Evidence map›Paper›PMID 41158937›Full record

ArticleCureus2025

Risk Factors for Early Shoulder Stiffness After Arthroscopic Rotator Cuff Repair.

João Felipe M Filho, Rodrigo A Beraldo, Mauro E Gracitelli, Jorge Assunção, Nuno Sevivas, Eduardo A Malavolta

Abstract read
In one paragraph

Article in Cureus, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
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

1 citing paper in PubMed.

  1. Article
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

6 authors.

João Felipe M FilhoOrthopedics and Traumatology, Universidade Federal do Rio Grande do Norte, Natal, BRA.
Rodrigo A BeraldoOrthopedics and Traumatology, Instituto Jundiaiense de Ortopedia e Traumatologia, Jundiai, BRA.
Mauro E GracitelliOrthopedics and Traumatology, Hospital das Clínicas, Faculty of Medicine, University of São Paulo, São Paulo, BRA.
Jorge AssunçãoOrthopedics and Traumatology, Hospital das Clínicas, Faculty of Medicine, University of São Paulo, São Paulo, BRA.
Nuno SevivasOrthopedics and Traumatology, Centro Hospitalar do Médio Ave, Braga, PRT.
Eduardo A MalavoltaOrthopedics and Traumatology, Hospital das Clínicas HCFMUSP, Faculdade de Medicina, Universidade de São Paulo, São Paulo, BRA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionArthroscopic rotator cuff repair (ARCR) is the gold standard for treating symptomatic rotator cuff tears. Despite its benefits, early postoperative shoulder stiffness (EPS (shoulder)) remains a concern, with reported incidence varying widely. Identifying risk factors is crucial for optimizing outcomes. This study aimed to test whether preoperative clinical comorbidities and MRI-based structural tear features are associated with EPS after ARCR, where EPS was the primary outcome (present/absent) defined as persistent passive range of motion (ROM) limitation >90 days postoperatively.

methodsThis retrospective cohort study analyzed 381 patients who underwent primary ARCR at a tertiary referral center between December 2017 and February 2022. Data were collected retrospectively through electronic medical records and managed in a secure institutional database. Patients with preoperative stiffness or requiring additional procedures such as biceps tenodesis, capsular release, or distal clavicle resection were excluded. Clinical variables, including age, sex, diabetes, arterial systemic hypertension, dyslipidemia, and hypothyroidism, were assessed. Rotator cuff tears characteristics were analyzed through preoperative MRI and categorized using the Snyder, Cofield, Patte, and Goutallier (Fuchs modified) classifications.  Results: EPS was observed in 6.3% (24/381) of patients. The mean age of patients with EPS was 57.4 ± 11.1 years, compared to 59.9 ± 9.5 years in the non-stiffness group (p = 0.056). Women represented 75% of the EPS group versus 60.8% in the non-EPS group (p = 0.242). No significant associations were found between EPS and diabetes (p = 0.592), hypertension (p = 0.271), dyslipidemia (p = 0.220), or hypothyroidism (p = 0.999). Regarding anatomical characteristics, 87.5% of EPS cases involved full-thickness tears, compared to 80.1% in the non-EPS group (p = 0.592). Tear size, tendon retraction, and fatty degeneration showed no significant association with EPS.  Conclusion: No clinical or structural variables were significantly associated with EPS after ARCR. Standardized criteria are needed to identify high-risk patients and refine preventive strategies.

Indexed as

arthroscopic rotator cuff repairarthroscopypostoperative complicationsrisk factorsshoulder stiffness

Identifiers

PMID41158937
PMCPMC12557455

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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 OpenQuestion graph.