Moderate Preoperative Shoulder Stiffness Does Not Alter the Clinical Outcome of Rotator Cuff Repair With Arthroscopic Release and Manipulation

Oh, Joo Han; Kim, Sae Hoon; Lee, Ho Kyoo; Jo, Ki Hyun; Bin, Sung Woo; Gong, Hyun Sik

doi:10.1016/j.arthro.2008.06.007

Cited by 151 publications

(188 citation statements)

References 32 publications

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“…There is no consensus regarding this issue. Several studies suggest preoperative stiffness does not affect the final outcome [23,32]. Oh et al [23] reported moderate preoperative shoulder stiffness does not affect the clinical outcomes of rotator cuff repairs if arthroscopic capsular release with manipulation is added to the index procedure.…”

Section: Discussionmentioning

confidence: 99%

“…Several studies suggest preoperative stiffness does not affect the final outcome [23,32]. Oh et al [23] reported moderate preoperative shoulder stiffness does not affect the clinical outcomes of rotator cuff repairs if arthroscopic capsular release with manipulation is added to the index procedure. Cho et al [8] reported the final outcomes were equally good in patients with or without stiffness, but restoration of ROM is slower in patients with full-thickness rotator cuff tears and stiffness of the shoulder.…”

Section: Discussionmentioning

confidence: 99%

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Functional Recovery Period after Arthroscopic Rotator Cuff Repair: Is it Predictable Before Surgery?

Manaka

Ito

Matsumoto

et al. 2011

Clinical Orthopaedics &Amp; Related Research

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Background Several studies have reported functional recovery of the shoulder after arthroscopic rotator cuff repair (ARCR). Preoperative estimation of the time required for functional recovery is important for determining surgical indications and for planning timing of the surgery and an appropriate postoperative physical therapy. Questions/purposes We therefore asked: (1) how long it takes to obtain functional recovery after ARCR, and (2) what preoperative factors influence functional recovery time. Patients and Methods We retrospectively evaluated 201 patients who had undergone ARCR. Using the Japanese Orthopaedic Association (JOA) shoulder scoring system, we defined the functional recovery period as the time required to achieve a score greater than 80% in each component. We evaluated the functional recovery periods and assessed preoperative influencing factors such as age, gender, shoulder stiffness, morphologic features of rotator cuff tears, and rotator cuff tear size. Results Sixty-three patients (31%) took less than 3 months, 81 patients (40%) took between 3 and 6 months, and 57 patients (28%) took greater than 6 months to achieve a score greater than 80% in each JOA shoulder assessment component. Younger patients without shoulder stiffness and with smaller rotator cuff tears had shorter functional recovery periods. Conclusions One hundred forty-four patients (72%) obtained functional recovery within 6 months after ARCR. Age, shoulder stiffness, and rotator cuff tear size influenced functional recovery time.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Functional Recovery Period after Arthroscopic Rotator Cuff Repair: Is it Predictable Before Surgery?

Manaka

Ito

Matsumoto

et al. 2011

Clinical Orthopaedics &Amp; Related Research

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show abstract

“…The measurement method for range of shoulder motion is depicted in Fig 1. We defined shoulder stiffness for forward elevation as less than 120 passively, external rotation with the arm at the side as less than 30 passively, and internal rotation at the back as lower than L-3 passively, as previously described. 18 Patients who met any one of these 3 criteria were regarded as having a stiff shoulder.…”

Section: Evaluation Of Shoulder Stiffnessmentioning

confidence: 99%

Shoulder Stiffness After Rotator Cuff Repair: Risk Factors and Influence on Outcome

Chung

Huong

Kim

et al. 2013

Arthroscopy: The Journal of Arthroscopic & Related Surgery

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131

124

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“…Preoperatively and at the last follow-up, a trainee, blinded to the nature of the procedure, recorded range of motion measures in passive maximum forward flexion, abduction, external rotation, and internal rotation of the shoulder. Forward flexion under 110°, external rotation under 25°, and internal rotation below the second sacral vertebral level were all criteria of shoulder stiffness [12,13]. Preoperatively, all patients underwent MRI and radiographic assessment (antero-posterior, axillary and outlet views) of the affected shoulder.…”

Section: Preoperative Assessmentmentioning

confidence: 99%

Articular-sided rotator cuff tears: which is the best repair? A three-year prospective randomised controlled trial

Franceschi

Papalia

Buono

et al. 2013

International Orthopaedics (SICOT)

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Purpose To compare two groups of patients who underwent two different arthroscopic procedures for repair of articularsided partial-thickness rotator cuff tears (PTRCTs). Materials this is a comparative prospective study of two methods for repair of partial cuff tears Thirty-two patients underwent arthroscopic rotator cuff repair with a transtendon technique (group 1); 28 underwent arthroscopic full-thickness conversion and repair of the lesion (group 2). ROM measures, clinical findings, MRI features (tendon healing and re-tear), Constant-Murley and ASES scores were assessed pre-and postoperatively and compared. Patients were also asked about return to sport and level of activity. Results At the last appointment, patients of both the groups were significantly improved for clinical findings, ROM measures, imaging features, Constant-Murley and ASES scores than at baseline, without any significant inter-group difference. In group 1, 15 of 20 patients (75 %) who practiced recreational sport activities had returned to sport at the same level as before the onset of symptoms, without any discomfort. In group 2, 12 of 18 patients (67 %) had returned to the same level of sport activity they practiced before symptoms. At the last follow up, MRI showed rotator cuff healing in 31 patients of Group 1 and 27 patients of Group 2 (p=0.83). Conclusions The two procedures are safe, effective, and comparable.

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Moderate Preoperative Shoulder Stiffness Does Not Alter the Clinical Outcome of Rotator Cuff Repair With Arthroscopic Release and Manipulation

Cited by 151 publications

References 32 publications

Functional Recovery Period after Arthroscopic Rotator Cuff Repair: Is it Predictable Before Surgery?

Functional Recovery Period after Arthroscopic Rotator Cuff Repair: Is it Predictable Before Surgery?

Shoulder Stiffness After Rotator Cuff Repair: Risk Factors and Influence on Outcome

Articular-sided rotator cuff tears: which is the best repair? A three-year prospective randomised controlled trial

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