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Effect of arthroscopic rotator cuff surgery in patients with preoperative restricted range of motion

Overview of attention for article published in BMC Musculoskeletal Disorders, February 2016
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Title
Effect of arthroscopic rotator cuff surgery in patients with preoperative restricted range of motion
Published in
BMC Musculoskeletal Disorders, February 2016
DOI 10.1186/s12891-016-0956-4
Pubmed ID
Authors

Helen Razmjou, Patrick Henry, Giuseppe Costa, Tim Dwyer, Richard Holtby

Abstract

The purpose of this study was to examine the impact of rotator cuff (RC) decompression and/or repair on post-operative ROM in patients with pre-operative restricted passive motion who had undergone arthroscopic subacromial debridement and/or rotator cuff repair. Potential predictors of ROM recovery such as age, sex, mechanism of injury, type of surgery, presence of an endocrine illness and having an active Worker Compensation claim related to the shoulder were explored. A retrospective analysis of prospectively collected data was performed. Pre-operative stiffness measured intra-operatively was defined as flexion of < =100° or external rotation of < =30° under anesthesia. Patients who received manipulation under anesthesia or required capsular release were excluded. Two hundred and eighteen patients met the criteria for having stiffness under anesthesia. Twenty six patients had stiffness in both directions, 19 patients had isolated restricted flexion and 173 had isolated restricted external rotation. At six months post-operatively, a statistically significant improvement was observed on average in all disability measures (P < 0.0001). The ROM improved on average in the restricted direction at 6 months (p < 0.0001). Older age had a negative impact on recovery of external rotation (F2,216 = -5.78, p = 0.02). Being a female, having a traumatic event, having a RC repair, or suffering from an endocrine illness such as diabetes, did not have a negative impact on recovery. Patients with an active work-related compensation claim showed an inferior recovery of flexion (F2,216 = -8.76, p = 0.003). Patients with RC pathology and concomitant stiffness showed significant improvement in ROM at six months following RC decompression or repair without the need for formal capsular releases or the performance of manipulation under anesthesia. Older patients and those with active Workers Compensation claim showed an inferior recovery in isolated directions.

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Geographical breakdown

Country Count As %
Unknown 70 100%

Demographic breakdown

Readers by professional status Count As %
Student > Master 8 11%
Researcher 7 10%
Student > Postgraduate 7 10%
Student > Ph. D. Student 7 10%
Student > Bachelor 7 10%
Other 17 24%
Unknown 17 24%
Readers by discipline Count As %
Medicine and Dentistry 20 29%
Nursing and Health Professions 12 17%
Agricultural and Biological Sciences 4 6%
Sports and Recreations 3 4%
Psychology 2 3%
Other 7 10%
Unknown 22 31%
Attention Score in Context

Attention Score in Context

This research output has an Altmetric Attention Score of 1. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 25 February 2016.
All research outputs
#21,264,673
of 23,881,329 outputs
Outputs from BMC Musculoskeletal Disorders
#3,773
of 4,185 outputs
Outputs of similar age
#258,655
of 301,365 outputs
Outputs of similar age from BMC Musculoskeletal Disorders
#82
of 85 outputs
Altmetric has tracked 23,881,329 research outputs across all sources so far. This one is in the 1st percentile – i.e., 1% of other outputs scored the same or lower than it.
So far Altmetric has tracked 4,185 research outputs from this source. They typically receive a little more attention than average, with a mean Attention Score of 7.2. This one is in the 1st percentile – i.e., 1% of its peers scored the same or lower than it.
Older research outputs will score higher simply because they've had more time to accumulate mentions. To account for age we can compare this Altmetric Attention Score to the 301,365 tracked outputs that were published within six weeks on either side of this one in any source. This one is in the 1st percentile – i.e., 1% of its contemporaries scored the same or lower than it.
We're also able to compare this research output to 85 others from the same source and published within six weeks on either side of this one. This one is in the 1st percentile – i.e., 1% of its contemporaries scored the same or lower than it.