Abstract：
BACKGROUND:Obesity is linked to major health conditions and poor surgical outcomes. The impact of obesity on self-perceived outcome after rotator cuff repair (RCR) is unclear. MATERIALS AND METHODS:We studied 154 patients who underwent RCR. Obesity was considered a body mass index (BMI) greater than 30. Preoperative and postoperative evaluations included the Disabilities of the Arm, Shoulder and Hand (DASH), Simple Shoulder Test, and visual analog scales for pain, function, and quality of life. Obese and control patients were compared for baseline demographics, surgical findings, and postoperative outcomes. RESULTS:Our overall population had a mean BMI of 28.4 (95% confidence interval, 27.7-29.1). There were 57 obese patients (BMI >30) and 97 nonobese patients with 1- or 2-tendon rotator cuff tears. Mean follow-up was 54.8 weeks (range, 52.0-88.7 weeks). Preoperative DASH score was 45.2 for obese patients and 43.4 for control patients (P = .524). The mean improvement in DASH score was 30.7 for obese patients and 26.1 for nonobese patients (P = .152). There were no significant differences in the Simple Shoulder Test and visual analog scale scores. Worse follow-up DASH scores in both groups were associated with worker's compensation status (P = .003) and total comorbidities (P < .001). Multiple linear regression analysis showed that BMI (continuous) and obesity (dichotomous) were not significantly related to outcome after we controlled for confounding variables. CONCLUSIONS:Although obesity is considered a risk factor for poor postoperative outcomes after some surgical procedures, in our experience, obesity does not have an independent, significant effect on self-reported early outcomes after RCR.
journal_name
J Shoulder Elbow Surgjournal_title
Journal of shoulder and elbow surgeryauthors
Namdari S,Baldwin K,Glaser D,Green Adoi
10.1016/j.jse.2010.03.003subject
Has Abstractpub_date
2010-12-01 00:00:00pages
1250-5issue
8eissn
1058-2746issn
1532-6500pii
S1058-2746(10)00107-2journal_volume
19pub_type
杂志文章abstract：BACKGROUND:Olecranon fractures are common in elderly patients, causing significant morbidity and functional impairment. Traditional surgical treatments are often complicated by hardware failure and prominence, frequently requiring reoperation. To address these concerns, a suture anchor fixation technique was developed ...
journal_title：Journal of shoulder and elbow surgery
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abstract：BACKGROUND:Semiconstrained total elbow arthroplasty is used to improve elbow function and reduce pain. Although effective, high complication rates exist, with the polyethylene bushing especially susceptible to failure. The Discovery Elbow System (Biomet Inc, Warsaw, IN, USA) contains a spherical bearing designed to min...
journal_title：Journal of shoulder and elbow surgery
pub_type： 临床试验,杂志文章,多中心研究
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journal_title：Journal of shoulder and elbow surgery
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abstract：BACKGROUND:Two popular systems for classifying rheumatoid arthritis affecting the elbow are the Larsen and Sharp schemes. To our knowledge, no study has investigated the reliability of these 2 systems. We compared the intraobserver and interobserver agreement of the 2 systems to determine whether one is more reliable t...
journal_title：Journal of shoulder and elbow surgery
pub_type： 杂志文章
doi：10.1016/j.jse.2016.07.074
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abstract：BACKGROUND:This study evaluated patients with and without a prosthetic dislocation after reverse total shoulder arthroplasty (RTSA) to identify risk factors for instability. METHODS:Dislocation and nondislocation cohorts were established for analysis in 119 patients who had undergone RTSA at our institution between 20...
journal_title：Journal of shoulder and elbow surgery
pub_type： 杂志文章
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abstract：:The strength of classic transosseous suture repair of rotator cuff tendons was compared with similar repairs with four "third-generation" suture anchors. Results demonstrate the repair construct selected had a significant influence on failure at ultimate load (p = 0.005). Among the anchors tested the Statak design was...
journal_title：Journal of shoulder and elbow surgery
pub_type： 杂志文章
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更新日期：1996-01-01 00:00:00
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journal_title：Journal of shoulder and elbow surgery
pub_type： 杂志文章
doi：10.1016/j.jse.2007.07.020
更新日期：2008-03-01 00:00:00
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journal_title：Journal of shoulder and elbow surgery
pub_type： 杂志文章
doi：10.1016/j.jse.2006.09.001
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journal_title：Journal of shoulder and elbow surgery
pub_type： 杂志文章
doi：10.1016/S1058-2746(09)80054-2
更新日期：1992-11-01 00:00:00
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journal_title：Journal of shoulder and elbow surgery
pub_type： 杂志文章
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journal_title：Journal of shoulder and elbow surgery
pub_type： 杂志文章
doi：10.1067/mse.2000.108386
更新日期：2000-09-01 00:00:00
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journal_title：Journal of shoulder and elbow surgery
pub_type： 杂志文章
doi：10.1016/j.jse.2013.09.023
更新日期：2014-07-01 00:00:00
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journal_title：Journal of shoulder and elbow surgery
pub_type： 杂志文章
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更新日期：2007-05-01 00:00:00
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journal_title：Journal of shoulder and elbow surgery
pub_type： 杂志文章
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journal_title：Journal of shoulder and elbow surgery
pub_type： 杂志文章
doi：10.1016/j.jse.2012.08.001
更新日期：2013-01-01 00:00:00
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journal_title：Journal of shoulder and elbow surgery
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更新日期：2019-06-01 00:00:00
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journal_title：Journal of shoulder and elbow surgery
pub_type： 杂志文章
doi：10.1016/j.jse.2018.01.015
更新日期：2018-06-01 00:00:00
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journal_title：Journal of shoulder and elbow surgery
pub_type： 杂志文章
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journal_title：Journal of shoulder and elbow surgery
pub_type： 杂志文章
doi：10.1016/j.jse.2010.12.008
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journal_title：Journal of shoulder and elbow surgery
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journal_title：Journal of shoulder and elbow surgery
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journal_title：Journal of shoulder and elbow surgery
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journal_title：Journal of shoulder and elbow surgery
pub_type： 杂志文章
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journal_title：Journal of shoulder and elbow surgery
pub_type： 杂志文章
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更新日期：2013-03-01 00:00:00
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journal_title：Journal of shoulder and elbow surgery
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journal_title：Journal of shoulder and elbow surgery
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journal_title：Journal of shoulder and elbow surgery
pub_type： 杂志文章
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journal_title：Journal of shoulder and elbow surgery
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