{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,25]],"date-time":"2026-08-25T16:24:08Z","timestamp":1787675048454,"version":"build-2784847793"},"reference-count":18,"publisher":"Wiley","issue":"9","license":[{"start":{"date-parts":[[2026,5,20]],"date-time":"2026-05-20T00:00:00Z","timestamp":1779235200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,5,20]],"date-time":"2026-05-20T00:00:00Z","timestamp":1779235200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["arthroscopyjournals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Arthroscopy"],"published-print":{"date-parts":[[2026,9]]},"abstract":"<jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>To analyze demographic, anatomic, intraoperative, and preoperative patient reported outcomes surveys associated with post arthroscopic rotator cuff repair (RCR) shoulder stiffness, as defined by patients requiring an arthroscopic release.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Patients from 2005 to 2021 with at least 1\u2009year of follow\u2010up who retrospectively met the inclusion criteria of undergoing an arthroscopic RCR followed by arthroscopic release were matched by age, sex, body mass index, and concomitant procedures to a database of RCR patients without arthroscopic release. Univariate and stepwise multivariate logistic regressions were performed to determine variables associated with post\u2010operative stiffness.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      A group of 75 stiff patients met the inclusion criteria and were matched to 75 patients without stiffness. The stiffness group had a higher prevalence of smoking (21% vs 5%;\n                      <jats:italic>P<\/jats:italic>\n                      \u2009=\u2009.012), diabetes (31% vs 8%;\n                      <jats:italic>P<\/jats:italic>\n                      \u2009=\u2009.003), workers\u2019 compensation (63% vs 27%;\n                      <jats:italic>P<\/jats:italic>\n                      \u2009&lt;\u2009.001), traumatic tears (64% vs 34%;\n                      <jats:italic>P<\/jats:italic>\n                      \u2009&lt;\u2009.001), and non\u2010English speaking patients (12% vs 3%;\n                      <jats:italic>P<\/jats:italic>\n                      \u2009=\u2009.045). There were fewer white patients in the stiff cohort (38% vs 71%;\n                      <jats:italic>P<\/jats:italic>\n                      \u2009&lt;\u2009.001). Preoperative forward flexion (133.5\u00b0\u2009\u00b1\u200932.2\u00b0 vs 148.4\u00b0\u2009\u00b1\u200933.4\u00b0;\n                      <jats:italic>P<\/jats:italic>\n                      \u2009=\u2009.012), Single Assessment Numeric Evaluation (25.8\u2009\u00b1\u200918.8 vs 44.1\u2009\u00b1\u200926.4;\n                      <jats:italic>P<\/jats:italic>\n                      \u2009=\u2009.002), American Shoulder and Elbow (33.9\u2009\u00b1\u200920.6 vs 49.3\u2009\u00b1\u200922.0;\n                      <jats:italic>P<\/jats:italic>\n                      \u2009=\u2009.005), and VR\u201012 Physical scores (36.1\u2009\u00b1\u20097.7 vs 40.8\u2009\u00b1\u20098.2;\n                      <jats:italic>P<\/jats:italic>\n                      \u2009=\u2009.006) were lower in stiff patients.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Smoking status, diabetes, workers\u2019 compensation status, and traumatic tears were all significantly more prevalent in patients who required postoperative arthroscopic release with manipulation under anesthesia. Preoperative forward flexion and patient reported outcomes\u00a0were also decreased in this cohort suggesting that patients presenting with these deficiencies are at higher risk for developing a stiff shoulder after RCR.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Level of Evidence<\/jats:title>\n                    <jats:p>Level III, comparative case series.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/arj.70328","type":"journal-article","created":{"date-parts":[[2026,5,20]],"date-time":"2026-05-20T10:24:05Z","timestamp":1779272645000},"page":"1572-1579","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Smoking, Diabetes, Workers' Compensation, and Traumatic Tears Are Risk Factors for Postoperative Shoulder Stiffness After Arthroscopic Rotator Cuff Repair"],"prefix":"10.1002","volume":"42","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9667-9382","authenticated-orcid":false,"given":"Erik","family":"Haneberg","sequence":"first","affiliation":[{"name":"Rush University Medical Center  Chicago Illinois U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0008-5091-208X","authenticated-orcid":false,"given":"William","family":"Harkin","sequence":"additional","affiliation":[{"name":"Rush University Medical Center  Chicago Illinois U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Harmanjeet","family":"Singh","sequence":"additional","affiliation":[{"name":"Rush University Medical Center  Chicago Illinois U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3432-4404","authenticated-orcid":false,"given":"Andrew","family":"Phillips","sequence":"additional","affiliation":[{"name":"Rush University Medical Center  Chicago Illinois U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zeeshan","family":"Khan","sequence":"additional","affiliation":[{"name":"Rush University Medical Center  Chicago Illinois U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Isabel","family":"Reid","sequence":"additional","affiliation":[{"name":"Rush University Medical Center  Chicago Illinois U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gregory","family":"Nicholson","sequence":"additional","affiliation":[{"name":"Rush University Medical Center  Chicago Illinois U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Brian","family":"Cole","sequence":"additional","affiliation":[{"name":"Rush University Medical Center  Chicago Illinois 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