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Return to work after early repair of acute traumatic rotator cuff tears

Aagaard, Knut E. LU ; Randeblad, Patrik; Abu-Zidan, Fikri M. and Lunsjö, Karl LU (2019) In European Journal of Trauma and Emergency Surgery
Abstract

Background: 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. Methods: 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... (More)

Background: 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. Methods: 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. Results: 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. Conclusions: 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.

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author
organization
publishing date
type
Contribution to journal
publication status
epub
subject
keywords
Acute rotator cuff tear, Arthroscopic rotator cuff repair, Disability duration, Return to work, Shoulder trauma, Sick leave, Time away from work
in
European Journal of Trauma and Emergency Surgery
publisher
Urban & Vogel
external identifiers
  • scopus:85059565791
ISSN
1863-9933
DOI
10.1007/s00068-019-01074-9
language
English
LU publication?
yes
id
abb69df8-cca1-480b-a346-fd33816b2fd7
date added to LUP
2019-01-22 13:35:09
date last changed
2019-02-20 11:43:49
@article{abb69df8-cca1-480b-a346-fd33816b2fd7,
  abstract     = {<p>Background: 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. Methods: 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. Results: 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. Conclusions: 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.</p>},
  author       = {Aagaard, Knut E. and Randeblad, Patrik and Abu-Zidan, Fikri M. and Lunsjö, Karl},
  issn         = {1863-9933},
  keyword      = {Acute rotator cuff tear,Arthroscopic rotator cuff repair,Disability duration,Return to work,Shoulder trauma,Sick leave,Time away from work},
  language     = {eng},
  month        = {01},
  publisher    = {Urban & Vogel},
  series       = {European Journal of Trauma and Emergency Surgery},
  title        = {Return to work after early repair of acute traumatic rotator cuff tears},
  url          = {http://dx.doi.org/10.1007/s00068-019-01074-9},
  year         = {2019},
}