Comparison of One-Stage Versus Two-Stage Procedure for Management of Patients with Rotator Cuff Tear and Concomitant Shoulder Stiffness

Hongwu Zhuo

Department of Sports Medicine, Fuzhou Second Hospital, Fuzhou, China

^*Correspondance to: Hongwu Zhuo 

 PDF  Full Text DOI: 10.25107/2474-1647.2115

Abstract

Purpose: To compare the clinical outcomes of one-stage and two-stage procedure for management of patients with rotator cuff tear and concomitant shoulder stiffness.Methods: From December 2013 to June 2016, we recruited 42 consecutive patients with rotator cuff tear and concomitant shoulder stiffness. Twenty-two patients underwent one-stage procedure including arthroscopic capsule release and concomitant rotator cuff repair within 2 weeks of the diagnosis. For the remaining twenty patients, conservative treatment for the recovery of ROM was initially performed before arthroscopic rotator cuff repair. The range of motion (ROM), VAS, American Shoulder and Elbow Surgeons (ASES) score, Constant-Murley score and satisfaction rate were assessed preoperatively; 3, 6, 12, 24 months after surgery; and at final follow-up.Results: The mean follow-up period was 26.3 months (range, 24-33 months). There were no significant differences in preoperative demographic data between the groups (P>0.05). After treatment, there was significant improvement in ROM and functional scores in both groups (P<0.05). At 3 months postoperatively, the two-stage group exhibited significantly improved forward flexion and internal rotator compared with the one-stage group (P=0.001 and P=0.038, respectively). There was no significant difference in ROM between the 2 groups at any other time point (P>0.05). In addition, no significant difference was found in functional scores and satisfaction rate between the 2 groups at final follow-up (P>0.05).Conclusion: In the treatment of rotator cuff tear with concomitant stiffness, even though the recovery of ROM took longer in patients who underwent one-stage procedure, satisfactory results can be achieved either by one-stage procedure or two-stage procedure at final follow-up.

Keywords

Rotator cuff; Repair; Stiffness; Arthroscopic surgery; Capsular release; Conservative treatment

Cite the article

Zhuo H. Comparison of One-Stage Versus Two-Stage Procedure for Management of Patients with Rotator Cuff Tear and Concomitant Shoulder Stiffness. Clin Surg. 2018; 3: 2115.