Does slower rehabilitation after arthroscopic rotator cuff repair lead to long-term stiffness?

Journal of Shoulder and Elbow Surgery
Bradford O ParsonsEvan L Flatow

Abstract

Conservative rehabilitation after arthroscopic rotator cuff repair does not result in long-term stiffness and improves rates of tendon healing. We retrospectively evaluated 43 patients with full-thickness rotator cuff tears who underwent a standardized, conservative protocol of full-time sling immobilization without formal therapy for 6 weeks after arthroscopic repair. At 6 to 8 weeks of follow-up, we categorized patients as "stiff" if they demonstrated forward elevation of less than 100° and external rotation of less than 30° passively; all others were designated "nonstiff." Active range of motion in forward elevation, external rotation, and internal rotation was assessed at 3 months, 6 months, and 1 year. American Shoulder and Elbow Surgeons (ASES) and Constant-Murley scores were assessed at 1 year. Follow-up magnetic resonance imaging (MRI) was obtained in all patients to assess tendon healing. Ten patients (23%) were considered stiff after rotator cuff surgery. At 1 year, there was no difference in mean forward elevation (166° vs 161°, P = .2), external rotation (62° vs. 58.4°, P = .5), or internal rotation (T7.4 vs T8.2, P = .07) between the stiff and nonstiff groups, respectively. There were no differences in final ASES (...Continue Reading

References

Jan 1, 1987·Clinical Orthopaedics and Related Research·C R Constant, A H Murley
Aug 1, 1996·Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association·M A MorminoJ A McCarthy
May 1, 1997·The Journal of Bone and Joint Surgery. British Volume·D J RossouwR J Emery
Jan 12, 1999·Journal of Shoulder and Elbow Surgery·J E CarpenterL J Soslowsky
Feb 6, 2002·Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association·Stephen C WeberWesley M Nottage
May 9, 2006·Journal of Shoulder and Elbow Surgery·Julie BishopEvan L Flatow
Feb 6, 2007·Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association·Kenneth J BrislinFelix H Savoie
Aug 3, 2007·The Journal of Bone and Joint Surgery. American Volume·Dennis LiemPeter Habermeyer

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Citations

Feb 16, 2012·British Medical Bulletin·Rocco PapaliaVincenzo Denaro
May 13, 2014·Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association·Jonathan C Riboh, Grant E Garrigues
Aug 17, 2014·Journal of Shoulder and Elbow Surgery·Kevin ChanGeorge S Athwal
Jan 12, 2013·The Physician and Sportsmedicine·Edward P MulliganMichael Khazzam
Oct 30, 2015·Physiotherapy·Sophie ThomsonJeremy Lewis
Feb 7, 2016·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Sung-Weon JungJi-Heon Lee
Mar 8, 2013·Journal of Shoulder and Elbow Surgery·Keiji UezonoHiroshi Mizuta
Jan 8, 2013·Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association·Seok Won ChungJoo Han Oh
May 18, 2012·Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association·F Alan Barber, Otis R Drew
Jan 17, 2012·Journal of Shoulder and Elbow Surgery·Megan L KillianStavros Thomopoulos
Aug 9, 2011·The Journal of Hand Surgery·Claudius D Jarrett, Christopher C Schmidt
Jun 1, 2011·Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association·Patrick J DenardStephen S Burkhart
Nov 10, 2013·Orthopedics·Erik SchnaserReuben Gobezie
Dec 15, 2015·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Davide BlonnaFilippo Castoldi
Dec 8, 2015·BMC Musculoskeletal Disorders·Nathaniel HiscockJennifer Coghlan
Oct 1, 2013·Birth Defects Research. Part C, Embryo Today : Reviews·Guang YangRocky S Tuan
Mar 17, 2016·BMC Musculoskeletal Disorders·Mohit N GilotraAnand M Murthi
Jan 3, 2014·The Journal of the American Academy of Orthopaedic Surgeons·David RossKyle Anderson
Sep 4, 2015·Journal of Orthopaedic Research : Official Publication of the Orthopaedic Research Society·Michael KnesekAsheesh Bedi
Oct 25, 2011·Annals of Physical and Rehabilitation Medicine·P RibinikA P Yelnik
Sep 5, 2012·Orthopaedics & Traumatology, Surgery & Research : OTSR·J ArndtUNKNOWN French Society for Shoulder & Elbow (SOFEC)
Feb 28, 2015·Archives of Orthopaedic and Trauma Surgery·Philipp HeubererChristian Wurnig
Jan 6, 2015·The Journal of Hand Surgery·Christopher C SchmidtBrandon T Brown
Jan 6, 2015·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Maristella F SaccomannoGiuseppe Milano
Apr 7, 2016·The Journal of Orthopaedic and Sports Physical Therapy·A Burke GurneyJames G Gurney
May 18, 2016·Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association·Eiji ItoiYon-Sik Yoo
Aug 4, 2016·JBJS Reviews·Vasili KarasGrant E Garrigues
Nov 18, 2016·The Journal of Bone and Joint Surgery. American Volume·William J McNamaraGeorge A C Murrell
Apr 4, 2014·Scandinavian Journal of Surgery : SJS : Official Organ for the Finnish Surgical Society and the Scandinavian Surgical Society·H Vastamäki, M Vastamäki
Jan 31, 2012·The American Journal of Sports Medicine·Yang-Soo KimJoo Han Oh
Jan 23, 2016·The American Journal of Sports Medicine·Francesco FranceschiVincenzo Denaro
Oct 10, 2014·The American Journal of Sports Medicine·Melissa A KluczynskiLeslie J Bisson
Jul 13, 2013·The American Journal of Sports Medicine·Shurong ZhangYunxia Li
May 9, 2014·The American Journal of Sports Medicine·Keiji UezonoHiroshi Mizuta
Jul 14, 2017·The Journal of Orthopaedic and Sports Physical Therapy·Peter K EdwardsAllan Wang
Sep 17, 2017·Journal of Biomechanical Engineering·Hafizur RahmanMariana E Kersh

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