In fifty patients who had fifty tears of the rotator cuff that had been
repaired, we correlated the preoperative findings by history, physical
examination, and radiography with the operative findings, the difficulty of
the repair, and the results after an average follow-up of 3.5 years. The
results, which were rated on the basis of pain, function, range of motion,
strength, and satisfaction of the patient, were satisfactory in 84 per cent
and unsatisfactory in 16 per cent. The correlations of the preoperative
findings with the results showed that pain and functional impairment, the
primary indications for repair, were significantly relieved. The longer the
duration of pain was preoperatively, the larger the cuff tear and the more
difficult the repair were. The strength of abduction and of external
rotation before repair was of prognostic value: the greater the weakness,
the poorer the result. The poorest results were in patients with strength
ratings of grade 3 or less. Limitation of active motion preoperatively was
also of prognostic value: in patients who were unable to abduct the
shoulder beyond 100 degrees preoperatively, there was an increased risk of
a poor result. An acromiohumeral distance of seven millimeters or less
(measured on the anteroposterior radiograph) suggested a larger tear and
the likelihood that after repair there would be less strength in flexion,
less active motion, and lower scores. Single or double-contrast
arthrography was not consistently accurate in estimating the size of the
tear. After so-called watertight repair and anterior acromioplasty,
successful results can be anticipated in a high percentage of patients.