Effect of six-week immobilization on the results of arthroscopic suturing of the supraspinatus tendon in patients with shoulder joint synovitis
[eng] Background: The question of the timing of the onset of passive movements in the shoulder joint after arthroscopic suture of the supraspinatus tendon, the transition from passive to active movements still remains relevant, especially in patients with synovitis of the shoulder...
| Autores: | , , , , |
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| Tipo de recurso: | artículo |
| Estado: | Versión publicada |
| Fecha de publicación: | 2025 |
| País: | España |
| Institución: | Universidad de las Islas Baleares |
| Repositorio: | Biblioteca Digital de les Illes Balears |
| OAI Identifier: | medicinaBalear:AJHS_Medicina_Balear_2025v40n1p074 |
| Acceso en línea: | http://ibdigital.uib.es/greenstone/sites/oai-site/collect/medicinaBalear/index/assoc/AJHS_Med/icina_Ba/lear_202/5v40n1p0/74.dir/AJHS_Medicina_Balear_2025v40n1p074.pdf http://ibdigital.uib.es/greenstone/library/collection/medicinaBalear/document/AJHS_Medicina_Balear_2025v40n1p074 |
| Access Level: | acceso abierto |
| Palabra clave: | Tendons -- Diseases Shoulder -- Diseases Health Sciences Medicine |
| Sumario: | [eng] Background: The question of the timing of the onset of passive movements in the shoulder joint after arthroscopic suture of the supraspinatus tendon, the transition from passive to active movements still remains relevant, especially in patients with synovitis of the shoulder joint. Objectives: The aim of our study was to compare the results of a double-row suture of a full-layer rupture of the supraspinatus tendon with rigid immobilization of the shoulder joint for 4 and 6 weeks in patients with shoulder joint synovitis. Methods: Study design was cohort study. From 2015 to 2019, authors performed 825 operations to restore rotator cuff tear (RCT). Of these, 159 patients underwent a double-row technique suture of the supraspinatus tendon under arthroscopic control on the background of synovitis of the shoulder joint. The study included 129 patients who underwent a rehabilitation program and phased observation up to 24 months after surgery. In our study, we assessed the function of the shoulder joint on the Constant Shoulder Score and Pain VAS scales before surgery and 6, 12 and 24 months after surgery. Six months after surgery, all patients were subjected to ultrasound to assess the adhesion of the supraspinatus tendon. Results: Group 1 showed statistically significantly better functional results than group 2 (P=0.35). 1 and 2 years after surgery, the indicators on the Constant and Pain VAS scales were almost the same (P=0.6; P=0.94). The frequency of recurrent ruptures of the supraspinatus tendon in patients of group 1 was significantly higher than in group 2 (6.9%, and 1.3% accordingly (P <0.03)). Conclusion: We concluded that synovitis of the shoulder joint has a positive effect on the healing of the tendon of the supraspinatus muscle, but has a negative effect on the functional outcome of treatment in group 2 at 6 months and 1 year after surgery. Two years after surgery, there was no significant difference between the groups in the Constant and Pain VAS scales. The frequency of recurrent ruptures of the supraspinatus tendon in the 6-week immobilization group is significantly lower than in the 4-week immobilization group and manifests better treatment outcomes in the long run. |
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