Identifying Patients At Risk of Rerupture After Cuff Repair (and What to Do About It)
A couple of easy-to-identify factors tell us who is at risk of rerupture, and one can infer a nice practical tip from these discoveries, too.
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Smart Practice: Plan a few extra minutes in the OR and consider an acromioplasty in patients with a small acromiohumeral interval or a high acromial slope.
What’s the Claim?
A well-analyzed clinical series found that the following parameters were associated with increased odds of rerupture of the supraspinatus by 2 years after arthroscopic double-row rotator cuff repair:
- Acromiohumeral interval ≤7 mm (odds ratio 11 [95% CI 2 to 46], and these 95% CIs are a topic I’ll come back to in a moment)
- Acromial slope ≥ 25° (odds ratio 9 [95% CI 2 to 46])
None of the following parameters were associated with increased odds of rerupture: critical shoulder angle, acromial tilt, acromial index, lateral acromial angle, glenoid inclination, or glenoid version. At 2-year follow-up, those with rerupture did not have poorer patient-reported outcomes scores.
