دانلود رایگان مقاله تعمیر آرتروسکوپی روتاتور کاف با انتشار کپسول همزمان

Abstract

Patients with rotator cuff tears may present with or subsequently develop concomitant shoulder stiffness. The treatment of rotator cuff tears in the face of passive glenohumeral motion loss is controversial. Preoperative shoulder stiffness has been considered by some a contraindication to rotator cuff repair. Some surgeons recommend staging surgical procedures and delaying rotator cuff repair until shoulder stiffness has resolved. However, this can lead to prolonged recovery times and patient dissatisfaction. We describe a surgical technique that allows for the single-stage arthroscopic management of rotator cuff tears with associated adhesive capsulitis. Arthroscopic capsular release and shoulder manipulation are performed in the same operative setting as arthroscopic rotator cuff repair. We have found that this combined, single-stage arthroscopic approach can effectively treat patients with rotator cuff tears and concomitant shoulder stiffness.

Discussion

Patients with rotator cuff tears and concomitant shoulder stiffness may not do well with isolated arthroscopic rotator cuff repair.1 Although earlier studies have reported good results after arthroscopic capsular release for isolated shoulder stiffness,2,3 only recently have authors reported on single-stage arthroscopic management of rotator cuff tears with associated adhesive capsulitis. Oh et al.4 evaluated 30 patients who underwent capsular release and manipulation for moderate shoulder stiffness at the time of rotator cuff repair. They concluded that adding manipulation and capsular release to rotator cuff repair provides acceptable outcomes and minimizes surgical delay.