One-Stage Arthroscopic Repair of Rotator Cuff Tears With Shoulder Stiffness

Clinical Outcomes of Rotator Cuff Repair With Arthroscopic Capsular Release and Manipulation for Rotator Cuff Tear With Stiffness: A Matched-Pair Comparative Study Between Patients With and Without Stiffness

“…Ho et al 8 reported that overall satisfactory outcomes were achieved in patients who underwent arthroscopic capsular release and rotator cuff repair. They concluded that the results of the stiff group in their study were statistically the same as those of the non-stiff group.…”

“…Preoperative shoulder stiffness in patients who undergo rotator cuff repair is common, with a reported prevalence of 12.3% to 41.7%. 1,4,8,[18][19][20] However, the definition of shoulder stiffness is one of the controversial points, and authors have used different definitions. 16 Furthermore, the incidence and magnitude of the problem, as well as the treatment protocol, have not been thoroughly studied.…”

“…Recently, several studies have reported 1-stage surgical treatment in patients with rotator cuff tears with shoulder stiffness. [1][2][3]8 Various procedures with rotator cuff repair were introduced including manipulation, arthroscopic capsular release, and arthroscopic capsular release with manipulation. Most studies reported overall satisfactory clinical outcomes after surgical treatment.…”

“…Furthermore, there is not universal agreement on the acceptable level of stiffness at the time of rotator cuff repair. 8,9 Shoulder stiffness with failed conservative treatment can be managed by arthroscopic capsular release with manipulation, and numerous studies have reported satisfactory postoperative clinical outcomes. [10][11][12][13][14][15] Tauro 4 reported surgical outcomes of arthroscopic rotator cuff repair without additional procedures for rotator cuff tears with concomitant stiffness.…”

“…Recently, however, several studies have reported that 1-stage rotator cuff repair and manipulation with or without arthroscopic capsular release were performed in patients with rotator cuff tears and shoulder stiffness. [1][2][3]8 They described overall satisfactory clinical outcomes after surgical treatment. However, few studies have been conducted to compare the serial changes in pain intensity, functional scores, and ROM after surgical treatment between rotator cuff tears with and without shoulder stiffness.…”