ArticleOrthopaedic journal of sports medicine2026
Recovery Trajectory of Range of Motion and Its Association With Patient Factors During Early Postoperative Stiffness After Arthroscopic Rotator Cuff Repair.
Article in Orthopaedic journal of sports medicine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Background: Postoperative shoulder stiffness may influence functional recovery after arthroscopic rotator cuff repair. However, predictors for progression to persistent shoulder stiffness have not been clearly established. Purpose: To identify factors associated with persistent stiffness and describe range of motion (ROM) recovery trajectory after arthroscopic repair of full-thickness rotator cuff tears. Study Design: Cohort study; Level of evidence, 3. Methods: We retrospectively reviewed 352 patients who underwent arthroscopic complete repair. Stiffness was defined as forward flexion <120°, external rotation <30°, or internal rotation below L3. ROM, visual analog scale (VAS) score, American Shoulder and Elbow Surgeons score, Constant score, and tendon integrity were assessed, and patients reported the primary barrier to rehabilitation at 3 months. Predictors of persistent stiffness at 6 months were evaluated using multivariate logistic regression. Results: At 3 months, 165 patients (46.9%) met stiffness criteria. Compared with patients without stiffness, the stiffness group had poorer functional outcome ( Conclusion: Early stiffness after arthroscopic rotator cuff repair is heterogeneous. Pain-driven stiffness is associated with persistence, whereas stiffness related to fear or anxiety about tendon retear is common but largely reversible; tailored management may improve recovery.
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