Rotator cuff repair in patients with type I diabetes mellitus

Insulin-dependent diabetes mellitus is associated with shoulder stiffness and a propensity toward postoperative wound complications and infection. We compared our results of open repair of full-thickness rotator cuff tears in 30 diabetic patients with those of a matched, nondiabetic population. No d...

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Bibliographic Details
Published in:Journal of shoulder and elbow surgery 2003-09, Vol.12 (5), p.416-421
Main Authors: Chen, Andrew L, Shapiro, Joel A, Ahn, Anthony K, Zuckerman, Joseph D, Cuomo, Frances
Format: Article
Language:English
Subjects:
Adult
Aged
Biological and medical sciences
Diabetes Mellitus, Type 1 - complications
Diabetes Mellitus, Type 1 - physiopathology
Female
Humans
Male
Medical sciences
Middle Aged
Orthopedic surgery
Postoperative Complications
Range of Motion, Articular
Rotator Cuff - physiopathology
Rotator Cuff - surgery
Rotator Cuff Injuries
Shoulder Joint - physiopathology
Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases
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Summary:Insulin-dependent diabetes mellitus is associated with shoulder stiffness and a propensity toward postoperative wound complications and infection. We compared our results of open repair of full-thickness rotator cuff tears in 30 diabetic patients with those of a matched, nondiabetic population. No differences were observed in preoperative range of motion, although at a mean of 34 months, significant differences in shoulder active range of motion and passive range of motion were found postoperatively at 6 weeks, 6 months, and final follow-up ( P < .05). On the basis of American Shoulder and Elbow Surgeons shoulder scoring, there were 27 (90%) and 28 (93%) good or excellent results in the diabetic and comparison groups, respectively. Complications occurred in 5 diabetic patients (17%), with 2 failures (7%) and 3 infections (10%), as compared with 1 failure (3%) and no infections in the comparison group. Repair of the diabetic rotator cuff may be performed with the expectation of improved motion and function, although less than nondiabetic counterparts. The surgeon should remain cognizant that a higher rate of complications, infection in particular, may occur after rotator cuff repair in the diabetic population.
ISSN:1058-2746
1532-6500
DOI:10.1016/S1058-2746(03)00172-1