Assessment and functional evaluation of the shoulder following mini-open rotator cuff repair.

Abstract

Introduction : Shoulder pain is a common complaint among patients presenting with musculoskeletal disorders, with rotator cuff tears being one of the most prevalent problems. Rotator cuff tears may present with a variety of clinical features including debilitating shoulder pain and decreased range of motion. The objective of rotator cuff repair is to alleviate pain and improve function and strength of the affected shoulder. Advances in procedure now allow rotator cuff repair of even largest tears and repair techniques are required to mobilize many of retracted tears. Mini open rotator cuff repair [MORCR] surgery allows for a shorter recovery time and predictably less pain in first few days following procedure than does any open surgery. Objectives: To assess the functional outcome of the shoulder joint in the patients who had undergone mini open rotator cuff repair. Methodology : We enrolled 40 patients with the diagnosis of rotator cuff tear with strict inclusion criteria. Results : The mean of age was 48.5 ± 14.79 years. 60% subjects were male. 40% subjects were retired personal, 15% were sports person. 52.5% subjects had left side affected. The duration of symptoms was 12.75 ± 7.08 months. 37.5% subjects had degenerative type of injury. The mean of Pre OP VAS was 4.6 ± 3.12. 32.5% subjects had small tear size. The DASH score significantly decreases over time (p < 0.001), indicating reduced disability. This confirms progressive recovery in arm, shoulder, and hand function. UCLA score significantly improves over time (p < 0.001). all shoulder movement parameters showed statistically significant improvement at 6 months postoperatively.

Conclusion : Based on the findings of this study it may be concluded that, mini- open rotator cuff repair of shoulder joint results in excellent functional outcome

among adult patients with rotator cuff tear of shoulder joint especially after six months with gradual improvement with respect to time as assessed by DASH score and ULCA score. It also offers complete pain relief without any complications.