Abstract
OBJECTIVE: The purpose of this study was to clinically evaluate patients who underwent Arthroscopic Rotator Cuff Repair (RC) using the Modified Manson-Allen technique. METHODS: We evaluated 79 patients who underwent shoulder arthroscopy. The lesions were repaired using the modified Mason-Allen suture between 2003 and 2009, divided by Cofield classification and clinically evaluated by the scoring system of the University of Los Angeles (UCLA) in the pre- and postoperative periods. RESULTS: The evaluation of lesion sizes showed 7 small lesions (<1cm), 55 average lesions (1-3cm) and 17 large lesions (3-5cm), and in this last group there were 5 reruptures and the patients were reoperated by the same technique. Comparing the pre (14.1) and postoperative (32.6) values by UCLA system there was a significant improvement of score (142.3%), regardless of lesion size. The modified Mason-Allen suture provided satisfactory clinical results, regardless of lesion size, similar to those found in literature. The rerupture rate was high in large lesions. New suture techniques have been developed with the aim of reducing the incidence of rerupture. CONCLUSION: The modified Mason-Allen suture technique provided clinical improvement, regardless of lesion size. Level of Evidence IV, Cases Series.
Highlights
Rotator cuff (RC) lesions are one of the causes of shoulder pain and a frequent motive of medical consultations
The prerequisites for inclusion of the patients submitted to shoulder arthroscopy for the performance of the study was the presence of isolated RC lesion repaired by arthroscopy using the modified Mason Allen suture technique
The comparison of the scores in the pre- and postoperative periods showed a significant increase in the values regardless of the lesion size
Summary
Rotator cuff (RC) lesions are one of the causes of shoulder pain and a frequent motive of medical consultations. These lesions can occur in any age group and appear in different forms, from tendinitis to rotator cuff arthropathy. Surgical treatment has been increasingly indicated, with the arthroscopic form being the most common procedure in recent years.[1] The goal of RC repair regardless of the technique used is to achieve anatomic restoration with a decrease in pain and improvement of shoulder function.[2] There are several RC suture techniques, of which those used most often for arthroscopic suturing include: double-row, single-row with simple suture and the modified Mason-Allen suture technique, which consists of the use of a double-loaded anchor and the combination of a horizontal “U” shaped suture with a simple suture using the threads from the same anchor.[3] Repair using the modified Mason-Allen suture technique presents the advantages of being more financially economical and requiring less surgical time than the double-row suture. The aim of our study was to evaluate clinical improvement in patients submitted to arthroscopic RC repair using the modified Mason-Allen technique.[5]
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