Date of Presentation
5-4-2023 12:00 AM
College
Rowan-Virtua School of Osteopathic Medicine
Poster Abstract
Purpose: To compare patient-reported and surgical outcome measures in patients with and without secondary shoulder stiffness (SSS) undergoing rotator cuff repair (RCR).
Methods: Patients undergoing rotator cuff repair from 2014 to 2020 with complete patient-reported outcome measures (PROMs) by the short-form 12 survey (SF-12) were retrospectively reviewed to identify if operative intervention for SSS was performed alongside the RCR. Those patients with operative intervention for SSS were propensity matched to a group without prior intervention for stiffness by age, sex, laterality, body mass index, diabetes mellitus status, and the presence of a thyroid disorder. The groups were compared by rotator cuff tear (RCT) size, surgical outcomes, further surgical intervention, rotator cuff retear rate, postoperative range of motion (ROM), and SF-12 results at one year after surgery. Delta values were calculated for component scores of the SF-12 and ROM values by subtracting the preoperative result from the postoperative result.
Results: A total of 89 patients with SSS were compared to 156 patients in the control group at final analysis. SSS group experienced a significant improvement by the delta mental health component score (MCS-12) of the SF-12 survey that was not seen in the control group (p=0.005 to p=0.539). Both groups experienced significant improvement by the delta physical health component score (PCS-12) of the SF-12 survey (SSS: 7.68, p<0.001; control: 6.95, p<0.001). The SSS group also experienced greater improvement of their forward flexion (25.80 vs 12.9°, p-0.005) and external rotation (7.13° vs 1.65°, p=0.031) ROM than the control group.
Conclusions: Operative intervention of SSS at the time of RCR has equivalent postoperative outcomes by the SF-12 survey when compared to patients undergoing RCR without preoperative stiffness.
Keywords
Shoulder, Arthroscopy, Arthroscopic Surgery, Stiffness, Rotator Cuff, Treatment Outcome
Disciplines
Medicine and Health Sciences | Musculoskeletal System | Orthopedics | Sports Medicine | Surgical Procedures, Operative
Document Type
Poster
Included in
Musculoskeletal System Commons, Orthopedics Commons, Sports Medicine Commons, Surgical Procedures, Operative Commons
Arthroscopic Treatment of Shoulder Stiffness with Rotator Cuff Repair Yields Similar Outcomes to Isolated Rotator Cuff Repair
Purpose: To compare patient-reported and surgical outcome measures in patients with and without secondary shoulder stiffness (SSS) undergoing rotator cuff repair (RCR).
Methods: Patients undergoing rotator cuff repair from 2014 to 2020 with complete patient-reported outcome measures (PROMs) by the short-form 12 survey (SF-12) were retrospectively reviewed to identify if operative intervention for SSS was performed alongside the RCR. Those patients with operative intervention for SSS were propensity matched to a group without prior intervention for stiffness by age, sex, laterality, body mass index, diabetes mellitus status, and the presence of a thyroid disorder. The groups were compared by rotator cuff tear (RCT) size, surgical outcomes, further surgical intervention, rotator cuff retear rate, postoperative range of motion (ROM), and SF-12 results at one year after surgery. Delta values were calculated for component scores of the SF-12 and ROM values by subtracting the preoperative result from the postoperative result.
Results: A total of 89 patients with SSS were compared to 156 patients in the control group at final analysis. SSS group experienced a significant improvement by the delta mental health component score (MCS-12) of the SF-12 survey that was not seen in the control group (p=0.005 to p=0.539). Both groups experienced significant improvement by the delta physical health component score (PCS-12) of the SF-12 survey (SSS: 7.68, p<0.001; control: 6.95, p<0.001). The SSS group also experienced greater improvement of their forward flexion (25.80 vs 12.9°, p-0.005) and external rotation (7.13° vs 1.65°, p=0.031) ROM than the control group.
Conclusions: Operative intervention of SSS at the time of RCR has equivalent postoperative outcomes by the SF-12 survey when compared to patients undergoing RCR without preoperative stiffness.