Treatment of Nontraumatic Rotator Cuff Tears: A Randomized Controlled Trial with Two Years of Clinical and Imaging Follow-up

This report has been verified by one or more authors of the original publication.

この研究はハイインパクトの可能性があります。 OEのAI駆動型ハイインパクト指標は、論文が掲載されたジャーナルと論文自体の科学的内容の両方からのシグナルを統合することで、論文が持つ可能性の高い影響力を推定します。 最先端の自然言語処理を用いて開発されたOEハイインパクトモデルは、ジャーナルのインパクトファクターのみよりも、研究の将来の引用実績をより正確に予測します。 これにより、臨床的に意義のある研究をより早く認識することが可能になり、読者は将来の診療を形成する可能性が最も高い論文に集中することができます。

180 shoulders of patients with a non-traumatic, isolated, full-thickness supraspinatus tear were randomized to receive physiotherapy either alone, with acromioplasty, or with both acromioplasty and surgical repair of the tear. The purpose of the study was to compare the efficacy of treatments in terms of clinical outcome, radiographic outcome, and cost. No significant differences between groups in Constant shoulder score for function, VAS pain, or patient satisfaction were noted between groups at 2 year follow-up. Patients who had undergone surgical repair had significantly smaller rotator cuff tears on MRI at 2 year follow-up compared to the other groups. No significant difference was observed in Constant score between those with full-thickness tear and those with a healed tear at 2 years. Costs were significantly different between groups, being lowest in the physiotherapy group and highest in the group receiving all 3 treatments.