Additional Articles

Early Passive Motion Versus Immobilization After Arthroscopic Rotator Cuff Repair

Jonathan C. Riboh, M.D. ; Grant E. Garrigues, M.D. Correspondence information about the author M.D. Grant E. Garrigues. Email the author M.D. Grant E. Garrigues

Division of Sports Medicine and Shoulder Surgery , Department of Orthopaedic Surgery, Duke University, Durham, North Carolina, U.S.A.



A small number of RCTs with low to moderate risks of bias are currently available. Meta-analysis suggests that after primary arthroscopic rotator cuff repair of small to medium tears, EPM results in 15º of improved forward flexion at 3 months and approximately 5º at 6 months and 12 months. External rotation is improved by 10º with EPM at 3 months only. The clinical importance of these differences has yet to be determined. Retear rates at a minimum of 1 year of follow-up are not clearly affected by type of rehabilitation.

Level II, meta-analysis of Level II studies and qualitative review of Level IV study.

Immediate versus delayed passive range of motion following total shoulder arthroplasty

Patrick J. Denard, MD, Alexandre Ladermann, MD.

Sourthern Oregon Orthopedics, Medford, OR, USA

Department of Orthopaedics and Rehabilitation, Oregon Health & Science University, Portland, OR, USA

Division of Orthopaedics and Trauma Surgery, La Tour Hospital, Meyrin, Switzerland



The number of shoulder arthroplasties is rapidly growing and expected to continue to increase in the years to come. It is therefore important to optimize factors that contribute to a successful outcome…

Immediate ROM provides a more rapid return of function compared with a delayed ROM protocol following TSA.


Level I; Randomized Controlled Trial; Treatment Study

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