Evaluation of the results from arthroscopic surgical treatment of rotator cuff injuries in patients aged 65 years and over

• Main Authors: Alberto Naoki Miyazaki, Luciana Andrade da Silva, Pedro Doenux Santos, Sergio Luiz Checchia, Carina Cohen, Taís Stedile Busin Giora
• Format: Article
• Language: English
• Published: Sociedade Brasileira de Ortopedia e Traumatologia 2015-06-01
• Series: Revista Brasileira de Ortopedia
• Subjects: Manguito rotador; Artroscopia; Idoso
• Online Access: http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0102-36162015000300305&lng=en&tlng=en

OBJECTIVES: To evaluate the results from arthroscopic surgical treatment of rotator cuff injuries in patients aged 65 years and over.METHODS: Between 1998 and 2009, 168 patients underwent operations. Five cases were excluded. The remaining 163 patients were stratified according to their age group: 65-69 years (49.1%), 70-74 (26.4%) and 75 years and over (24.5%). Their mean age was 71 years (range: 65-83). There were 63 male patients (38.7%). The mean length of time with pain, from the onset of symptoms to the surgery, was 23 months (range: 2 days to 240 months). Sixty-two patients (38%) reported histories of trauma and 26 (16%) reported that their pain worsened through exertion.RESULTS: From the UCLA criteria, 80.4% of the results were excellent, 16% good, 1.8% fair and 1.8% poor. Complications occurred in 11%. The final clinical result did not show any correlation with age progression, injury size or tendons affected. However, there was a significant association (p < 0.001) between the presence of trauma and larger injuries. The length of time between the onset of symptoms and the surgical procedure had a significant relationship (p < 0.027) with the postoperative results: the longer this time was, the worse the results were.CONCLUSION: Arthroscopic treatment of rotator cuff injuries in patients aged 65 years and over presented excellent and good results in 96.4% of the cases, according to the UCLA assessment, with a low complication rate. Advanced age did not show any influence on the postoperative clinical evolution, but the earlier the surgical treatment was instituted, the better the results were.