Correlation Between American Shoulder and Elbow Surgeons and Single Assessment Numerical Evaluation Score After Rotator Cuff or SLAP Repair.
OBJECTIVE
To compare the American Shoulder and Elbow Surgeons (ASES) and the Single Assessment Numerical Evaluation (SANE) scores after rotator cuff repair, rotator cuff revision, and SLAP repair.


METHODS
This study was a retrospective review of a prospectively filled database of 262 patients who underwent arthroscopic surgery for rotator cuff tears or SLAP lesions between 1999 and 2007. All patients were operated on by the same surgeon, with a minimum follow-up of 2 years. The patient database included preoperative and outcome measures, such as pain, range of motion, and notably postoperative ASES and SANE scores. Any patient with incomplete data was removed from the study.


RESULTS
Three groups were identified: primary rotator cuff repair (n = 135), rotator cuff revision (n = 73), and SLAP repair (n = 54). The overall mean ASES and SANE scores after surgery were 82.7 (± 20.2) and 83.3 (± 19.6), respectively. The Pearson correlation coefficient (r) between both scores was 0.8 (P < .001), demonstrating a very good correlation. In subgroup analysis, the correlation was highest in the cuff revision group (r = 0.88; P < .001) followed by the SLAP group (r = 0.78; P < .001) and primary cuff group (r = 0.75; P < .001).


CONCLUSIONS
This study shows that there is a significant correlation between postoperative SANE and ASES rating methods in rotator cuff and SLAP repairs. We recommend the SANE score as a reliable outcome indicator for iterative follow-up, which can then be combined with a more clinically informative score such as the ASES or other process-based scores for preoperative and final workup.


METHODS
Level III, retrospective comparative study.
Division of Orthopaedics and Trauma Surgery, Department of Surgery, Geneva University Hospitals, Geneva, Switzerland.
Gregory
G
Cunningham
Division of Orthopaedics and Trauma Surgery, Department of Surgery, Geneva University Hospitals, Geneva, Switzerland; Faculty of Medicine, University of Geneva, Geneva, Switzerland; Division of Orthopaedics and Trauma Surgery, La Tour Hospital, Meyrin, Switzerland.
Alexandre
A
Lädermann
Southern Oregon Orthopedics, Medford, Oregon and Department of Orthopaedics and Rehabilitation, Oregon Health & Science University, Portland, Oregon, U.S.A.
Patrick J
PJ
Denard
Division of Internal Medicine, La Tour Hospital, Meyrin, Switzerland.
Omar
O
Kherad
The San Antonio Orthopaedic Group, San Antonio, Texas, U.S.A.. Electronic address: ssburkhart@msn.com.
Stephen S
SS
Burkhart
D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001182:Arthroscopy / Q000379:methods; D005260:Female; D006305:Health Status Indicators; D006801:Humans; D008297:Male; D008875:Middle Aged; D020127:Recovery of Function; D012189:Retrospective Studies; D017006:Rotator Cuff / Q000601:surgery*; D000070636:Rotator Cuff Injuries; D012782:Shoulder / Q000601:surgery*; D012785:Shoulder Joint / Q000601:surgery*; D013708:Tendon Injuries / Q000601:surgery*; D014481:United States; D055815:Young Adult