Clinical outcomes of arthroscopic triangular anchor-stellate suture technique for massive L/U-shaped rotator cuff tears
BackgroundMassive rotator cuff tears are a major cause of shoulder pain and limited function. While arthroscopic repair is common, treating complex L- or U-shaped tears, which involve tendon retraction and uneven tension, remains difficult. Specialized surgical methods are needed to restore normal a...
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Frontiers Media S.A.
2025-06-01
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| Series: | Frontiers in Surgery |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fsurg.2025.1560417/full |
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| author | Weipeng Zheng Weipeng Zheng Zhengfeng Ye Yuke Song Yuke Song Zhijun Liu Zhijun Liu Zhihao Liao Zhihao Liao Sheng Chen Sheng Chen Suming Zheng Suming Zheng Zhiyong Yi Zhiyong Yi Xudong Huang Xudong Huang Hewei Wei Hewei Wei |
| author_facet | Weipeng Zheng Weipeng Zheng Zhengfeng Ye Yuke Song Yuke Song Zhijun Liu Zhijun Liu Zhihao Liao Zhihao Liao Sheng Chen Sheng Chen Suming Zheng Suming Zheng Zhiyong Yi Zhiyong Yi Xudong Huang Xudong Huang Hewei Wei Hewei Wei |
| author_sort | Weipeng Zheng |
| collection | DOAJ |
| description | BackgroundMassive rotator cuff tears are a major cause of shoulder pain and limited function. While arthroscopic repair is common, treating complex L- or U-shaped tears, which involve tendon retraction and uneven tension, remains difficult. Specialized surgical methods are needed to restore normal anatomy and improve function. New arthroscopic techniques, like combined anchor placement and advanced suture methods, show potential for better tendon healing. But more research is needed to confirm their effectiveness specifically for L- or U-shaped tears.PurposeTo investigate the efficacy of the arthroscopic Triangular Anchor-Stellate Suture technique in the treatment of Massive L/U-shaped Rotator Cuff Tears.MethodsBetween January 2022 and December 2023, 22 patients (8 males, 14 females) with massive rotator cuff tears (L or U shape) underwent arthroscopic repair using the Triangular Anchor-Stellate Suture technique. Disease duration ranged from 2 weeks to 12 months (median, 3 months). According to the DeOrio and Cofield classification, all tears were categorized as “L” or “U” type. Clinical outcomes were assessed by recording postoperative complications and comparing pre- and postoperative pain (VAS), shoulder range of motion (ROM), Constant-Murley score, ASES score, and modified SF-12 quality of life score. Pre- and postoperative imaging was performed using CT or MRI.ResultsPatients' wounds healed in stage I without infection. They were followed up for an average of 17.59 ± 6.07 months (12–18 months). VAS scores decreased from 7.68 ± 1.04 preoperatively to 1.23 ± 1.45 postoperatively (P < 0.05). Shoulder range of motion improved significantly (P < 0.05): flexion increased from 71.82 ± 12.11° to 152.05 ± 23.23°, abduction from 68.64 ± 11.25° to 145.00 ± 22.41°, external rotation from 41.82 ± 13.32° to 57.27 ± 12.02°, and internal rotation from 37.95 ± 7.51° to 55.00 ± 7.56°. Shoulder function scores also improved significantly (P < 0.05): Constant-Murley score rose from 38.59 ± 8.43 to 86.27 ± 9.03, and ASES score from 38.32 ± 7.52 to 85.95 ± 8.13. Quality of life scores, as measured by the SF-12, improved significantly (P < 0.05): PCS score increased from 26.27 ± 4.71 to 45.18 ± 5.84, and MCS score from 24.72 ± 5.18 to 41.18 ± 4.52. Postoperative CT scans showed that all patients' humeral heads had moved downwards and returned to their normal rotation center. The last follow-up MRI examination revealed no further tearing of the rotator cuff.ConclusionThe arthroscopic Triangular Anchor-Stellate Suture technique demonstrates significant clinical efficacy in managing massive L/U-shaped rotator cuff tears, providing effective pain relief, enhanced shoulder mobility, functional restoration, and improved quality of life outcomes. |
| format | Article |
| id | doaj-art-1299747baea84cadbccf1841f96cfca8 |
| institution | Matheson Library |
| issn | 2296-875X |
| language | English |
| publishDate | 2025-06-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Surgery |
| spelling | doaj-art-1299747baea84cadbccf1841f96cfca82025-06-24T16:20:08ZengFrontiers Media S.A.Frontiers in Surgery2296-875X2025-06-011210.3389/fsurg.2025.15604171560417Clinical outcomes of arthroscopic triangular anchor-stellate suture technique for massive L/U-shaped rotator cuff tearsWeipeng Zheng0Weipeng Zheng1Zhengfeng Ye2Yuke Song3Yuke Song4Zhijun Liu5Zhijun Liu6Zhihao Liao7Zhihao Liao8Sheng Chen9Sheng Chen10Suming Zheng11Suming Zheng12Zhiyong Yi13Zhiyong Yi14Xudong Huang15Xudong Huang16Hewei Wei17Hewei Wei18The Third Affiliated Hospital of Guangzhou University of Traditional Chinese Medicine, Guangzhou, ChinaGuangdong Research Institute for Orthopedics and Traumatology of Chinese Medicine, Guangzhou, ChinaGuangzhou University of Traditional Chinese Medicine, Guangzhou, ChinaThe Third Affiliated Hospital of Guangzhou University of Traditional Chinese Medicine, Guangzhou, ChinaGuangdong Research Institute for Orthopedics and Traumatology of Chinese Medicine, Guangzhou, ChinaThe Third Affiliated Hospital of Guangzhou University of Traditional Chinese Medicine, Guangzhou, ChinaGuangdong Research Institute for Orthopedics and Traumatology of Chinese Medicine, Guangzhou, ChinaThe Third Affiliated Hospital of Guangzhou University of Traditional Chinese Medicine, Guangzhou, ChinaGuangdong Research Institute for Orthopedics and Traumatology of Chinese Medicine, Guangzhou, ChinaThe Third Affiliated Hospital of Guangzhou University of Traditional Chinese Medicine, Guangzhou, ChinaGuangdong Research Institute for Orthopedics and Traumatology of Chinese Medicine, Guangzhou, ChinaThe Third Affiliated Hospital of Guangzhou University of Traditional Chinese Medicine, Guangzhou, ChinaGuangdong Research Institute for Orthopedics and Traumatology of Chinese Medicine, Guangzhou, ChinaThe Third Affiliated Hospital of Guangzhou University of Traditional Chinese Medicine, Guangzhou, ChinaGuangdong Research Institute for Orthopedics and Traumatology of Chinese Medicine, Guangzhou, ChinaThe Third Affiliated Hospital of Guangzhou University of Traditional Chinese Medicine, Guangzhou, ChinaGuangdong Research Institute for Orthopedics and Traumatology of Chinese Medicine, Guangzhou, ChinaThe Third Affiliated Hospital of Guangzhou University of Traditional Chinese Medicine, Guangzhou, ChinaGuangdong Research Institute for Orthopedics and Traumatology of Chinese Medicine, Guangzhou, ChinaBackgroundMassive rotator cuff tears are a major cause of shoulder pain and limited function. While arthroscopic repair is common, treating complex L- or U-shaped tears, which involve tendon retraction and uneven tension, remains difficult. Specialized surgical methods are needed to restore normal anatomy and improve function. New arthroscopic techniques, like combined anchor placement and advanced suture methods, show potential for better tendon healing. But more research is needed to confirm their effectiveness specifically for L- or U-shaped tears.PurposeTo investigate the efficacy of the arthroscopic Triangular Anchor-Stellate Suture technique in the treatment of Massive L/U-shaped Rotator Cuff Tears.MethodsBetween January 2022 and December 2023, 22 patients (8 males, 14 females) with massive rotator cuff tears (L or U shape) underwent arthroscopic repair using the Triangular Anchor-Stellate Suture technique. Disease duration ranged from 2 weeks to 12 months (median, 3 months). According to the DeOrio and Cofield classification, all tears were categorized as “L” or “U” type. Clinical outcomes were assessed by recording postoperative complications and comparing pre- and postoperative pain (VAS), shoulder range of motion (ROM), Constant-Murley score, ASES score, and modified SF-12 quality of life score. Pre- and postoperative imaging was performed using CT or MRI.ResultsPatients' wounds healed in stage I without infection. They were followed up for an average of 17.59 ± 6.07 months (12–18 months). VAS scores decreased from 7.68 ± 1.04 preoperatively to 1.23 ± 1.45 postoperatively (P < 0.05). Shoulder range of motion improved significantly (P < 0.05): flexion increased from 71.82 ± 12.11° to 152.05 ± 23.23°, abduction from 68.64 ± 11.25° to 145.00 ± 22.41°, external rotation from 41.82 ± 13.32° to 57.27 ± 12.02°, and internal rotation from 37.95 ± 7.51° to 55.00 ± 7.56°. Shoulder function scores also improved significantly (P < 0.05): Constant-Murley score rose from 38.59 ± 8.43 to 86.27 ± 9.03, and ASES score from 38.32 ± 7.52 to 85.95 ± 8.13. Quality of life scores, as measured by the SF-12, improved significantly (P < 0.05): PCS score increased from 26.27 ± 4.71 to 45.18 ± 5.84, and MCS score from 24.72 ± 5.18 to 41.18 ± 4.52. Postoperative CT scans showed that all patients' humeral heads had moved downwards and returned to their normal rotation center. The last follow-up MRI examination revealed no further tearing of the rotator cuff.ConclusionThe arthroscopic Triangular Anchor-Stellate Suture technique demonstrates significant clinical efficacy in managing massive L/U-shaped rotator cuff tears, providing effective pain relief, enhanced shoulder mobility, functional restoration, and improved quality of life outcomes.https://www.frontiersin.org/articles/10.3389/fsurg.2025.1560417/fullarthroscopytriangular anchorstellate suturemassive rotator cuff tearsclinical efficacy |
| spellingShingle | Weipeng Zheng Weipeng Zheng Zhengfeng Ye Yuke Song Yuke Song Zhijun Liu Zhijun Liu Zhihao Liao Zhihao Liao Sheng Chen Sheng Chen Suming Zheng Suming Zheng Zhiyong Yi Zhiyong Yi Xudong Huang Xudong Huang Hewei Wei Hewei Wei Clinical outcomes of arthroscopic triangular anchor-stellate suture technique for massive L/U-shaped rotator cuff tears Frontiers in Surgery arthroscopy triangular anchor stellate suture massive rotator cuff tears clinical efficacy |
| title | Clinical outcomes of arthroscopic triangular anchor-stellate suture technique for massive L/U-shaped rotator cuff tears |
| title_full | Clinical outcomes of arthroscopic triangular anchor-stellate suture technique for massive L/U-shaped rotator cuff tears |
| title_fullStr | Clinical outcomes of arthroscopic triangular anchor-stellate suture technique for massive L/U-shaped rotator cuff tears |
| title_full_unstemmed | Clinical outcomes of arthroscopic triangular anchor-stellate suture technique for massive L/U-shaped rotator cuff tears |
| title_short | Clinical outcomes of arthroscopic triangular anchor-stellate suture technique for massive L/U-shaped rotator cuff tears |
| title_sort | clinical outcomes of arthroscopic triangular anchor stellate suture technique for massive l u shaped rotator cuff tears |
| topic | arthroscopy triangular anchor stellate suture massive rotator cuff tears clinical efficacy |
| url | https://www.frontiersin.org/articles/10.3389/fsurg.2025.1560417/full |
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