Evaluation Treatment of the Rotator Cuff Injury: Correlations Between the Insertional Anatomy Site Lesions and a Functional of Postoperative Results

PURPOSE: The purpose of this study was to define the correlations between the insertional anatomy of the rotator cuff lesions (Neer II & III) and a functional of postoperative results. METHODS; In University Clinical Center of Sarajevo (Clinic of orthopaedic and traumatology, Plastic and reconstructive surgery, Emergency department)- (12:4:1) in retrospective descriptive study evaluated (n = 17) patients with rotator cuff lesions. All patients are operated in period January 2000. - January 2007. Relation male : female was 15:2, average age 43,7 years (35,2-53,6). Functional tested was in period 3, 6 months and 1, 2 years after surgery. Evaluated comparative radiography, pain and function (Shoulder Pain & Disability Index-SPADI) and muscles strain lateral rotator shoulders with manual methods. All dates are statistical evaluated. RESULTS; Large heterotopic ossification detect from subacromial space in one case after acromioabrassion with restriction abduction (25 0) and internal rotation arm. Humeroscapular rhythm are positive. After final tested 64,7% (n = 11) patients was excellent results, very good 17,6 % (n=3), good 11,7 % (n = 2) and poorly 5,8 % (n = 1). There was a significant difference in SPADI total scores postoperatively compared to preoperatively (p=0.029). Also, functional activity level was significantly better (p=0.026) postoperatively compared to preoperatively in patients. A trend towards less pain was observed but was not significantly different (p=0.063). CONCLUSIONS; On the basis of the findings of our study, it appears that rotator cuff reconstruction to the anatomical footprint requires repair not only of the supraspinatus but also of the infraspinatus to the wider footprint on the anatomy insertional site.