SCAPULAR SUBSTITUTION AFTER ROTATOR CUFF REPAIR CORRELATES WITH POSTOPERATIVE PATIENT OUTCOME.

摘要: Background Scapular substitution is an alteration of scapulohumeral kinematics that may occur when patients have shoulder pain or dysfunction. These abnormal scapular kinematic patterns been recognized in with rotator cuff tears. It remains unknown if 1) normal can be restored rehabilitation after repair surgery and 2) are associated inferior patient-determined outcome scores, range motion, strength. Purpose The purpose this study was to determine decreased improved the presence amount correlated strength surgery. Study design Retrospective review prospectively collected data (LOE IV). Methods Forty-eight who underwent post-operative arthroscopic were reviewed for study. outcomes measures interest included: scores (WORC, Simple Shoulder Test, ASES Score, Activity SANE rating), identification quantification substitution, active Outcomes up 12 months assessed retrospectively. Results As progress through their first year from a repair, decreases but statistically significantly greater than contralateral, asymptomatic side. At all time points, (determined subjectively by physical therapist), had WORC, ASES, SANE, SST flexion, abduction, external rotation 3) scaption compared those without subjective substitution. Conclusions Rehabilitation does not normalize one repair. Subjective Level evidence 4 - Prognosis