A prospective randomized clinical trial comparing arthroscopic single- and double-row rotator cuff repair: magnetic resonance imaging and early clinical evaluation.
BACKGROUND
Double-row arthroscopic rotator cuff repair has become more popular, and some studies have shown better footprint coverage and improved biomechanics of the repair.


OBJECTIVE
Double-row rotator cuff repair leads to superior cuff integrity and early clinical results compared with single-row repair.


METHODS
Randomized controlled trial; Level of evidence, 1.


METHODS
Forty patients were randomized to either single-row or double-row rotator cuff repair at the time of surgical intervention. Patients were followed with clinical measures (UCLA, Constant, WORC, SANE, ASES, as well as range of motion, internal rotation strength, and external rotation strength). Magnetic resonance imaging (MRI) studies were performed on each shoulder preoperatively, 6 weeks, 3 months, and 1 year after repair.


RESULTS
Mean anteroposterior tear size by MRI was 1.8 cm. A mean of 2.25 anchors for single row (SR) and 3.2 for double row (DR) were used. There were 2 retears at 1 year in each group. There were 2 additional cases that had severe thinning in the DR repair group at 1 year. The MRI measurements of footprint coverage, tendon thickness, and tendon signal showed no significant differences between the 2 repair groups. At 1 year, there were no differences in any of the postoperative measures of motion or strength. At 1 year, mean WORC (SR, 84.8; DR, 87.9), Constant (SR, 77.8; DR, 74.4), ASES (SR, 85.9; DR, 85.5), UCLA (SR, 28.6; DR, 29.5), and SANE (SR, 90.9; DR, 89.9) scores showed no significant differences between groups.


CONCLUSIONS
No clinical or MRI differences were seen between patients repaired with a SR or DR technique.
Burks
Robert T
RT
University of Utah Orthopaedic Center, Salt Lake City, 84108, USA. robert.burks@hsc.utah.edu
Crim
Julia
J
Brown
Nick
N
Fink
Barbara
B
Greis
Patrick E
PE
D000328:Adult; D000368:Aged; D001182:Arthroscopy / Q000379:methods*; D006801:Humans; D008279:Magnetic Resonance Imaging; D008875:Middle Aged; D011446:Prospective Studies; D017006:Rotator Cuff / Q000601:surgery*; D020069:Shoulder Pain / Q000601:surgery*; D013536:Suture Techniques