Stiffness after arthroscopic rotator cuff repair: a rehabilitation problem or a surgical indication?
| Autor: | Robert G. Trasolini, Jesse J. Riker, William R. Schneider, Charles J. Ruotolo, Noam Gerber |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
musculoskeletal diseases
medicine.medical_specialty Shoulder lcsh:Diseases of the musculoskeletal system mobilization under anesthesia medicine.medical_treatment arthroscopic rotator cuff repair macromolecular substances shoulder arthroscopy Biceps lcsh:Orthopedic surgery medicine Shoulder stiffness lysis of adhesions Orthopedics and Sports Medicine Rotator cuff Rehabilitation business.industry Incidence (epidemiology) Stiffness musculoskeletal system rotator cuff repair Tendon Surgery lcsh:RD701-811 medicine.anatomical_structure Concomitant Tears Rotator Cuff Pathology shoulder rehabilitation medicine.symptom lcsh:RC925-935 business |
| Zdroj: | JSES International, Vol 5, Iss 1, Pp 88-92 (2021) JSES International |
| ISSN: | 2666-6383 |
| Popis: | Hypothesis The purpose of this study was to determine the incidence of clinically significant postoperative stiffness after arthroscopic rotator cuff repair and its resolution. The study also sought to determine clinical and surgical factors that may be associated with increased rates of postoperative stiffness. Methods We conducted a level III retrospective review of a consecutive series of arthroscopic rotator cuff repairs. During a 5-year period, the senior author (C.J.R.) performed 150 arthroscopic rotator cuff repairs at our institution. Demographic data, comorbid medical conditions, descriptions of rotator cuff tears (including size and level of retraction), and concomitant surgical procedures were evaluated on their correlation with stiffness. All office visits were reviewed to determine preoperative and postoperative motion. Patients were followed up at 1 week, 3 weeks, 6-8 weeks, 3 months, about 6 months, and 1 year postoperatively. Results In our analysis of tear types, we were unable to associate stiffness with the type of tear, the tendon torn, or the number of tendons torn or with whether the tendons were retracted. However, we were able to associate female sex, workers' compensation insurance, and a concomitant biceps procedure with stiffness at several time points. The incidence of stiffness was highest at 12 weeks, with 7.3% of patients presenting with stiffness. The rate of stiffness decreased with continued follow-up. Stiffness was found in 3.3% of patients at 16-24 weeks and in 1.6% of patients at 1 year. Conclusions Prolonged physical therapy will result in resolution of stiffness in the vast majority of cases, often obviating the return to the operating room for capsular release and lysis of adhesions or mobilization under anesthesia. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|