Clinics in Shoulder and Elbow

Korean Shoulder and Elbow Society (대한견·주관절의학회)
권호 표지
DOI QR코드

DOI QR Code

Rotator cuff tear with joint stiffness: a review of current treatment and rehabilitation

  • Park, Hyung-Seok (Department of Orthopedic Surgery, Seoul St. Mary's Hospital, College of Medicine, The Catholic University of Korea) ;
  • Choi, Kyung-Ho (Department of Orthopedic Surgery, Seoul St. Mary's Hospital, College of Medicine, The Catholic University of Korea) ;
  • Lee, Hyo-Jin (Department of Orthopedic Surgery, Seoul St. Mary's Hospital, College of Medicine, The Catholic University of Korea) ;
  • Kim, Yang-Soo (Department of Orthopedic Surgery, Seoul St. Mary's Hospital, College of Medicine, The Catholic University of Korea)
  • Received : 2020.04.09
  • Accepted : 2020.04.21
  • Published : 2020.06.01
Download PDF
⟨ Previous Next ⟩

Abstract

Repair of the rotator cuff tear is a joint-tightening procedure that can worsen joint stiffness. This paradoxical phenomenon complicates treatment of rotator cuff tear with joint stiffness. As a result, there is controversy about how and when to treat joint stiffness. As many treatments have been published, this review discusses the latest findings on treatment of rotator cuff tear with joint stiffness.

Keywords

References

  1. Tauro JC. Stiffness and rotator cuff tears: incidence, arthroscopic findings, and treatment results. Arthroscopy 2006;22:581-6. https://doi.org/10.1016/j.arthro.2006.03.004
  2. Cho NS, Rhee YG. Functional outcome of arthroscopic repair with concomitant manipulation in rotator cuff tears with stiff shoulder. Am J Sports Med 2008;36:1323-9. https://doi.org/10.1177/0363546508314402
  3. Kim YS, Lee HJ, Park I, Im JH, Park KS, Lee SB. Are delayed operations effective for patients with rotator cuff tears and concomitant stiffness? An analysis of immediate versus delayed surgery on outcomes. Arthroscopy 2015;31:197-204. https://doi.org/10.1016/j.arthro.2014.08.014
  4. Weber SC, Abrams JS, Nottage WM. Complications associated with arthroscopic shoulder surgery. Arthroscopy 2002;18 Suppl 1:88-95. https://doi.org/10.1053/jars.2002.31801
  5. Codman EA. Rupture of the supraspinatus tendon and other lesions in and around the subacromial bursa. In: Iannotti JP, Williams GR, eds. The shoulder. 3rd ed. Boston, MA: Thomas Todd Company; 1934. p. 203.
  6. Itoi E, Arce G, Bain GI, et al. Shoulder stiffness: current concepts and concerns. Arthroscopy 2016;32:1402-14. https://doi.org/10.1016/j.arthro.2016.03.024
  7. Andersen NH, Sojbjerg JO, Johannsen HV, Sneppen O. Frozen shoulder: arthroscopy and manipulation under general anesthesia and early passive motion. J Shoulder Elbow Surg 1998;7:218-22. https://doi.org/10.1016/S1058-2746(98)90048-9
  8. Kang SW. Do we have to perform surgical treatment simultaneously for rotator cuff tear in patients with adhesive capsulitis. Korean J Sports Med 2019;37:11-6. https://doi.org/10.5763/kjsm.2019.37.1.11
  9. Loew M, Heichel TO, Lehner B. Intraarticular lesions in primary frozen shoulder after manipulation under general anesthesia. J Shoulder Elbow Surg 2005;14:16-21. https://doi.org/10.1016/j.jse.2004.04.004
  10. Gladstone JN, Bishop JY, Lo IK, Flatow EL. Fatty infiltration and atrophy of the rotator cuff do not improve after rotator cuff repair and correlate with poor functional outcome. Am J Sports Med 2007;35:719-28. https://doi.org/10.1177/0363546506297539
  11. Goutallier D, Postel JM, Gleyze P, Leguilloux P, Van Driessche S. Influence of cuff muscle fatty degeneration on anatomic and functional outcomes after simple suture of full-thickness tears. J Shoulder Elbow Surg 2003;12:550-4. https://doi.org/10.1016/S1058-2746(03)00211-8
  12. Yamaguchi K, Tetro AM, Blam O, Evanoff BA, Teefey SA, Middleton WD. Natural history of asymptomatic rotator cuff tears: a longitudinal analysis of asymptomatic tears detected sonographically. J Shoulder Elbow Surg 2001;10:199-203. https://doi.org/10.1067/mse.2001.113086
  13. Gerber C, Fuchs B, Hodler J. The results of repair of massive tears of the rotator cuff. J Bone Joint Surg Am 2000;82:505-15. https://doi.org/10.2106/00004623-200004000-00006
  14. Oh JH, Kim SH, Lee HK, Jo KH, Bin SW, Gong HS. Moderate preoperative shoulder stiffness does not alter the clinical outcome of rotator cuff repair with arthroscopic release and manipulation. Arthroscopy 2008;24:983-91. https://doi.org/10.1016/j.arthro.2008.06.007
  15. Kim YS, Lee HJ. Essential surgical technique for arthroscopic capsular release in the treatment of shoulder stiffness. Version 2. JBJS Essent Surg Tech 2015;5:e14. https://doi.org/10.2106/JBJS.ST.N.00102
  16. Oh JH, Kim SH, Ji HM, Jo KH, Bin SW, Gong HS. Prognostic factors affecting anatomic outcome of rotator cuff repair and correlation with functional outcome. Arthroscopy 2009;25:30-9. https://doi.org/10.1016/j.arthro.2008.08.010
  17. Ho WP, Huang CH, Chiu CC, Lee CH, Chen CH, Leu TH, et al. One-stage arthroscopic repair of rotator cuff tears with shoulder stiffness. Arthroscopy 2013;29:1283-91. https://doi.org/10.1016/j.arthro.2013.05.024
  18. McGrath JP, Lam PH, Tan MT, Murrell GA. The effect of concomitant glenohumeral joint capsule release during rotator cuff repair--a comparative study. J Shoulder Elbow Surg 2016;25:714-22. https://doi.org/10.1016/j.jse.2015.10.005
  19. Snow M, Boutros I, Funk L. Posterior arthroscopic capsular release in frozen shoulder. Arthroscopy 2009;25:19-23. https://doi.org/10.1016/j.arthro.2008.08.006
  20. Chuang TY, Ho WP, Chen CH, Lee CH, Liau JJ, Huang CH. Arthroscopic treatment of rotator cuff tears with shoulder stiffness: a comparison of functional outcomes with and without capsular release. Am J Sports Med 2012;40:2121-7. https://doi.org/10.1177/0363546512453296
  21. Holloway GB, Schenk T, Williams GR, Ramsey ML, Iannotti JP. Arthroscopic capsular release for the treatment of refractory postoperative or post-fracture shoulder stiffness. J Bone Joint Surg Am 2001;83:1682-7. https://doi.org/10.2106/00004623-200111000-00010
  22. Segmuller HE, Taylor DE, Hogan CS, Saies AD, Hayes MG. Arthroscopic treatment of adhesive capsulitis. J Shoulder Elbow Surg 1995;4:403-8. https://doi.org/10.1016/S1058-2746(05)80030-8
  23. Kim YS, Lee HJ, Park IJ. Clinical outcomes do not support arthroscopic posterior capsular release in addition to anterior release for shoulder stiffness: a randomized controlled study. Am J Sports Med 2014;42:1143-9. https://doi.org/10.1177/0363546514523720
  24. Massoud SN, Pearse EO, Levy O, Copeland SA. Operative management of the frozen shoulder in patients with diabetes. J Shoulder Elbow Surg 2002;11:609-13. https://doi.org/10.1067/mse.2002.127301
  25. Pearsall AW 4th, Holovacs TF, Speer KP. The intra-articular component of the subscapularis tendon: anatomic and histological correlation in reference to surgical release in patients with frozen-shoulder syndrome. Arthroscopy 2000;16:236-42. https://doi.org/10.1016/S0749-8063(00)90046-X
  26. Ide J, Takagi K. Early and long-term results of arthroscopic treatment for shoulder stiffness. J Shoulder Elbow Surg 2004;13:174-9. https://doi.org/10.1016/j.jse.2003.11.001
  27. Nicholson GP. Arthroscopic capsular release for stiff shoulders: effect of etiology on outcomes. Arthroscopy 2003;19:40-9. https://doi.org/10.1053/jars.2003.50010
  28. Chen J, Chen S, Li Y, Hua Y, Li H. Is the extended release of the inferior glenohumeral ligament necessary for frozen shoulder. Arthroscopy 2010;26:529-35. https://doi.org/10.1016/j.arthro.2010.02.020
  29. Yoo JC, Kim JH, Ahn JH, Lee SH. Arthroscopic perspective of the axillary nerve in relation to the glenoid and arm position: a cadaveric study. Arthroscopy 2007;23:1271-7. https://doi.org/10.1016/j.arthro.2007.07.011
  30. Brislin KJ, Field LD, Savoie FH 3rd. Complications after arthroscopic rotator cuff repair. Arthroscopy 2007;23:124-8. https://doi.org/10.1016/j.arthro.2006.09.001
  31. Huberty DP, Schoolfield JD, Brady PC, Vadala AP, Arrigoni P, Burkhart SS. Incidence and treatment of postoperative stiffness following arthroscopic rotator cuff repair. Arthroscopy 2009;25:880-90. https://doi.org/10.1016/j.arthro.2009.01.018
  32. Cofield RH. Rotator cuff disease of the shoulder. J Bone Joint Surg Am 1985;67:974-9. https://doi.org/10.2106/00004623-198567060-00024
  33. Li S, Min SX, Zhang H, Fu GJ, Wang PC, Jin AM. Effect of continuous passive motion on basic fibroblast growth factor expression during tendon-bone repair after surgical repair of acute rupture of the supraspinatus tendon in rabbits. Nan Fang Yi Ke Da Xue Bao 2010;30:1020-3.
  34. Cuff DJ, Pupello DR. Prospective randomized study of arthroscopic rotator cuff repair using an early versus delayed postoperative physical therapy protocol. J Shoulder Elbow Surg 2012;21:1450-5. https://doi.org/10.1016/j.jse.2012.01.025
  35. Arndt J, Clavert P, Mielcarek P, et al. Immediate passive motion versus immobilization after endoscopic supraspinatus tendon repair: a prospective randomized study. Orthop Traumatol Surg Res 2012;98(6 Suppl):S131-8. https://doi.org/10.1016/j.otsr.2012.05.003
  36. Sonnabend DH, Howlett CR, Young AA. Histological evaluation of repair of the rotator cuff in a primate model. J Bone Joint Surg Br 2010;92:586-94. https://doi.org/10.1302/0301-620X.92B4.22371
  37. Gimbel JA, Van Kleunen JP, Williams GR, Thomopoulos S, Soslowsky LJ. Long durations of immobilization in the rat result in enhanced mechanical properties of the healing supraspinatus tendon insertion site. J Biomech Eng 2007;129:400-4. https://doi.org/10.1115/1.2721075
  38. Parsons BO, Gruson KI, Chen DD, Harrison AK, Gladstone J, Flatow EL. Does slower rehabilitation after arthroscopic rotator cuff repair lead to long-term stiffness. J Shoulder Elbow Surg 2010;19:1034-9. https://doi.org/10.1016/j.jse.2010.04.006
  39. Kim YS, Chung SW, Kim JY, Ok JH, Park I, Oh JH. Is early passive motion exercise necessary after arthroscopic rotator cuff repair. Am J Sports Med 2012;40:815-21. https://doi.org/10.1177/0363546511434287

Cited by

  1. Effects of evidence-based nursing combined with enhanced recovery after surgery on shoulder joint function and neurological function after arthroscopic rotator cuff injury repair vol.100, pp.47, 2020, https://doi.org/10.1097/md.0000000000027951