Strong evidence supports the presence of a worker’s compensation claim is associated with poorer patient reported outcomes after rotator cuff repair.

Management of Rotator Cuff Injuries
Endorsed by: AANA, ASES, AOSSM, ASSET, APTA
Strong Evidence STRONG EVIDENCE
Rationale
Two high quality studies (Millett 2017, Namdari 2010) demonstrate poorer patient reported outcomes after rotator cuff repair in patients who have a worker’s compensation claim.

Risks and Harms of Implementing this Recommendation
There are no undue risks or harms when performing rotator cuff repair on patient who have pending worker’s compensation claims, however patients should be counseled that patient reported outcomes are better when no claim is present.

Future Research
It would be important to know what features (job satisfaction, manual labor job, resiliency, etc.) might predict poorer patient reported outcomes after rotator cuff repair in the population of worker’s compensation patients.
 
  1. Millett, P. J., Espinoza, C., Horan, M. P., Ho, C. P., Warth, R. J., Dornan, G. J., Christoph Katthagen, J. Predictors of outcomes after arthroscopic transosseous equivalent rotator cuff repair in 155 cases: a propensity score weighted analysis of knotted and knotless self-reinforcing repair techniques at a minimum of 2 years.[Erratum appears in Arch Orthop Trauma Surg. 2017 Dec;137(12 ):1761; PMID: 29063182]. Archives of Orthopaedic & Trauma Surgery 2017; 10: 1399-1408
  2. Namdari, S., Baldwin, K., Glaser, D., Green, A. Does obesity affect early outcome of rotator cuff repair?. Journal of Shoulder & Elbow Surgery 2010; 8: 1250-5