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Gastroesophageal disorders may increase risk of developing post-operative shoulder stiffness.
ESSKA Academy. Cucchi D. May 9, 2018; 209904; P22-1368 Topic: Arthroscopic Surgery
Dr. Davide Cucchi
Dr. Davide Cucchi
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Abstract
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Objectives: Post-operative shoulder stiffness is a complication of arthroscopic rotator cuff repair, the incidence of which has been reported variably in literature. Numerous risk factors have been described but gastroesophageal diseases have not yet been mentioned among them. The aim of this study was to document the incidence of post-operative shoulder stiffness and evaluate the role of certain or supposed risk factors in the development of this pathology.

Methods: Patients aged between 18 and 75 years old with symptomatic degenerative posterosuperior rotator cuff tears that had failed conservative therapy and underwent arthroscopic rotator cuff repair were included. The incidence of post-operative shoulder stiffness was documented and the presence of twenty potential risk factors was investigated. The Shapiro-Wilk test was used to evaluate the normal distribution of the sample and two-sided Fisher's exact test was used to test the differences for categorical variables.

Results: One hundred seventy-nine consecutive patients were included (right shoulder: 65.54%) The incidence of post-operative shoulder stiffness was 9.04 %. Among all patients with stiffness, 87.5% were women, and sex was significantly associated to the development of the pathology (p = 0.0011). The presence of gastroesophageal diseases was found to be significantly associated with development of post-operative shoulder stiffness (p = 0.0020).

Conclusions: A significant association between the occurrence of post-operative shoulder stiffness and the presence of gastroesophageal diseases was identified. This finding, not yet reported in literature, deserves investigations with further studies. The incidence of post-operative shoulder stiffness encountered in this study falls among previously reported ranges, with females being significantly more affected than men.

Keywords:
Shoulder stiffness; Frozen shoulder, Adhesive capsulitis; Rotator cuff repair; Post-operative complication; Gastroesophageal disorders
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