Functional Recovery Period after Arthroscopic Rotator Cuff Repair: Is it Predictable Before Surgery?

Manaka, Tomoya; Ito, Yoichi M.; Matsumoto, Isshin; Takaoka, Kunio; Nakamura, Hiroaki

doi:10.1007/s11999-010-1689-6

Cited by 58 publications

(56 citation statements)

References 32 publications

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“…2,6,9,13,18 In general, the studies concluded that younger age (less than 50-55 years) leads to a more successful recovery. 2,6,9,13,18 One study 2 concluded that patients with a healed tendon were, on average, 10 years younger (mean  SD, 57.8  9.4 years) than those in whom the tendon had not healed (68  7.6 years). One study 9 reported that patients older than 65 years had a lower score on the physical component of the Medical Outcomes Study 36-Item ShortForm Health Survey QoL score than patients who were less than 55 years old and patients aged between 55 and 60 years.…”

Section: Results Of Individual Studiesmentioning

confidence: 99%

“…One study 9 reported that patients older than 65 years had a lower score on the physical component of the Medical Outcomes Study 36-Item ShortForm Health Survey QoL score than patients who were less than 55 years old and patients aged between 55 and 60 years. One study 18 concluded that 77% of the patients with a longer functional recovery time (greater than 6 months) were 60 years old or older. One study 9 concluded that female sex had a negative effect on postoperative physical and mental QoL.…”

Section: Results Of Individual Studiesmentioning

confidence: 99%

“…18 Manaka et al 18 defined shoulder stiffness as less than 120° of shoulder rotation when measured in 90° of shoulder abduction. In their study, 18 they found that the percentage of patients with preoperative shoulder stiffness was 40% in the group with a functional recovery time of less than 3 months, 72% with a recov- Higher age leads to a smaller chance of complete tendon healing (P = .049): age ≤50 y, 87.8% chance of tendon healing; 51-60 y, 79.4%; ≥60 y, 65.4%…”

Section: Results Of Individual Studiesmentioning

confidence: 99%

“…11,22 However, the extent and duration of the recovery period may vary widely among patients. 18 Recovery can be defined and measured in several ways: impairments (ROM, strength), function (self-report questionnaires), quality-of-life (QoL questionnaires), pain, satisfaction, and tendon healing (ultrasound or magnetic resonance imaging [MRI]).Several factors can affect the extent to which a person will recover after rotator cuff repair. In the literature, factors such as demographics, clinical variables, cuff integrity, and surgical procedure are mentioned as being prognostic of recovery.…”

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Prognostic Factors for Successful Recovery After Arthroscopic Rotator Cuff Repair: A Systematic Literature Review

Fermont

Wolterbeek²,

Wessel³

et al. 2014

Journal of Orthopaedic & Sports Physical Therapy

111

107

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Rotator cuff lesion is a common shoulder disorder, with a prevalence ranging from 13% in people over 50 years of age to more than 50% in people over 80 years of age. 24 Two thirds of these lesions are asymptomatic, usually due to their small size. 30 One third are accompanied by symptoms such as pain, muscle weakness, and loss of shoulder range of motion (ROM). 3,17,26 For these people, a rotator cuff lesion may lead to restrictions in their daily functioning, and surgical repair of the rotator cuff using an arthroscopic procedure can be a potential solution. 12,27,29 Although an arthroscopic rotator cuff repair appears to be a relatively minor procedure, postsurgical rehabilitation is long and intensive. Generally, the first weeks after surgery are often painful, and the patient should anticipate several months of physiotherapy. 11,22 However, the extent and duration of the recovery period may vary widely among patients. 18 Recovery can be defined and measured in several ways: impairments (ROM, strength), function (self-report questionnaires), quality-of-life (QoL questionnaires), pain, satisfaction, and tendon healing (ultrasound or magnetic resonance imaging [MRI]).Several factors can affect the extent to which a person will recover after rotator cuff repair. In the literature, factors such as demographics, clinical variables, cuff integrity, and surgical procedure are mentioned as being prognostic of recovery. 8,14,25,26 Better knowledge of these prognostic factors may lead to improved insight for physiotherapists and orthopaedic surgeons to predict the extent of the recovery and adjust rehabilitation and patient expectations accordingly. 9Multiple prospective and retrospective studies have been published that describe prognostic factors after rotator cuff repair; however, to our knowledge, no systematic review of that informa-T T STUDY DESIGN: Systematic literature review. T T OBJECTIVES:To perform a systematic review of the literature on prognostic factors for successful recovery after arthroscopic rotator cuff repair. T T BACKGROUND:Rotator cuff lesion is a common shoulder disorder, with a prevalence ranging from 13% in people over 50 years of age to more than 50% in people over 80 years of age. Several factors can affect the extent to which a person will recover after the surgical repair of a rotator cuff tear. More knowledge about these prognostic factors may lead to a better understanding of why the recovery process is successful in some patients but not in others. T T METHODS:A systematic literature search from 1995 to November 2013 was performed to identify studies reporting prognostic factors for successful recovery after arthroscopic rotator cuff repair. T T RESULTS:A total of 455 studies were initially identified, 10 of which were included in the review. For all included studies, the percentage of patients with complete tendon healing at final assessment ranged from 60% to 88%. Twelve prognostic factors, which could be divided into 4 categories, were identified as being associated with better reco...

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Section: Results Of Individual Studiesmentioning

confidence: 99%

Section: Results Of Individual Studiesmentioning

confidence: 99%

Section: Results Of Individual Studiesmentioning

confidence: 99%

mentioning

confidence: 99%

mentioning

confidence: 99%

See 3 more Smart Citations

Prognostic Factors for Successful Recovery After Arthroscopic Rotator Cuff Repair: A Systematic Literature Review

Fermont

Wolterbeek²,

Wessel³

et al. 2014

Journal of Orthopaedic & Sports Physical Therapy

111

107

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A unique sarcopenic progression in the mouse rotator cuff

Meyer

Shen

2021

J cachexia sarcopenia muscle

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Background In response to chronic injury, the muscles of the rotator cuff (RC) experience a unique degeneration characterized by extensive fatty infiltration and loss of contractile function. Human studies suggest this degeneration is also a feature of RC sarcopenia and may precede RC injury. In this study, we investigated whether RC muscles exhibit a similar unique sarcopenia in the mouse. Methods Male and female mice were subdivided into four age groups: 3, 9, 18, and 24 months. The supraspinatus (SS) and infraspinatus muscles of the RC and the tibialis anterior (TA) muscle of the hindlimb were assessed. Muscle mass, contractile function, fibre cross-sectional areas and numbers, fatty infiltration, and fibrosis were assessed at each time point. Targeted transcriptional analyses were performed to assess the role of metabolic and inflammatory derangement in the pathology. ResultsThe 24-month-aged female mice exhibited decreased mass (25% lower than at 9 and 18 months, P < 0.01) in all muscles tested. However, only RC muscles also exhibited decreased contractile tension at this time point (20% lower than at 18 months, P < 0.005). Similarly, only female RC muscles exhibited increased fatty infiltration at 24 months (20% higher than 9 months, P < 0.05) and had elevated transcriptional markers of adipogenesis (2.4-fold higher Pparg and 3.8-fold higher Adipoq expression compared with 9 months, P < 0.001). Unbiased metabolic transcriptional profiling identified up-regulation of the antigen presentation (Z scores of 2.3 and 1.9 for SS and TA, respectively) and cytokine and chemokine signalling (Z scores of 3.1 and 2.4 for SS and TA, respectively) pathways in 24 month female muscle compared with 9. Further transcriptional analysis supported increased expression of pro-adipogenic inflammatory signals (6.3-fold increase in Il6 and 5.0-fold increase in Anxa2, P < 0.01) and increased presence of fibro-adipogenic progenitors (2.5-fold) in the 24-month-aged female RC compared with 9 months that together exacerbate fatty infiltration. Conclusions These data indicate that female mice replicate the unique sarcopenic pathology in the ageing human RC. Furthermore, they suggest that the exacerbated fatty infiltration is due to an interaction between higher resident fibro-adipogenic progenitor numbers and an elevated systemic inflammation in aged female mice. We conclude that female mouse RC muscle is a novel system to study both human RC degeneration and the signals that regulate sarcopenic fatty infiltration in general, which is prevalent in humans but largely absent from the rodent hindlimb.

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