Long-term follow-up of perianchor cyst formation after rotator cuff repair

Douglas Matijakovich, MD; David Solomon, MD; Carlos L. Benitez, MD, MSc; Hsin-Hui Huang, MD, PhD; Jashvant Poeran, MD, PhD; Natalie Berger, BA; Amir Lebaschi, MD; Aruna Seneviratne, MD

JSES International (Sep 2021)

Long-term follow-up of perianchor cyst formation after rotator cuff repair

Douglas Matijakovich, MD,
David Solomon, MD,
Carlos L. Benitez, MD, MSc,
Hsin-Hui Huang, MD, PhD,
Jashvant Poeran, MD, PhD,
Natalie Berger, BA,
Amir Lebaschi, MD,
Aruna Seneviratne, MD

Affiliations

Douglas Matijakovich, MD: Department of Orthopaedic Surgery, Mount Sinai Hospital, New York, NY, USA; Corresponding author: Douglas Matijakovich, MD, Department of Orthopaedic Surgery, Mount Sinai Hospital, 5 E 98th Street – 9th Floor, New York, NY 10029, USA.
David Solomon, MD: Department of Orthopaedic Surgery, Mount Sinai Hospital, New York, NY, USA
Carlos L. Benitez, MD, MSc: Department of Radiology, Mount Sinai West, New York, NY, USA
Hsin-Hui Huang, MD, PhD: Department of Population Health Science & Policy, Icahn School of Medicine at Mount Sinai, New York, NY, USA
Jashvant Poeran, MD, PhD: Department of Population Health Science & Policy, Icahn School of Medicine at Mount Sinai, New York, NY, USA
Natalie Berger, BA: Icahn School of Medicine at Mount Sinai, New York, NY, USA
Amir Lebaschi, MD: Department of Orthopaedic Surgery, University of Connecticut, Farmington, CT, USA
Aruna Seneviratne, MD: Department of Orthopaedic Surgery, Mount Sinai Hospital, New York, NY, USA

Journal volume & issue: Vol. 5, no. 5
pp. 863 – 868

Abstract

Read online

Background: Perianchor cyst formation (PCF) can occur after arthroscopic rotator cuff repair with poly-L-lactic acid (PLLA) anchors; however, little is known about PCF after all-suture anchor (ASA) use. Methods: We reviewed patients who underwent double-row arthroscopic rotator cuff repair from 2012 to 2017 with ASAs implanted in the medial row and PLLA anchors in the lateral row. We evaluated PCF (graded on magnetic resonance imaging) and compared physical examination and functional surveys between patients with PCF (WC) and without PCF (WoC) at long-term follow-up. Results: Among twenty-two patients (23 shoulders), 93% of PLLA anchors (vs. 79% ASA) displayed a grade 0 PCF, P = .100. No PLLA anchors had a grade 3 or 4 PCF, compared to 11% of ASAs, P = .158. At a mean postoperative follow-up time of 113 weeks, there was no significant difference between WC and WoC cohorts with regard to range of motion, rotator cuff strength, American Shoulder and Elbow Surgeons survey scores, or retear rates. However, the WoC cohort had a significantly higher University of California at Los Angeles shoulder survey score at final follow-up (34.3 WoC vs. 30.9 WC, P = .024). Conclusion: No difference was found in PCF between ASAs and PLLA anchors. At long-term follow-up, WoC patients had significantly improved functional outcome scores, based on the University of California at Los Angeles survey, but equivalent range of motion and rotator cuff strength examinations compared with WC patients.

Published in JSES International

ISSN: 2666-6383 (Online)
Publisher: Elsevier
Country of publisher: United States
LCC subjects: Medicine: Surgery: Orthopedic surgery; Medicine: Internal medicine: Specialties of internal medicine: Diseases of the musculoskeletal system
Website: https://www.journals.elsevier.com/jses-international

About the journal

Abstract

Keywords