(aRCR); and to define the effect of hand dominance on functional outcomes and re-tear rate. Methods: Between 2009 and 2015, 160 patients with aRCR insert ignore into journalissuearticles values(100 females and 60 males); with a minimum 3-year follow-up duration were included in the study. Patients were divided into two main groups according to hand dominance of operated side: Dominant insert ignore into journalissuearticles values(Group 1); and nondominant insert ignore into journalissuearticles values(Group 2);. Pre- and postoperative functional outcome scores and clinical status of patients were evaluated using the Visual Analog Scale insert ignore into journalissuearticles values(VAS);, American Shoulder and Elbow Surgeons Standardized Shoulder Assessment Form insert ignore into journalissuearticles values(ASES);, University at California at Los Angeles Shouder Rating Scale insert ignore into journalissuearticles values(UCLA); and Constant-Murley score insert ignore into journalissuearticles values(CMS);. Functional scores, and revision rate of patients were compared in terms of hand dominance, patient characteristics and operative features. Results: The mean follow-up period was 45.5 ± 8.3 months insert ignore into journalissuearticles values(Range, 36 to 84 months);. Mean age at the time of surgery was 59.0 ± 8.3 years in the dominant group and 58.3 ± 9.2 years in the nondominant group insert ignore into journalissuearticles values(p=0.689);. Good to excellent postoperative functional outcomes were obtained regarding VAS, ASES, UCLA and CMS and scores in both groups compared with the baseline insert ignore into journalissuearticles values(p=0.000);. Although dominant group had higher postoperative functional scores compared to nondominant group, improvement in functional scores were similar between groups insert ignore into journalissuearticles values(p<0.05);. Retear was noted in 16 patients insert ignore into journalissuearticles values(7 patients, 7.2% in dominant group and 9 patients, 14.2% in nondominant group, p=0.145);. Side dominancy was not associated with retear development insert ignore into journalissuearticles values(p=0.145);. However, tear size was found to be associated with re-tear development insert ignore into journalissuearticles values(p=0.025);. Conclusions: This study suggests that side dominancy has no significant impact on improvement in clinical scores and re-tear development after aRCR in mid-term. 
Keywords : Rotator cuff, operation side, dominance, outcomes, functional, clinical