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European Journal of Physical and Rehabilitation Medicine 2017 February;53(1):49-56

DOI: 10.23736/S1973-9087.16.04133-2

Copyright © 2016 EDIZIONI MINERVA MEDICA

lingua: Inglese

Mobility recovery after arthroscopic rotator cuff repair

Stefano GUMINA 1, Rosanna IZZO 2, Giovanni PINTABONA 2, Vittorio CANDELA 1, Riccardo SAVASTANO 3, Valter SANTILLI 2

1 Shoulder and Elbow Unit, Department of Orthopedics and Traumatology, 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, Salerno, Italy


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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: Ninety-two patients with reparable rotator cuff tears.
METHODS: Patients were divided in three groups: group A (small lesions), group B (large lesions) and group C (reparable massive lesions) 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.
RESULTS: From T0 to T3, small lesions are associated to excellent results, with an improvement of all parameters; the same in patients with large lesions, except for flexion parameter; in reparable massive lesions only external and internal rotation improved.
CONCLUSIONS: 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.


KEY WORDS: Rotator cuff - Articular range of motion - Arthroscopy - Rehabilitation

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