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Original Research 


IS BASELINE STRAIN INDEX A PROGNOSTIC FACTOR FOR SMALL UNILATERAL SUPRASPINATUS TENDON TEARS? A PROSPECTIVE STUDY

Andrea Cappiello, Verdiana Stano, Michele Bisaccia, Luigi Meccariello, Gabriele Falzarano, Antonio Medici, Marco Pellegrino, Olga Bisaccia, Giuseppe Rinonapoli, Auro Caraffa.

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Abstract
Purpose: From prospectively report the 2-year follow-up clinical and real-time sonoelastography (RTSE) outcomes of a group of patients affected by small unilateral supraspinatus tendon tears. Our hypothesis was that patients with lower baseline strain indexes would have worst outcomes at follow-up.
Methods: We recruited patients suffering by a unilateral rotator cuff tear. All patients have prospectively scrutinized. Patients were initially managed non-operatively, after at least 3 months of failed conservative treatment patients went under surgery. Our clinical evaluation and follow up was done by: complete physical examination; VAS for pain; Quick DASH; Constant–Murley score; Simple Shoulder Test; ASES score and UCLA score. The mechanical properties of tissues were evalutated by Conventional ultrasounds and RTSE and they were estimated uging the Strain index.
Results: Forty-three patients were available for evaluation at 2 years. Fifteen had undergone surgery (operative group), while 28 recovered from pain and dysfunction with conservative management andhad not required surgery (non-operative group). Patients in both groups significantly improved at follow-up, and no differences were found in all considered clinical outcomes. The biomechanical properties of repaired tendons were maintained, while non-operatively treated tendons softened over time. Baseline and follow-up strain indexes were linearly correlated with clinical outcomes at 2 years.
Conclusions: Baselinestrain index could be associated with post-operative functional outcomes at 2-year follow-up. The biomechanical properties of surgically repaired tendons were maintained, while non-operatively treated tendons softened over time. At least in this cohort of patients, baseline strain index did not suggest who could be managed conservatively and who will need surgery.

Key words: ELASTOGRAPHY; ROTATOR CUFF; STRAIN INDEX; SOVRASPINATUS TEAR; SHOULDER.


 
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REFERENCES
1 Boughebri O, Roussignol X, Delattre O, Kany J, Valenti P (2012) Small supraspinatus tears repaired by arthroscopy: are clinical results influenced by the integrity of the cuff after two years? Functional and anatomic results of forty-six consecutive cases. J Should Elb Surg 21:699–706 [DOI via Crossref]    [Pubmed]   
2 Tudisco C, Bisicchia S, Stefanini M, Antonicoli M, Masala S, Simonetti G (2013) Tendon quality in small unilateral supraspinatus tendon tears. Real-time sonoelastography correlates with clinical findings. Knee Surg Sports TraumatolArthrosc Jun 16
3 Lee SU, Joo SY, Kim SK, Lee SH, Park SR, Jeong C. J Shoulder Elbow Surg. 2016 May;25(5):723-9. [DOI via Crossref]    Epub 2016 Jan 12. Real-time sonoelastography in the diagnosis of rotator cuff tendinopathy. [DOI via Crossref]   
4 Rosskopf AB, Ehrmann C, Buck FM, Gerber C, Flück M, Pfirrmann CW. Radiology. 2016 Feb;278(2):465-74. [DOI via Crossref]    Epub 2015 Nov 5. Quantitative Shear-Wave US Elastography of the Supraspinatus Muscle: Reliability of the Method and Relation to Tendon Integrity and Muscle Quality. [DOI via Crossref]   
5 Ahn KS, Kang CH, Hong SJ, Jeong WK (2014) Ultrasound elastography of lateral epicondylosis: clinical feasibility of quantitative elastographic measurements. AJR Am J Roentgenol 202:1094-1099 [DOI via Crossref]    [Pubmed]   
6 Arda K, Ciledag N, Aktas E, Aribas BK, Köse K (2011) Quantitative assessment of normal soft-tissue elasticity using shear-wave ultrasound elastography. AJR Am J Roentgenol 197:532-536 [DOI via Crossref]    [Pubmed]   
7 Chen XM, Cui LG, He P, Shen WW, Qian YJ, Wang JR (2013) Shear wave elastographic characterization of normal and torn achilles tendons: a pilot study. J Ultrasound Med 32:449-455 [Pubmed]   
8 Kuhn JE (2009) Exercise in the treatment of rotator cuff impingement: a systematic review and a synthesized evidence-based rehabilitation protocol. J Shoulder Elbow Surg 18:138–160 [DOI via Crossref]    [Pubmed]   
9 Snyder SJ (2003) Southern California Orthopaedic Institute rotator cuff classification system. In: Snyder SJ (ed) Shoulder arthroscopy. Lippincott Williams and Wilkins, Philadelphia, pp 203–207 [Pubmed]   
10 Huskisson EC (1974) Measurement of pain. Lancet 2:1127–1131 [DOI via Crossref]   
11 Padua R, Padua L, Ceccarelli E, Romanini E, Zanoli G, Amadio PC, Campi A (2003) Italian version of the Disability of the Arm, Shoulder and Hand (DASH) questionnaire. Cross-cultural adaptation and validation.J Hand Surg Br;28(2):179-86. [DOI via Crossref]   
12 Constant CR, Murley AH (1987) A clinical method of functional assessment of the shoulder. Clin Orthop Relat Res 214:160–164 [DOI via Crossref]   
13 Marchese C, Cristalli G, Pichi B, Manciocco V, Mercante G, Pellini R, Marchesi P, Sperduti I, Ruscito P, Spriano G (2012) Italian cross-cultural adaptation and validation of three different scales for the evaluation of shoulder pain and dysfunction after neck dissection: University of California - Los Angeles (UCLA) Shoulder Scale, Shoulder Pain and Disability Index (SPADI) and Simple Shoulder Test (SST). ActaOtorhinolaryngol Ital; 32(1):12-7. [Pubmed]    [PMC Free Fulltext]   
14 Nutton RW, McBirnie JM, Phillips C (1997) Treatment of chronic rotator-cuff impingement by arthroscopic subacromial decompression. J Bone Joint Surg Br 79:73–76 [DOI via Crossref]   
15 Amstutz HC, Sew Hoy AL, Clarke IC (1981) UCLA anatomic total shoulder arthroplasty. Clin Orthop Relat Res 155:7–20 [DOI via Crossref]   
16 Frey H (2003) Realtimeelastography. A new ultrasound procedure for the reconstruction of tissue elasticity. Radiologe 43:850–855 [DOI via Crossref]    [Pubmed]   
17 Klauser AS, Faschingbauer R, Jaschke WR (2010) Is sonoelastography of value in assessing tendons? SeminMusculoskeletRadiol 14:323-333 [DOI via Crossref]    [Pubmed]   
18 Tudisco C, Bisicchia S, Savarese E, Fiori R, Bartolucci DA, Masala S, Simonetti G (2013) Single-row vs. double-row arthroscopic rotator cuff repair: clinical and 3 Tesla MR arthrography results. BMC Musculoskeletal Disord 14:43 [DOI via Crossref]    [Pubmed]    [PMC Free Fulltext]   
19 Moosmayer S, Lund G, Seljom U, Svege I, Hennig T, Tariq R, Smith HJ (2010) Comparison between surgery and physiotherapy in the treatment of small and medium-sized tears of the rotator cuff: A randomised controlled study of 103 patients with one-year follow-up. J Bone Joint Surg Br 92:83-91 [DOI via Crossref]    [Pubmed]   
20 Moosmayer S, Lund G, Seljom US, Haldorsen B, Svege IC, Hennig T, Pripp AH, Smith HJ (2014) Tendon repair compared with physiotherapy in the treatment of rotator cuff tears: a randomized controlled study in 103 cases with a five-year follow-up. J Bone Joint Surg Am 96:1504-1514 [DOI via Crossref]    [Pubmed]   
21 Minagawa H, Itoi E, Saito I (2001) Conservative treatment of rotator cuff tears. Rheumatology 25:494–500
22 Kuhn JE, Dunn WR, Sanders R, An Q, Baumgarten KM, Bishop JY, Brophy RH, Carey JL, Holloway BG, Jones GL, Ma CB, Marx RG, McCarty EC, Poddar SK, Smith MV, Spencer EE, Vidal AF, Wolf BR, Wright RW; MOON Shoulder Group (2013) Effectiveness of physical therapy in treating atraumatic full-thickness rotator cuff tears: a multicenter prospective cohort study. J Shoulder Elbow Surg 22:1371-1379 [DOI via Crossref]    [Pubmed]    [PMC Free Fulltext]   
23 Snyder GM, Mair SD, Lattermann C (2012) Tendinopathy of the long head of the biceps. Med Sport Sci 57:76-89 [DOI via Crossref]    [Pubmed]   
24 Chahal J, Mall N, MacDonald PB, Van Thiel G, Cole BJ, Romeo AA, Verma NN (2012) The role of subacromial decompression in patients undergoing arthroscopic repair of full-thickness tears of the rotator cuff: a systematic review and meta-analysis. Arthroscopy 28:720-727 [DOI via Crossref]    [Pubmed]   
25 Oh JH, Kim JY, Choi JH, Park SM (2014) Is arthroscopic distal clavicle resection necessary for patients with radiological acromioclavicular joint arthritis and rotator cuff tears? A prospective randomized comparative study. Am J Sports Med 42:2567-2573 [DOI via Crossref]    [Pubmed]   
26 Kane P, Hsaio P, Tucker B, Freedman KB. Open subpectoral biceps tenodesis: reliable treatment for all biceps tendon pathology. Orthopedics. 2015 Jan;38(1):37-41. [DOI via Crossref]    [DOI via Crossref]   
27 Kukkonen J, Joukainen A, Lehtinen J, Mattila KT, Tuominen EK, Kauko T, Aärimaa V (2014) Treatment of non-traumatic rotator cuff tears: A randomised controlled trial with one-year clinical results. Bone Joint J 96-B:75-8 [DOI via Crossref]    [Pubmed]   
28 Tanaka M, Itoi E, Sato K, Hamada J, Hitachi S, Tojo Y, Honda M, Tabata S (2010) Factors related to successful outcome of conservative treatment for rotator cuff tears. Ups J Med Sci 115:193-200 [DOI via Crossref]    [Pubmed]    [PMC Free Fulltext]   
29 Kuzel BR, Grindel S, Papandrea R, Ziegler D (2013) Fatty infiltration and rotator cuff atrophy. J Am Acad Orthop Surg 21:613-623 [DOI via Crossref]    [Pubmed]   
30 Yamaguchi H, Suenaga N, Oizumi N, Hosokawa Y, Kanaya F (2012) Will preoperative atrophy and fatty degeneration of the shoulder muscles improve after rotator cuff repair in patients with massive rotator cuff tears? Adv Orthop 2012:195876. [DOI via Crossref]    [Pubmed]    [PMC Free Fulltext]   
31 Chillemi C, Petrozza V, Garro L, Sardella B, Diotallevi R, Ferrara A, Gigante A, Di Cristofano C, Castagna A, Della Rocca C (2011) Rotator cuff re-tear or non-healing: histopathological aspects and predictive factors. Knee Surg Sports TraumatolArthrosc 19:1588–1596 [DOI via Crossref]    [Pubmed]   
32 Wu XL, Briggs L, Murrell GA (2012) Intraoperative determinants of rotator cuff repair integrity: an analysis of 500 consecutive repairs. Am J Sports Med 40:2771-2776 [DOI via Crossref]    [Pubmed]   
33 Liem D, Buschmann VE, Schmidt C, Gosheger G, Vogler T, Schulte TL, Balke M (2014) The prevalence of rotator cuff tears: is the contralateral shoulder at risk? Am J Sports Med 42:826-83 [DOI via Crossref]    [Pubmed]   

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How to Cite this Article
Pubmed Style

Andrea Cappiello, Verdiana Stano, Michele Bisaccia, Luigi Meccariello, Gabriele Falzarano, Antonio Medici, Marco Pellegrino, Olga Bisaccia, Giuseppe Rinonapoli, Auro Caraffa. IS BASELINE STRAIN INDEX A PROGNOSTIC FACTOR FOR SMALL UNILATERAL SUPRASPINATUS TENDON TEARS? A PROSPECTIVE STUDY. Int J Surg Med. 2016; 2(3): 150-155. doi:10.5455/ijsm.baseline-strain-index-tendon-tears

Web Style

Andrea Cappiello, Verdiana Stano, Michele Bisaccia, Luigi Meccariello, Gabriele Falzarano, Antonio Medici, Marco Pellegrino, Olga Bisaccia, Giuseppe Rinonapoli, Auro Caraffa. IS BASELINE STRAIN INDEX A PROGNOSTIC FACTOR FOR SMALL UNILATERAL SUPRASPINATUS TENDON TEARS? A PROSPECTIVE STUDY. http://www.ejos.org/?mno=231245 [Access: June 19, 2019]. doi:10.5455/ijsm.baseline-strain-index-tendon-tears

AMA (American Medical Association) Style

Andrea Cappiello, Verdiana Stano, Michele Bisaccia, Luigi Meccariello, Gabriele Falzarano, Antonio Medici, Marco Pellegrino, Olga Bisaccia, Giuseppe Rinonapoli, Auro Caraffa. IS BASELINE STRAIN INDEX A PROGNOSTIC FACTOR FOR SMALL UNILATERAL SUPRASPINATUS TENDON TEARS? A PROSPECTIVE STUDY. Int J Surg Med. 2016; 2(3): 150-155. doi:10.5455/ijsm.baseline-strain-index-tendon-tears


Vancouver/ICMJE Style

Andrea Cappiello, Verdiana Stano, Michele Bisaccia, Luigi Meccariello, Gabriele Falzarano, Antonio Medici, Marco Pellegrino, Olga Bisaccia, Giuseppe Rinonapoli, Auro Caraffa. IS BASELINE STRAIN INDEX A PROGNOSTIC FACTOR FOR SMALL UNILATERAL SUPRASPINATUS TENDON TEARS? A PROSPECTIVE STUDY. Int J Surg Med. (2016), [cited June 19, 2019]; 2(3): 150-155. doi:10.5455/ijsm.baseline-strain-index-tendon-tears


Harvard Style

Andrea Cappiello, Verdiana Stano, Michele Bisaccia, Luigi Meccariello, Gabriele Falzarano, Antonio Medici, Marco Pellegrino, Olga Bisaccia, Giuseppe Rinonapoli, Auro Caraffa (2016) IS BASELINE STRAIN INDEX A PROGNOSTIC FACTOR FOR SMALL UNILATERAL SUPRASPINATUS TENDON TEARS? A PROSPECTIVE STUDY. Int J Surg Med, 2 (3), 150-155. doi:10.5455/ijsm.baseline-strain-index-tendon-tears


Turabian Style

Andrea Cappiello, Verdiana Stano, Michele Bisaccia, Luigi Meccariello, Gabriele Falzarano, Antonio Medici, Marco Pellegrino, Olga Bisaccia, Giuseppe Rinonapoli, Auro Caraffa. 2016. IS BASELINE STRAIN INDEX A PROGNOSTIC FACTOR FOR SMALL UNILATERAL SUPRASPINATUS TENDON TEARS? A PROSPECTIVE STUDY. International Journal of Surgery and Medicine, 2 (3), 150-155. doi:10.5455/ijsm.baseline-strain-index-tendon-tears


Chicago Style

Andrea Cappiello, Verdiana Stano, Michele Bisaccia, Luigi Meccariello, Gabriele Falzarano, Antonio Medici, Marco Pellegrino, Olga Bisaccia, Giuseppe Rinonapoli, Auro Caraffa. "IS BASELINE STRAIN INDEX A PROGNOSTIC FACTOR FOR SMALL UNILATERAL SUPRASPINATUS TENDON TEARS? A PROSPECTIVE STUDY." International Journal of Surgery and Medicine 2 (2016), 150-155. doi:10.5455/ijsm.baseline-strain-index-tendon-tears


MLA (The Modern Language Association) Style

Andrea Cappiello, Verdiana Stano, Michele Bisaccia, Luigi Meccariello, Gabriele Falzarano, Antonio Medici, Marco Pellegrino, Olga Bisaccia, Giuseppe Rinonapoli, Auro Caraffa. "IS BASELINE STRAIN INDEX A PROGNOSTIC FACTOR FOR SMALL UNILATERAL SUPRASPINATUS TENDON TEARS? A PROSPECTIVE STUDY." International Journal of Surgery and Medicine 2.3 (2016), 150-155. Print. doi:10.5455/ijsm.baseline-strain-index-tendon-tears


APA (American Psychological Association) Style

Andrea Cappiello, Verdiana Stano, Michele Bisaccia, Luigi Meccariello, Gabriele Falzarano, Antonio Medici, Marco Pellegrino, Olga Bisaccia, Giuseppe Rinonapoli, Auro Caraffa (2016) IS BASELINE STRAIN INDEX A PROGNOSTIC FACTOR FOR SMALL UNILATERAL SUPRASPINATUS TENDON TEARS? A PROSPECTIVE STUDY. International Journal of Surgery and Medicine, 2 (3), 150-155. doi:10.5455/ijsm.baseline-strain-index-tendon-tears


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