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OBJECTIVE: To compare different assessments following shoulder surgery for impingement syndrome with or without rotator cuff tear or repair. METHODS: A prospective study of 93 patients was conducted. Standard assessments were performed before, at 6 months, and at 4 years following shoulder surgery using the patient-based Oxford Shoulder Score (OSS), the Medical Outcomes Study Short Form-36 (SF-36) questionnaire, and a surgeon-assessed Constant Shoulder Score. Patients were categorized according to the surgery received in relation to the presence of cuff tears: full repair, partial repair, cuff tear/no repair, no tear/no repair. RESULTS: Most patients (57%) received subacromial decompression for impingement with no cuff tear. This group had the fewest pre- and postoperative symptoms. The category of patients who received only partial repair of a cuff tear had worse scores on all outcome assessments compared with other groups. Patient-based measures were more stable over time than the Constant. CONCLUSION: The shoulder-specific measures had greater sensitivity than the SF-36 in registering significant differences in outcomes between comparison groups at 6 months and 4 years.

Type

Journal article

Journal

Arthritis and rheumatism

Publication Date

10/2002

Volume

47

Pages

513 - 519

Addresses

School of Health Care, Oxford Brookes University, Oxford, UK. jdawson@brookes.ac.uk

Keywords

Rotator Cuff, Shoulder Joint, Humans, Treatment Outcome, Questionnaires, Prospective Studies, Health Status, Adult, Aged, Aged, 80 and over, Middle Aged, Patient Satisfaction, Female, Male