Surgery and physiotherapy were both successful in the treatm
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Previous randomized trials on cuff repair have included mainly degenerative tears, but studies on acute traumatic tears are lacking. A study was conducted to compare early surgical repair with nonoperative treatment for traumatic supraspinatus tear.

Researchers did a 2-center randomized controlled trial of patients with small rotator cuff tears mainly involving supraspinatus, comparing surgical repair (n = 32) and physiotherapy (n = 26). The primary outcome was a group difference in the Constant-Murley score at 12-month follow-up. Secondary outcomes were differences in the Western Ontario Rotator Cuff index, pain (Numerical Rating Scale 0-10), and Euro quality-of-life-visual analog scale. MRI was used to assess retear rate, tear progression, fatty infiltration, and atrophy.

Results:
The mean age was 59.7 years, median sagittal tear size was 9.7 mm, and baseline characteristics were well balanced between the 2 groups.
--The repair group had a median Constant-Murley of 83 (25 quartile range [QR]) and the physiotherapy group 78 (QR, 22) at 12 months, with the between-group difference in medians of 4.5.
--The corresponding values for the Western Ontario Rotator Cuff index were 91% (QR, 24) vs. 86% (QR, 24), with the between-group difference of 5.0.
--There was no difference in Numerical Rating Scale or in Euro quality-of-life-visual analog scale. Retear was found in 6.5% of repaired patients and tear progression more than 5 mm in 29.2% of unrepaired patients.

Researchers found no significant differences in clinical outcomes between cuff repair and nonoperative treatment at 12-month follow-up. Approximately one third of unrepaired patients had a tear enlargement of more than 5 mm.

Source: https://www.jshoulderelbow.org/article/S1058-2746(19)30717-7/fulltext
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