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العنوان
Functional Outcome of Arthroscopic Rotator Cuff Repair in Manual Workers /
المؤلف
Mohamed, Mohamed Abdelazim Soliman.
هيئة الاعداد
باحث / محمد عبد العظيم سليمان محمد
مشرف / السيد مرسي زكي
مشرف / محمد أحمد فايق
الموضوع
Orthopedic Surgery.
تاريخ النشر
2023.
عدد الصفحات
128 p. :
اللغة
الإنجليزية
الدرجة
ماجستير
التخصص
جراحة العظام والطب الرياضي
تاريخ الإجازة
23/1/2023
مكان الإجازة
جامعة المنوفية - كلية الطب - جراحة العظام والاصابات
الفهرس
Only 14 pages are availabe for public view

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from 126

Abstract

The rotator cuff tears (RCT) increase with age, so it is a common cause of shoulder pain and disability. Manual workers are more susceptible to RCT.
Management of RCT started by conservative management includes analgesia and anti-inflammatory medications, physical therapy, activity modification and subacromial injections of local anesthetic and steroid.
Operative intervention is indicated after failure of conservative treatment minimum 3 months including open, mini-open &arthroscopic repair.
Rotator cuff repair has improved over the last few decades from open to mini-open to arthroscopic repair.
This work was to evaluate functional outcome of arthroscopic RC repair in 20 manual worker patients (by ROM, ASES score at 6 month post-operatively) regarding return to original work &time to return &factors affecting that.
Between February 2021 to October 2021 Follow-up range was 9 months. Inclusion criteria were Rotator cuff tear either partial or complete confirmed by MRI. Age 20 years to 60 years. Exclusion criteria were revision repair, rheumatoid patients shoulder instability gleno-humeral arthritis, rotator cuff arthropathy.
Significant improvement occurs in all patients post-operatively regarding ASES score & ROM (forward flexion, abduction, external rotation in adduction, internal rotation in abduction).
Factors affecting return to original work were sex, BMI, history of trauma &preoperative ASES score, ROM, type of tear & postoperative ROM, ASES score. There was statistically significant difference between patients returned to original work & patients did not return regarding all previous factors.