Rotator cuff disease: Opinion regarding surgical criteria and likely outcome

Background: Clinical guidelines for the management of rotator cuff disease are not clear. Surgeon surveys in the USA and UK lack agreement regarding surgical indications. Physical examination tests aid surgical decision-making but also lack robust evidence. Study aims were to evaluate: Western Austr...

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Main Authors: Thorpe, Alison, Hurworth, M., O'Sullivan, Peter, Mitchell, Tim, Smith, Anne
Format: Journal Article
Published: John Wiley & Sons 2017
Online Access:http://hdl.handle.net/20.500.11937/50749
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author Thorpe, Alison
Hurworth, M.
O'Sullivan, Peter
Mitchell, Tim
Smith, Anne
author_facet Thorpe, Alison
Hurworth, M.
O'Sullivan, Peter
Mitchell, Tim
Smith, Anne
author_sort Thorpe, Alison
building Curtin Institutional Repository
collection Online Access
description Background: Clinical guidelines for the management of rotator cuff disease are not clear. Surgeon surveys in the USA and UK lack agreement regarding surgical indications. Physical examination tests aid surgical decision-making but also lack robust evidence. Study aims were to evaluate: Western Australian orthopaedic surgeons' perceptions about surgical indications; utility of physical examination tests; findings at surgery predictive of outcome and surgeon opinion of a successful surgical outcome. Methods: An anonymous rotator cuff survey, previously reported by the American Academy of Orthopaedic Surgeons, was emailed to all surgeons listed with the Australian Orthopaedic Association in Western Australian. Surgeons who treated patients for rotator cuff disease during the previous 12months were invited to complete the rotator cuff survey and five additional questions were included to capture the above criteria of interest. Results: Within a close community of surgeons based in Western Australia (n=23) considerable heterogeneity exists in surgical decision-making criteria. A successful surgical outcome was considered to include reduced pain levels, restoration of movement and function and gains in muscle strength. Conclusions: Research is required to inform robust clinical practice guidelines for rotator cuff surgery. Identification of prognostic factors for successful surgical outcome is imperative.
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spelling curtin-20.500.11937-507492018-02-28T04:25:34Z Rotator cuff disease: Opinion regarding surgical criteria and likely outcome Thorpe, Alison Hurworth, M. O'Sullivan, Peter Mitchell, Tim Smith, Anne Background: Clinical guidelines for the management of rotator cuff disease are not clear. Surgeon surveys in the USA and UK lack agreement regarding surgical indications. Physical examination tests aid surgical decision-making but also lack robust evidence. Study aims were to evaluate: Western Australian orthopaedic surgeons' perceptions about surgical indications; utility of physical examination tests; findings at surgery predictive of outcome and surgeon opinion of a successful surgical outcome. Methods: An anonymous rotator cuff survey, previously reported by the American Academy of Orthopaedic Surgeons, was emailed to all surgeons listed with the Australian Orthopaedic Association in Western Australian. Surgeons who treated patients for rotator cuff disease during the previous 12months were invited to complete the rotator cuff survey and five additional questions were included to capture the above criteria of interest. Results: Within a close community of surgeons based in Western Australia (n=23) considerable heterogeneity exists in surgical decision-making criteria. A successful surgical outcome was considered to include reduced pain levels, restoration of movement and function and gains in muscle strength. Conclusions: Research is required to inform robust clinical practice guidelines for rotator cuff surgery. Identification of prognostic factors for successful surgical outcome is imperative. 2017 Journal Article http://hdl.handle.net/20.500.11937/50749 10.1111/ans.13862 John Wiley & Sons fulltext
spellingShingle Thorpe, Alison
Hurworth, M.
O'Sullivan, Peter
Mitchell, Tim
Smith, Anne
Rotator cuff disease: Opinion regarding surgical criteria and likely outcome
title Rotator cuff disease: Opinion regarding surgical criteria and likely outcome
title_full Rotator cuff disease: Opinion regarding surgical criteria and likely outcome
title_fullStr Rotator cuff disease: Opinion regarding surgical criteria and likely outcome
title_full_unstemmed Rotator cuff disease: Opinion regarding surgical criteria and likely outcome
title_short Rotator cuff disease: Opinion regarding surgical criteria and likely outcome
title_sort rotator cuff disease: opinion regarding surgical criteria and likely outcome
url http://hdl.handle.net/20.500.11937/50749