Arthroscopic release and repair of concomitant shoulder stiffness and cuff tear | ||||
| The Egyptian Orthopaedic Journal | ||||
| Volume 53, Issue 4, October 2018, Page 359-366 PDF (3.03 MB) | ||||
| DOI: 10.4103/eoj.eoj_73_18 | ||||
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| Authors | ||||
| Mohamed G. Morsy; Mohamed A. El-Sheikh | ||||
| Abstract | ||||
| Purpose The aim of this study was to evaluate the results of arthroscopic capsular release and rotator cuff repair as one-stage treatment for cases with concomitant shoulder stiffness and cuff tear. Patients and methods One-stage arthroscopic capsular release with rotator cuff repair was performed in 56 patients. All patients were evaluated at a minimum 2-year follow-up with a visual analog scale score for pain, range of motion, and the Constant and University of California at Los Angeles scores for clinical assessment. Results At the final follow-up, the mean visual analog scale score improved significantly to 1.7±0.98 points postoperatively (<0.01). Statistically significant improvements were achieved in all motions postoperatively; the mean passive forward flexion was 176° (range: 165°–180°), whereas abduction was 172° (range: 162°–180°). External rotation at the side was 58° (range: 44°–68°), external rotation in 90° abduction was 94° (range: 80°–115°), and internal rotation in 90° abduction was 36° (range: 25°–40°). Furthermore, the Constant and University of California at Los Angeles scores showed statistically significant improvement postoperatively. Overall, 52 (93%) of the 56 shoulders were considered by the patients to be much better or better as a result of the operation. Conclusion The arthroscopic tackling of concomitant shoulder stiffness and cuff tear with one-stage capsular release and repair of torn rotator cuff showed satisfactory results and fastened the return to normal activities. Moreover, addition of the L-shaped posterior capsular release improved the postoperative internal rotation range of motion. Level of Evidence: Level III case–control study. | ||||
| Keywords | ||||
| capsular release; cuff repair; rotator cuff tear; shoulder stiffness | ||||
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