{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,24]],"date-time":"2026-10-24T01:40:23Z","timestamp":1792806023751,"version":"4.5.0"},"reference-count":38,"publisher":"SAGE Publications","issue":"8","license":[{"start":{"date-parts":[[2022,5,23]],"date-time":"2022-05-23T00:00:00Z","timestamp":1653264000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Am J Sports Med"],"published-print":{"date-parts":[[2022,7]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Rotator cuff tears represent a significant cause of shoulder pain and dysfunction in the United States. The development of these injuries is associated with older patient age and higher levels of physical activity; however, data regarding the rate of return to work after arthroscopic rotator cuff repair in patients older than 50 years of age who have physically strenuous jobs is inconclusive.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Purpose\/Hypothesis:<\/jats:title>\n                    <jats:p>The purpose of this study was to report short\u2009term outcomes and return\u2009to\u2009work rates after arthroscopic rotator cuff repair in a cohort of patients aged 50 to 60 years working in manual labor jobs. It was hypothesized that arthroscopic rotator cuff repair would result in good functional outcomes for these patients and allow for return\u2009to\u2009work rates in excess of 80%.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Study Design:<\/jats:title>\n                    <jats:p>Case series; Level of evidence, 4.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>Preoperative and final evaluations including the pain visual analog scale (VAS), the Single Assessment Numeric Evaluation (SANE), and the American Shoulder and Elbow Surgeons (ASES) Shoulder Score were collected. A total of 73 patients were screened for inclusion. Nineteen patients were outside of the inclusion age range, 2 underwent exclusionary concomitant procedures, and 4 patients were lost to follow\u2009up, leaving a total of 48 patients with a mean follow\u2009up of 34.02 months (range, 24-67 months) available for analysis. None of the patients were involved in a workers\u2019 compensation claim. Subgroup analysis was performed to determine if arm dominance or tear size affected surgical outcomes or return\u2009to\u2009work rates.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>After arthroscopic rotator cuff repair, 43 of 48 patients (89.6%) were able to return to manual labor positions. Tears were classified using the Southern California Orthopaedic Institute Classification at the time of repair as massive (C4) in 9 patients (18.75%), large (C3) in 13 patients (27.08%), medium (C2) in 21 patients (43.75%), and small (C1) in 5 patients (10.42%). At latest follow\u2009up, the mean VAS decreased from 8.0 \u00b1 1.81 to 0.46 \u00b1 1.20, the average SANE increased from 47.50 \u00b1 18.59 to 91.88 \u00b1 12.30, and the average ASES score improved from 39.58 \u00b1 10.71 to 93.44 \u00b1 11.97 ( P &lt; .0001). Outcomes did not differ between patients who underwent surgery on their dominant shoulder and those who underwent surgery on their nondominant shoulder. The overall postoperative complication rate was 8.33%.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Arthroscopic rotator cuff repair portended favorable outcomes and high rates of return to work in this cohort of manual laborers, with 89.6% of patients able to return to work.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/03635465221097102","type":"journal-article","created":{"date-parts":[[2022,5,23]],"date-time":"2022-05-23T09:55:25Z","timestamp":1653299725000},"page":"2227-2233","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":19,"title":["Rates of Return to Manual Labor After Arthroscopic Rotator Cuff Repair"],"prefix":"10.1177","volume":"50","author":[{"given":"Clare K.","family":"Green","sequence":"first","affiliation":[{"name":"George Washington University School of Medicine, Washington, DC"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"John P.","family":"Scanaliato","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, William Beaumont Army Medical Center, El Paso, Texas, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"John C.","family":"Dunn","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, William Beaumont Army Medical Center, El Paso, Texas, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rachel S.","family":"Rosner","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Carthage Area Hospital, Carthage, New York, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nata","family":"Parnes","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Carthage Area Hospital, Carthage, New York, USA"},{"name":"Department of Orthopaedic Surgery, Claxton-Hepburn Medical Center, Ogdensburg, New York, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2022,5,23]]},"reference":[{"key":"bibr1-03635465221097102","doi-asserted-by":"publisher","DOI":"10.1007\/s00068-019-01074-9"},{"key":"bibr2-03635465221097102","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2008.04.076"},{"key":"bibr3-03635465221097102","doi-asserted-by":"publisher","DOI":"10.1093\/biomet\/93.3.491"},{"key":"bibr4-03635465221097102","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2009.12.016"},{"key":"bibr5-03635465221097102","unstructured":"Canadian Classification and Dictionary of Occupations 1971\n                      . 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