Evaluating Postoperative Outcomes of Arthroscopic Rotator Interval Release after Rotator Cuff Repair: A Randomized Prospective Trial.

IF 2.9 2区医学 Q1 ORTHOPEDICS Journal of Shoulder and Elbow Surgery Pub Date : 2025-02-13 DOI:10.1016/j.jse.2024.12.050

Amir M Boubekri, Michael Scheidt, Hassan Farooq, Andrew Chen, Stanley Liu, Thomas Stanila, Krishin Shivdasani, Dane Salazar, Nickolas Garbis

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引用次数: 0

Abstract

Background: Simultaneous rotator interval release is not classically performed during arthroscopic rotator cuff repair (RCR). However, concurrent rotator interval release has been anecdotally reported to facilitate less propensity for postoperative shoulder stiffness. The purpose of our investigation was to compare outcomes of pain and stiffness among patients who underwent arthroscopic rotator cuff repair with and without concomitant rotator interval release.

Methods: A single-blinded, randomized controlled trial was conducted between September 2018 and April 2021. Outcomes including Visual Analog Scale (VAS), narcotic usage, American Shoulder and Elbow Surgeons (ASES) Shoulder Score, active forward flexion (aFF), and active external rotation (aER) range of motion measurements were collected at 4-6 weeks, 3 months, 6 months, and at most recent follow-up postoperatively.

Results: 83 patients were prospectively enrolled and randomized into RCR with rotator interval versus without interval release. Postoperative temporal association between VAS score, ASES score, and average narcotic pain tablet use did not depend on group assignment (P = 0.990, P = 0.760, and P = 0.700, respectively). Similarly, the association between time point and aFF and aER range of motion did not depend on group assignment (P = 0.300 and P = 0.630, respectively).

Conclusion: Arthroscopic rotator interval release during rotator cuff repair showed no statistically significant difference in short-term or long-term postoperative pain or range of motion outcomes compared to control.

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来源期刊

Journal of Shoulder and Elbow Surgery 医学-外科

CiteScore

6.50

自引率

23.30%

发文量

604

审稿时长

11.2 weeks

期刊介绍： The official publication for eight leading specialty organizations, this authoritative journal is the only publication to focus exclusively on medical, surgical, and physical techniques for treating injury/disease of the upper extremity, including the shoulder girdle, arm, and elbow. Clinically oriented and peer-reviewed, the Journal provides an international forum for the exchange of information on new techniques, instruments, and materials. Journal of Shoulder and Elbow Surgery features vivid photos, professional illustrations, and explicit diagrams that demonstrate surgical approaches and depict implant devices. Topics covered include fractures, dislocations, diseases and injuries of the rotator cuff, imaging techniques, arthritis, arthroscopy, arthroplasty, and rehabilitation.

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