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Rotator cuff disease: opinion regarding surgical criteria and likely outcome
Author(s) -
Thorpe Alison,
Hurworth Mark,
O'Sullivan Peter,
Mitchell Tim,
Smith Anne
Publication year - 2017
Publication title -
anz journal of surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.426
H-Index - 70
eISSN - 1445-2197
pISSN - 1445-1433
DOI - 10.1111/ans.13862
Subject(s) - medicine , rotator cuff , outcome (game theory) , surgery , general surgery , physical therapy , mathematical economics , mathematics
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 12 months 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.