Evidence map›Paper›PMID 35603551›Full record

ArticleOrthopaedic surgery2022

Factors Associated with Shoulder Range of Motion After Arthroscopic Rotator Cuff Repair: A Hospital-Based Prospective Study.

Zhennan Li, Gangfeng Hu, Yuan Zhu, Fangqi Xu, Jiakuan Ye, Jie Guan, Hong Guan

Open access · goldAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Orthopaedic surgery, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.4field-weighted citation impact, top 38% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 2 citations in OpenAlex.

  1. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 2 institutions in 1 country.

Zhennan LiThe Second Clinical Medicine College, Zhejiang Chinese Medical University, Hangzhou, China.
Gangfeng HuDepartment of Orthopaedics, The First People's Hospital of Xiaoshan District, Hangzhou, Zhejiang, China.ORCID https://orcid.org/0000-0001-6162-8908
Yuan ZhuDepartment of Orthopaedics, The First People's Hospital of Xiaoshan District, Hangzhou, Zhejiang, China.
Fangqi XuDepartment of Orthopaedics, The First People's Hospital of Xiaoshan District, Hangzhou, Zhejiang, China.
Jiakuan YeDepartment of Orthopaedics, The First People's Hospital of Xiaoshan District, Hangzhou, Zhejiang, China.
Jie GuanDepartment of Orthopaedics, The First People's Hospital of Xiaoshan District, Hangzhou, Zhejiang, China.
Hong GuanThe Second Clinical Medicine College, Zhejiang Chinese Medical University, Hangzhou, China.
The First People's Hospital of Xiaoshan District, Hangzhou · CNZhejiang Chinese Medical University · CN

Funding

Medical Scientific Research Foundation of Zhejiang Province, China 2019KY150Medical Scientific Research Foundation of Zhejiang Province, China 2020KY794
6 · The paper itself

Abstract

objectiveTo assess the factors associated with outcomes of arthroscopic surgical repair of rotator cuff tears (RCTs).

methodThis prospective study recruited patients, at least 18 years old, who underwent arthroscopic rotator cuff repair for full-thickness RCTs at the First People's Hospital of Hangzhou Xiaoshan between July 2019 and October 2020. Patient demographics, lifestyle habits, and medical histories were collected preoperatively; RCT sizes and affected tendons were determined intraoperatively. Outcomes were assessed by shoulder range of motion (ROM) determinations 1.5 and 3 months postoperatively. The factors associated with ROM were determined using a binary logistic regression analysis, and the results were expressed as adjusted relative risks (RRs) and 95% confidence intervals (CIs).

resultsA total of 132 patients with RCTs underwent arthroscopic surgery. Five were lost to follow-up, leaving 127 patients (mean age, 59 years; 58.3% women) who were included in the study analysis. The majority of the patients (54.5%) had RCTs that were classified as large or massive, and approximately 20% had tears involving multiple tendons; 80.3% of the patients had tears involving only a single tendon. Moreover, 29.9% of the patients had hypertension and 11.0% had diabetes. Among the patients, 23.0% were smokers and 34.6% drank alcohol. According to the multivariate analysis, none of the assessed factors were associated with shoulder ROM at the 1.5-month follow-up. At the 3-month follow-up, RCTs involving a single tendon demonstrated 3-fold better abduction (RR = 4.00; 95% CI, 1.30-12.33; P = 0.016) and 3.15-fold better internal rotation (RR = 3.15; 95% CI, 1.19-8.36; P = 0.021) than did RCTs involving multiple tendons. Patients who did not drink alcohol demonstrated 6.08-fold better anteflexion (RR = 7.08; 95% CI, 2.11-23.73; P = 0.002) and nearly 4-fold better abduction (RR = 4.97; 95% CI, 1.62-15.23; P = 0.005) than patients who drank alcohol.

conclusionTo improve outcomes, the results indicate that more targeted measures should be directed toward patients with multiple-tendon RCTs and that preoperative alcohol abstinence education is needed for patients with RCTs.

Indexed as

Rotator Cuff InjuriesShoulder JointAdolescentArthroscopyFemaleHospitalsHumansMaleMiddle AgedProspective StudiesRange of Motion, ArticularRotator CuffShoulderTreatment OutcomeArthroscopyFollow-up studyRange of motionRisk factorsRotator cuffTendon injuries

Identifiers

PMID35603551
PMCPMC9251286
OpenAlexW4281287754

What Socratic holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.