A Long Preoperative Duration of Symptoms Is Associated With Worse Functional Outcomes After 1-Stage Arthroscopic Treatment of Rotator Cuff Tears With Shoulder Stiffness

Abstract

One-stage surgery effectively achieved overall improvements. A preoperative DOS of ≥6 months led to poorer functional outcomes, which suggests that surgeons should propose a surgical treatment for this condition before symptoms persist for 6 months.

MicroRNA-29a Mitigates Subacromial Bursa Fibrosis in Rotator Cuff Lesion with Shoulder Stiffness

“…Patients with rotator cuff tears with shoulder stiffness had limited motion of shoulder joints, like significant reductions in functional score of Constant and Murley together with SROM. Our analysis was in agreement with other groups’ investigations showing that patients inflicted with this disorder, independent of the gender, BMI, and involved side, underperformed in shoulder function [35,36,37]. While the cause of shoulder stiffness remains unclear, increasing evidence reveals that defective subacromial bursa integrity is associated with the shoulder disorder.…”

Outcomes of arthroscopic capsular release for the diabetic frozen shoulder in Asian patients

“…This is in contrast to patients with rotator cuff tears and frozen shoulder managed arthroscopically where a longer duration of symptoms is associated with a poorer outcome. 20 The benefits of arthroscopic capsular release for our patients are the avoidance of fractures and other intraarticular injuries that can occur with manipulation under anaesthesia. 21 We did not have any recurrence of frozen shoulder in our series of patients.…”

A Rotator Cuff Tear Concomitant With Shoulder Stiffness Is Associated With a Lower Retear Rate After 1-Stage Arthroscopic Surgery

“…32 These differences between the groups were significant both at 6 months ( P = .047) and at 2 years ( P = .009). 32 Furthermore, previous studies have reported retear rates of 6.1%, 37 12.1% or 13.3%, 26 and 13.4% 2 in patients with RCTs and shoulder stiffness. These rates were not compared with those in patients with RCTs only.…”

“…Furthermore, a preoperative duration of symptoms of ≥6 months was reported to be associated with worse functional outcomes after 1-stage surgery for RCTs with shoulder stiffness, and surgical treatment for this condition within 6 months of symptom onset was suggested. 2 Therefore, 1-stage arthroscopic treatment of RCTs concomitant with shoulder stiffness can save time and help patients avoid unnecessary rehabilitation. 26…”

“…37 An RCT concomitant with shoulder stiffness is reported to occur in 12.3% to 41.7% of all RCTs. 2,22,23,35,43 In spite of several studies reporting good results of 1-stage treatment for this condition, 3,5,35 deciding the optimal surgical timing and method and guaranteeing good results are still practically difficult. The treatment of each condition may seem incompatible from the viewpoint that some degree of protection or immobilization is indispensable after repairing RCTs, and on the contrary, a certain amount of exercise is required for recuperation from shoulder stiffness.…”