The Rothman Institute, Philadelphia, PA, USA.
J Shoulder Elbow Surg. 2013 Mar;22(3):299-304. doi: 10.1016/j.jse.2012.11.011.
Prior studies have suggested that patients with workers' compensation (WC) related injuries have less successful postsurgical outcomes compared to the general population. The purpose of this study was to determine the functional outcome and return to work for WC patients who have undergone distal biceps tendon repair (DBTR). A group of patients without a WC claim (non-WC) served as a control.
From July 2002 to December 2009, 60 WC patients and 63 non-WC patients who underwent unilateral, acute (<6 weeks) DBTR and had a minimum of 12 months of postoperative follow-up were contacted. Data pertaining to patient age, sex, handedness, smoking status, occupation, time to return to work, and ability to return to original occupation were obtained. Functional outcomes were primarily assessed with the DASH, DASH-Work Module, and DASH Sports/Performance Arts Module questionnaires. Outcomes in the WC group were compared to the non-WC group.
Average length of follow-up was 3.55 years (range, 1.5-8.9) in the WC group and 3.64 years (range, 2.2-8.0) in the non-WC group. Mean DASH, DASH-Work Module, and Sports/Performance Arts Module scores were significantly greater (poorer outcome) in the WC group than in the non-WC group. Average time to return to full duty was 3.95 months in the WC group and 1.35 months in the non-WC group.
WC patients who underwent distal biceps tendon repair took longer to return to work and had worse DASH scores than non-WC patients.
Level III, Retrospective Cohort Study, Treatment Study.
先前的研究表明，与普通人群相比，因工伤（WC）相关损伤接受手术治疗的患者术后结局不太成功。本研究的目的是确定接受肱二头肌远端肌腱修复术（DBTR）的 WC 患者的功能结局和重返工作岗位的情况。一组无 WC 索赔的患者（非 WC）作为对照。
2002 年 7 月至 2009 年 12 月，联系了 60 名 WC 患者和 63 名非 WC 患者，这些患者均接受了单侧、急性（<6 周）DBTR，且术后随访时间至少为 12 个月。获得了与患者年龄、性别、惯用手、吸烟状况、职业、重返工作岗位的时间以及恢复原工作能力相关的数据。主要通过 DASH、DASH-Work 模块和 DASH 运动/表演艺术模块问卷评估功能结局。将 WC 组的结果与非 WC 组进行比较。
WC 组的平均随访时间为 3.55 年（范围，1.5-8.9），非 WC 组为 3.64 年（范围，2.2-8.0）。WC 组的平均 DASH、DASH-Work 模块和运动/表演艺术模块评分明显高于非 WC 组（结局较差）。WC 组重返全岗的平均时间为 3.95 个月，非 WC 组为 1.35 个月。
接受肱二头肌远端肌腱修复术的 WC 患者重返工作岗位的时间更长，且 DASH 评分较非 WC 患者更差。
III 级，回顾性队列研究，治疗研究。
