rotator cuff rupture
Conditions
Interventions
None listed
Sponsors
Onze Lieve Vrouwe Gasthuis
Eligibility
Age
18 Years to 99 Years
Inclusion criteria
Inclusion criteria: - All patients diagnosed with a rotator cuff rupture, confirmed by MRI or ultrasound; - All patients who received arthroscopic rotator cuff repair at the department of orthopaedic surgery of the OLVG between January 2001 and December 2004; - Patients older than 18 years at the moment of diagnosis rotator cuff rupture; - Surgical intervention: arthroscopic rotator cuff repair, including acromion plasty and tenodesis or tenotomy of long head biceps pathology.
Exclusion criteria
Exclusion criteria: - Inadequate knowledge of Dutch language; - Post-operative incident of ipsilateral shoulder injury such as fractures or AC separation or shoulder dislocation; - Neurological conditions influencing upper limb; - Unable to visit the outpatient clinic to undergo CMS testing;
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Shoulder function as measured with the CMS during physical examination. The physical examination will be performed by the examiner (H.Geerdink). CMS: Constant Murley Score (scale 0-100) This scoring system consists of four variables that are used to assess the function of the shoulder. The right and left shoulder are assessed separately. The subjective variables are pain and ADL (sleep, work, recreation / sport) which give a total of 35 points. The objective variables are range of motion and strength which give a total of 65 points. The CMS will be evaluated of both shoulders. | — |
Secondary
| Measure | Time frame |
|---|---|
| Patient Reported Outcome Measures (PROMS) - All proms used in this study are enclosed with the protocol. DASH: Disability of arm, shoulder and hand score. (scale 0-100) The Disabilities of the Arm, Shoulder and Hand (DASH) Outcome Measure is a 30-item, self-report questionnaire designed to measure physical function and symptoms in patients with any or several musculoskeletal disorders of the upper limb. The questionnaire was designed to help describe the disability experienced by people with upper-limb disorders and also to monitor changes in symptoms and function over time. Testing has shown that the DASH performs well in both these roles. It gives clinicians and researchers the advantage of having a single, reliable instrument that can be used to assess any or all joints in the upper extremity. OSS: Oxford Shoulder Score. (0-48) Questionnaire comprising 12 questions (5 point score) focused on the problems of the shoulder during the last 6 months, 3 months and 4 weeks. The questions are multiple choice, five answers for each question are possible. Starts with which is the affected shoulder. EQ-5D - Quality of Life The generic effects on quality of life will be assessed with the Euroqol (EQ5D). This widely used quality-of-life instrument includes five dimensions of health related quality of life, namely mobility, self-care, daily activities, pain/discomfort, and depression/anxiety. These five dimensions will be combined into a health state. Patient satisfaction results. Four questions asks about satisfaction regarding the cosmetic results of the operation and investigate the awareness of any cosmetic deformity of the upper arm, using a Global Rating Scale. Cosmetic Appearance / Popeye effect Subjective: Assessment of cosmetic appearance on a VAS scale (0 - 10) by the patient. Objective: Assessment of cosmetic appearance on a VAS scale (0 - 10) and *popeye sign* (yes/no) on digital camera pictures by a blinded, independent, assessor. E | — |
Countries
Netherlands
Outcome results
None listed