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Return to recreational sport and clinical outcomes with at least 2years follow-up after arthroscopic repair of rotator cuff tears.

Content Provider	World Health Organization (WHO)-Global Index Medicus
Author	Antoni, M. Klouche, S. Mas, V. Ferrand, M. Bauer, T. Hardy, P.
Description	Author Affiliation: Antoni M ( Hôpitaux Universitaires Paris Île-de-France Ouest, AP-HP, Boulogne-Billancourt, France. Electronic address: antoni.maxime@gmail.com.); Klouche S ( Hôpitaux Universitaires Paris Île-de-France Ouest, AP-HP, Boulogne-Billancourt, France.); Mas V ( Hôpitaux Universitaires Paris Île-de-France Ouest, AP-HP, Boulogne-Billancourt, France.); Ferrand M ( Hôpitaux Universitaires Paris Île-de-France Ouest, AP-HP, Boulogne-Billancourt, France.); Bauer T ( Hôpitaux Universitaires Paris Île-de-France Ouest, AP-HP, Boulogne-Billancourt, France.); Hardy P ( Hôpitaux Universitaires Paris Île-de-France Ouest, AP-HP, Boulogne-Billancourt, France)
Abstract	INTRODUCTION: The main objective of the study was to assess return to sports in recreational athletes after arthroscopic repair of rotator cuff tear (RCT). MATERIAL AND METHODS: A retrospective single-center study included all recreational athletes operated between 2008 and 2012 for arthroscopic repair of RCT, with regular sports activity, and aged less than 70 years. All were recontacted at a minimum follow-up of 2 years. The main outcome was return to sports (yes/no). The secondary criteria were return to sports, time to return to sports, number of hours per week of sports activity, and at the last follow-up the subjective assessment of sports level, patient satisfaction, and the Western Ontario Rotator Cuff (WORC) Index. RESULTS: Seventy-six patients (37 females, 39 males) with a mean age of 57.0±7.3 years were included. Of these 76 patients, 53 (69.7%) patients participated in a sport that specifically involved the upper limb. The mean follow-up was 45±14 months. Postoperatively, 67 of 76 (88.2%) patients returned to a sports activity, the same sport for 52 out of 76 (68.4%). The mean time to return to sports was 6±4.9 months. For patients who had taken up their sport again, the mean number of hours a week was not significantly modified (P=0.58). At the last follow-up, the subjective sports level was judged better or identical to the preoperative level by 52 of 67 (77.6%) patients. The factors significantly associated with absence of return to the previous sport were pain symptoms evolving for more than 9 months before surgery (OR=3.6 [1.01-12.5], P=0.04) and preoperative sports intensity less than 2h/week (OR=4.1 [1.4-12.3], P=0.01). At the last follow-up, the functional improvement evaluated by the WORC Index was strongly significant (P<0.00001) and 73 of 76 (96%) patients were satisfied. CONCLUSION: The majority of the recreational athletes returned to sports after arthroscopic rotator cuff repair, most often at the same level and with equivalent intensity compared to before surgery. LEVEL OF EVIDENCE: IV, retrospective study.
File Format	HTM / HTML
Issue Number	5
Journal	Orthopaedics & Traumatology: Surgery & Research
Volume Number	102
e-ISSN	18770568
Language	English
Publisher	Elsevier
Publisher Date	2016-09-01
Publisher Place	France
Access Restriction	One Nation One Subscription (ONOS)
Subject Keyword	Discipline Orthopedics Discipline General Surgery Discipline Traumatology
Content Type	Text
Resource Type	Article

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