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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.

Twitter Demographics

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Mendeley readers

The data shown below were compiled from readership statistics for 34 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Unknown 34 100%

Demographic breakdown

Readers by professional status Count As %
Other 6 18%
Student > Bachelor 5 15%
Student > Postgraduate 5 15%
Researcher 4 12%
Unspecified 4 12%
Other 10 29%
Readers by discipline Count As %
Medicine and Dentistry 14 41%
Unspecified 7 21%
Agricultural and Biological Sciences 4 12%
Nursing and Health Professions 4 12%
Arts and Humanities 1 3%
Other 4 12%

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
#6,288,861
of 7,282,696 outputs
Outputs from BMC Musculoskeletal Disorders
#1,784
of 1,945 outputs
Outputs of similar age
#237,573
of 282,564 outputs
Outputs of similar age from BMC Musculoskeletal Disorders
#82
of 92 outputs
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