Prospective evaluation of clinical and radiologic factors predicting return to activity within 6 months after arthroscopic rotator cuff repair

Abdullah, Azizol; Kherad, Omar; Gain, Solenn; Denard, Patrick J.; Lädermann, Alexandre

doi:10.1016/j.jse.2014.08.014

Cited by 77 publications

(75 citation statements)

References 40 publications

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“…Nonetheless, the presence of the subacromial-subdeltoid bursa (SASD) inflammation has recently been proposed as a primary radiologic factor predicting persistent limitation and pain in operated patients [2].…”

Section: Introductionmentioning

confidence: 99%

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Prevalence of subacromial-subdeltoid bursitis in shoulder pain: an ultrasonographic study

et al. 2015

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Purpose The presence of the subacromial-subdeltoid (SASD) bursa inflammation has recently been proposed as a primary radiologic factor predicting persistent limitation and pain in operated patients. The aim of the study was to verify the hypothesis that pain, or increased shoulder pain, could be associated with SASD bursitis not only in operated patients but also in general population. Methods A consecutive series of 1940 shoulder ultrasound examinations were performed by our Department over a 5-year period using linear multi-frequency probes. All reports of examination executed for shoulder pain were reviewed. The video clips were independently reviewed by two radiologists: effusion in the SASD bursa and the presence of other pathological conditions were evaluated and confirmed. Results A total of 1147 shoulder video clips were reevaluated, and 1587 pathologies were detected; 65.5 % of patients had only one pathology, 30.4 % had two and 4.1 % presented three pathologies. The difference between the group with and without effusion is statistically significant for acromioclavicular joint arthritis, supraspinatus tendon calcific tendinopathy, full-thickness and superficial tear of the supraspinatus, traumas and rheumatoid arthritis with a p value \0.01. Conclusions Our study shows that the effusion in the SASD bursa is frequently associated with shoulder pain often independently from the underlying pathology; further studies are needed to confirm the statistical significance of this relationship by clarifying possible confounding factors.Keywords Ultrasound Á Subacromion-subdeltoid bursa Á Bursal inflammation Á Shoulder pain Riassunto Scopo del lavoro La presenza di alterazioni flogistiche a livello della borsa subacromiondeltoidea (BSAD) è stata recentemente proposta come fattore principale per predire la comparsa di dolore e limitazione funzionale nei Pazienti operati a livello della spalla. Lo scopo del nostro studio è di verificare l'ipotesi che il dolore, o l'incremento dello stesso, sia associato con la flogosi della BSAD non solo nei Pazienti operati ma anche nella popolazione generale. Materiali e Metodi In 5 anni nel nostro dipartimento sono state eseguite, utilizzando esclusivamente sonde lineari multifrequenza, 1940 ecografie della spalla. Tutti gli esami aventi come indicazione il dolore sono stati selezionati. I videoclip degli esami selezionati sono stati rivalutati da due radiologi indipendentemente: è stata in tal modo confermata la presenza di versamento nella BSAD e di altri reperti patologici. Risultati Sono stati rivalutati i videoclip di 1147 ecografie di spalla. Sono state individuate 1587 alterazioni patologiche; il 65.5 % dei Pazienti presentava unicamente un riscontro patologico, il 30.4 % ne presentava due e il 4.1 % ne presentava 3. La differenza tra gruppo con e senza versamento è statisticamente significativa (p value \0.01) in caso di artrosi acromionclaveare, tendinopatia calcifica del sovraspinato, lesioni a tutto spessore e del versante bursale del tendine del sovraspinato, ...

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Section: Introductionmentioning

confidence: 99%

“…The aim of the study was to verify the hypothesis that pain, or increased shoulder pain, could be associated with SASD bursitis not only in operated patients [2] but also in general population.…”

Section: Introductionmentioning

confidence: 99%

Prevalence of subacromial-subdeltoid bursitis in shoulder pain: an ultrasonographic study

et al. 2015

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“…Although this difference between the two groups in the mean time to start physiotherapy was not calculated to be statistically significant, failure to start shoulder exercises until almost five months postoperatively (145 days) is a substantial delay. Return to work after arthroscopic RCR depends on the type of work the patient does, in addition to other variables such as age, gender, and in some cases workers' compensation [17][18][19] . In a study including 365 patients, Collin et al 17 reported that approximately 20% of the patients were unable to resume normal activity at six months after arthroscopic RCR.…”

Section: Discussionmentioning

confidence: 99%

“…Return to work after arthroscopic RCR depends on the type of work the patient does, in addition to other variables such as age, gender, and in some cases workers' compensation [17][18][19] . In a study including 365 patients, Collin et al 17 reported that approximately 20% of the patients were unable to resume normal activity at six months after arthroscopic RCR. The authors noted that persistent limitation at six months was associated with female gender, heavy manual work, and the presence of persistent postoperative bursitis.…”

Section: Discussionmentioning

confidence: 99%

The effect of deep shoulder infections on patient outcomes after arthroscopic rotator cuff repair: a retrospective comparative study

Ateşok

MacDonald

Leiter

et al. 2019

Muscle Ligaments and Tendons J

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Introduction:The purpose of this study was to evaluate the effects of deep shoulder infections after RCR on patient outcomes. Methods: A retrospective chart review was conducted involving all patients with deep shoulder infections after arthroscopic RCR (study group). Another group of patients who were matched with the study group by age, gender and rotator cuff tear size, and did not develop deep shoulder infections after arthroscopic RCR were randomly identified (control group). The two groups were compared in terms of time to start physiotherapy, shoulder function, and delay in return to work. Results: There were 10 patients in each group. The mean time to start physiotherapy after surgery was 145.3 (SD=158.8) days for the study group and 40.0 (SD=13.7) days for the control group (p=.051). The average forward elevation of the operated shoulder was 133 (SD=33.4) degrees for the study group, and 172 (SD=12.0) degrees for the control group (p=0.003). The average time to return to work at preoperative level was 5.6 months for the study group and 3 months for the control group. Conclusion: Deep shoulder infections after RCR significantly impedes time to start physiotherapy, shoulder function, and patients' ability to return to work. Level of evidence: III b [retrospective comparative (case-control) study]. KEY WORDS: rotator cuff tear, arthroscopic cuff repair, post-operative complications, deep shoulder infections, patient outcomes. K. Asetok et al.

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“…Although this difference between the two groups in the mean time to start physiotherapy was not calculated to be statistically significant, failure to start shoulder exercises until almost five months postoperatively (145 days) is a substantial delay. Return to work after arthroscopic RCR depends on the type of work the patient does, in addition to other variables such as age, gender, and in some cases workers' compensation [17][18][19] . In a study including 365 patients, Collin et al 17 reported that approximately 20% of the patients was unable to resume normal activity at six months after arthroscopic RCR.…”

confidence: 99%

The effect of deep shoulder infections on patient outcomes after arthroscopic rotator cuff repair: a retrospective comparative study

Ateşok

MacDonald

Leiter

et al. 2019

Muscle Ligaments and Tendons J

View full text Add to dashboard Cite

Introduction: The purpose of this study was to evaluate the effects of deep shoulder infections after RCR on patient outcomes. Methods: A retrospective chart review was conducted involving all patients with deep shoulder infections after arthroscopic RCR (study group). Another group of patients who were matched with the study group by age, gender and rotator cuff tear size, and did not develop deep shoulder infections after arthroscopic RCR was randomly identified (control group). The two groups were compared in terms of time to start physiotherapy, shoulder function, and delay in return to work. Results: There were 10 patients in each group. The mean time to start physiotherapy after surgery was 145.3 (SD=158.8) days for the study group and 40.0 (SD=13.7) days for the control group (p=.051). The average forward elevation of the operated shoulder was 133 (SD=33.4) degrees for the study group, and 172 (SD=12.0) degrees for the control group (p=0.003). The average time to return to work at pre-operative level was 5.6 months for the study group and 3 months for the control group. Conclusions: Deep shoulder infections after RCR significantly impedes time to start physiotherapy, shoulder function, and patients' ability to return to work. Level of evidence: Retrospective comparative (case-control) study. Level III b.

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Prospective evaluation of clinical and radiologic factors predicting return to activity within 6 months after arthroscopic rotator cuff repair

Cited by 77 publications

References 40 publications

Prevalence of subacromial-subdeltoid bursitis in shoulder pain: an ultrasonographic study

Prevalence of subacromial-subdeltoid bursitis in shoulder pain: an ultrasonographic study

The effect of deep shoulder infections on patient outcomes after arthroscopic rotator cuff repair: a retrospective comparative study

The effect of deep shoulder infections on patient outcomes after arthroscopic rotator cuff repair: a retrospective comparative study

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