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

Chung, Seok Won; Huong, Cao Ba; Kim, Sae Hoon; Oh, Joo Han

doi:10.1016/j.arthro.2012.08.023

Cited by 131 publications

(137 citation statements)

References 48 publications

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“…This is slightly lower than reported incidences of early postoperative stiffness after biceps tenodesis (5.6%-17.9%) and reported rates of stiffness after rotator cuff repair (4.9%-18.6%). 13,30,77 We found no significant differences between the ASPBT and OSPBT cohorts in shoulder range of motion, including abduction, forward flexion, internal rotation, and external rotation at a minimum 2-year follow-up. Similarly, no significant differences in final postoperative elbow range of motion and strength were found.…”

Section: Discussionmentioning

confidence: 59%

Arthroscopic Suprapectoral and Open Subpectoral Biceps Tenodesis

et al. 2014

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Both ASPBT and OSPBT yield excellent clinical and functional results for the management of isolated superior labrum or long head of the biceps lesions. No significant differences in clinical outcomes as determined by several validated outcome measures were found between the 2 tenodesis methods, nor were any significant range of motion or strength deficits noted at a minimum 2 years postoperatively.

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Section: Discussionmentioning

confidence: 59%

Arthroscopic Suprapectoral and Open Subpectoral Biceps Tenodesis

et al. 2014

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“…Relatively recent changes in surgical techniques, from arthrotomy to mini-open to full arthroscopy have changed the axis of the argument, as patients who undergo less invasive surgical procedures are less likely to develop postoperative shoulder stiffness 6 and thus may warrant more conservative rehabilitation.…”

mentioning

confidence: 99%

Shoulder Electromyography Measurements During Activities of Daily Living and Routine Rehabilitation Exercises

Gurney¹,

Mermier²,

LaPlante³

et al. 2016

J Orthop Sports Phys Ther

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Study Design Controlled laboratory study. Background The activity of the rotator cuff muscles has not previously been measured with indwelling electromyography (EMG) comparing ambulation and other movements. Knowledge of the relative contribution of these muscles during various tasks may help to guide rehabilitation progression. Objective To measure activity of the rotator cuff muscles and other shoulder muscles during normal ambulation, shirt and sling donning and doffing, and rehabilitation tasks commonly performed after rotator cuff surgery. Methods In 28 volunteers (15 men, 13 women; mean age, 32.2 years), indwelling EMG activity was measured in the supraspinatus, infraspinatus, teres minor, and subscapularis muscles during various tasks; and surface EMG activity was measured in the middle deltoid, biceps, and upper trapezius muscles. Results Using median EMG activity, in general, donning and doffing a shirt or sling recruited the rotator cuff muscles more than the other 7 tasks tested. Self-ranging motion using pulleys, especially in the scapular plane, was also consistently associated with greater recruitment of the shoulder muscles. Pendulum exercises, passive range of motion by a physical therapist, and self-ranging motion with a dowel recruited the shoulder muscles to a lesser extent. Conclusion Our results demonstrate that rehabilitation tasks such as pendulum exercises, passive range of motion by a physical therapist, and self-ranging motion with a dowel show low EMG activity, whereas pulleys in the sagittal plane and scapular plane show greater activity. Scapular plane activity was consistently higher than sagittal plane activity. Of all the tasks assessed, ambulation without a sling and donning and doffing a sling and a shirt consistently showed the highest activity. J Orthop Sports Phys Ther 2016;46(5):375-383. Epub 6 Apr 2016. doi:10.2519/jospt.2016.6090.

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“…Si persisten los síntomas (dolor importante o pérdida de fuerza) a pesar de un cuidadoso programa de rehabilitación, debe valorarse la cirugía. La rigidez es un problema típico de estos pacientes, y su aparición ensombrece los resultados de la intervención 23 . Para prevenirla, es de vital importancia que tanto el traumatólogo como el fisioterapeuta insistan en un programa exhaustivo dirigido a recuperar completamente el rango de movilidad pasiva de forma previa a la cirugía.…”

Section: Indicaciones De Cirugíaunclassified

“…La persistencia de limitación que requiera tratamiento quirúr-gico ocurre en menos del 5% de los casos, y su tratamiento es efectivo la mayoría de las veces 60 . Los factores de riesgo para rigidez postoperatoria son: una lesión PASTA o roturas tendinosas simples, depósitos de calcio asociados, rigidez preoperatoria, trabajadores que reclaman indemnizaciones y los pacientes muy jóvenes y de mayor edad 23,61 .…”

Section: Complicacionesunclassified

Reparación artroscópica de las roturas del manguito rotador

Ibán

Expósito

Heredia

et al. 2014

Revista Española de Artroscopia y Cirugía Articular

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Cómo citar este artículo: Ruiz Ibán MÁ, et al. Reparación artroscópica de las roturas del manguito rotador. Rev Esp Artrosc Cir Articul. 2015. http://dx.información del artículo Historia del artículo: Recibido el 20 de octubre de 2014 Aceptado el 16 de diciembre de 2014 On-line el xxx Palabras clave: Manguito rotador Reparación Artroscopia r e s u m e n La reparación artroscópica de los trastornos del manguito rotador es un procedimiento téc-nicamente exigente pero exitoso. Las claves para un buen resultado son la combinación de una indicación adecuada, una buena técnica y un estricto protocolo de rehabilitación. El manejo terapéutico de las lesiones debe ser evaluado teniendo en cuenta las consideraciones personales, anatómicas y biológicas.Durante el procedimiento artroscópico el primer paso es identificar el patrón de la lesión y definir la estrategia para su reparación. Tras esto el cirujano debe preparar la huella de la inserción del manguito y usar una técnica de reparación que mejore el contacto tendón-hueso. Es fundamental conseguir una reparación libre de tensión, con liberaciones de tendón si fuese necesario.En el postoperatorio es esencial un protocolo que proteja la reparación tendinosa y a su vez evite la rigidez. a b s t r a c tArthroscopic repair of rotator cuff disorders is a technically demanding, but successful procedure. The main keys to success are a combination of proper indication, good technique, and an adequate rehabilitation protocol. The tears should be evaluated for reparability, taking into account personal, anatomical, and biological considerations. * Autor para correspondencia.Correo electrónico: drmri@hotmail.com (M.Á. Ruiz Ibán). http://dx.

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

Cited by 131 publications

References 48 publications

Arthroscopic Suprapectoral and Open Subpectoral Biceps Tenodesis

Arthroscopic Suprapectoral and Open Subpectoral Biceps Tenodesis

Shoulder Electromyography Measurements During Activities of Daily Living and Routine Rehabilitation Exercises

Reparación artroscópica de las roturas del manguito rotador

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