London Shoulder Specialist Mr Ali Narvani and his team had a letter to the editor featured in October’s Arthroscopy, commenting on a recent review of modern literature relating to rotator cuff tears published in the journal earlier this year.
The review, entitled ‘Arthroscopic Superior Capsular Reconstruction for Massive, Irreparable Rotator Cuff Tears: A Systematic Review of Modern Literature’ by Catapano et al, was published by a group of US and Canadian orthopaedic and sports medicine experts in the April 2019 issue.
Mr Narvani’s letter congratulated the study’s authors but highlighted one major limitation they felt had not been acknowledged in the review. A statement that “graft tears did not differ significantly, with combined clinical and/or radiographic retear rates of 3.4% to 33.3% in patients with dermal allografts compared with 4.7% to 36.1% in those with TFL grafts”, did not reflect that magnetic resonance imaging (MRI) was not performed in all patients in the majority of studies.
Mr Ali Narvani and his colleagues agreed that although superior capsular reconstruction provides good short-term clinical outcomes, with similar results between tensor fasciae latae and dermal graft, they felt that the same may not be concluded as far as re-tear rates.