Browsing by Author "Hamid, Nady"

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    Full-thickness arthroscopic rotator cuff repair demonstrates low repair failure rates and high return to sport rates in patients aged 30 years and under at 9-year follow-up: A single-center case series
    (Sage, 2025-01-12) Ifarraguerri, Anna M.; Berk, Alexander N.; Gachigi, Kennedy K.; Collins, Michael S.; Dib, Aseel; Siparsky, Patrick; Schiffern, Shadley; Hamid, Nady; Martin, Anthony; Saltzman, Bryan M.; Orthopaedic Surgery, School of Medicine
    Purpose: The purpose of this study is to assess the long-term clinical complications, outcomes, and return to sport (RTS) rates in patients aged 30 or younger with a primary full-thickness arthroscopic rotator cuff repair (ARCR). Methods: All patients who underwent a primary full-thickness ARCR at age 30 years or younger from 2003 to 2021 with a minimum of a 2-year follow-up were included. Complications, repeat surgeries, and return to sport rates were collected. Results: 32 patients underwent primary full-thickness rotator cuff repair with a mean follow-up of 9.3[2.7-17.9] years. 5(15.6%) patients had postoperative shoulder stiffness, and persistent postoperative shoulder pain was reported in 4(12.5%) patients. There were 3(9.4%) reported repair failures, with complete rotator cuff re-tears reported in 2(6.3%) shoulders and partial rotator cuff re-tear in 1(3.1%) shoulder. There were 4(12.5%) reoperations at an average of 8.7[0.65-22.7] months from primary rotator cuff repair and 2(6.3%) revision rotator cuff repairs. There was a 78.6% RTS rate at an average of 6.5[4-12] months postoperatively, with 8(72.7%) athletes returning to the sport at the same level they initially participated in pre-surgery. Conclusion: Patients aged 30 and under who underwent full-thickness ARCR experienced promising clinical outcomes at an average 9-year follow-up.
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    Is the impact of previous rotator cuff repair on the outcome of reverse shoulder arthroplasty clinically relevant? A systematic review of 2879 shoulders
    (Sage, 2024-08-10) Berk, Alexander N.; Rao, Allison J.; Obana, Kyle K.; Ifarraguerri, Anna M.; Trofa, David P.; Connor, Patrick M.; Schiffern, Shadley C.; Hamid, Nady; Saltzman, Bryan M.; Orthopaedic Surgery, School of Medicine
    Background: Outcomes of reverse shoulder arthroplasty (RSA) in patients with prior rotator cuff repair (RCR) remain inconsistent. The purpose of this study, therefore, was to systematically review the current outcomes literature on RSA in patients with prior RCR and to compare the results with controls without prior RCR. Methods: A systematic review of the literature was performed, and outcome studies reporting on functional and clinical outcomes were included. Results: A total of 11 studies encompassing 2879 shoulders were included. Improvements in postoperative patient-reported outcomes (PROs) from the baseline were higher in controls including the American Shoulder and Elbow Surgeons score (47.0 vs 39.5), Simple Shoulder Test (6.0 vs 4.9), Constant score (32.6 vs 26.4), and Visual Analog Scale for pain (-5.6 vs -4.9). Improvement in range of motion was greater in the control group, including external rotation (17° vs 11°), anterior elevation (56° vs 43°), and abduction (52° vs 43°). The overall complication rate (8% vs 5%) and revision rate (3% vs 1%) were higher in the RCR group. Discussion: Differences in postoperative PROs and improvement from the baseline demonstrate a trend toward lower outcomes in patients with prior RCR but may be below the minimal clinically import difference.