Sub‐Acromioclavicular Decompression Increases the Risk of Postoperative Shoulder Stiffness after Arthroscopic Rotator Cuff Repair

• DOI: 10.1111/os.14225
• Publication Date: 2024-09-28T16:38:27Z
• Authors: Cheng Li; Zhiling Wang; Maslah Idiris Ali; Yi Long; Ymuhanmode Alike; Min Zhou; Dedong Cui; Zhenze Zheng; Ke Meng; Jingyi Hou; Rui Yang
• Keywords: Orthopedic surgery; Sub‐acromioclavicular Decompression; Clinical Article; Postoperative Shoulder Stiffness; Rotator Cuff Tears; RD701-811

Objective The sub‐acromioclavicular (SAC) decompression is often performed during arthroscopic rotator cuff repair. However, the impact of SAC on patients with postoperative shoulder stiffness (POSS) are controversial and unclear. This study aim to evaluate additional repair in patients. Methods retrospective examined digital data from full‐thickness tears who underwent at a local institution. Patient‐reported outcomes were evaluated using American Shoulder Elbow Surgeons (ASES) Score, University California–Los Angeles (UCLA) score, visual analog scale (VAS) scores. Restricted mobility occurring within 6 months postoperatively, lasting more than 12 weeks, characterized by passive forward flexion angle <120° or an external rotation <30°, without associated pain was identified as POSS. Factors affecting POSS analyzed binary logistic regression analysis. patient‐reported scores generalized estimating equations examine decompression. Results A total 155 met set criteria included study. analysis showed that diabetes ( p = 0.001) 0.003) independent factors for In each follow‐up point, only 3‐month follow‐up, ASES 0.003), UCLA 0.045), VAS 0.005) significant differences between group non‐decompression group. For intergroup comparison, results difference (β −4.971, 0.008), −1.524, 0.019), 0.654, 0.010) throughout duration Conclusion findings this suggested increase risk compared those decompression, which indicate surgeons do not perform unless necessary.