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By David Bennett Pediatric Orthopaedic Surgeon in the United States
Stefan Moosmayer, Gerty Lund, Unni S Seljom, Benjamin Haldorsen, Ida C Svege, Toril Hennig, Are H Pripp, Hans-Jørgen Smith
BACKGROUND: There is limited Level-I evidence that compares operative and nonoperative treatment of rotator cuff tears. We compared outcomes of patients treated with primary tendon repair with outcomes of those treated with physiotherapy and optional secondary tendon repair if needed. METHODS: A single-center, pragmatic, randomized controlled study with follow-ups after six months and one, two, and five years was conducted in a secondary-care institution. One hundred and three patients with a rotator cuff tear not exceeding 3 cm were randomized to primary tendon repair (n = 52) or physiotherapy (n = 51)...
September 17, 2014: Journal of Bone and Joint Surgery. American Volume
Alan L Zhang, Scott R Montgomery, Stephanie S Ngo, Sharon L Hame, Jeffrey C Wang, Seth C Gamradt
PURPOSE: The purpose of this study was to identify current trends in open and arthroscopic surgical treatment of rotator cuff tears across sex, age, and region in the United States. METHODS: Using the PearlDiver Patient Record Database (PearlDiver, Fort Wayne, IN), a publicly available national database of insurance records, patients who underwent rotator cuff repair from 2004 through 2009 were identified. The number of open (CPT codes 23410, 23412, 23420) and arthroscopic (CPT code 29827) rotator cuff repairs were quantified in isolation and in combination with acromioplasty (CPT codes 23415, 29826)...
April 2013: Arthroscopy: the Journal of Arthroscopic & related Surgery
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