Editorial Commentary: Has the Pendulum Swung Yet Again? Allowing Early Active Motion After Arthroscopic Rotator Cuff Repair

Early passive motion versus immobilization after arthroscopic rotator cuff repair.

PURPOSE To provide a synthesis of the highest-quality literature available comparing early passive motion (EPM) with strict sling immobilization during the first 4 to 6 weeks after surgery. METHODS The Medline, Cochrane, and Embase databases were searched for eligible studies. We reviewed 886 citations, and 5 randomized clinical trials (RCTs) (Level II) met the inclusion criteria for meta-ana...

Predictability of Early Postoperative Ultrasonography After Arthroscopic Rotator Cuff Repair.

The predictability of early postoperative ultrasonography (USG) for evaluating the structural integrity of repaired rotator cuffs is still unclear. The aim of this study was to compare the predictability of early USG performed 3 and 6 months postoperatively with magnetic resonance imaging (MRI) performed 1 year after arthroscopic cuff repair for structural failure. Among 213 patients who had ar...

Arthroscopic rotator cuff repair.

Arthroscopic rotator cuff repair is being performed by an increasing number of orthopaedic surgeons. The principles, techniques, and instrumentation have evolved to the extent that all patterns and sizes of rotator cuff tear, including massive tears, can now be repaired arthroscopically. Achieving a biomechanically stable construct is critical to biologic healing. The ideal repair construct mus...

Early Versus Delayed Rehabilitation After Arthroscopic Rotator Cuff Repair

Outcomes after arthroscopic revision rotator cuff repair.

BACKGROUND Although a number of reports have documented outcomes after open revision rotator cuff repair, there are few studies reporting results after arthroscopic revision. HYPOTHESIS Arthroscopic repair of failed rotator cuff results in significant improvement in shoulder functional outcome and pain relief. STUDY DESIGN Case series; Level of evidence, 4. METHODS Multiple variables incl...