Sex Is Associated with the Success or Failure of Manipulation Alone for Joint Stiffness Associated with Rotator Cuff Repair
Abstract
:1. Introduction
2. Materials and Methods
2.1. Participant Selection
2.2. Study Design
2.3. Assessment of Related Factors
2.4. Surgical Procedure
2.5. Manipulation and Arthroscopic Capsular Release under General Anesthesia
2.6. Rotator Cuff Repair
2.7. Post-Operative Rehabilitation
2.8. Statistical Analysis
3. Results
3.1. Study Group
3.2. Patient Demographics
3.3. Morphology of the Rotator Cuff Tear (Number and Type of Torn Tendons, Tear Size)
3.4. ROM
3.5. Multivariate Analysis of Related Factors between the Two Groups
4. Discussion
5. Conclusions
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Conflicts of Interest
References
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Manipulation Group | Capsular Release Addition Group | p Value | |
---|---|---|---|
Number of patients | 45 | 19 | - |
Mean age at surgery α (y) | 65.9 ± 9.9 | 56.8 ± 5.8 | 0.00050 * |
Sex β (Number (%)) | Male: 23 (51.1) | Male: 17 (89.5) | 0.0044 * |
Female: 22 (48.9) | Female: 2 (10.5) | ||
Number of dominant or nondominant side of affected shoulder β (Number (%)) | Dominant side: 19 | Dominant side: 10 | 0.58 |
Nondominant side: 26 | Nondominant side: 9 | ||
Mean duration of symptom α (months) | 11.2 ± 10.2 | 7.2 ± 3.9 | 0.10 |
Mean postoperative follow-up period α (months) | 21.9 ± 9.2 | 18.2 ± 5.8 | 0.11 |
Medical history β (Number (%)) | Diabetes: 4 (8.9) | Diabetes: 4 (21.1) | 0.20 |
Parkinson’s disease: 2 (4.4) | Parkinson’s disease: 0 (0) | 0.99 | |
Hypertension: 5 (11.1) | Hypertension: 1 (5.3) | 0.66 | |
Injury mechanism β (Number (%)) | Trauma: 21 (46.7) | Trauma: 17 (89.5) | 0.0018 * |
Manipulation Group (n = 45) | Capsular Release Addition Group (n = 19) | p Value | |
---|---|---|---|
Mean number of torn tendons α (Number) | 1.6 ± 0.7 | 1.7 ± 0.7 | 0.40 |
Involvement of torn tendons β (Number (%)) | Type 1: 24 (53.3) (SSP) | Type 1: 7 (36.8) (SSP) | 0.25 |
Type 2: 5 (11.1) (SSP + SSC) | Type 2: 6 (31.6) (SSP + SSC) | ||
Type 3: 11 (24.4) (SSP + ISP) | Type 3: 4 (21.1) (SSP + ISP) | ||
Type 4: 5 (11.1) (SSP + ISP + SSC) | Type 4: 2 (10.5) (SSP + ISP + SSC) | ||
Tear size γ (Number (%)) | small: 3 (6.7) | small: 2 (10.5) | 0.24 |
medium: 40 (88.9) | medium: 13 (68.4) | ||
large: 2 (4.4) | large: 4 (21.1) | ||
massive: 0 (0) | massive: 0 (0) |
Manipulation Group (n = 45) | Capsular Release Addition Group (n = 19) | p Value | ||
---|---|---|---|---|
Before surgery | Forward flexion (degrees) | 106.4 ± 22.3 | 113.0 ± 22.6 | 0.30 |
Abduction (degrees) | 84.0 ± 22.3 | 93.2 ± 21.6 | 0.14 | |
External rotation (degrees) | 44.0 ± 15.4 | 42.1 ± 18.4 | 0.67 | |
Internal rotation α | 15.2 ± 3.3 | 14.9 ± 3.6 | 0.74 | |
At the last follow-up after surgery | Forward flexion (degrees) | 171.8 ± 10.5 | 172.6 ± 7.3 | 0.75 |
Abduction (degrees) | 164.0 ± 13.9 | 161.6 ± 13.0 | 0.52 | |
External rotation (degrees) | 73.1 ± 10.8 | 72.1 ± 15.1 | 0.76 | |
Internal rotation α | 12.6 ± 2.2 | 12.9 ± 1.9 | 0.61 |
before Surgery | At the Last Follow-Up after Surgery | p Value | ||
---|---|---|---|---|
Manipulation group (n = 45) | Forward flexion (degrees) | 106.4 ± 22.3 | 171.8 ± 10.5 | <0.001 * |
Abduction (degrees) | 84.0 ± 22.3 | 164.0 ± 13.9 | <0.001 * | |
External rotation (degrees) | 44.0 ± 15.4 | 73.1 ± 10.8 | <0.001 * | |
Internal rotation α | 15.2 ± 3.3 | 12.6 ± 2.2 | <0.001 * | |
Capsular release addition group (n = 19) | Forward flexion (degrees) | 113.0 ± 22.6 | 172.6 ± 7.3 | <0.001 * |
Abduction (degrees) | 93.2 ± 21.6 | 161.6 ± 13.0 | <0.001 * | |
External rotation (degrees) | 42.1 ± 18.4 | 72.1 ± 15.1 | <0.001 * | |
Internal rotation α | 14.9 ± 3.6 | 12.9 ± 1.9 | 0.49 |
Odds Ratio (95% CI) | p Value | |
---|---|---|
Age | 0.93 (0.86–1.0) | 0.060 |
Sex | 5.5 (1.0–30) | 0.048 * |
Trauma injury | 4.8 (0.85–27) | 0.077 |
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Yamaura, K.; Mifune, Y.; Inui, A.; Nishimoto, H.; Mukohara, S.; Yoshikawa, T.; Shinohara, I.; Kato, T.; Furukawa, T.; Hoshino, Y.; et al. Sex Is Associated with the Success or Failure of Manipulation Alone for Joint Stiffness Associated with Rotator Cuff Repair. J. Clin. Med. 2022, 11, 7192. https://doi.org/10.3390/jcm11237192
Yamaura K, Mifune Y, Inui A, Nishimoto H, Mukohara S, Yoshikawa T, Shinohara I, Kato T, Furukawa T, Hoshino Y, et al. Sex Is Associated with the Success or Failure of Manipulation Alone for Joint Stiffness Associated with Rotator Cuff Repair. Journal of Clinical Medicine. 2022; 11(23):7192. https://doi.org/10.3390/jcm11237192
Chicago/Turabian StyleYamaura, Kohei, Yutaka Mifune, Atsuyuki Inui, Hanako Nishimoto, Shintaro Mukohara, Tomoya Yoshikawa, Issei Shinohara, Tatsuo Kato, Takahiro Furukawa, Yuichi Hoshino, and et al. 2022. "Sex Is Associated with the Success or Failure of Manipulation Alone for Joint Stiffness Associated with Rotator Cuff Repair" Journal of Clinical Medicine 11, no. 23: 7192. https://doi.org/10.3390/jcm11237192