Return to work after early repair of acute traumatic rotator cuff tears
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Lost workdays following rotator cuff repair is not well-studied in the literature. We aimed to define the time away from work following early arthroscopic repair of acute traumatic rotator cuff tears and compare it with the recommendations of the American Medical Disability Advisor (MD Guidelines) and The Swedish Social Insurance Agency.
Thirty-two consecutive working patients with a median age of 58 (42–70) years suffering from acute traumatic rotator cuff tears who underwent arthroscopic repair were prospectively studied. The studied variables were age, gender, alcohol use, smoking, number of injured tendons, dominant side involvement, work-related injury, employment status, preoperative work level, alterations of work tasks at return to work, and time away from work.
97% of the patients returned to full-duty work. The median time to return to full-duty work was 5.0 (1.1–10.5) months. Preoperative work level (p = 0.025) and dominant side (p = 0.02) significantly affected the time away from work on the univariate analysis, while GLM model showed a trend (p = 0.09) for shorter sick leave by dominant side involvement. The sick leave was longer in all three work level categories compared with the MD Guidelines and longer in the light and medium work categories compared with the recommendations by FK.
According to the present study, acute traumatic rotator cuff tears cause a considerable loss of work days. However, almost all patients are expected to return to work after a median time of 5 months following arthroscopic repair. Current guidelines and recommendations regarding sick leave following repair of rotator cuff tears might have to be reviewed.
KeywordsAcute rotator cuff tear Shoulder trauma Arthroscopic rotator cuff repair Time away from work Sick leave Return to work Disability duration
Acute shoulder assessment project
Canadian classification and dictionary of occupations
General linear model
The authors thank the ASAP collaborators PT Anna Lönnberg, PT Madelaine Andersson for their help in monitoring the study and Dr. Torsten Boegård for radiological advice.
KEA assisted in the design of the study, reviewed the literature, collected data, and wrote the manuscript. PR collected data and assisted in data analyses. FA contributed to the statistical analysis and critically revised the manuscript. KL initiated and designed the study and reviewed the manuscript. All authors read and approved the paper in its final version.
The study was supported by grants from the Stig and Ragna Gorthons Research Foundation.
Compliance with ethical standards
Conflict of interest
Knut E Aagaard, Patrik Randeblad, Fikri Abu-Zidan and Karl Lunsjö declare that they have no conflict of interest.
Research involving human participants
This study was approved by the Regional Ethical Review Board in Lund, registration number 2011/119.
All patients signed a consent form giving permission to use their anonymous data for research.
- 1.Bevan S, McGee R, Quadrello T. Fit for Work? Musculoskeletal Disorders and the Irish Labour Market. The Work Foundation, London. 2009. http://www.fitforworkeurope.eu/Website-Documents/ffw_Ireland311009.pdf. Accessed Dec 2015.
- 2.United States Bone and Joint Initiative: The Burden of Musculoskeletal Diseases in the United States (BMUS), 2nd edn. Rosemont, IL: American Academy of Orthopaedic Surgeons 2008. http://www.boneandjointburden.org. Accessed 20 Nov 2015.
- 5.Socialdepartementet. Regeringen tar krafttag för ökad hälsa och minskad sjukfrånvaro 2015. http://www.regeringen.se/pressmeddelanden/2015/09/regeringen-tar-krafttag-for-okad-halsa-och-minskad-sjukfranvaro. Accessed 21 Feb 2016
- 9.Shields E, Thirukumaran C, Noyes K, Voloshin I. A review of a workers’ compensation database 2003 to 2013: patient factors influencing return to work and cumulative financial claims after rotator cuff repair in geriatric workers’ compensation cases. Geriatr Orthop Surg Rehabil. 2017;8:208–14.CrossRefGoogle Scholar
- 13.Försäkringskassan S. https://www.forsakringskassan.se/wps/portal/privatpers/sjuk/anstalld_ny/nar_du_blir_sjuk. Accessed Dec 2015.
- 15.Canadian classification and dictionary of occupations 1971. Ottawa: Information Canada; 1974.Google Scholar
- 16.Munro BH. Selected nonparametric techniques. In: Munro BH, editor. Statistical methods for health care research. 4th edn. New York: Lippincott; 2001. pp. 97–121.Google Scholar
- 17.Miller JHP. Statistical Analysis with the general linear model. http://www.uv.es/~friasnav/librofactorial.pdf. Accessed 18 Sep 2014
- 18.Bassett RW, Cofield RH. Acute tears of the rotator cuff. The timing of surgical repair. Clin Orthop Relat Res 1983;(175):18–24.Google Scholar
- 22.Medical Disability Advisor: Reed Group Ltd. http://www.mdguidelines.com/rotator-cuff-tear. Accessed 24 Nov 2015.
- 25.Romeo AA, Hang DW, Bach BR Jr, Scott S. Repair of full thickness rotator cuff tears. Gender, age, and other factors affecting outcome. Clin Orthop Relat Res 1999;(367):243–255.Google Scholar
- 35.Riktlinjer för sjukskrivning vid sjukdomar i rörelseorganen - ett kunskapsunderlag. Wallin & Dalholm 2009. http://www.ssas.se/files/docs/Morseaxelss_09.pdf. Accessed 22 Sep 2015.