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The impact of full-thickness rotator cuff tear on shoulder function and quality of life in patients who sustain a proximal humerus fracture—a prospective cohort study

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The impact of full-thickness rotator cuff tear on shoulder function and quality of life in patients who sustain a proximal humerus fracture—a prospective cohort study. / Østergaard, Helle K.; Launonen, Antti P.; Sumrein, Bakir O. et al.
I: JSES international, Bind 6, Nr. 2, 03.2022, s. 268-274.

Publikation: Bidrag til tidsskrift/Konferencebidrag i tidsskrift /Bidrag til avisTidsskriftartikelForskningpeer review

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Østergaard HK, Launonen AP, Sumrein BO, Vestermark MT, Paloneva J, Laitinen MK et al. The impact of full-thickness rotator cuff tear on shoulder function and quality of life in patients who sustain a proximal humerus fracture—a prospective cohort study. JSES international. 2022 mar.;6(2):268-274. doi: 10.1016/j.jseint.2021.11.003

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@article{a9913f7c369b48cba72f4192a70b9e87,
title = "The impact of full-thickness rotator cuff tear on shoulder function and quality of life in patients who sustain a proximal humerus fracture—a prospective cohort study",
abstract = "Background: Only few studies have investigated the impact of rotator cuff integrity on patients with proximal humerus fracture (PHF). We aimed to determine if the presence of a rotator cuff tear impairs shoulder function and health-related quality of life (HRQoL) after nonsurgically treated PHF. Methods: Sixty-seven patients with PHF were recruited prospectively in a cohort. Presence of a full-thickness rotator cuff tear was determined by ultrasound examination. After 6 and 12 months, Constant-Murley Score; Disability of the Arm, Shoulder and Hand; the Visual Analog Scale; EuroQol-5 Domain; and the 15D scores were compared between the patients with a rotator cuff tear and patients with an intact rotator cuff. Results: The prevalence of a full-thickness rotator cuff tear was 34%. After 12 months, the mean Constant-Murley Score was 65.7 (standard deviation 16.3) in the intact rotator cuff group vs. 53.9 (16.0) in the rotator cuff tear group (mean diff. 11.8, 95% confidence interval 2.5; 21.2) and was found to be a clinically relevant difference. A significantly lower HRQoL was found on the EuroQol-5 Domain score after 12 months in the rotator cuff tear group with a median score of 1 (interquartile range 0.23) in the intact rotator cuff group vs. 0.75 (interquartile range 0.34) in the rotator cuff tear group (P =.03). In the remaining outcome measures, no statistically significant between-group differences were detected. Conclusion: Rotator cuff tear in older adults with nonsurgically treated PHF may be considered a prognostic factor for poorer shoulder function and HRQoL. This knowledge can support the planning of treatment.",
keywords = "Health-related quality of life, Level I, Older adults, Pain, Prognosis Study, Prospective Cohort Comparison, Proximal humerus fracture, Rotator cuff tear, Shoulder function",
author = "{\O}stergaard, {Helle K.} and Launonen, {Antti P.} and Sumrein, {Bakir O.} and Vestermark, {Marianne T.} and Juha Paloneva and Laitinen, {Minna K.} and Mattila, {Ville M.} and Inger Mechlenburg",
note = "{\textcopyright} 2021 The Author(s).",
year = "2022",
month = mar,
doi = "10.1016/j.jseint.2021.11.003",
language = "English",
volume = "6",
pages = "268--274",
journal = "JSES international",
issn = "2666-6383",
publisher = "Elsevier BV",
number = "2",

}

RIS

TY - JOUR

T1 - The impact of full-thickness rotator cuff tear on shoulder function and quality of life in patients who sustain a proximal humerus fracture—a prospective cohort study

AU - Østergaard, Helle K.

AU - Launonen, Antti P.

AU - Sumrein, Bakir O.

AU - Vestermark, Marianne T.

AU - Paloneva, Juha

AU - Laitinen, Minna K.

AU - Mattila, Ville M.

AU - Mechlenburg, Inger

N1 - © 2021 The Author(s).

PY - 2022/3

Y1 - 2022/3

N2 - Background: Only few studies have investigated the impact of rotator cuff integrity on patients with proximal humerus fracture (PHF). We aimed to determine if the presence of a rotator cuff tear impairs shoulder function and health-related quality of life (HRQoL) after nonsurgically treated PHF. Methods: Sixty-seven patients with PHF were recruited prospectively in a cohort. Presence of a full-thickness rotator cuff tear was determined by ultrasound examination. After 6 and 12 months, Constant-Murley Score; Disability of the Arm, Shoulder and Hand; the Visual Analog Scale; EuroQol-5 Domain; and the 15D scores were compared between the patients with a rotator cuff tear and patients with an intact rotator cuff. Results: The prevalence of a full-thickness rotator cuff tear was 34%. After 12 months, the mean Constant-Murley Score was 65.7 (standard deviation 16.3) in the intact rotator cuff group vs. 53.9 (16.0) in the rotator cuff tear group (mean diff. 11.8, 95% confidence interval 2.5; 21.2) and was found to be a clinically relevant difference. A significantly lower HRQoL was found on the EuroQol-5 Domain score after 12 months in the rotator cuff tear group with a median score of 1 (interquartile range 0.23) in the intact rotator cuff group vs. 0.75 (interquartile range 0.34) in the rotator cuff tear group (P =.03). In the remaining outcome measures, no statistically significant between-group differences were detected. Conclusion: Rotator cuff tear in older adults with nonsurgically treated PHF may be considered a prognostic factor for poorer shoulder function and HRQoL. This knowledge can support the planning of treatment.

AB - Background: Only few studies have investigated the impact of rotator cuff integrity on patients with proximal humerus fracture (PHF). We aimed to determine if the presence of a rotator cuff tear impairs shoulder function and health-related quality of life (HRQoL) after nonsurgically treated PHF. Methods: Sixty-seven patients with PHF were recruited prospectively in a cohort. Presence of a full-thickness rotator cuff tear was determined by ultrasound examination. After 6 and 12 months, Constant-Murley Score; Disability of the Arm, Shoulder and Hand; the Visual Analog Scale; EuroQol-5 Domain; and the 15D scores were compared between the patients with a rotator cuff tear and patients with an intact rotator cuff. Results: The prevalence of a full-thickness rotator cuff tear was 34%. After 12 months, the mean Constant-Murley Score was 65.7 (standard deviation 16.3) in the intact rotator cuff group vs. 53.9 (16.0) in the rotator cuff tear group (mean diff. 11.8, 95% confidence interval 2.5; 21.2) and was found to be a clinically relevant difference. A significantly lower HRQoL was found on the EuroQol-5 Domain score after 12 months in the rotator cuff tear group with a median score of 1 (interquartile range 0.23) in the intact rotator cuff group vs. 0.75 (interquartile range 0.34) in the rotator cuff tear group (P =.03). In the remaining outcome measures, no statistically significant between-group differences were detected. Conclusion: Rotator cuff tear in older adults with nonsurgically treated PHF may be considered a prognostic factor for poorer shoulder function and HRQoL. This knowledge can support the planning of treatment.

KW - Health-related quality of life

KW - Level I

KW - Older adults

KW - Pain

KW - Prognosis Study

KW - Prospective Cohort Comparison

KW - Proximal humerus fracture

KW - Rotator cuff tear

KW - Shoulder function

UR - http://www.scopus.com/inward/record.url?scp=85124105476&partnerID=8YFLogxK

U2 - 10.1016/j.jseint.2021.11.003

DO - 10.1016/j.jseint.2021.11.003

M3 - Journal article

C2 - 35252925

AN - SCOPUS:85124105476

VL - 6

SP - 268

EP - 274

JO - JSES international

JF - JSES international

SN - 2666-6383

IS - 2

ER -