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已发表论文
老年患者关节镜肩袖修复术后肩峰下撞击综合征与功能恢复的关联：一项单中心回顾性研究
Authors Jin B , Ren W, Wang J, Hu Y
Received 1 February 2026
Accepted for publication 8 April 2026
Published 20 April 2026 Volume 2026:21 600526
DOI https://doi.org/10.2147/CIA.S600526
Checked for plagiarism Yes
Review by Single anonymous peer review
Peer reviewer comments 2
Editor who approved publication: Dr Maddalena Illario
Bo Jin, Weifan Ren, Jingjing Wang, Yungen Hu
Department of Joint Surgery, Xiaoshan District Hospital of Traditional Chinese Medicine, Hangzhou, Zhejiang, 311200, People’s Republic of China
Correspondence: Bo Jin, Department of Joint Surgery, Xiaoshan District Hospital of Traditional Chinese Medicine, No. 152 Yucai Road, Chengxiang Street, Xiaoshan District, Hangzhou, Zhejiang, 311200, People’s Republic of China, Email jb281903251@163.com
Purpose: To investigate the clinical characteristics of postoperative subacromial impingement syndrome (SIS) in elderly patients undergoing arthroscopic rotator cuff repair (RCR) and to analyze its association with mid- to long-term postoperative functional recovery.
Methods: A retrospective analysis was conducted on the clinical data of 150 elderly patients who underwent RCR between January 2023 and January 2025. Patients were stratified into an impingement group (n = 32) and a non-impingement group (n = 118) based on the presence of SIS at 3 months postoperatively. Preoperative baseline characteristics, surgery-related variables, and postoperative outcomes including the Constant-Murley Shoulder Score (CMS), the University of California, Los Angeles Shoulder Score (UCLA), and the Visual Analog Scale for pain (VAS) were compared between the two groups at 3, 6, and 12 months after surgery.
Results: At 3 months postoperatively, the incidence of SIS was 21.33% (32/150). The affected patients mainly presented with aggravated shoulder pain during abduction and forward flexion, with 100% positive Neer impingement test and 90.63% positive Hawkins impingement test, and some patients had audible clicking during shoulder movement. At 3, 6, and 12 months after surgery, CMS and UCLA scores were significantly lower in the impingement group than in the non-impingement group, while VAS scores were significantly higher (all P < 0.05), Cohen’s d values for CMS at 0.55, 0.35, 0.59; for UCLA at 1.21, 0.41, 0.48; and for VAS at 0.42, 0.81, 0.63 (moderate to large effect sizes) indicating a substantial magnitude of intergroup differences. Although CMS and UCLA scores demonstrated a progressive improvement over time and VAS scores showed a continuous decline in both groups, the overall recovery level in the impingement group remained consistently inferior to that of the non-impingement group throughout the follow-up period.
Conclusion: The incidence of SIS after RCR in elderly patients is relatively high, and the postoperative SIS in this population is characterized by aggravated shoulder pain during abduction and forward flexion, positive Neer and Hawkins impingement tests, and occasional audible clicking during shoulder movement. Postoperative SIS was significantly associated with poorer shoulder functional recovery and delayed pain relief in elderly patients undergoing arthroscopic rotator cuff repair.
Keywords: arthroscopic rotator cuff repair, subacromial impingement syndrome, elderly patients, functional recovery, retrospective study
Department of Joint Surgery, Xiaoshan District Hospital of Traditional Chinese Medicine, Hangzhou, Zhejiang, 311200, People’s Republic of China
Correspondence: Bo Jin, Department of Joint Surgery, Xiaoshan District Hospital of Traditional Chinese Medicine, No. 152 Yucai Road, Chengxiang Street, Xiaoshan District, Hangzhou, Zhejiang, 311200, People’s Republic of China, Email jb281903251@163.com
Purpose: To investigate the clinical characteristics of postoperative subacromial impingement syndrome (SIS) in elderly patients undergoing arthroscopic rotator cuff repair (RCR) and to analyze its association with mid- to long-term postoperative functional recovery.
Methods: A retrospective analysis was conducted on the clinical data of 150 elderly patients who underwent RCR between January 2023 and January 2025. Patients were stratified into an impingement group (n = 32) and a non-impingement group (n = 118) based on the presence of SIS at 3 months postoperatively. Preoperative baseline characteristics, surgery-related variables, and postoperative outcomes including the Constant-Murley Shoulder Score (CMS), the University of California, Los Angeles Shoulder Score (UCLA), and the Visual Analog Scale for pain (VAS) were compared between the two groups at 3, 6, and 12 months after surgery.
Results: At 3 months postoperatively, the incidence of SIS was 21.33% (32/150). The affected patients mainly presented with aggravated shoulder pain during abduction and forward flexion, with 100% positive Neer impingement test and 90.63% positive Hawkins impingement test, and some patients had audible clicking during shoulder movement. At 3, 6, and 12 months after surgery, CMS and UCLA scores were significantly lower in the impingement group than in the non-impingement group, while VAS scores were significantly higher (all P < 0.05), Cohen’s d values for CMS at 0.55, 0.35, 0.59; for UCLA at 1.21, 0.41, 0.48; and for VAS at 0.42, 0.81, 0.63 (moderate to large effect sizes) indicating a substantial magnitude of intergroup differences. Although CMS and UCLA scores demonstrated a progressive improvement over time and VAS scores showed a continuous decline in both groups, the overall recovery level in the impingement group remained consistently inferior to that of the non-impingement group throughout the follow-up period.
Conclusion: The incidence of SIS after RCR in elderly patients is relatively high, and the postoperative SIS in this population is characterized by aggravated shoulder pain during abduction and forward flexion, positive Neer and Hawkins impingement tests, and occasional audible clicking during shoulder movement. Postoperative SIS was significantly associated with poorer shoulder functional recovery and delayed pain relief in elderly patients undergoing arthroscopic rotator cuff repair.
Keywords: arthroscopic rotator cuff repair, subacromial impingement syndrome, elderly patients, functional recovery, retrospective study