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Patients were evaluated at baseline, 6 weeks, and 3 and 6 months. Functional outcomes were range of motion, strength, Disabilities of the Arm, Shoulder and Hand score, and Constant\u2010Murley Score (CMS). Pain was assessed with a visual analog scale and quality of life with the SF\u201036 questionnaire. The primary outcome was the CMS at 6 months. At 6 months, 3\u2010Tesla magnetic resonance imaging was performed to document the status of the rotator cuff repair. The minimal clinically important difference was also analyzed.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Both groups A and B showed a worsening at 6 weeks and an improvement at 3 and 6 months of Disabilities of the Arm, Shoulder and Hand and CMS, as well as a significant visual analog scale decrease at every follow\u2010up (\n                      <jats:italic>P<\/jats:italic>\n                      &lt; .005). SF\u201036 showed a different trend: General health improved at 6 weeks, then decreased at 3 months, and increased again at 6 months. No difference was retrieved between the 2 groups at any follow\u2010up in terms of pain, functional, and general health scores. The minimal clinically important difference for the primary outcome was 14.5 points and was reached in 56.5% and 61.2% of patients in the sling and brace group, respectively. The evaluation of magnetic resonance imaging scans identified 5 patients in each group with a supraspinatus tendon re\u2010rupture, with no statistical difference in the re\u2010rupture rate between the 2 groups.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>This randomized controlled trial demonstrated that ARCR postoperative sling immobilization was not inferior to immobilization with a brace, having no differences in terms of functional scores, pain levels, general health, and risk of tendon re\u2010rupture.<\/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 (designed as a therapeutic study investigating the results of treatment) with statistically significant difference.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1016\/j.arthro.2024.12.023","type":"journal-article","created":{"date-parts":[[2024,12,26]],"date-time":"2024-12-26T11:51:00Z","timestamp":1735213860000},"page":"2283-2293","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":7,"title":["Sling Is Not Inferior to Brace Immobilization After Arthroscopic Rotator Cuff Repair: A Randomized Controlled Trial"],"prefix":"10.1002","volume":"41","author":[{"given":"Florian","family":"Sch\u00f6nweger","sequence":"first","affiliation":[{"name":"Orthopaedic and Traumatology Unit Ospedale Regionale di Lugano Lugano Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Francesco","family":"Marbach","sequence":"additional","affiliation":[{"name":"Orthopaedic and Traumatology Unit Ospedale Regionale di Lugano Lugano 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