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Abstract：
UNASSIGNED: The purpose of this study was to determine the incidence of clinically significant postoperative stiffness after arthroscopic rotator cuff repair and its resolution. The study also sought to determine clinical and surgical factors that may be associated with increased rates of postoperative stiffness.
UNASSIGNED: We conducted a level III retrospective review of a consecutive series of arthroscopic rotator cuff repairs. During a 5-year period, the senior author (C.J.R.) performed 150 arthroscopic rotator cuff repairs at our institution. Demographic data, comorbid medical conditions, descriptions of rotator cuff tears (including size and level of retraction), and concomitant surgical procedures were evaluated on their correlation with stiffness. All office visits were reviewed to determine preoperative and postoperative motion. Patients were followed up at 1 week, 3 weeks, 6-8 weeks, 3 months, about 6 months, and 1 year postoperatively.
UNASSIGNED: In our analysis of tear types, we were unable to associate stiffness with the type of tear, the tendon torn, or the number of tendons torn or with whether the tendons were retracted. However, we were able to associate female sex, workers\' compensation insurance, and a concomitant biceps procedure with stiffness at several time points. The incidence of stiffness was highest at 12 weeks, with 7.3% of patients presenting with stiffness. The rate of stiffness decreased with continued follow-up. Stiffness was found in 3.3% of patients at 16-24 weeks and in 1.6% of patients at 1 year.
UNASSIGNED: Prolonged physical therapy will result in resolution of stiffness in the vast majority of cases, often obviating the return to the operating room for capsular release and lysis of adhesions or mobilization under anesthesia.
UNASSIGNED: We conducted a level III retrospective review of a consecutive series of arthroscopic rotator cuff repairs. During a 5-year period, the senior author (C.J.R.) performed 150 arthroscopic rotator cuff repairs at our institution. Demographic data, comorbid medical conditions, descriptions of rotator cuff tears (including size and level of retraction), and concomitant surgical procedures were evaluated on their correlation with stiffness. All office visits were reviewed to determine preoperative and postoperative motion. Patients were followed up at 1 week, 3 weeks, 6-8 weeks, 3 months, about 6 months, and 1 year postoperatively.
UNASSIGNED: In our analysis of tear types, we were unable to associate stiffness with the type of tear, the tendon torn, or the number of tendons torn or with whether the tendons were retracted. However, we were able to associate female sex, workers\' compensation insurance, and a concomitant biceps procedure with stiffness at several time points. The incidence of stiffness was highest at 12 weeks, with 7.3% of patients presenting with stiffness. The rate of stiffness decreased with continued follow-up. Stiffness was found in 3.3% of patients at 16-24 weeks and in 1.6% of patients at 1 year.
UNASSIGNED: Prolonged physical therapy will result in resolution of stiffness in the vast majority of cases, often obviating the return to the operating room for capsular release and lysis of adhesions or mobilization under anesthesia.
摘要：
■这项研究的目的是确定关节镜肩袖修复后临床上显着的术后僵硬的发生率及其解决方法。该研究还试图确定可能与术后僵硬率增加相关的临床和手术因素。
■我们对连续的一系列关节镜肩袖修复进行了III级回顾性审查。在5年期间,资深作者（C.J.R.）在我们机构进行了150例关节镜肩袖修复。人口统计数据,并存的医疗条件，肩袖撕裂的描述（包括收缩的大小和水平），并对伴随的外科手术与僵硬度的相关性进行了评估。对所有办公室就诊进行审查，以确定术前和术后活动。患者随访1周，3周,6-8周,3个月,大约6个月,术后1年。
■在我们对泪液类型的分析中，我们无法将刚度与撕裂的类型联系起来，肌腱撕裂，或肌腱撕裂的数量或肌腱是否缩回。然而,我们能够把女性联系起来，工人赔偿保险，和伴随的肱二头肌手术在几个时间点僵硬。12周时僵硬的发生率最高，7.3%的患者表现为僵硬。随着随访的继续，刚度下降。在16-24周时，有3.3％的患者出现僵硬感，在1年时，有1.6％的患者出现僵硬感。
■在绝大多数情况下，长期的物理治疗将导致僵硬的解决，通常避免回到手术室进行囊袋释放和粘连溶解或在麻醉下动员。
■我们对连续的一系列关节镜肩袖修复进行了III级回顾性审查。在5年期间,资深作者（C.J.R.）在我们机构进行了150例关节镜肩袖修复。人口统计数据,并存的医疗条件，肩袖撕裂的描述（包括收缩的大小和水平），并对伴随的外科手术与僵硬度的相关性进行了评估。对所有办公室就诊进行审查，以确定术前和术后活动。患者随访1周，3周,6-8周,3个月,大约6个月,术后1年。
■在我们对泪液类型的分析中，我们无法将刚度与撕裂的类型联系起来，肌腱撕裂，或肌腱撕裂的数量或肌腱是否缩回。然而,我们能够把女性联系起来，工人赔偿保险，和伴随的肱二头肌手术在几个时间点僵硬。12周时僵硬的发生率最高，7.3%的患者表现为僵硬。随着随访的继续，刚度下降。在16-24周时，有3.3％的患者出现僵硬感，在1年时，有1.6％的患者出现僵硬感。
■在绝大多数情况下，长期的物理治疗将导致僵硬的解决，通常避免回到手术室进行囊袋释放和粘连溶解或在麻醉下动员。
