Treatment of Rotator Cuff Tears: A Systematic Review and Meta-Analysis

2021 ◽  
Author(s):  
Peter Lapner ◽  
Patrick Henry ◽  
George S. Athwal ◽  
Joel Moktar ◽  
Daniel McNeil ◽  
...  
Keyword(s):  
Systematic Review ◽  
Rotator Cuff ◽  
Meta Analysis ◽  
Rotator Cuff Tears

scholarly journals An Evidence-Based Approach to Assess the Accuracy of MRI in Diagnosing Rotator Cuff Tears: A Systematic Review and Meta-Analysis

2019 ◽  
Vol In Press (In Press) ◽  
Author(s):  
Wen-Fei Li ◽  
Tahir Mehmood Shakir ◽  
Yuemei Zhao ◽  
Tao Chen ◽  
Chen Niu ◽  
...  
Keyword(s):  
Systematic Review ◽  
Rotator Cuff ◽  
Meta Analysis ◽  
Rotator Cuff Tears ◽  
Evidence Based

scholarly journals Efficacy of concomitant acromioplasty in the treatment of rotator cuff tears: A systematic review and meta-analysis

PLoS ONE ◽  
2018 ◽  
Vol 13 (11) ◽  
pp. e0207306 ◽  
Author(s):  
Cong Cheng ◽  
Bin Chen ◽  
Hongwei Xu ◽  
Zhongwei Zhang ◽  
Weibin Xu
Keyword(s):  
Systematic Review ◽  
Rotator Cuff ◽  
Meta Analysis ◽  
Rotator Cuff Tears

scholarly journals Systematic review on risk factors of rotator cuff tears

2017 ◽  
Vol 25 (1) ◽  
pp. 230949901668431 ◽  
Author(s):  
Andrew Arjun Sayampanathan ◽  
Tan Hwee Chye Andrew
Keyword(s):  
Risk Factors ◽  
Systematic Review ◽  
Rotator Cuff ◽  
Meta Analysis ◽  
Random Effect ◽  
Female Gender ◽  
Analysis Data ◽  
Rotator Cuff Tears ◽  
Dominant Hand ◽  
Random Effect Models

Purpose: Rotator cuff tears (RCTs) occur commonly, especially among certain groups of individuals. In this meta-analysis, we aim to identify risk factors for RCTs. Methods: We searched MEDLINE for 210 articles. Seventeen articles were selected for systematic review, of which 10 were eligible for meta-analysis. Data was analysed with Review Manager 5.3, using Mantel–Haenszel statistics and random effect models. Results: A total of 6653 individuals were analysed. The odds of sustaining a RCT on the dominant hand was 2.30 times more than the non-dominant hand (95% confidence interval (CI): 1.01–5.25, Z = 1.99, p = 0.05; Heterogenity: τ2 = 0.38, χ2 = 8.84, df = 2 ( p = 0.01), I2 = 77%). The odds of an individual aged 60 years and above sustaining a RCT was 5.07 times higher than an individual less than 60 years old (95% CI: 2.45–10.51, Z = 4.37, p < 0.001; Heterogenity: τ2 = 0.47, χ2 = 25.24, df = 3 ( p < 0.001), I2 = 88%). Female gender was not a significant association, with an odds ratio of 0.98 when compared to the male gender (95% CI: 0.66–1.45, Z = 0.09, p = 0.93; Heterogenity: τ2 = 0.20, χ2 = 44.24, df = 5 ( p < 0.001), I2 = 89%). Conclusions: Hand dominance and older age are associated with RCTs. More studies are required for further assessment of associations and risk factors of RCTs.

scholarly journals The Natural History of Full-Thickness Rotator Cuff Tears in Randomized Controlled Trials: A Systematic Review and Meta-analysis

2018 ◽  
Vol 47 (7) ◽  
pp. 1734-1743 ◽  
Author(s):  
Chetan Khatri ◽  
Imran Ahmed ◽  
Helen Parsons ◽  
Nicholas A. Smith ◽  
Thomas M. Lawrence ◽  
...  
Keyword(s):  
Systematic Review ◽  
Rotator Cuff ◽  
Natural History ◽  
Treatment Response ◽  
Meta Analysis ◽  
Rotator Cuff Tears ◽  
Controlled Trials ◽  
Full Thickness ◽  
Randomized Controlled ◽  
History Of

Background: Rotator cuff tears are the most common tendon injury in the adult population, resulting in substantial morbidity. The optimum management for these patients is not known. Purpose: To assess the overall treatment response to all interventions in full-thickness rotator cuff tears among patients enrolled in randomized clinical trials. Study Design: Systematic review and meta-analysis. Methods: Randomized controlled trials (RCTs) were identified from a systematic search of Medline, Embase, CINHAL, and the Cochrane Central Register of Controlled Trials. Patients were aged ≥18 years with a full-thickness rotator cuff tear. The primary outcome measure was change in Constant shoulder score from baseline to 52 weeks. A meta-analysis to assess treatment response was calculated via the standardized mean change in scores. Results: A total of 57 RCTs were included. The pooled standardized mean change as compared with baseline was 1.42 (95% CI, 0.80-2.04) at 3 months, 2.73 (95% CI, 1.06-4.40) at 6 months, and 3.18 (95% CI, 1.64-4.71) at 12 months. Graphic plots of treatment response demonstrated a sustained improvement in outcomes in nonoperative trial arms and all operative subgroup arms. Conclusion: Patients with full-thickness rotator cuff tears demonstrated a consistent pattern of improvement in Constant score with nonoperative and operative care. The natural history of patients with rotator cuff tears included in RCTs is to improve over time, whether treated operatively or nonoperatively.

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