Massive Retracted Irreparable Rotator Cuff Tears: What Is the Effect of Conservative Therapy?

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dc.authorwosidOzbaydar, Mehmet/D-7391-2016
dc.authorwosidOzbaydar, Mehmet/AAS-2718-2020
dc.contributor.authorYıldırım Güzelant, Aliye
dc.contributor.authorSarıfakıoğlu, Ayşe Banu
dc.contributor.authorGonen, Aysun Korcan
dc.contributor.authorÖzbaydar, Mehmet Uğur
dc.contributor.authorBekmezci, Taner
dc.contributor.authorAdas, Mujdat
dc.contributor.authorTonbul, Murat
dc.date.accessioned2022-05-11T14:13:57Z
dc.date.available2022-05-11T14:13:57Z
dc.date.issued2014
dc.departmentFakülteler, Tıp Fakültesi, Dahili Tıp Bilimleri Bölümü, Fizik Tedavi ve Rehabilitasyon Ana Bilim Dalı
dc.departmentFakülteler, Tıp Fakültesi, Dahili Tıp Bilimleri Bölümü, Radyoloji Ana Bilim Dalı
dc.description.abstractIntroduction: Massive, irreparable, retracted cuff tears, without surgical intervention need to be treated with conservative therapy. In this study we aimed to determine the efficacy of conservative treatment in such tears. Material and Methods: We retrospectively reviewed 33 patients with massive rotator cuff tears treated nonoperatively. Data were obtained from direct examination, medical records, plain radiographs, and magnetic resonance imaging (MRI). Radiographic classification has been made by plain AP views. The fatty muscle degeneration and the stage of retraction of the cuff were evaluated with MRI. Rehabilitation program was given to all patients. Results: The mean age at the initial examination was 71 (range, 50-84) years. The mean follow-up time was 5.5 (range, 2-10) years. Patients with Grade 3-5 tears and Stage III retractions had a higher incidence of fatty muscle degeneration of the subscapularis muscle. Deltoid muscle strength was found to be increased significantly at the latest follow-up. Conclusion: Exercise therapy should be kept in mind as a kind of rehabilitation method in patients with a symptomatic massive rotator cuff tear. It's essential that more randomised clinical investigations have to be conducted to find out the best management practice for this condition.
dc.identifier.endpage241
dc.identifier.issn1304-2947
dc.identifier.issn1307-9948
dc.identifier.issue3en_US
dc.identifier.scopus2-s2.0-84907845905
dc.identifier.scopusqualityQ4
dc.identifier.startpage234
dc.identifier.urihttps://hdl.handle.net/20.500.11776/5707
dc.identifier.volume17
dc.identifier.wosWOS:000346741300004
dc.identifier.wosqualityQ4
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.institutionauthorYıldırım Güzelant, Aliye
dc.institutionauthorSarıfakıo?lu, Ayşe Banu
dc.institutionauthorGonen, Aysun Korcan
dc.language.isoen
dc.publisherGunes Kitabevi Ltd Sti
dc.relation.ispartofTurkish Journal of Geriatrics-Turk Geriatri Dergisi
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccess
dc.subjectRotator Cuff
dc.subjectPhysical Therapy Modalities
dc.subjectTreatment Outcome
dc.subjectShoulder
dc.subjectRepair
dc.subjectLesions
dc.subjectHead
dc.subjectAge
dc.titleMassive Retracted Irreparable Rotator Cuff Tears: What Is the Effect of Conservative Therapy?
dc.typeArticle

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