Table 4.
Clinical Outcomes of Current Surgical Techniques a
| Technique | Follow-up, mo | Sample Size b | Mean age, y | △ASES/CS | △ Pain c | △AFE/ER, deg d | Complication Rate |
|---|---|---|---|---|---|---|---|
| Debridement, tenotomy, bursectomy, tuberoplasty 90 | 46 | 643 | 66 | 41/24 | 5 (7→2) | 36/4 | 7%, mostly RSA |
| Balloon 91 | 12 | 56 | 66 | —/18 | % taking pain meds: 73-4 | 32/— | 2% to RSA |
| RSA36,84 | >24 | 92 | >65 | 38/5.2 (SST) | –4.0 (mean, –1.6) | 79/25 | 12% major complication rate |
| Partial repair 49 | 16-41 | 348 | 64 | 29-44/21-34 | 2-5 | 20-52/1-23 | 3% |
| LTT for PS 15 | 40 | 48 | 56 | ▪ DASH: 34 ▪ SSV: 26% |
5 | 38/34 | — |
| oLDT for PS 66 | 46 (range, 24-126) | 258 | 59 | CS: 27 | CS pain: 7 (range, 0-15) | 35/10 | 7%; tendon rupture: 3.4% |
| aLDT for PS 53 | 34 (range, 18-72) | 258 | — | CS: 32 | 4.4 | 41/21 | ▪ Tendon rupture: 3% ▪ Hematoma: 2% |
| oLDT for AS 48 | 17 | 85 | 55 | CS: 35 | 4 | 44/— | ▪ Tendon rupture: 0%-20% ▪ Overall: 15% |
| PM for AS 48 | 67 | 184 | 59 | CS: 24 | 3.7 | 17/— | ▪ Tendon rupture: 7%-13% ▪ Overall: 15% |
| SCR 27 | — | 292 | 63 | 30-55/— | 2.5-5.9 | 28-56/9-15 | 12% |
| Bridge 3 | — | 357 | — | 34/— | 4/— | 41/13 | — |
a AFE, active forward elevation; aLDT, arthroscopic latissimus dorsi transfer; AS, anterosuperior cuff tear; ASES, American Shoulder and Elbow Surgeons score; CS, total Constant score; DASH, Disabilities of the Arm, Shoulder and Hand; ER, active external rotation; LTT, lower trapezius transfer; oLDT, open latissimus dorsi transfer; PM, pectoralis major; PS, posterosuperior cuff tear; RSA, reverse shoulder arthroplasty; SCR, superior capsule reconstruction; SST, Simple Shoulder Test; SSV, Subjective Shoulder Value; VAS, pain visual analog scale.
b Represents total number of patients included in systematic reviews, but the number of patients included for each outcome measure differed.
c Pain outcome listed as change in VAS pain unless otherwise stated.
d All changes in AFE and ER were positive (improvements).