Early Return to Work in Workers' Compensation Patients After Arthroscopic Full-Thickness Rotator Cuff Repair.

Summary of "Early Return to Work in Workers' Compensation Patients After Arthroscopic Full-Thickness Rotator Cuff Repair."

The purpose of this study was to investigate the ability of patients to return to their preoperative work level and to identify functional prognostic factors in a group of Workers' Compensation (WC) patients after arthroscopic repair of full-thickness rotator cuff tears at a minimum follow-up of 1 year.
Seventy-eight consecutive WC patients underwent arthroscopic rotator cuff repair (ARCR) and were retrospectively reviewed. Potential predictors of occupational outcomes were recorded. The primary outcomes included work level at the time of discharge, time to maximum medical improvement (MMI), and failures requiring revision rotator cuff repair. Secondary outcomes including physical examination and subjective scoring scales were also recorded.
Overall, 88.5% of patients (n = 69) returned to their preoperative level of work at a mean time to MMI of 7.6 +/- 2.6 months. Of the WC patients, 55 (70.5%) were followed up for purposes of assessing shoulder function, with a mean follow-up of 33.6 +/- 13.9 months. The mean American Shoulder and Elbow Surgeons score at this time was 82.3 +/- 20.9, and the mean score on a visual analog scale was 1.7 +/- 2.3. An association was found between patients who underwent ARCR with open biceps tenodesis and delay in MMI (P = .01).
WC patients undergoing ARCR may expect a high likelihood of return to full duty at a mean time to MMI of 7.6 months. At the time of follow-up, patients reported good outcomes using validated scoring scales, but subjective outcomes remained inferior to non-WC patients based on historical controls. Alcohol use was the only prognostic factor to show a significant association with return to restricted-duty employment and repair failure. LEVEL OF
Level IV, therapeutic case series.


Section of Shoulder and Elbow Surgery, Division of Sports Medicine, Department of Orthopaedic Surgery, Rush University Medical Center, Chicago, Illinois, U.S.A.

Journal Details

This article was published in the following journal.

Name: Arthroscopy : the journal of arthroscopic & related surgery : official publication of the Arthroscopy Association of North Ameri
ISSN: 1526-3231
Pages: 1027-1034


DeepDyve research library

PubMed Articles [43446 Associated PubMed Articles listed on BioPortfolio]

Return-to-work coordination programmes for improving return to work in workers on sick leave.

To limit long-term sick leave and associated consequences, insurers, healthcare providers and employers provide programmes to facilitate disabled people's return to work. These programmes include a va...

Brazilian cross-cultural adaptation of "Return-to-work self-efficacy" questionnaire.

To describe the translation and early stages of cross-cultural adaptation of the questionnaire Verwachtingen over werken (or "Return-to-work self-efficacy") for workers in sick leave due to mental dis...

Psychiatric Inpatient Treatment and Return to Work.

Objective People with mental diseases have a high risk of unemployment and they have only limited access to the labor market. The return to work is often associated with fears.The present study aims t...

Dupuytren's Contracture.

Dupuytren's disorder is considered a genetic disorder and therefore not covered under workers' compensation. Personal risk factors include workers of Northern European descent and workers that are old...

Early Functional Outcomes of Periacetabular Osteotomy After Failed Hip Arthroscopic Surgery for Symptomatic Acetabular Dysplasia.

Persistent acetabular dysplasia is a common reason for the failure of hip arthroscopic surgery; however, the effect of prior hip arthroscopic surgery on functional outcomes after subsequent periacetab...

Clinical Trials [6155 Associated Clinical Trials listed on BioPortfolio]

The Effect of a Work-Hardening Program for Return-to-Work for Workers With Low Back Pain

Occupational injury results in family economic crisis and national productivity loss; it is really becoming an important issue in Taiwanese society. Low back pain is the most frequent inju...

Effects of Supervised Physical Therapy With Early Activation of the Rotator Cuff Versus Home Exercises in Patients After Arthroscopic Subacromial Decompression

The objective of this study was to evaluate and compare two different post-surgical rehabilitation strategies, Rehabilitation supervised by a physical therapist including exercises with ...

Early Functional Return to Work Following Distal Biceps Repair

Distal biceps ruptures occur most commonly among young males in their third and fourth decade of life. These injuries are becoming more common, however, as the aging population is remainin...

Management and Outcome of Work-Related Musculoskeletal Disorders

Work-related musculoskeletal disorders(MSD)are very common,which account for most of the occupational compensation in U.S.A。According to the epidemiological surveys,injured sites are...

Early Range of Motion Following Arthroscopic Rotator Cuff Repair

The purpose of this study is to investigate whether there is a difference in the quality of life, ability to return to functioning (back to everyday life), the amount of experienced pain i...

Medical and Biotech [MESH] Definitions

Insurance coverage providing compensation and medical benefits to individuals because of work-connected injuries or disease.

Resumption of normal work routine following a hiatus or period of absence due to injury, disability, or other reasons.

Methods to determine in patients the nature of a disease or disorder at its early stage of progression. Generally, early diagnosis improves PROGNOSIS and TREATMENT OUTCOME.

Health care workers specially trained and licensed to assist and support the work of health professionals. Often used synonymously with paramedical personnel, the term generally refers to all health care workers who perform tasks which must otherwise be performed by a physician or other health professional.

Institutional health care of patients during the day. The patients return home at night.

Quick Search

DeepDyve research library

Searches Linking to this Article