Journal of Shoulder and Elbow Surgery
Volume 19, Issue 7 , Pages 1034-1039 , October 2010

Does slower rehabilitation after arthroscopic rotator cuff repair lead to long-term stiffness?

  • Bradford O. Parsons, MD

      Affiliations

    • Leni & Peter May Department of Orthopaedic Surgery, Mount Sinai School of Medicine, New York, NY
    • Corresponding Author InformationReprint requests: Bradford O. Parsons, MD, Leni & Peter May Department of Orthopaedic Surgery, Mount Sinai School of Medicine, 5 E 98th St, Box 1188, New York, NY 10029.
    • ,
  • Konrad I. Gruson, MD

      Affiliations

    • Department of Orthopaedic Surgery, Albert Einstein College of Medicine, Bronx, NY
    • ,
  • Darwin D. Chen, MD

      Affiliations

    • Leni & Peter May Department of Orthopaedic Surgery, Mount Sinai School of Medicine, New York, NY
    • ,
  • Alicia K. Harrison, MD

      Affiliations

    • Leni & Peter May Department of Orthopaedic Surgery, Mount Sinai School of Medicine, New York, NY
    • ,
  • James Gladstone, MD

      Affiliations

    • Leni & Peter May Department of Orthopaedic Surgery, Mount Sinai School of Medicine, New York, NY
    • ,
  • Evan L. Flatow, MD

      Affiliations

    • Leni & Peter May Department of Orthopaedic Surgery, Mount Sinai School of Medicine, New York, NY

References 

  1. Bishop J, Klepps S, Lo IK, Bird J, Gladstone JN, Flatow EL. Cuff integrity after arthroscopic versus open rotator cuff repair: a prospective study. J Shoulder Elbow Surg. 2006;15:290–299
  2. Brislin KJ, Field LD, Savoie FH. Complications after arthroscopic rotator cuff repair. Arthroscopy. 2007;23:124–128
  3. Carpenter JE, Thomopoulos S, Flanagan CL, DeBano CM, Soslowsky LJ. Rotator cuff defect healing: a biomechanical and histologic analysis in an animal model. J Shoulder Elbow Surg. 1998;7:599–605
  4. Constant CR, Murley AH. A clinical method of functional assessment of the shoulder. Clin Orthop Relat Res. 1987;160–164PMID: 3791738
  5. Galatz LM, Ball CM, Teefey SA, Middleton WD, Yamaguchi K. The outcome and repair integrity of completely arthroscopically repaired large and massive rotator cuff tears. J Bone Joint Surg Am. 2004;86:219–224PMID: 14960664
  6. Gimbel JA, Van Kleunen JP, Williams GR, Thomopoulos S, Soslowsky LJ. Long durations of immobilization in the rat result in enhanced mechanical properties of the healing supraspinatus tendon insertion site. J Biomech Eng. 2007;129:400–404
  7. Hatakeyama Y, Itoi E, Pradhan RL, Urayama M, Sato K. Effect of arm elevation and rotation on the strain in the repaired rotator cuff tendon. A cadaveric study. Am J Sports Med. 2001;29:788–794PMID:11734494
  8. Lastayo PC, Wright T, Jaffe R, Hartzel J. Continuous passive motion after repair of the rotator cuff. A prospective outcome study. J Bone Joint Surg Am. 1998;80:1002–1011PMID: 9698005
  9. Liem D, Lichtenberg S, Magosch P, Habermeyer P. Magnetic resonance imaging of arthroscopic supraspinatus tendon repair. J Bone Joint Surg Am. 2007;89:1770–1776
  10. Mansat P, Cofield RH, Kersten TE, Rowland CM. Complications of rotator cuff repair. Orthop Clin North Am. 1997;28:205–213
  11. Millett PJ, Wilcox RB, O'Holleran JD, Warner JJ. Rehabilitation of the rotator cuff: an evaluation-based approach. J Am Acad Orthop Surg. 2006;14:599–609PMID: 17030593
  12. Mormino MA, Gross RM, McCarthy JA. Captured shoulder: a complication of rotator cuff surgery. Arthroscopy. 1996;12:457–461
  13. Norberg FB, Field LD, Savoie FH. Repair of the rotator cuff. Mini-open and arthroscopic repairs. Clin Sports Med. 2000;19:77–99
  14. Raab MG, Rzeszutko D, O'Connor W, Greatting MD. Early results of continuous passive motion after rotator cuff repair: a prospective, randomized, blinded, controlled study. Am J Orthop. 1996;25:214–220PMID: 8775698
  15. Richards RR, An K, Bigliani LU, Friedman RJ, Gartsman GM, Gristina AG, et al. A standardized method for the assessment of shoulder function. J Shoulder Elbow Surg. 1994;3:347–352
  16. Rossouw DJ, McElroy BJ, Amis AA, Emery RJ. A biomechanical evaluation of suture anchors in repair of the rotator cuff. J Bone Joint Surg Br. 1997;79:458–461
  17. Sarver JJ, Peltz CD, Dourte L, Reddy S, Williams GR, Soslowsky LJ. After rotator cuff repair, stiffness—but not the loss in range of motion—increased transiently for immobilized shoulders in a rat model. J Shoulder Elbow Surg. 2008;17:108S–113S
  18. Thomopoulos S, Williams GR, Soslowsky LJ. Tendon to bone healing: differences in biomechanical, structural, and compositional properties due to a range of activity levels. J Biomech Eng. 2003;125:106–113
  19. Trenerry K, Walton JR, Murrell GA. Prevention of shoulder stiffness after rotator cuff repair. Clin Orthop Relat Res. 2005;94–99
  20. Weber SC, Abrams JS, Nottage WM. Complications associated with arthroscopic shoulder surgery. Arthroscopy. 2002;18:88–95

PII: S1058-2746(10)00150-3

doi: 10.1016/j.jse.2010.04.006

Journal of Shoulder and Elbow Surgery
Volume 19, Issue 7 , Pages 1034-1039 , October 2010

Article Tools

* Image Usage & Resolution