Document Detail


Prevention of shoulder stiffness after rotator cuff repair.
MedLine Citation:
PMID:  15662309     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Predisposing factors for shoulder stiffness after rotator cuff repair have yet to be determined. The potential for recovery of range of motion and amelioration of pain in patients with this complication also remains unclear. Accordingly, data collected prospectively for 209 patients with a primary rotator cuff repair were retrospectively reviewed. Two groups, Group A (early motion recovery) and Group B (shoulder stiffness), were selected according to passive shoulder range of motion outcomes 6 weeks postoperatively. Both groups were compared for 10 descriptive and clinical characteristics, and for passive range of motion, muscle force, and functional outcomes obtained 0, 6, 12, 24, and 76 weeks postoperatively. Of the potential prognostic factors examined, restriction of range of motion for the preoperative hand behind the back best predicted shoulder stiffness at 6 weeks postoperatively. For patients with postoperative shoulder stiffness, pain had subsided by 24 weeks postoperatively, whereas range of motion steadily improved between 6 weeks and 76 weeks postoperatively. Results of the current study support a predictive role for restriction of range of motion for the preoperative hand behind the back, and affirms the potential for nearly complete recovery of range of motion and amelioration of pain in patients who have shoulder stiffness after rotator cuff repair. Level of Evidence: Prognostic study, Level I-1 (prospective study).
Authors:
Kim Trenerry; Judie R Walton; George A C Murrell
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Publication Detail:
Type:  Clinical Trial; Comparative Study; Journal Article    
Journal Detail:
Title:  Clinical orthopaedics and related research     Volume:  -     ISSN:  0009-921X     ISO Abbreviation:  Clin. Orthop. Relat. Res.     Publication Date:  2005 Jan 
Date Detail:
Created Date:  2005-01-21     Completed Date:  2005-02-15     Revised Date:  2009-11-03    
Medline Journal Info:
Nlm Unique ID:  0075674     Medline TA:  Clin Orthop Relat Res     Country:  United States    
Other Details:
Languages:  eng     Pagination:  94-9     Citation Subset:  AIM; IM    
Affiliation:
Department of Orthopaedic Surgery, St. George Hospital Campus, University of New South Wales, Sydney, Australia.
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MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Aged, 80 and over
Early Ambulation / methods
Female
Humans
Male
Middle Aged
Outcome and Process Assessment (Health Care)
Pain / etiology,  prevention & control
Postoperative Period
Prospective Studies
Range of Motion, Articular / physiology
Recovery of Function / physiology
Rotator Cuff / injuries,  physiopathology*,  surgery*
Shoulder Joint / physiopathology*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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