Authors

  • Matheus Pedroso Cavalcanti de Souza
    Orthopedist and Traumatologist, Campina Grande Trauma Hospital, Campina Grande, PB., Brazil
  • Renan Toledo Curti
    Orthopedist and Traumatologist, Santa Casa Ourinhos, Ourinhos, SP., Brazil
  • Bianca Gabriella de Oliveira
    Medical student at Universidade Salvador-UNIFACS, Salvador, BA., Brazil

DOI:

https://doi.org/10.37547/TAJMSPR/Volume06Issue04-02

Keywords:

Rotator cuff injuries Rotator cuff Orthopedic procedures

Abstract

To evaluate the effectiveness of operative and non-operative management in the treatment of rotator cuff injuries. Methodology: This systematic review was conducted according to Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA) guidelines. A search was conducted using the online Cochrane Library, EMBASE, CINAHL, Medline and PubMed databases, using the following terms: Rotator Cuff Injuries OR Rotator Cuff AND Orthopedic Procedures. Results: 688 patients were included, of whom 479 underwent surgical treatment and 209 non-operative treatment. The studies analyzed in this systematic review showed better results for the VAS (Visual analog scale), the Constant Murley Score and for limb range of motion in patients who underwent surgical treatment. Conclusion: Surgical treatment for rotator cuff injuries was associated with a better prognosis than physiotherapeutic treatment.

References

Ramme AJ, Robbins CB, Patel KA, Carpenter JE, Bedi A, Gagnier JJ, Miller BS. Surgical Versus Nonsurgical Management of Rotator Cuff Tears: A Matched-Pair Analysis. J Bone Joint Surg Am. 2019 Oct 2;101(19):1775-1782. doi: 10.2106/JBJS.18.01473. PMID: 31577683.

Godshaw BM, Hughes JD, Boden SA, Lin A, Lesniak BP. Comparison of Functional Outcomes After Arthroscopic Rotator Cuff Repair Between Patients With Traumatic and Atraumatic Tears. Orthop J Sports Med. 2022 Oct 25;10(10):23259671221126551. doi: 10.1177/23259671221126551. PMID: 36313008; PMCID: PMC9608059.

Kukkonen J, Ryösä A, Joukainen A, Lehtinen J, Kauko T, Mattila K, Äärimaa V. Operative versus conservative treatment of small, nontraumatic supraspinatus tears in patients older than 55 years: over 5-year follow-up of a randomized controlled trial. J Shoulder Elbow Surg. 2021 Nov;30(11):2455-2464. doi: 10.1016/j.jse.2021.03.133. Epub 2021 Mar 24. PMID: 33774172.

Ranebo MC, Björnsson Hallgren HC, Holmgren T, Adolfsson LE. Surgery and physiotherapy were both successful in the treatment of small, acute, traumatic rotator cuff tears: a prospective randomized trial. J Shoulder Elbow Surg. 2020 Mar;29(3):459-470. doi: 10.1016/j.jse.2019.10.013. Epub 2020 Jan 7. PMID: 31924516.

Lambers Heerspink FO, van Raay JJ, Koorevaar RC, van Eerden PJ, Westerbeek RE, van 't Riet E, van den Akker-Scheek I, Diercks RL. Comparing surgical repair with conservative treatment for degenerative rotator cuff tears: a randomized controlled trial. J Shoulder Elbow Surg. 2015 Aug;24(8):1274-81. doi: 10.1016/j.jse.2015.05.040. PMID: 26189808.

Longo UG, Franceschi F, Ruzzini L, Rabitti C, Morini S, Maffulli N, Denaro V. Histopathology of the supraspinatus tendon in rotator cuff tears. Am J Sports Med. 2008;36(3):533–8.

- Franceschi F, Papalia R, Palumbo A, Del Buono A, Maffulli N, Denaro V. Operative management of partial- and full-thickness rotator cuff tears. Med Sport Sci. 2012;57:100–13.

Moosmayer S, Lund G, Seljom US, Haldorsen B, Svege IC, Hennig T, Pripp AH, Smith HJ. At a 10-year follow-up, tendon repair is superior to physiotherapy in the treatment of small and medium-sized rotator cuff tears. J Bone Joint Surg Am. 2019;101(12):1050–60.

Ackmann T, Schneider KN, Schorn D, Rickert C, Gosheger G, Liem D. Comparison of efficacy of supraspinatus tendon tears diagnostic tests: a prospective study on the "full-can," the "empty-can," and the "Whipple" tests. Musculoskelet Surg. 2019. Epub ahead of print.

Walter SG, Stadler T, Thomas TS, Thomas W. Advanced rotator cuff tear score (ARoCuS): a multi-scaled tool for the classification and description of rotator cuff tears. Musculoskelet Surg. 2019;103(1):37–45.

Li S, Sun H, Luo X, Wang K, Wu G, Zhou J, et al. The clinical effect of rehabilitation following arthroscopic rotator cuff repair: a meta-analysis of early versus delayed passive motion. Medicine (Baltimore)2018;97:e9625.

Chalmers PN, Granger E, Nelson R, Yoo M, Tashjian RZ. Factors affecting cost, outcomes, and tendon healing after arthroscopic rotator cuff repair. Arthroscopy 2018;34:1393-400.

Fukuda H. The management of partial-thickness tears of the rotator cuff. J Bone Joint Surg Br. 2003;85(1):3–.

Jo CH, Park JW, Shin JS. Changes of muscle atrophy according to the immediate postoperative time point in magnetic resonance imaging after arthroscopic rotator cuff repair. Arthroscopy 2016;32:2477-87.

Malavolta EA, Assunção JH, Ramos FF, Ferreira TC, Gracitelli ME, Bordalo-Rodrigues M, et al. Serial structural MRI evaluation of arthroscopy rotator cuff repair: does Sugaya’s classification correlate with the postoperative clinical outcomes? Arch Orthop Trauma Surg 2016;136:791-7.

Elliott RSJ, Lim YJ, Coghlan J, Troupis J, Bell S. Structural integrity of rotator cuff at 16 years following repair: good long-term outcomes despite recurrent tears. Shoulder Elbow 2019;11:26-34.

Galatz LM, Ball CM, Teefey SA, Middleton WD, Yamaguchi K. The outcome and repair integrity of completely arthroscopically repaired large and massive rotator cuff tears. J Bone Joint Surg Am 2004;86: 219-24.

Coronado RA, Seitz AL, Pelote E, Archer KR, Jain NB. Are psychosocial factors associated with patient-reported outcome measures in patients with rotator cuff tears? A systematic review. Clin Orthop Relat Res 2018;476:810-29.

Chona DV, Lakomkin N, Lott A, Workman AD, Henry AC, Kuntz AF, Huffman GR, Glaser DL. The timing of retears after arthroscopic rotator cuff repair. J Shoulder Elbow Surg. 2017 Nov;26(11):2054-2059.

Hayashida K, Tanaka M, Koizumi K, Kakiuchi M. Characteristic retear patterns assessed by magnetic resonance imaging after arthroscopic double-row rotator cuff repair. Arthroscopy 2012;28:458-64.

Garibaldi R, Altomare D, Sconza C, Kon E, Castagna A, Marcacci M, Monina E, Di Matteo B. Conservative management vs. surgical repair in degenerative rotator cuff tears: a systematic review and meta-analysis. Eur Rev Med Pharmacol Sci. 2021 Jan;25(2):609-619.

Spiegl UJ, Euler SA, Millett PJ, Hepp P. Summary of meta-analyses dealing with single-row versus double-row repair techniques for rotator cuff tears. Open Orthop J 2016;10:330.

Kim JR, Cho YS, Ryu KJ, Kim JH. Clinical and radiographic outcomes after arthroscopic repair of massive rotator cuff tears using a suture bridge technique: assessment of repair integrity on magnetic resonance imaging. Am J Sports Med 2012;40:786-93.

Burkhart SS. Arthroscopic treatment of massive rotator cuff tears. Clinical results and biomechanical rationale. Clin Orthop Relat Res. 1991;(267):45–56.

Longo UG, Franceschi F, Berton A, Maffulli N, Droena V. Conservative treatment and rotator cuff tear progression. Med Sport Sci. 2012;57:90–9.

Most read articles by the same author(s)

Bianca Gabriella de Oliveira, Gihad Reda Khalil, Hussien Ali Mustapha, André Luís Matos Caetano, Vanderson Reis de Sousa Brito, Marcella Rodrigues Costa Simões, Therapeutic update of pediatric flatfoot: a systematic review with meta-analysis , The American Journal of Medical Sciences and Pharmaceutical Research: Vol. 7 No. 03 (2025): Volume 07 Issue 03

Bianca Gabriella de Oliveira, Manoel Machado Pereira, Eric Zaneti Teixeira Baptista, Pedro Augusto Espírito Santo de Carvalho, Lisse Veronica Rocha Salazar, Therapeutic evaluation of quervain tendonitis - systematic review with meta-analysis systematic review with meta-analysis of randomized clinical trials , The American Journal of Medical Sciences and Pharmaceutical Research: Vol. 7 No. 01 (2025): Volume 07 Issue 01

Bianca Gabriella de Oliveira, Rennan Martins da Cruz, Jorge Rangel Zilli, Pedro Henrique Ribeiro de Oliveira, Igor Santana Franco Amaral, Marcella Rodrigues Costa Simões, Total arthroplasty and hemiarthroplasty in the treatment of hip fractures: a systematic review with meta-analysis , The American Journal of Medical Sciences and Pharmaceutical Research: Vol. 7 No. 03 (2025): Volume 07 Issue 03

Bianca Gabriella de Oliveira, Rodrigo Moreira Garcia, Jorge da Silva Castro, Filipe Alves Chagas, Igor Campos Roubert, Marcella Rodrigues Costa Simões, Surgical versus non-surgical treatment for the staging of spondylolisthesis: systematic review and meta-analysis , The American Journal of Medical Sciences and Pharmaceutical Research: Vol. 7 No. 03 (2025): Volume 07 Issue 03

Bianca Gabriella de Oliveira, Heitor Ribeiro Mendonça, Gabriella Trindade Fernandes, Wander Júnior Ribeiro, Melissa Alves Aires Marques, Efficacy of arthroscopy in the treatment of lateral epicondylitis: a systematic review with meta-analysis , The American Journal of Medical Sciences and Pharmaceutical Research: Vol. 7 No. 01 (2025): Volume 07 Issue 01

Bianca Gabriella de Oliveira, Lucas da Silva Lucena, Tiago Alves da Silva, Fred Schinaider Cerqueira, Marcella Rodrigues Costa Simões, Surgical approach to idiopathic scoliosis: a systematic review with meta-analysis , The American Journal of Medical Sciences and Pharmaceutical Research: Vol. 7 No. 01 (2025): Volume 07 Issue 01

Melissa Alves Aires Marques, Bianca Gabriella De Oliveira, Allan Rodrigues Corsini, Cícero Azevedo De Moraes Filho, Paloma Pinheiro De Aquino Peixoto, Fabricio Negreiros Holtz, Rafael Costa Nerys, Laís Cristina Pereira Da Silva, Marcella Rodrigues Costa Simoes, TEMPORAL ANALYSIS OF THE PREVALENCE OF OSTEOARTICULAR PAIN AND MENTAL HEALTH , The American Journal of Medical Sciences and Pharmaceutical Research: Vol. 5 No. 11 (2023): Volume 05 Issue 11

Bianca Gabriella De Oliveira , Melissa Alves Aires Marques , Ábila Dutra Oliveira , Cícero Azevedo De Moraes Filho , Paloma Pinheiro De Aquino Peixoto , Fabricio Negreiros Holtz , Rafael Costa Nerys , Laís Cristina Pereira Da Silva, Marcella Rodrigues Costa Simoes , SCIENTIFIC UPDATE ON POST-OPERATIVE PAIN MANAGEMENT IN ORTHOPEDIC SURGERY , The American Journal of Medical Sciences and Pharmaceutical Research: Vol. 5 No. 11 (2023): Volume 05 Issue 11

Melissa Alves Aires Marques, Bianca Gabriella De Oliveira, João Pedro Alves Xavier, Lucas Dias Borges Peres, Thaís Simões De Oliveira Borges, Hussien Ali Mustapha, Fabricio Negreiros Holtz, Ravi Cavalcanti Mendes, Marcella Rodrigues Costa Simões, BENEFITS OF ASSISTED WEIGHT TRAINING IN PATIENTS WITH CHRONIC LOW BACK PAIN , The American Journal of Medical Sciences and Pharmaceutical Research: Vol. 6 No. 01 (2024): Volume 06 Issue 01

Melissa Alves Aires Marques , Bianca Gabriella de Oliveira , Ábila Dutra Oliveira , Ana Teresa Bastos Tinoco , Kleina Da Silva Damas , Laís Ferreira Camacho , Lívia Piñeiro Nery , Matheus Velasco Brito Gonçalves , Thaís Simões De Oliveira Borges, SURGICAL TREATMENT OF FEMORAL SHAFT FRACTURES IN POLYTRAUMATIZED PATIENTS , The American Journal of Medical Sciences and Pharmaceutical Research: Vol. 5 No. 10 (2023): Volume 05 Issue 10

1 2 > >>