Functional Outcome After Surgical Repair of Rotator Cuff Tears in Rock Climbers
(Simon M., Popp D., Schöffl I., Schöffl V.)
This study examined the outcome of 10 rock climbers (8 male & 2 female) who received arthroscopic surgical repair of the rotator cuff; one of these patients had both shoulders repaired. Six patients had a complete rotator cuff tear (retraction in the frontal plane according to Patte: 4 were grade 1, 1 at grade 2, and 1 grade 3) and four patients has a partial avulsion of the supraspinatus tendon (“PASTA” lesion; Ellmann classification of partial thickness tears: 1 at grade 2 and 3 were grade 3). One patient had undergone a previous rotator cuff surgery. All operations were performed between 2008 and 2015. For re-evaluation the patient completed a questionnaire and underwent clinical examination between 12 and 72 months after surgery.
Post-surgery climbing levels were determined by calculating the mean UIAA metric level of the three hardest redpoint ascents in the one year prior to the re-evaluation. This level was compared to the mean of the three hardest redpoints in the year preceding shoulder injury. The patient was classified as successfully regaining pre-operative climbing level, if the mean of their three hardest post-operative redpoints was +/-0.33 UIAA grade of their pre-injury level.
At the time of re-evaluation, five patients did not regained their pre-injury climbing level, whereas four climbers did and one exceeded his level. Nine of the 10 climbers reached a climbing level +/- 1.33 UIAA metric grade of their initial capability. In conclusion, the authors encourage their climbing patients to have rotator cuff tears repaired surgically as a first line of treatment. Nevertheless, a strict indication based on clinical examination and MRI is necessary.
Copyright © 2000–2017 Eric J. Hörst | All Rights Reserved.