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The Journal of Bone and Joint Surgery, Vol 77, Issue 9 1335-1339, Copyright © 1995 by Journal of Bone and Joint Surgery, Inc
Repair of the rotator cuff. A comparison of results in two populations of patients
GW Misamore, DW Ziegler and JL Rushton
Department of Research and Education, Methodist Sports Medicine Center, Indianapolis, Indiana 46202, USA.
One hundred and seven shoulders of 103 consecutive patients were evaluated
after primary repair of the rotator cuff. Twenty-four patients were
receiving Workers' Compensation, and the other seventy-nine were not.
Preoperative and postoperative evaluation of both groups included
subjective assessment of pain, function, and patient satisfaction as well
as objective assessment of the strength and active range of motion of the
shoulder. The shoulder-rating scale of the University of California at Los
Angeles was used to determine over-all success rates. The duration of
follow-up ranged from twenty-four to sixty-eight months (mean, forty-five
months). The two groups were comparable with regard to the age and sex of
the patients, the size of the tear of the rotator cuff, and the
preoperative strength, pain, and active range of motion of the shoulder.
Over-all, a successful result was achieved in eighty-nine of the 107
shoulders. Of the twenty-four shoulders of patients who were receiving
Workers' Compensation, thirteen (54 per cent) were rated good or excellent,
compared with seventy-six (92 per cent) of the eighty-three shoulders of
patients who were not receiving Workers' Compensation. Ten (42 per cent) of
the twenty-four patients who were receiving Workers' Compensation returned
to full activity, compared with seventy-four (94 per cent) of the
seventy-nine patients who were not.
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