The JSES has just published "The factors affecting stiffness occurring with rotator cuff tear" One of the most interesting observations was that 39 of 119 patients having rotator cuff tears also had stiffness (defined as active and passive elevation limited to 100 degrees). Patients with full thickness tears, especially those involving both the supraspinatus and infraspinatus, and patients with trauma were more likely to demonstrate stiffness.
The importance of this report is to remind us that stiffness may produce limitations of comfort and function that overshadow other pathologies and, conversely, that management of the stiffness by a good rehabilitation program may improve the shoulder's comfort and function even if other pathologies are present.
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