Does arthroscopic preemptive extensive rotator interval release reduce postoperative stiffness after arthroscopic rotator cuff repair?: a prospective randomized clinical trial
| Autor: | Sang-Yup Han, Jong-Ho Kim, Yang-Soo Kim, Ki-Won Kim, Dae-Ho Ha, Seung Min Kim |
|---|---|
| Rok vydání: | 2018 |
| Předmět: |
musculoskeletal diseases
Male medicine.medical_specialty Rotation Visual analogue scale Elbow Pain Shoulder stiffness law.invention Arthroplasty Rotator Cuff Injuries 03 medical and health sciences Arthroscopy 0302 clinical medicine Randomized controlled trial law Recurrence Medicine Humans Orthopedics and Sports Medicine Rotator cuff Postoperative Period Prospective Studies Range of Motion Articular Aged Pain Measurement 030222 orthopedics medicine.diagnostic_test business.industry Shoulder Joint Magnetic resonance imaging 030229 sport sciences General Medicine Middle Aged Magnetic Resonance Imaging Surgery medicine.anatomical_structure Treatment Outcome Constant score Female business Range of motion |
| Zdroj: | Journal of shoulder and elbow surgery. 28(9) |
| ISSN: | 1532-6500 |
| Popis: | To investigate whether preemptive extensive rotator interval (RI) release during arthroscopic rotator cuff repair (ARCR) would reduce postoperative stiffness.From July 2015 to September 2016, a total of 80 patients who were scheduled for ARCR were enrolled and randomly allocated into 2 groups: the preemptive extensive RI release group (group 1, n=40) and the RI nonrelease group (group 2, n=40). The American Shoulder and Elbow Surgeons scale, Constant score, Korean Shoulder Scale (KSS), visual analog scale (VAS) pain score, and range of motion (ROM) were evaluated before surgery; 3, 6, and 12 months after surgery; and at last follow-up. Magnetic resonance imaging was performed at postoperative 12 months.The mean follow-up period was 26.5 months. The functional and pain scores in both groups were significantly improved at the last follow-up (P.05). Group 1 showed a significantly higher sum of ROM with a difference of 27° and 1.6 vertebral level of internal rotation compared to group 2 at postoperative 3 months (P.05). Constant score and KSS were significantly higher in group 1 than in group 2 at this time point (P.05). Functional scores and ROM were not significantly different between 2 groups at postoperative 6 or 12 months or at the last follow-up (P.05). The retear rate and pathologic change of the long head of the biceps tendon during follow-up were not significantly different between the 2 groups (P.05).Arthroscopic preemptive extensive RI release can reduce early postoperative shoulder stiffness after ARCR but does not significantly change the overall clinical outcome after surgery. |
| Databáze: | OpenAIRE |
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