SHORT-TERM CLINICAL OUTCOMES OF SHOULDER FUNCTION FOLLOWING ARTHROSCOPIC ROTATOR CUFF REPAIR
Abstract
Aim: Rotator cuff tears not only cause pain; they can also lead to decreased range of motion in the shoulder joint, weakened muscle strength, and significant limitations in an individual's daily activities. The goal of rotator cuff repair is to improve pain, range of motion, and muscle strength, thereby increasing overall functional capacity. This study aims to compare shoulder function, pain level, and daily living activity level before and after rotator cuff repair in patients who underwent arthroscopic rotator cuff repair, using valid and reliable clinical scales reported by both the patient and evaluated by the physician. Materials and Methods: A retrospective cohort consisting of 32 patients (14 females and 18 males) aged between 45 and 66 years who underwent arthroscopic rotator cuff repair was evaluated. Orthomed Turkey surgical implants were used in surgical procedures. Patients' visual analogue scale (VAS) pain scores, American Shoulder and Elbow Surgeons Standardized Shoulder Assessment Form (ASES), Constant-Murley (CMS) scores, and Simple Shoulder Test (SST) scores were recorded before surgery and 2 years after surgery. Results: When comparing the SST, CMS, VAS, and ASES scores of the subjects before and after rotator cuff repair, statistically significant differences were observed in all cases (p<0.05).Conclusion: Following rotator cuff repair, significant improvements in short-term postoperative VAS, STS, CMS, and ASES scores, along with significant short-term improvements in pain, shoulder function, functional capacity, and range of motion, have been achieved, supporting its effectiveness as a clinical and functional treatment option.
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Arndt, J., Clavert, P., Mielcarek, P., Bouchaib, J., Meyer, N., Kempf, J. F., & French Society for Shoulder & Elbow (SOFEC. (2012). Immediate passive motion versus immobilization after endoscopic supraspinatus tendon repair: a prospective randomized study. Orthopaedics & Traumatology: Surgery & Research, 98(6), S131-S138. doi: 10.1016/j.otsr.2012.05.003
Best, M. J., & Tanaka, M. J. (2018). Multidirectional instability of the shoulder: treatment options and considerations. Sports Medicine and Arthroscopy Review, 26(3), 113-119. doi: 10.1097/JSA.0000000000000199
Chan, K., MacDermid, J. C., Hoppe, D. J., Ayeni, O. R., Bhandari, M., Foote, C. J., & Athwal, G. S. (2014). Delayed versus early motion after arthroscopic rotator cuff repair: a meta-analysis. Journal of shoulder and elbow surgery, 23(11), 1631-1639. doi: 10.1016/j.jse.2014.05.021
Chen, Y., Meng, H., Li, Y., Zong, H., Yu, H., Liu, H., ... & Huai, L. (2024). The effect of rehabilitation time on functional recovery after arthroscopic rotator cuff repair: a systematic review and meta-analysis. PeerJ, 12, e17395. doi: 10.7717/peerj.17395
Chung, S. W., Park, J. S., Kim, S. H., Shin, S. H., & Oh, J. H. (2012). Quality of life after arthroscopic rotator cuff repair: evaluation using SF-36 and an analysis of affecting clinical factors. The American journal of sports medicine, 40(3), 631-639. doi: 10.1177/0363546511430309
Davey, M. S., Hurley, E. T., Scanlon, J. P., Gaafar, M., Pauzenberger, L., & Mullett, H. (2021). Excellent clinical outcomes and rates of return to play after arthroscopic rotator cuff repair for traumatic tears in athletes aged 30 years or less. Arthroscopy, Sports Medicine, and Rehabilitation, 3(3), e667-e672. doi: 10.1016/j.asmr.2021.01.003
Galatz, L. M., Griggs, S., Cameron, B. D., & Iannotti, J. P. (2001). Prospective longitudinal analysis of postoperative shoulder function: a ten-year follow-up study of full-thickness rotator cuff tears. JBJS, 83(7), 1052-1056
Goetti, P., Denard, P. J., Collin, P., Ibrahim, M., Hoffmeyer, P., & Lädermann, A. (2020). Shoulder biomechanics in normal and selected pathological conditions. EFORT open reviews, 5(8), 508-518. doi: 10.1302/2058-5241.5.200006
Heerspink, F. O. L., van Raay, J. J., Koorevaar, R. C., van Eerden, P. J., Westerbeek, R. E., van't Riet, E., ... & Diercks, R. L. (2015). Comparing surgical repair with conservative treatment for degenerative rotator cuff tears: a randomized controlled trial. Journal of shoulder and elbow surgery, 24(8), 1274-1281. doi: 10.1016/j.jse.2015.05.040
Huang, H., Grant, J. A., Miller, B. S., Mirza, F. M., & Gagnier, J. J. (2015). A systematic review of the psychometric properties of patient-reported outcome instruments for use in patients with rotator cuff disease. The American journal of sports medicine, 43(10), 2572-2582. doi: 10.1177/0363546514565096
Kang, L., Henn, R. F., Tashjian, R. Z., & Green, A. (2007). Early outcome of arthroscopic rotator cuff repair: a matched comparison with mini-open rotator cuff repair. Arthroscopy: The Journal of Arthroscopic & Related Surgery, 23(6), 573-582. doi: 10.1016/j.arthro.2007.01.011
Klintberg, I. H., Gunnarsson, A. C., Svantesson, U., Styf, J., & Karlsson, J. (2009). Early loading in physiotherapy treatment after full-thickness rotator cuff repair: a prospective randomized pilot-study with a two-year follow-up. Clinical rehabilitation, 23(7), 622-638. doi: 10.1177/0269215509102952
Kukkonen, J., Kauko, T., Vahlberg, T., Joukainen, A., & Äärimaa, V. (2013). Investigating minimal clinically important difference for Constant score in patients undergoing rotator cuff surgery. Journal of shoulder and elbow surgery, 22(12), 1650-1655. doi: 10.1016/j.jse.2013.05.002
Kukkonen, J., Kauko, T., Virolainen, P., & Äärimaa, V. (2015). The effect of tear size on the treatment outcome of operatively treated rotator cuff tears. Knee Surgery, Sports Traumatology, Arthroscopy, 23(2), 567-572. doi: 10.1007/s00167-013-2647-0
Michener LA, McClure PW, Sennett BJ. (2002). American Shoulder and Elbow Surgeons Standardized Shoulder Assessment Form, patient self-report section: reliability, validity, and responsiveness. Journal of shoulder and elbow surgery, 11(6): 587-594. doi: 10.1067/mse.2002.127096
Paxton, E. S., Teefey, S. A., Dahiya, N., Keener, J. D., Yamaguchi, K., & Galatz, L. M. (2013). Clinical and radiographic outcomes of failed repairs of large or massive rotator cuff tears: minimum ten-year follow-up. JBJS, 95(7), 627-632. doi: 10.2106/JBJS.L.00255
Piper, C. C., Hughes, A. J., Ma, Y., Wang, H., & Neviaser, A. S. (2018). Operative versus nonoperative treatment for the management of full-thickness rotator cuff tears: a systematic review and meta-analysis. Journal of shoulder and elbow surgery, 27(3), 572-576. doi: 10.1016/j.jse.2017.09.032
Rokito, A. S., Zuckerman, J. D., Gallagher, M. A., & Cuomo, F. (1996). Strength after surgical repair of the rotator cuff. Journal of shoulder and elbow surgery, 5(1), 12-17. doi: 10.1016/S1058-2746(96)80025-5
Ropars, M., Thomazeau, H., & Huten, D. (2017). Clavicle fractures. Orthopaedics & Traumatology: Surgery & Research, 103(1), S53-S59. doi: 10.1016/j.otsr.2016.11.007
Roy, J. S., Macdermid, J. C., Faber, K. J., Drosdowech, D. S., & Athwal, G. S. (2010). The simple shoulder test is responsive in assessing change following shoulder arthroplasty. journal of orthopaedic & sports physical therapy, 40(7), 413-421. doi: 10.2519/jospt.2010.3209
Sauerbrey, A. M., Getz, C. L., Piancastelli, M., Iannotti, J. P., Ramsey, M. L., & Williams Jr, G. R. (2005). Arthroscopic versus mini-open rotator cuff repair: a comparison of clinical outcome. Arthroscopy: The Journal of Arthroscopic & Related Surgery, 21(12), 1415-1420. doi: 10.1016/j.arthro.2005.09.008
Sonoda, Y., Nishioka, T., Nakajima, R., Imai, S., Vigers, P., & Kawasaki, T. (2018). Use of a shoulder abduction brace after arthroscopic rotator cuff repair: a study on gait performance and falls. Prosthetics and Orthotics International, 42(2), 136-143. doi: 10.1177/0309364617695882
Thigpen, C. A., Shaffer, M. A., Gaunt, B. W., Leggin, B. G., Williams, G. R., & Wilcox III, R. B. (2016). The American Society of Shoulder and Elbow Therapists' consensus statement on rehabilitation following arthroscopic rotator cuff repair. Journal of shoulder and elbow surgery, 25(4), 521-535. doi: 10.1016/j.jse.2015.12.018
Tosyali, H. K., Kaya, H., Hancioglu, S., Tamsel, I., Orguc, S., Tekustun, F., ... & Ozalp, T. (2024). Comparison of clinical outcomes and repair integrity after arthroscopic versus mini-open rotator cuff repair: An observational study. Medicine, 103(22), e38181. doi: 10.1097/MD.0000000000038181
Urwin, M., Symmons, D., Allison, T., Brammah, T., Busby, H., Roxby, M., ... & Williams, G. (1998). Estimating the burden of musculoskeletal disorders in the community: the comparative prevalence of symptoms at different anatomical sites, and the relation to social deprivation. Annals of the rheumatic diseases, 57(11), 649-655. doi: 10.1136/ard.57.11.649
Vajapeyajula, S., Garvey, K. D., & Matzkin, E. G. (2019). Impact of Patient Age on Patient Reported Outcome Measures Following Arthroscopic Rotator Cuff Repair. The Orthopaedic Journal at Harvard Medical School, 20, 7-13.
Vicenti, G., Moretti, L., Carrozzo, M., Pesce, V., Solarino, G., & Moretti, B. (2018). Evaluation of long-term postoperative outcomes between mini-open and arthroscopic repair for isolated supraspinatus tears: a retrospective analysis. Musculoskeletal Surgery, 102(Suppl 1), 21-27. doi: 10.1007/s12306-018-0549-5
Vrotsou K, Ávila M, Machón M, et al. (2018). Constant–Murley Score: systematic review and standardized evaluation in different shoulder pathologies. Quality of life research. 2018; 27(9): 2217-2226. doi: 10.1007/s11136-018-1875-7
Yamamoto, A., Takagishi, K., Osawa, T., Yanagawa, T., Nakajima, D., Shitara, H., & Kobayashi, T. (2010). Prevalence and risk factors of a rotator cuff tear in the general population. Journal of shoulder and elbow surgery, 19(1), 116-120. doi: 10.1016/j.jse.2009.04.006
Zeng, G. J., Moorthy, V., Hao, Y., & Lie, D. T. T. (2024). Defining minimal clinically important difference, patient acceptable symptomatic state and substantial clinical benefit for the visual analog scale pain score after arthroscopic rotator cuff repair. Journal of ISAKOS, 9(4), 592-597. doi: 10.1016/j.jisako.2024.05.003.
DOI: http://dx.doi.org/10.46827/ejphs.v8i3.229
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