Surgery and physiotherapy were both successful in the treatment of small, acute, traumatic rotator cuff tears: a prospective randomized trial.

この研究はインパクトが大きい可能性があると判断されました。 OEのAIによる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、論文の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でき、読者は将来の診療を形成する可能性が最も高い論文に焦点を当てることができます。

研究概要

Fifty-eight patients who sustained traumatic small rotator cuff tears, mainly of the supraspinatus tendon, were randomized to receive arthroscopic rotator cuff repair (n=32) plus physical therapy or physical therapy alone (n=26). The primary outcome of interest was pain and function evaluated using the Constant-Murley (CM) score (i.e. total pain, activities of daily living, internal rotation, external rotation, flexion, abduction, and strength) at 1-year post-treatment. Secondary outcomes of interest included the Western Ontario Rotator Cuff (WORC) index, pain evaluated using a Numeric Rating Scale (NRS), the Euro quality-of-life on visual analog scale (EQ-VAS). Furthermore, MRI characteristics regarding healing, tear progression, atrophy, and fatty infiltration were also evaluated at 12-months post-treatment. Results demonstrated that for the primary outcome of interest, none of the CM scores were statistically significantly different between the two treatment groups (p>0.05 for all). The median sagittal and coronal tear sizes were statistically significantly smaller in the surgical repair group compared to the physiotherapy group (p<0.001 for both). All other outcomes were similar between the two groups (p>0.05 for all).