Supra-spinatus Rehabilitation Program Comparison

Prospective Randomized Study Comparing 3 Post-operative Rehabilitation Programs After Arthroscopic Supra-spinatus Tendon Repair

Through a prospective randomized study the aims of this study is to analyze the impact of 3 types of rehabilitation protocols on the Optimization of the post-operative clinical and anatomic healing of the rotator cuff. After an arthroscopic repair of a stage 1 or 2 supra-spinatus tendon rupture, patients will be included in 3 groups (98 patients per group):

• strict immobilization for 6 weeks then active rehabilitation,
• or 3 weeks of immobilization then 3 weeks of passive motion before active rehabilitation,
• or immediate passive motion for 6 weeks and then active rehabilitation.

Patients will be evaluated clinically at 6 weeks, 3 months, 6 months and 1 year and an arthro-CT will be performed at 1 year.

The investigators will evaluate: constant score and rate of tendon healing.

Inclusion Criteria:

• Male or female between 40 and 65 years old
• non-retracted supra-spinatus tendon tear-pre-operative clinical examination and ct
• scan-arthroscopic single-row tendon repair

Exclusion Criteria:

• patient with a stiff shoulder
• previous surgery of the shoulder
• stage 3 or 4 fatty infiltration
• insufficient repair of the cuff