Return to Sport After Rotator Cuff Tear Repair

Klouche, Shahnaz; Lefèvre, Nicolas; Herman, S.; Gerometta, Antoine; Bohu, Yoann

doi:10.1177/0363546515598995

Cited by 106 publications

(93 citation statements)

References 36 publications

(42 reference statements)

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“…However, only 5 climbers (42%) had regained their previous climbing level at re-evaluation ( Figure). Our data are in line with a recent meta-analysis from Klouche et al 14 on the sports-specific outcome after surgical therapy of rotator cuff pathologies in overhead athletes. The authors analyzed the outcome in 859 overhead athletes (874 shoulders), such as baseball players, golfers, and tennis players, with a mean age of 42.6 years and an acute onset of rotator cuff pathology in 62% of the cases.…”

Section: Discussionsupporting

confidence: 92%

Functional and Sports-Specific Outcome After Surgical Repair of Rotator Cuff Tears in Rock Climbers

Simon

Popp

Lutter

et al. 2017

Wilderness & Environmental Medicine

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Section: Discussionsupporting

confidence: 92%

Functional and Sports-Specific Outcome After Surgical Repair of Rotator Cuff Tears in Rock Climbers

Simon

Popp

Lutter

et al. 2017

Wilderness & Environmental Medicine

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“…However, conservative treatment might require long-term therapy and during that period the athlete will be forced to take a long-term break from the sport. The overall rate of return to sports after rotator cuff repair was 84.7%, including 66.9% at an equivalent level of play, 4 to 17 months after surgery [24]. In this study, 22 patients had no shoulder pain at final follow-up, and the rate of return to sports after rotator cuff repair was 88% at final follow-up.…”

Section: Discussionmentioning

confidence: 73%

Characteristics and Clinical Outcomes in Overhead Sports Athletes after Rotator Cuff Repair

Muto

Inui

Ninomiya

et al. 2017

Journal of Sports Medicine

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Rotator cuff tears in young overhead sports athletes are rare. The pathomechanism causing rotator cuff tears in young overhead athletes is different from that in aged patients. The purpose of this study was to investigate rotator cuff tear characteristics in young overhead sports athletes to reveal the pathomechanism causing these injuries. This study included 25 overhead sports athletes less than 30 years old with atraumatic rotator cuff tears necessitating repair. Rotator cuff tear characteristics were evaluated intraoperatively, including rotator cuff tear shape and injured rotator cuff tendon. Clinical outcome measures were assessed before surgery and at the final follow-up. In this study, 22 patients reported minimal to no shoulder pain and returned to sports without significant complaints at last follow-up. The isolated infraspinatus tendon was most often injured; the incidence rate of the tear at this site was 32% (8 cases). In the deceleration phase of overhead motion, the eccentric contraction force of the ISP (infraspinatus) tendon peaks and the increased load leads to injury at the ISP tendon. The pathomechanism of rotator cuff injuries in young overhead athletes might be not only internal or subacromial impingement, but also these mechanisms.

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“…These patients are especially at risk, in particular those who practice overhead and contact sports. 25 In a recent meta-analysis, Klouche et al 13 showed that the overall rate of return to sports after repair of rotator cuff tears was 84.7%, with 65.9% of participants returning to play at the same level between 4 and 17 months after surgery. In our study, 95.8% of patients were able to return to sports, and 91.3% were able to return to the same level.…”

Section: Discussionmentioning

confidence: 99%

Return to Sports After Arthroscopic Treatment of Rotator Cuff Calcifications in Athletes

Ranalletta

Rossi

Sirio

et al. 2016

Orthopaedic Journal of Sports Medicine

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Background:Arthroscopic treatment of calcific deposits of rotator cuff tears has been described with successful results in the general population. However, despite the high frequency of this condition, there is no information in the literature regarding arthroscopic treatment of rotator cuff calcifications in athletes.Purpose:To analyze the time to return to sport, clinical outcomes, and complications of complete arthroscopic removal of intratendinous calcific deposits and repair of the tendon lesion without acromioplasty in athletes.Study Design:Case series; Level of evidence, 4.Methods:This study retrospectively evaluated 24 consecutive patients with a mean age of 36.2 years. The mean follow-up was 59 months (range, 24-108 months). Patients completed a questionnaire focused on the time to return to sport and treatment course. Pre- and postoperative functional assessment was performed using the Constant score and University of California Los Angeles (UCLA) score. Pain was assessed by visual analog scale (VAS). Radiographs and magnetic resonance imaging (MRI) were performed to evaluate the recurrence of calcifications and the indemnity of the supraspinatus tendon repair.Results:Of the 24 patients, 23 (95.8%) were able to return to sports; 91.3% returned to the same level. The mean time to return to play was 5.3 months (range, 3-9 months): 26% of patients (6/23) returned to sports in less than 4 months, 61% (14/24) returned between 4 and 6 months, and 13% (3/24) returned after the sixth month. The mean Constant score increased from 26.9 preoperatively to 89.7 postoperatively (P < .001), and the UCLA score increased from 17.3 preoperatively to 33.2 postoperatively (P < .001). Significant improvement was obtained for pain (mean VAS, 8.4 [before surgery] vs 0.6 [after]; P < .001). The overall majority (91.6%) of patients were satisfied with their result. MRI examination at last follow-up (79% of patients) showed no tendon tears.Conclusion:In athletes with calcifying tendinitis of the supraspinatus tendon with failed nonoperative treatment, complete arthroscopic removal of calcific deposits and tendon repair without acromioplasty results in significant pain relief and improvement in functional outcomes. Most patients return to the same level of proficiency regardless of the type of sport and the level of competition before injury, with 91.6% of patients satisfied with their results.

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Return to Sport After Rotator Cuff Tear Repair

Abstract: Most recreational athletes return to sports at the same level of play as before their injury, but only half of professional and competitive athletes return to an equivalent level of play.

Cited by 106 publications

References 36 publications

Functional and Sports-Specific Outcome After Surgical Repair of Rotator Cuff Tears in Rock Climbers

Functional and Sports-Specific Outcome After Surgical Repair of Rotator Cuff Tears in Rock Climbers

Characteristics and Clinical Outcomes in Overhead Sports Athletes after Rotator Cuff Repair

Return to Sports After Arthroscopic Treatment of Rotator Cuff Calcifications in Athletes

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