High-Grade Bursal Side Rotator-Cuff Repair: A Surgical Outcome Review

Figures & data

Figure 1 Flowchart of search strategy according to the Preferred Reporting Items for Systematic Reviews Aand Meta-analysis guidelines.

Table 1 General Characteristics of Included Studies

	Year	Study Design	Level of EBM	MINORS Score	Functional Scores	Radiographic Evaluation
Kim et al^Citation7	2013	Prospective Cohort study	III	11	ASES, UCLA, and Constant	MRI or US
Xiao and Cui^Citation16	2015	Retrospective case study	IV	9	UCLA and Constant	MRI
Shin et al^Citation21	2015	Retrospective cohort study	III	15	ASES and Constant score	MRI
Kim et al^Citation10	2013	Case control study	III	13	ASES, SST, and UCLA shoulder	MRA
Koh et al^Citation15	2011	Case series	IV	14	ASES and Constant	MRI

Abbreviations: EBM, evidence-based medicine; ASES, American Shoulder and Elbow Surgeons; UCLA, University of California Los Angeles; SST, Simple Shoulder Test; MRI, magnetic resonance imaging; US, ultrasound; MRA, magnetic resonance arthrography.

Table 2 Pain Assessment (VAS) and Functional Outcome Scores for All Patients

Study	Patients, n	Mean Follow-Up, Months	Mean VAS		Mean ASES Score		Mean Constant Score		Mean UCLA Score		Mean SST Score
			Preoperative	Postoperative	Preoperative	Postoperative	Preoperative	Postoperative	Preoperative	Postoperative	Preoperative	Postoperative
Kim et al^Citation7	23	36	5.38	1.19	47.48	90.8	57.38	83	19.81	32.52	–	–
Xiao and Cui^Citation16	59	37.6	–	–	–	–	65.3	93.98	17.3	33.36	–	–
Shin et al^Citation21	84	32.3	5.7	0.9	47.47	90.71	65.01	88.67	–	–	–	–
Kim et al^Citation10	54	24	6.7	1	36.1	90.7	–	–	14.7	30.9	4.7	10
Koh et al^Citation15	38	26.9	5.2	1.6	53.1	87.2	59.9	83.2	–	–	–	–
Total	258	31.3	5.87	1.09	45.46	90.04	63.28	83.55	16.69	32.24	4.7	10

Abbreviations: VAS, visual analogue scale; ASES, American Shoulder and Elbow Surgeons; UCLA, University of California Los Angeles; SST, Simple Shoulder Test.

Table 3 Pain Assessment (VAS) and Functional Outcome Scores for BTD and RP Groups

Study	Patients, n		Mean Follow-Up, Months	Mean VAS				Mean ASES Score				Mean Constant Score				Mean sCLA Score
				Preoperative		Postoperative		Preoperative		Postoperative		Preoperative		Postoperative		Preoperative		Postoperative
	BTD	RP		BTD	RP	BTD	RP	BTD	RP	BTD	RP	BTD	RP	BTD	RP	BTD	RP	BTD	RP
Kim et al^Citation7	23		36	5.38	–	1.72	–	47.78	–	90.8	–	57.38	–	83	–	19.81	–	32.52	–
Xiao and Cui^Citation16		59	37.6	–	–	–	–	–	–	–	–	–	65.3	–	93.98	–	17.3	–	33.36
Shin et al^Citation21	37	47	32.3	6.2	5.3	0.9	0.9	50.1	45.4	89.4	88.6	62.6	66.9	88.1	89.4	–	–	–	–
Koh et al^Citation15		38	26.9	–	5.2	–	1.6	–	53.1	–	87.2	–	59.9	–	83.2	–	–	–	–
Total	60	144	31.3	5.88	5.3	1	1.21	49.2	43.5	92.4	88	60.60	64.40	86.15	89.64	19.81	17.30	32.5	33.36

Abbreviations: BTD, bursal takedown; RP, remnant preservation; VAS, visual analogue scale; ASES, American Shoulder and Elbow Surgeons; UCLA, University of California Los Angeles.

Table 4 Range-of-Movement Assessment for All Patients

Study	Patients, n	Mean Follow-Up, Months	Mean Forward Flexion		Mean Abduction		Mean Internal Rotation		Mean External Rotation
			Preoperative	Postoperative	Preoperative	Postoperative	Preoperative	Postoperative	Preoperative	Postoperative
Kim et al^Citation7	23	36	148.57	178.1	119.29	169.29	–	–	–	–
Xiao and Cui^Citation16	59	37.6	149	179	141	170	L5	T12	41	44
Total	82	37.15	148.87	178.75	134.91	169.8	L5	T12	41	44

Table 5 Healing Status

Study	Method	Patients, n	Mean Follow-Up, Months	Healing
Kim et al^Citation7	MRI or US	21	36	Complete: 19
				Retear: 2
Xiao and Cui^Citation16	MRI	49	37.6	Complete: 41
				Retear: 8
Shin et al^Citation21	MRI	84	32.3	Complete: 77
				Retear: 7
Kim et al^Citation10	MRA	54	24	Complete: 48
				Retear: 6
Koh et al^Citation15	MRI	38	26.9	Complete: 34
				Retear: 4
Total	–	246	31.3	Complete: 219 (89.03%)
				Retear: 27 (10.97%)

Table 6 Retear Rate in BTD Group vs RP Group

Study	Retear Rate		Patients, n
	BTD	RP	BTD	RP
Kim et al^Citation7	9.52% (2/21)		21
Xiao and Cui^Citation16		16.33% (8/49)		49
Shin et al^Citation21	8.1% (3/37)	8.5% (4/47)	37	47
Koh et al^Citation15		10.53% (4/38)		38
Total	8.6% (5/58)	11.94% (16/134)	58	134

Abbreviations: BTD, bursal takedown RP, remnant preservation.

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