Abstract
Objectives:
This meta-analysis aims to compare the outcome of early and delayed treatment for rotator cuff injuries in athletic populations.
Methods:
A comprehensive literature search was conducted across multiple databases including PubMed, MEDLINE, and Cochrane Library from their inception to December 2023. Studies included randomized controlled trials (RCTs) and cohort studies comparing early treatment (within 6 weeks of injury) to delayed treatment (beyond 6 weeks). The primary outcomes assessed were functional recovery using standardized scoring systems (e.g., Constant-Murley Score, UCLA Shoulder Rating Scale), return-to-sport rates, pain levels (VAS scores), and quality of life (SF-36). Statistical analyses were performed using RevMan software, with pooled risk ratios (RRs) and mean differences (MDs) calculated through random-effects models.
Results:
A total of 15 studies met the inclusion criteria with > 1000 athletes with rotator cuff injuries received surgical management. Early treatment was associated with significantly better functional outcome and higher return-to-sport rates compared to delayed treatment. Pain levels were also favored early intervention.
Conclusion:
Early treatment of rotator cuff injuries in athletes leads to superior functional recovery, higher return-to-sport rates, and greater pain reduction compared to delayed treatment. These findings support the prioritization of timely intervention in the management of rotator cuff injuries to optimize outcomes for athletic populations. Future research should aim to standardize treatment protocols and further investigate the long-term benefits of early versus delayed intervention.