Pattern and time phase of shoulder function and power recovery after arthroscopic rotator cuff repair

Hughes, Andrew; Even, Tirtza; Narvani, A; Atoun, Ehud; Tongel, Alexander Van; Sforza, Giuseppe; Levy, Ofer

doi:10.1016/j.jse.2011.08.066

Cited by 12 publications

(11 citation statements)

References 16 publications

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“…8 20 Conversely, pain score at 3 months was considerably lower than the value of reported by Garofalo et al 12 2.5 months after surgery, and more recently by Jeong et al 10 at 2 years postoperatively. Also, at 1-year follow-up, pain, reported in the present study was definitively less than values reported in other studies 3 14 21 and was similar to the findings of Klintberg et al 22 In the present study, pain was measured only at rest, and no measure of pain during activity or at night was recorded. Pain during activity has a large impact on daily life activity, and it has been reported that an accelerated rehabilitation protocol provides earlier and better results on it.…”

Section: Discussionsupporting

confidence: 90%

“…Postoperative rehabilitation timeline is quite debated. 2 3 4 5 6 7 While some authors suggest to avoid active shoulder movements for up to approximately 6 to 8 weeks to allow tendon-to-bone healing, others claim the need to counteract the negative impacts of long time immobilization. 8 9 Tendon healing requires fixation techniques that provide adequate initial strength, stability, and compression against the rotator cuff footprint, while maximizing the biologic factors that allow ultimate tendon-to-bone healing.…”

Section: Introductionmentioning

confidence: 99%

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The Effects of a Standard Postoperative Rehabilitation Protocol for Arthroscopic Rotator Cuff Repair on Pain, Function, and Health Perception

Monesi

Benedetti

Zati

et al. 2018

Joints

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Purpose There is still conflicting evidence to support postoperative rehabilitation protocols using immobilization following rotator cuff repair over early motion. The objective of the study was to evaluate the evolution of pain, shoulder function, and patients' perception of their health status up to 1 year after cuff rotator repair and a standard postoperative rehabilitation protocol consisting of 4 weeks of immobilization followed by a 2-week assisted controlled rehabilitation. Methods Descriptive, longitudinal, uncontrolled case-series study was performed on 49 patients who underwent arthroscopic rotator cuff repair following traumatic or degenerative lesions. VAS scale for pain, Constant–Murley score for function, and SF-12 score for quality of life were used as outcome measures and were administered before the rehabilitation treatment, at the end of the 2-week rehabilitation, 3 months, and 1 year after surgery. Results VAS pain score decreased significantly along the follow-up reaching almost a nil value after 1 year (0.2). Function as measured by Constant–Murley score had a significant improvement during follow-up, reaching a mean value of 84.6. The short form (SF)-12 score increased over time reaching 46.3 for the physical and 43.8 for the psychological dimension, respectively, at 1 year. Conclusion The present study confirmed an excellent outcome at 1 year after rotator cuff repair using a traditional 4-week immobilization followed by a 2-week rehabilitation protocol without evidence of tendon un-healing or re-tearing. Level of Evidence This is a level IV, therapeutic case series.

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Section: Discussionsupporting

confidence: 90%

Section: Introductionmentioning

confidence: 99%

The Effects of a Standard Postoperative Rehabilitation Protocol for Arthroscopic Rotator Cuff Repair on Pain, Function, and Health Perception

Monesi

Benedetti

Zati

et al. 2018

Joints

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“… § References 1, 3-5, 9-13, 15, 17, 18, 22, 23, 25, 29, 33-36, 38, 40-50, 52, 53, 55, 57, 59, 60, 63-70, 75, 80, 82-84, 86, 89, 94-96. …”

mentioning

confidence: 99%

Rotator Cuff Repair

et al. 2014

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In spite of a dramatic increase in the number of publications per year, there is little evidence that the results of rotator cuff repair are improving. The information needed to guide the management of this commonly treated and costly condition is seriously deficient. To accumulate the evidence necessary to inform practice, future clinical studies on the outcome of rotator cuff repair must report important data relating to each patient's condition, the surgical technique, the outcome in terms of integrity, and the change in patient self-assessed comfort and function.

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“…This is in contrast to the study of Hughes et al, where significant improvement in CS was only noted at the six-month mark with arthroscopic cuff repair without augmentation. 69 From a clinical point of view, as one may expect, the massive tears tend to do worse than the medium and large tears at three months (T1) (p ¼ 0.002) and had worse OSS (p ¼ 0.004), CS (p ¼ 0.025), ABD (p < 0.001) and FF (p < 0.001) at final follow-up.…”

Section: Parametermentioning

confidence: 92%

Clinical outcomes and structural integrity rate of arthroscopic augmented rotator cuff repairs using extracellular porcine matrix patch

Consigliere

Bernasconi²,

Dimock

et al. 2021

Shoulder & Elbow

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Background Structural failure rate in rotator cuff repairs is still high. The purpose of the study is to assess the structural integrity of a series of augmented rotator cuff repairs with porcine matrix patch and report the functional outcomes. Methods Between 2014 and 2017, 44 consecutive patients underwent arthroscopic double-row repair of medium to massive rotator cuff tears with extracellular porcine dermal matrix augmentation. At one-year follow-up, magnetic resonance imaging scan was performed to assess the integrity of the repair. Oxford Shoulder Score (OSS), Constant Score (CS) and Visual Analogue Scale pain score, together with range of motion were used to assess patients. Results Patients mean age was 68 (53–82); mean follow-up was 17.2 (12–24) months. On magnetic resonance imaging scans, seven rotator cuff repair failures (15.9%) were observed: tear size was an independent predictor of re-rupture at one-year follow-up. Clinical scores showed a statistically significant improvement at three months and until final follow-up ( p< 0.001). No complications occurred. Conclusion Observed structural failure rate of 15.9% is lower than those reported in the literature for standard rotator cuff repair of medium to massive tears in similar cohorts to ours. Extracellular matrix augmentation for rotator cuff repair was shown to be a safe and reliable support to the repairs and patients recovered good shoulder function. Level of Evidence: Level IV.

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Pattern and time phase of shoulder function and power recovery after arthroscopic rotator cuff repair

Cited by 12 publications

References 16 publications

The Effects of a Standard Postoperative Rehabilitation Protocol for Arthroscopic Rotator Cuff Repair on Pain, Function, and Health Perception

The Effects of a Standard Postoperative Rehabilitation Protocol for Arthroscopic Rotator Cuff Repair on Pain, Function, and Health Perception

Rotator Cuff Repair

Clinical outcomes and structural integrity rate of arthroscopic augmented rotator cuff repairs using extracellular porcine matrix patch

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