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Vol.58 (2012) >

Please use this identifier to cite or link to this item: http://ir.fmu.ac.jp/dspace/handle/123456789/321

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Title: Postoperative outcomes of arthroscopic subacromial decompression for rotator cuff tear with shoulder stiffness
Other Titles: Arthroscopic subacromial decompression
Authors: Shishido, Hiroaki
Kikuchi, Shinichi
Otoshi, Kenichi
Konno, Shinichi
Affiliation: 整形外科学講座
Source title: Fukushima Journal of Medical Science
Volume: 58
Issue: 1
Start page: 33
End page: 39
Issue Date: 2012
Abstract: Some patients with rotator cuff tear have shoulder stiffness preoperatively. Concomitant preoperative shoulder stiffness may affect postoperative outcomes of arthroscopic subacromial decompression (ASD) for rotator cuff tear. The purpose of this study was to compare postoperative outcomes for ASD between rotator cuff tear patients with and without preoperative shoulder stiffness and to analyze the serial change in functional scores, range of motion (ROM), and pain intensity of the 2 groups after operation. 60 shoulders of 58 patients who underwent ASD for rotator cuff tear were studied. Arthroscopic release was performed for the stiffness group. The results were assessed before surgery and 1, 3, 6, 12 and 24 months after surgery, and the results in the stiffness group and non-stiffness group were compared. No differences in serial changes for postoperative outcomes of ASD were seen in terms of the Japanese Orthopaedic Association shoulder scoring system (JOA scores) and the visual analog scale (VAS scores) for pain at night and pain during motion between the stiffness group and non-stiffness group. However, compared to the non-stiffness group, forward flexion and abduction angles were significantly smaller for the stiffness group at 1 and 3 months after surgery. External rotation and internal rotation angles were significantly smaller at 1 month after surgery for the stiffness group than for the non-stiffness group. Preoperative shoulder stiffness does not affect improvement of postoperative JOA scores and VAS scores of ASD. When measured 6 months after surgery, ROM in the stiffness group and the non-stiffness group was similar.
Publisher: The Fukushima Society of Medical Science
Publisher (Alternative foam): 福島医学会
language: eng
URI: http://ir.fmu.ac.jp/dspace/handle/123456789/321
Full text URL: http://ir.fmu.ac.jp/dspace/bitstream/123456789/321/1/FksmJMedSci_58_p33.pdf
ISSN: 0016-2590
2185-4610
DOI: 10.5387/fms.58.33
PubMed ID: 22790890
Other version: http://dx.doi.org/10.5387/fms.58.33
Rights: © 2012 The Fukushima Society of Medical Science
Appears in Collections:Vol.58 (2012)

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FksmJMedSci_58_p33.pdf331.37 kBAdobe PDFDownload

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