IJMDC. 2021; 5(11): 1996-2002

Surgical repair versus conservative management in degenerative rotator cuff tears: systematic review and meta-analysis

Authors: Sager Holyl Alruwaili, Abdullah Qasem Alruwaili, Musaad Mohammed Almari, Meshari Owaid Alanazi, Abdullah Mohammed Alzahrani, Ghazi Okla Alhassan, Hassan Ahmed Aljudia.

ABSTRACT

Although surgery is generally used to treat acute traumatic rotator cuff tears (RCTs) in young patients, treating degenerative cuff tears remains a challenge for orthopedic surgeons, and no gold standard has been established. This work aims to determine the efficacy of surgical repair versus conservative management in shoulder degenerative RCTs patients. A systematic search was carried out over different medical databases to identify orthopedic surgery studies, which investigated the outcome of the surgical repair versus the conservative management of RCTs patients. We conducted a meta-analysis for the constant and visual analogue scale (VAS) scores as primary outcomes, and on retear (recurrence) rate as a secondary outcome. Seven studies were identified involving 628 patients: 314 in the surgical repair group and 314 in the conservative management group. Our meta-analysis process showed a non-significant difference in mean constant score and VAS score in the surgical repair group compared to the conservative management group (p > 0.05 for each). Also, we found that the overall pooled recurrence rate was 13.2%. This study compared the efficacy and safety of surgical repair versus conservative management in degenerative RCTs. According to our results, there was no difference between both groups in their effect on mean constant score and mean VAS score, also retear after surgical repair may occur at a similar rate. This means that both approaches had a similar efficacy.

Keywords:
Surgical repair, conservative, degenerative rotator cuff tears


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Surgical repair versus conservative management in degenerative rotator cuff tears: systematic review and meta-analysis


Authors
Sager Holyl Alruwaili
Assistant Professor, Department Of Surgery, Orthopedic Division, College Of Medicine, Jouf University, Sakaka, Saudi Arabia
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Abdullah Qasem Alruwaili
Medical Intern, College Of Medicine, Jouf University, Sakaka, Saudi Arabia
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Musaad Mohammed Almari
Medical Intern, College Of Medicine, Jouf University, Sakaka, Saudi Arabia
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Meshari Owaid Alanazi
Medical Intern, College Of Medicine, Jouf University, Sakaka, Saudi Arabia
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Abdullah Mohammed Alzahrani
Medical Intern, College Of Medicine, Jouf University, Sakaka, Saudi Arabia
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Ghazi Okla Alhassan
Medical Intern, College Of Medicine, Jouf University, Sakaka, Saudi Arabia
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Hassan Ahmed Aljudia
Medical Intern, College Of Medicine, Jouf University, Sakaka, Saudi Arabia
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Correspondence to:
. Sager Holyl Alruwaili, Assistant Professor, Department of Surgery, Orthopedic Division, College of Medicine, Jouf University, Sakaka, Saudi Arabia; shalruwaili@ju.edu.sa

Publication history
Received 26 Sep 2021
Accepted 11 Oct 2021
Published online 23 Oct 2021
Published in print 18 Nov 2021

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Pubmed Style

Alruwaili SH, Alruwaili AQ, Almari MM, Alanazi MO, Alzahrani AM, Alhassan GO, Aljudia HA. Surgical repair versus conservative management in degenerative rotator cuff tears: systematic review and meta-analysis. IJMDC. 2021; 5(11): 1996-2002. doi:10.24911/IJMDC.51-1632660225


Web Style

Alruwaili SH, Alruwaili AQ, Almari MM, Alanazi MO, Alzahrani AM, Alhassan GO, Aljudia HA. Surgical repair versus conservative management in degenerative rotator cuff tears: systematic review and meta-analysis. https://www.ijmdc.com/?mno=127471 [Access: August 18, 2022]. doi:10.24911/IJMDC.51-1632660225


AMA (American Medical Association) Style

Alruwaili SH, Alruwaili AQ, Almari MM, Alanazi MO, Alzahrani AM, Alhassan GO, Aljudia HA. Surgical repair versus conservative management in degenerative rotator cuff tears: systematic review and meta-analysis. IJMDC. 2021; 5(11): 1996-2002. doi:10.24911/IJMDC.51-1632660225


Vancouver/ICMJE Style

Alruwaili SH, Alruwaili AQ, Almari MM, Alanazi MO, Alzahrani AM, Alhassan GO, Aljudia HA. Surgical repair versus conservative management in degenerative rotator cuff tears: systematic review and meta-analysis. IJMDC. (2021), [cited August 18, 2022]; 5(11): 1996-2002. doi:10.24911/IJMDC.51-1632660225


Harvard Style

Alruwaili, S. H., Alruwaili, . A. Q., Almari, . M. M., Alanazi, . M. O., Alzahrani, . A. M., Alhassan, . G. O. & Aljudia, . H. A. (2021) Surgical repair versus conservative management in degenerative rotator cuff tears: systematic review and meta-analysis. IJMDC, 5 (11), 1996-2002. doi:10.24911/IJMDC.51-1632660225


Turabian Style

Alruwaili, Sager Holyl, Abdullah Qasem Alruwaili, Musaad Mohammed Almari, Meshari Owaid Alanazi, Abdullah Mohammed Alzahrani, Ghazi Okla Alhassan, and Hassan Ahmed Aljudia. 2021. Surgical repair versus conservative management in degenerative rotator cuff tears: systematic review and meta-analysis. International Journal of Medicine in Developing Countries, 5 (11), 1996-2002. doi:10.24911/IJMDC.51-1632660225


Chicago Style

Alruwaili, Sager Holyl, Abdullah Qasem Alruwaili, Musaad Mohammed Almari, Meshari Owaid Alanazi, Abdullah Mohammed Alzahrani, Ghazi Okla Alhassan, and Hassan Ahmed Aljudia. "Surgical repair versus conservative management in degenerative rotator cuff tears: systematic review and meta-analysis." International Journal of Medicine in Developing Countries 5 (2021), 1996-2002. doi:10.24911/IJMDC.51-1632660225


MLA (The Modern Language Association) Style

Alruwaili, Sager Holyl, Abdullah Qasem Alruwaili, Musaad Mohammed Almari, Meshari Owaid Alanazi, Abdullah Mohammed Alzahrani, Ghazi Okla Alhassan, and Hassan Ahmed Aljudia. "Surgical repair versus conservative management in degenerative rotator cuff tears: systematic review and meta-analysis." International Journal of Medicine in Developing Countries 5.11 (2021), 1996-2002. Print. doi:10.24911/IJMDC.51-1632660225


APA (American Psychological Association) Style

Alruwaili, S. H., Alruwaili, . A. Q., Almari, . M. M., Alanazi, . M. O., Alzahrani, . A. M., Alhassan, . G. O. & Aljudia, . H. A. (2021) Surgical repair versus conservative management in degenerative rotator cuff tears: systematic review and meta-analysis. International Journal of Medicine in Developing Countries, 5 (11), 1996-2002. doi:10.24911/IJMDC.51-1632660225


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