Clin Should Elbow.
2020 Jun;23(2):86-93. 10.5397/cise.2020.00031.
Clinical results of conservative management in patients with full-thickness rotator cuff tear: a meta-analysis
- Affiliations
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- 1Department of Physical Therapy, Kyushu Nutrition Welfare University, Kitakyushu, Japan
- 2Department of Orthopedic Surgery, Kurume University Medical Center, Kurume, Japan
- 3Department of Orthopedic Surgery, Tahara Orthopedic Clinic, Kitakyushu, Japan
- 4Kurume University School of Medicine Graduate School, Kurume, Japan
- 5Department of Physical Therapy, Technical School of Medical and Welfare Ryokuseikan, Nishishinmachi-machi, Tosu, Japan
- 6Department of Rehabilitation, Keishinkai Hospital, Tosu, Japan
- 7Department of Orthopedic Surgery, Kurume University, Kurume, Japan
- KMID: 2502781
- DOI: http://doi.org/10.5397/cise.2020.00031
Abstract
- Background
Several systematic reviews have reported on the conservative treatment of full-thickness rotator cuff tears; however, clinical results of this treatment still remain determined.
Methods
PubMed, Cochrane Library, PEDro, and CINAHL databases were systematically searched for randomized clinical trials and observational studies. Two independent researchers reviewed a total of 2,981 articles, 28 of which met the criteria for inclusion in the study. Clinical outcome measures included Constant score, visual analog scale score for pain, range of motion, and short-form 36. The meta-analysis used a linear mixed model weighted with the variance of the estimate.
Results
The meta-analysis showed a significant improvement after surgery. Pain score is 26.2 mm (1 month) to 26.4 mm (3 months) and 24.8 mm (12 months) (P<0.05); active abduction: 153.2º (2 months), 159.0º (6 months), 168.1º (12 months) (P<0.05); Constant score: 67.8 points (2 months) to 77.2 points (12 months) (P<0.05); short-form 36 “vitality” section: 57.0 points (6 months) and 70.0 points (12 months) (P<0.05).
Conclusions
Our data confirmed the effectiveness of conservative treatment in patients with full-thickness rotator cuff tears 12 months post-intervention. The results suggest that conservative treatment for patients with full-thickness rotator cuff tears should be the first line of treatment before considering surgery.
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