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Indexed/Abstracted in: CINAHL, Current Contents/Clinical Medicine, EMBASE, PubMed/MEDLINE, Science Citation Index Expanded (SciSearch), Scopus
Impact Factor 2,063
Online ISSN 1973-9095
Stefano GUMINA 1, Rosanna IZZO 2, Giovanni PINTABONA 2, Vittorio CANDELA 1, Riccardo SAVASTANO 3, Valter SANTILLI 2
1 Department of Orthopedics and Traumatology, Shoulder and Elbow Unit, Sapienza University, Rome Italy; 2 Physical Medicine and Rehabilitation Unit, Sapienza University, Rome Italy; 3 “San Giovanni di Dio Ruggi D’Aragona Hospital”, University of Salerno, Italy
BACKGROUND: Mobility recovery after arthroscopic rotator cuff repair in different tears size.
AIM: To investigate, after arthroscopic rotator cuff repair, the range of motion (ROM) progression in different sized tears (small, large and massive), and evaluating ROM changes in the pre and postoperative periods of each group.
DESIGN: cohort study.
SETTING: Policlinico Umberto I, “Sapienza” University, Rome, Italy.
POPULATION: 92 patients with reparable rotator cuff tears.
METHODS: Patients were divided in three groups: group A (small lesion), group B (large lesion) and group C (reparable massive lesion) composed by 29, 31 and 32 patients, respectively. ROM were measured preoperatively (T0), and after 45 (T1), 70 (T2) and 100 (T3) days after the arthroscopic treatment.
MAIN OUTCOME MEASURES: To investigate the different ROM changes, from T0 to T3, detecting the difference between each group.
RESULTS: From T0 to T3, small lesions are associated to excellent results, with an improvement of all parameters; the same in patients with large lesion, except for flexion parameter; in reparable massive lesions only external and internal rotation improved.
CONCLUSION: Not all parameters recover in the same way: postoperative rehabilitative protocol is an integral contributor to favorable outcomes in patients with rotator cuff tears.
CLINICAL REHABILITATION IMPACT: The knowledge about ROM recovering after arthroscopic rotator cuff repair is a strategic information for the patient, as well as for the surgeon and physiatrist.