Sling versus abduction brace shoulder immobilization after arthroscopic rotator cuff repair: a systematic review and meta-analysis

Key Points

1. There were no significant differences between abduction brace and sling immobilization after rotator cuff surgery for pain, function and retear rates.

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BACKGROUND & OBJECTIVE

Rotator cuff tears are common musculoskeletal injuries that are often treated by surgery. Post-operative care, including immobilization strategy, plays a key role in recovery.

The optimal post-operative immobilization position remains controversial. Some research suggests that immobilizing the shoulder in 30° of abduction reduces tension on the repaired tendon and may improve healing. However, recent studies have questioned whether abduction braces provide any significant advantage over traditional slings.

This study aimed to compare clinical outcomes and rotator cuff retear rates between patients using abduction braces versus standard slings for shoulder immobilization after arthroscopic rotator cuff repair.

Rotator cuff tears are common musculoskeletal injuries that are often treated by surgery.

Abduction braces are more expensive, uncomfortable, and might increase the risk of falls due to impairments in vision or balance.

METHODS

The authors conducted a systematic review and meta-analysis for randomized controlled trials comparing abduction brace and sling immobilization after arthroscopic rotator cuff repair.

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