{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,27]],"date-time":"2026-10-27T20:26:40Z","timestamp":1793132800289,"version":"4.5.0"},"reference-count":44,"publisher":"Wiley","issue":"10","license":[{"start":{"date-parts":[[2018,9,5]],"date-time":"2018-09-05T00:00:00Z","timestamp":1536105600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2018,9,5]],"date-time":"2018-09-05T00:00:00Z","timestamp":1536105600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"},{"start":{"date-parts":[[2018,9,5]],"date-time":"2018-09-05T00:00:00Z","timestamp":1536105600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2018,9,5]],"date-time":"2018-09-05T00:00:00Z","timestamp":1536105600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"}],"content-domain":{"domain":["arthroscopyjournal.org","clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Arthroscopy"],"published-print":{"date-parts":[[2018,10]]},"abstract":"<jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>The aim of this study was to compare clinical and radiologic results among patients with 3 versus 6\u00a0weeks of immobilization after arthroscopic rotator cuff (RC) repair in a prospective randomized controlled non\u2010inferiority trial.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>One hundred twenty patients were included after RC surgery for a small\u2010 to medium\u2010sized tear of supraspinatus and upper infraspinatus tendons. Group A was immobilized in a simple sling for 3\u00a0weeks, and group B had a brace with a small abduction pillow with the arm in neutral position for 6\u00a0weeks. All patients started active range of motion when they removed the sling\/brace. One hundred eighteen (98%) patients were assessed at 1\u2010year follow\u2010up. They underwent magnetic resonance imaging (MRI) of the shoulder, filled out the Western Ontario Rotator Cuff (WORC) index, and were evaluated with a Constant Murley (CM) score.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Statistical non\u2010inferiority was demonstrated for the 2 groups on the basis of the WORC index, the primary endpoint at 1\u00a0year. The objective for the non\u2010inferiority test was to determine whether the expected mean WORC index for group A was at most 13% worse than standard treatment (Group B). The WORC index at 1\u00a0year was similar in both groups, with mean percent scores of 83% in group A and 87% in group B (mean difference\u00a0=\u00a0\u22124; 95% one\u2010sided CI\u00a0\u22129,\u00a0\u22124). Age\u2010adjusted CM scores were also similar, with means of 86 in group A and 90 in group B (mean difference\u00a0=\u00a0\u22124; 95% CI\u00a0\u221213, 5;\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0= .37). MRI after 1\u00a0year showed 50 (89%) patients in each group with healed RC repair. Four patients in group A had complications: 1 acute postoperative infection, 2 cases of postoperative capsulitis treated with corticosteroid injections, and 1 repeat operation because of a loose anchor and subacromial pain. No patients in group B had complications.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>RC repair resulted in improved postoperative shoulder function, regardless of whether the shoulder was immobilized for 3 or 6\u00a0weeks. Three weeks of postoperative immobilization with sling use was non\u2010inferior to the commonly used regimen involving 6\u00a0weeks of immobilization in a brace with regard to the WORC index at 12\u00a0months' follow\u2010up. MRI indicated similar degrees of healing between the groups. Based on these findings, it is safe to immobilize patients in a simple sling for 3 to 6\u00a0weeks after repair of small to medium RC tears.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Level of evidence<\/jats:title>\n                    <jats:p>Level I, high\u2010quality randomized controlled trial with statistically significant differences.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1016\/j.arthro.2018.05.036","type":"journal-article","created":{"date-parts":[[2018,9,5]],"date-time":"2018-09-05T21:16:31Z","timestamp":1536182191000},"page":"2765-2774","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":43,"title":["No Functional Difference Between Three and Six Weeks of Immobilization After Arthroscopic Rotator Cuff Repair: A Prospective Randomized Controlled Non\u2010Inferiority Trial"],"prefix":"10.1002","volume":"34","author":[{"given":"Kjersti 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