Title of article :
Range of motion limitation after rotator cuff repair
Author/Authors :
Namdari، نويسنده , , Surena and Green، نويسنده , , Andrew، نويسنده ,
Issue Information :
روزنامه با شماره پیاپی سال 2010
Abstract :
Hypothesis
tudy was conducted to identify preoperative factors correlating with limited motion after rotator cuff repair (RCR) and to evaluate the affect of loss of motion on outcome. We hypothesized that patients with preoperative ROM loss, diabetes, and workmanʹs compensation claims would exhibit postoperative ROM loss at 3 months.
al and methods
rative and postoperative evaluations, including outcomes assessment and physical examination parameters, were reviewed for 345 patients who underwent RCR. Correlations between demographic, physical examination, and surgical variables and postoperative limitation of motion and need for capsular release were determined.
s
onth follow-up, mean active forward elevation (AFE), active external rotation (AER), and passive internal rotation (PIR) were 90%, 78%, and 80% of the contralateral side. Limitation of preoperative motion correlated with limitation of postoperative AFE, AER, and PIR (P < .001). Forty-seven patients considered clinically stiff were followed at 1 year postoperatively. Three patients required arthroscopic capsular release for persistent range of motion loss.
sion
postoperative limitation of motion after RCR is associated with restricted preoperative motion. Other factors, including diabetes mellitus and workerʹs compensation claim, are also associated with range of motion loss. Most shoulders with early motion loss recover motion and rarely require capsular release.
Keywords :
Rotator Cuff Repair , Stiffness , range of motion , Rotator cuff tear
Journal title :
Journal of Shoulder and Elbow Surgery
Journal title :
Journal of Shoulder and Elbow Surgery