Main Article Content
rotator cuff repair, sovraspinatus, transosseous, arthroscopic repair
Background: Despite rotator cuff repair techniques have developed significantly in last decade,
pushed by the progress in technology and materials, the treatment of rotator cuff tears and re-tears is still a
big challenge for shoulder surgeons. The aim of this study is to perform clinical and radiological evaluation
(ultrasound and MRI) of patients treated with transosseous sharc-ft, and single row techniques for
sovraspinatus rotator cuff tear at 6, 12 and 24 months follow up. Methods: Twenty-eight consecutive patients
who underwent arthroscopic repair for rotator cuff tear were enrolled in the study and divided in two different
groups: group A (14 patients) underwent a single row technique repair; group B (14 patients) underwent a
transosseous sharc-ft technique repair. All participants had MRI or ultrasound examination confirmed fullthickness tears of sovraspinatus tendon before surgery. All the patients underwent clinical evaluation at 45
days, 3 months, 6 months, 12 and 24 months post-operatively with VAS, Dash, Constant and ASES score.
Diagnostic ultrasound examination was performed at 6 months follow up while the MRI examination at
1 and 2 year follow up. Results: The whole primary variables didn’t show any significant difference and the
groups were homogenous (age, Goutallier fatty infiltration, VAS, DASH, Constant, ASES). Some statistically
significant differences are visible at discrete variables in a specific time: Dash at 12 months and Constant
at 24 months show a significant improvement versus single-row technique. Conclusion: The arthroscopic
transosseous repair technique with sharc-ft showed excellent results with little significant statically difference
between this technique and the single row for this kind of lesion after 1 year of follow-up. Clinical data
from this study confirmed, with the help of ultrasound examination and MRI, the excellent clinical outcome
obtained by the patients. Further studies are needed to find differences between these techniques in the repair
of large and massive rotator cuff lesions. (www.actabiomedica.it)
2. Park JY, Lhee SH, Oh KS, Moon SG, Hwang JT (2013) Clinical and ultrasonographic outcomes of arthroscopic suture bridge repair for massive rotator cuff tear. Arthroscopy Feb;29(2):280-9.
3. Mantovani M, Baudi P, Paladini P, Pellegrini A, Verdano MA, Porcellini G, Catani F (2014) Gap formation in a transosseous rotator cuff repair as a function of bone quality. Clin Biomech Apr;29(4):429-33.
4. Pellegrini A, Lunini E, Rebuzzi M, Baudi P, Verdano MA, Ceccarelli F (2015) Arthroscopic rotator cuff tear transosseous repair system: the Sharc-FT® by Taylor®. Arthroscopy Techniques; 4(3): 201-205.
5. Constant CR, Murley AHG (1987) A clinical method of functional assessment of the shoulder. Clin Orthop 214:160-164.
6. Hudak PL, Amadio PC, Bombardier C (1996) Development of an upper extremity outcome measure: the DASH (disability of the arm, shoulder and hand) [corrected]. The Upper Extremity Collaborative Group (UECG). Am J Ind Med 29:602-608.
7. Lippitt S, Harryman D, Matsen D (1993) A practical tool for evaluating function: the Simple Shoulder Test. The shoulder: a balance of mobility and stability. Rosemont, IL: American Academy of Orthopaedic Surgeons. 501-18.
8. Teefey SA, Rubin DA, Middleton WD, Hildebolt CF, Leibold RA, Yamaguchi K (2004) Detection and quantification of rotator cuff tears: comparison of ultrasonographic, magnetic resonance imaging, and arthroscopic findings in seventy-one consecutive cases. J Bone Joint Surg Am;86-A:708 –716.
9. De Jesus JO, Parker L, Frangos AJ, Nazarian LN (2009) Accuracy of MRI, MR arthrography, and ultrasound in the diagnosis of rotator cuff tears: a meta-analysis. AJR Am J Roentgenol;192(6):1701 –1707
10. Sugaya H, Maeda K, Matsuki K, Moriishi J (2007) Repair integrity and functional outcome after arthroscopic double-row rotator cuff repair. A prospective outcome study. J Bone Joint Surg Am May;89(5):953-60.
11. Lafosse L, Brozska R, Toussant B, Gobezie R (2007) The outcome and structural integrity of arthroscopic rotatori cuff repair with use of the double-row suture anchor technique. J Bone Joint Surg Am Jul;89(7):1533-41.
12. Huijsmans PE, Pritchard MP, Berghs BM, van Rooyen KS, Wallace AL, de Beer JF (2007) Arthroscopic rotator cuff repair with double-row fixation. J Bone Joint Surg Am Jun;89(6):1248-57.
13. Frank JB, ElAttrache NS, Dines JS, Blackburn A, Crues J, Tibone JE (2008) Repair site integrity after arthroscopic transosseous-equivalent suture-bridge rotator cuff repair. Am J Sports Med Aug;36(8):1496-503.
14. Codsi MJ, Rodeo SA, Scalise JJ, Moorehead TM, Ma CB (2014) Assessment of rotator cuff repair integrity using ultrasound and magnetic resonance imaging in a multicenter study. J Shoulder Elbow Surg Oct;23(10):1486-72.
15. Martin-Hervas C, Romero J, Navas-Acien A, Reboiras JJ, Munuera L (2001) Ultrasonographic and magnetic resonance images of rotator cuff lesions compared with arthroscopy or open surgery findings. J Shoulder Elbow Surg 10: 410–15.
16. Teefey SA, Hasan SA, Middleton WD, Patel M, Wright RW, Yamaguchi K (2000) Ultrasonography of the rotator cuff. J Bone Joint Surg Am 82: 498–504.
17. Hodler J, Fretz CJ, Terrier F, Gerber C (1988) Rotator cuff tears: correlation of sonographic and surgical findings. Radiology 169: 791–4.
18. Rutten MJ, Jager GJ, Kiemeney LA (2010) Ultrasound detection of rotator cuff tears: observer agreement related to increasing experience. AJR Am J Roentgenol Dec;195(6).
19. Baudi P, Rasia Dani E, Campochiaro G, Rebuzzi M, Serafini F, Catani F (2013) The rotatort cuff tear repair with a new arthroscopic transosseous system: the Sharc-FT(). Musculoskelet Surg Jun;97 Suppl 1:57-61