Gutman Michael J, Patel Manan S, Katakam Akhil, Liss Nathan, Zmistowski Benjamin M, Lazarus Mark D, Horneff John G
Shoulder and Elbow Surgery, Rothman Orthopaedic Institute at Thomas Jefferson University, Philadelphia, USA.
Shoulder and Elbow Surgery, Washington University Orthopedics, Saint Louis, USA.
Cureus. 2021 Mar 31;13(3):e14213. doi: 10.7759/cureus.14213.
Introduction Patients with a worker compensation claim are associated with a greater probability of continued symptoms and activity intolerance. This study aims to determine predictors of improved patient-reported outcomes in the workers' compensation population. Methods Patients with workers' compensation claims undergoing arthroscopic rotator cuff repair between 2010 and 2015 were included. Age, gender, dominant hand, occupation, and number of tendons involved were analyzed. At a minimum of two years, patients were contacted to complete American Shoulder and Elbow Surgeons (ASES) Survey, Simple Shoulder Test (SST), and return-to-work status (RTW). Preoperative characteristics and scores were then compared. Results Seventy patients were available for follow-up at an average of 5.4 years (range: 2.1-8.8 years). Average age was 55 years (range: 37-72); 55 (78.6%) were males, 23 (32.9%) were laborers; and 59 (84.2%) patients returned to work. The sole predictor for RTW was surgery on the non-dominant arm (96.5% versus 75.6%; p = 0.021). Laborers showed decreased RTW (p = 0.03). Patients who completed RTW had excellent outcomes with higher ASES (87 versus 50; p value < 0.001) and SST scores (10.4 versus 4.6; p < 0.001). Patients with three tendon tears had inferior ASES (p = 0.026) and SST (p = 0.023) scores than those with less. Conclusion Most workers' compensation patients have excellent outcomes from rotator cuff repair. Patients with three tendon tear repairs demonstrated the worst functional outcomes. Laborers showed decreased ability to RTW with nearly one-third unable.
提出工伤赔偿申请的患者出现持续症状和活动不耐受的可能性更大。本研究旨在确定工伤赔偿人群中患者报告结局改善的预测因素。
纳入2010年至2015年间接受关节镜下肩袖修复术且提出工伤赔偿申请的患者。分析年龄、性别、优势手、职业和受累肌腱数量。至少在术后两年，联系患者以完成美国肩肘外科医师学会（ASES）调查问卷、简易肩关节测试（SST）以及复工状态（RTW）调查。然后比较术前特征和评分。
70例患者可供随访，平均随访时间为5.4年（范围：2.1 - 8.8年）。平均年龄为55岁（范围：37 - 72岁）；55例（78.6%）为男性，23例（32.9%）为体力劳动者；59例（84.2%）患者恢复工作。恢复工作的唯一预测因素是非优势臂手术（96.5%对75.6%；p = 0.021）。体力劳动者恢复工作的比例较低（p = 0.03）。恢复工作的患者在ASES评分（87对50；p值<0.001）和SST评分（10.4对4.6；p < 0.001）方面有更好的结局。有三处肌腱撕裂的患者ASES评分（p = 0.026）和SST评分（p = 那么，我猜你是想让我继续翻译这段内容吗？请你提供完整的文本，我会按照要求进行翻译。
Introduction Patients with a worker compensation claim are associated with a greater probability of continued symptoms and activity intolerance. This study aims to determine predictors of improved patient-reported outcomes in the workers' compensation population. Methods Patients with workers' compensation claims undergoing arthroscopic rotator cuff repair between 2010 and 2015 were included. Age, gender, dominant hand, occupation, and number of tendons involved were analyzed. At a minimum of two years, patients were contacted to complete American Shoulder and Elbow Surgeons (ASES) Survey, Simple Shoulder Test (SST), and return-to-work status (RTW). Preoperative characteristics and scores were then compared. Results Seventy patients were available for follow-up at an average of 5.4 years (range: 2.1-8.8 years). Average age was 55 years (range: 37-72); 55 (78.6%) were males, 23 (32.9%) were laborers; and 59 (84.2%) patients returned to work. The sole predictor for RTW was surgery on the non-dominant arm (96.5% versus 75.6%; p = 0.021). Laborers showed decreased RTW (p = 0.03). Patients who completed RTW had excellent outcomes with higher ASES (87 versus 50; p value < 0.001) and SST scores (10.4 versus 4.6; p < 0.001). Patients with three tendon tears had inferior ASES (p = 0.026) and SST (p = 0.023) scores than those with less. Conclusion Most workers' compensation patients have excellent outcomes from rotator cuff repair. Patients with three tendon tear repairs demonstrated the worst functional outcomes. Laborers showed decreased ability to RTW with nearly one-third unable.
提出工伤赔偿申请的患者出现持续症状和活动不耐受的可能性更大。本研究旨在确定工伤赔偿人群中患者报告结局改善的预测因素。
纳入2010年至2015年间接受关节镜下肩袖修复术且提出工伤赔偿申请的患者。分析年龄、性别、优势手、职业和受累肌腱数量。至少在术后两年，联系患者以完成美国肩肘外科医师学会（ASES）调查问卷、简易肩关节测试（SST）以及复工状态（RTW）调查。然后比较术前特征和评分。
70例患者可供随访，平均随访时间为5.4年（范围：2.1 - 8.8年）。平均年龄为55岁（范围：37 - 72岁）；55例（78.6%）为男性，23例（32.9%）为体力劳动者；59例（84.2%）患者恢复工作。恢复工作的唯一预测因素是非优势臂手术（96.5%对75.6%；p = 0.021）。体力劳动者恢复工作的比例较低（p = 0.03）。恢复工作的患者在ASES评分（87对50；p值<0.001）和SST评分（10.4对4.6；p < 0.001）方面有更好的结局。有三处肌腱撕裂的患者ASES评分（p = 0.026）和SST评分（p = 0.023）低于肌腱撕裂较少的患者。
大多数工伤赔偿患者肩袖修复术后结局良好。三处肌腱撕裂修复的患者功能结局最差。体力劳动者恢复工作的能力下降，近三分之一无法恢复工作。
