Effect of biceps tenodesis on speed of recovery after arthroscopic rotator cuff repair

© 2020 The Authors.

Détails bibliographiques
Publié dans:JSES international. - 2020. - 4(2020), 2 vom: 01. Juni, Seite 341-346
Auteur principal: Mijic, Dragomir (Auteur)
Autres auteurs: Kurowicki, Jennifer, Berglund, Derek, Rosas, Samuel, McNeely, Emmanuel, Motisi, Matthew, Polisetty, Teja, Levy, Jonathan C
Format: Article en ligne
Langue:English
Publié: 2020
Accès à la collection:JSES international
Sujets:Journal Article Biceps tenodesis arthroscopic rotator cuff tear concomitant patient-reported outcome measures plateau range of motion speed of recovery
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245 1 0 |a Effect of biceps tenodesis on speed of recovery after arthroscopic rotator cuff repair 
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520 |a BACKGROUND: Concomitant biceps tendon pathology is often present in patients undergoing rotator cuff repair (RCR). Management of biceps pathology has been reported to influence outcomes of RCR; however, the impact on the pace of recovery remains unclear. The purpose of this study was to analyze the effects of simultaneous RCR with biceps tenodesis (RCR-BT) on time to achieve maximum improvement and recovery speed for pain and function 
520 |a METHODS: A retrospective review of 535 patients who underwent primary RCR for full-thickness tears. Patients treated with simultaneous RCR-BT were compared with RCR-only. Outcome measures and motion were recorded at preoperative routine postoperative intervals. Plateau in maximal improvement and recovery speed were analyzed for both pain and functional recovery 
520 |a RESULTS: Baseline American Shoulder and Elbow Surgeons Standardized Shoulder Assessment Form (ASES) function was significantly lower for the RCR-BT cohort (20.5) compared with RCR-only (23.9; P = .008). For visual analog scale (VAS) pain and measured motion, the plateau in maximal improvement occurred at 6 months for RCR-BT compared with 12 months for the RCR-only group. The remainder of the patient-reported outcome measures took 12 months to achieve a plateau in maximal improvement. At 3 months, 79% of improvement in pain and 42%-49% of functional improvement was achieved in the RCR-BT cohort. Similarly, at 3 months, the RCR-only cohort achieved 73% of pain improvement and 36%-57% of functional improvement at 3 months 
520 |a CONCLUSION: Patients requiring RCR with simultaneous biceps tenodesis have lower baseline ASES function and earlier postoperative plateaus in pain relief and motion improvement following surgery. Nonetheless, the speed of recovery was not influenced by the biceps tenodesis 
650 4 |a Journal Article 
650 4 |a Biceps tenodesis 
650 4 |a arthroscopic rotator cuff tear 
650 4 |a concomitant 
650 4 |a patient-reported outcome measures 
650 4 |a plateau 
650 4 |a range of motion 
650 4 |a speed of recovery 
700 1 |a Kurowicki, Jennifer  |e verfasserin  |4 aut 
700 1 |a Berglund, Derek  |e verfasserin  |4 aut 
700 1 |a Rosas, Samuel  |e verfasserin  |4 aut 
700 1 |a McNeely, Emmanuel  |e verfasserin  |4 aut 
700 1 |a Motisi, Matthew  |e verfasserin  |4 aut 
700 1 |a Polisetty, Teja  |e verfasserin  |4 aut 
700 1 |a Levy, Jonathan C  |e verfasserin  |4 aut 
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773 1 8 |g volume:4  |g year:2020  |g number:2  |g day:01  |g month:06  |g pages:341-346 
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