Return to Sports After Arthroscopic Rotator Cuff Repair in Recreational Athletes
Abstract
Objective: To assess return to sports in recreational athletes after arthroscopic rotator cuff repair (ARCR). Materials and Methods: Retrospective single-site study of recreational athletes who were operated on between August 2019 and December 2020 for ARCR, with a minimum follow-up of one year. Patients were divided into 2 groups based on their shoulder demand: high or low. The primary endpoint was return to sports. Secondary criteria included time to return, level achieved, pre and postoperative VAS for pain, and ASES and Constant scores. The minimal clinically important difference (MCID) and substantial clinical benefit (SCB) were calculated. Complications were recorded. Results: A total of 102 patients (mean age: 58.7 years) were included. Seventy patients practiced a sport with high shoulder involvement. The mean follow-up was 18 months. 82.3% of patients returned to recreational sports, with 63 participating at the same level. The median time to return was six months. Return to sports was 91% in the low-shoulder demand group versus 79% in the high-shoulder demand group. VAS, Constant and ASES scores improved after six and twelve months. For the ASES and Constant scores, 98 and 100% of patients met the MCID and SCB, respectively.A total of eight patients reported persistent pain. Five patients required revision surgery. Conclusion: Most recreational athletes who undergo ARCR are able to resume their previous level of activity. Most athletes achieved significant clinical improvement with a low rate of complications (7.8%).Downloads
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