Outcome of rotator cuff repair

Watson, Elizabeth M.; Sonnabend, David H.

doi:10.1067/mse.2002.122271

Cited by 117 publications

(111 citation statements)

References 36 publications

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“…Although surgical repair of rotator cuff tears reportedly leads to substantial improvements in pain and function [1,11,13,22,28,33,39], previous studies have reported WCB recipients report lower recovery than nonrecipients [20,30,32,39,41,43,44]. Previous research also suggests WCB recipients start with poorer outcomes preoperatively [22,30,32,43,44], However, these studies do not control for different patient and injury characteristics that may help explain their differential recovery; also, these studies do not consider how preoperative dissimilarities affect postoperative recovery (Table 7).…”

Section: Discussionmentioning

confidence: 99%

“…Previous research also suggests WCB recipients start with poorer outcomes preoperatively [22,30,32,43,44], However, these studies do not control for different patient and injury characteristics that may help explain their differential recovery; also, these studies do not consider how preoperative dissimilarities affect postoperative recovery (Table 7). We therefore asked whether (1) patient characteristics differed between WCB recipients and nonrecipients with full-thickness rotator cuff tears; (2) whether 6-month outcomes varied between groups when these differences are not considered; (3) controlling for preoperative differences found between groups could partially explain any postoperative differences seen in pain, function, and ROM between WCB recipients and nonrecipients, and finally (4) if these characteristics varied between recipients and nonrecipients, we explored the differential influence of age, gender, smoking, and tear size on postoperative outcome.…”

Section: Discussionmentioning

confidence: 99%

“…However, several studies reported WCB recipients with rotator cuff tears experience lower recovery and patient satisfaction than their nonrecipients [18,32,39,44]. It also was suggested WCB recipients report worse pain and lower function before surgery than those with nonwork-related injuries [22,30,32,43,44].…”

Section: Introductionmentioning

confidence: 99%

“…It also was suggested WCB recipients report worse pain and lower function before surgery than those with nonwork-related injuries [22,30,32,43,44]. However, few studies have compared WCB recipients and nonrecipients in terms of patient characteristics (eg, age/gender) or injury characteristics (eg, traumatic versus degenerative injuries) [20,30,32,39,41,43,44].…”

Section: Introductionmentioning

confidence: 99%

“…Factors most commonly considered to have an effect on postoperative outcome are age, gender, smoking status, and tear size [2,8,10,12,16,17,18,22,23,29,33,34,36,39,41,44]; contradictory results have been reported, with some studies suggesting these factors do have an impact on outcome [8,10,12,22,29,36,41,44] and others suggesting they do not [16-18, 23, 33, 34, 39]. However, to our knowledge, no study has explored whether these factors affect patients with compensation claims differently from those without compensation claims (eg, do large tears have a worse outcome in WCB recipients than nonrecipients; does smoking have a different impact on outcome in WCB recipients than nonrecipients?).…”

Section: Introductionmentioning

confidence: 99%

See 4 more Smart Citations

Do Outcomes Differ after Rotator Cuff Repair for Patients Receiving Workers' Compensation?

Balyk

Luciak-Corea²,

Otto

et al. 2008

Clinical Orthopaedics &Amp; Related Research

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Comparisons of outcomes after rotator cuff repair between Worker's Compensation Board (WCB) recipients and nonrecipients generally do not consider patient, injury, and shoulder characteristics. We compared preoperative differences between WCB recipients and nonrecipients and determined the impact on their 6-month postoperative outcome. We evaluated a prospective cohort of 141 patients with full-thickness rotator cuff tears, 36 of whom (26%) were WCB recipients, preoperatively and 3 and 6 months after rotator cuff repair. Their mean age was 54.0 ± 10.4 years (standard deviation) and 102 (72%) patients were male. Shoulder range of motion, Western Ontario Rotator Cuff (WORC) index, and American Shoulder and Elbow Surgeons' score were used to evaluate outcomes. We performed regression analyses to control for baseline differences in age, baseline scores, smoking status, symptom duration, injury type, and associated biceps disorder between WCB recipients and nonrecipients. WCB recipients were younger and more likely to smoke, have a traumatic injury, and undergo surgery within 6 months of injury. WCB recipients had lower recovery for all outcomes when these differences were not considered but when differences were accounted for, only 6-month WORC scores were lower in WCB recipients. Clinicians should consider preoperative characteristics before concluding WCB recipients experience less recovery after surgical repair.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Do Outcomes Differ after Rotator Cuff Repair for Patients Receiving Workers' Compensation?

Balyk

Luciak-Corea²,

Otto

et al. 2008

Clinical Orthopaedics &Amp; Related Research

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Avoiding and Managing Complications of Arthroscopic Rotator Cuff Repair

Trantalis

2009

Complications in Knee and Shoulder Surgery

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Repair of type-2 SLAP lesions using Corkscrew anchors

Kartus

Brownlow

et al. 2004

Knee Surgery, Sports Traumatology, Arthroscopy

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The aim of the study was to perform a clinical assessment of patients who had undergone arthroscopic repair of a type-2 SLAP lesion using one double-looped Corkscrew anchor. Fifteen consecutive patients who agreed to fill in a pre- and post-operative questionnaire were included in the study. The aetiology was traumatic in 10/15 patients and non-traumatic in 5/15. At the index operation four patients underwent a concomitant acromioplasty, while four patients underwent supplementary anterior labrum fixation using suture anchors. Thirteen/15 (87%) of the patients were physically re-examined by independent observers after a follow-up period of 25 months (11-32). The questionnaire involved a patient-administered assessment of ten common activities of daily living. At follow-up, the Rowe score was 84 points (51-98) and the Constant score was 83 points (35-100). The external rotation in abduction was 85 degrees (60-110) on the operated side and 90 degrees (80-110) on the non-operated side ( p<0.05). The isometric strength in abduction was 8.3 kg (0.8-14.4) on the operated side and 8.9 kg (2.7-15.5) on the non-operated side ( p=0.006). Significant improvements ( p<0.05) compared with the pre-operative assessments were found in 2/10 activities of daily living. Another 4/10 activities seemed to improve but did not reach statistical significance ( p<0.08). Eleven of 15 patients returned to their pre-injury activity level. In conclusion, the majority of patients returned to their pre-injury activity level and the subjective patient-administered evaluations appeared to improve after arthroscopic repair of type-2 SLAP lesions using one double-looped Corkscrew anchor. We feel encouraged to continue using this technique.

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Outcome of rotator cuff repair

Cited by 117 publications

References 36 publications

Do Outcomes Differ after Rotator Cuff Repair for Patients Receiving Workers' Compensation?

Do Outcomes Differ after Rotator Cuff Repair for Patients Receiving Workers' Compensation?

Avoiding and Managing Complications of Arthroscopic Rotator Cuff Repair

Repair of type-2 SLAP lesions using Corkscrew anchors

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