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Repair of rotator cuff tears in tennis players

Columbia Presbyterian Medical Center, New York, New York

Jay Kimmel, MD

Columbia Presbyterian Medical Center, New York, New York

Peter D. McCann, MD

Helen Hayes Hospital, West Haverstraw, New York

Ira Wolfe

Columbia Presbyterian Medical Center, New York, New York

Twenty-three tennis players with a symptomatic full- thickness rotator cuff tear underwent anterior acro mioplasty and rotator cuff repair. There were 8 small tears (<1 cm), 5 moderate tears (1 to 3 cm), 2 large tears (3 to 5 cm), and 8 massive tears (>5 cm). The dominant shoulder was involved in all patients and all were unable to play tennis before surgery. Eleven pa tients experienced a traumatic event that caused an injury, 6 while playing tennis, and 12 patients had a gradual onset of symptoms. At average followup of 42 months, 19 patients (83%) achieved a good result, were pain-free, and were able to play tennis at their pre- symptomatic competitive level. Three patients (13%), all with massive tears, had a satisfactory result and were able to play tennis, although at a lower competitive level secondary to weakness. One patient (4%), who also had a massive tear, had an unsatisfactory result and was unable to play tennis.

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