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Change in Driving Performance following Arthroscopic Shoulder Surgery.

S Hasan1, A McGee2, M Weinberg1

  • 1NYU Hospital for Joint Diseases, Orthopaedic Surgery, New York, United States.

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|August 4, 2016
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Summary

Driving ability is impaired for at least six weeks after arthroscopic shoulder surgery, with full recovery by 12 weeks. Performance declines significantly, especially when the dominant arm is operated on.

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Area of Science:

  • Orthopedic Surgery
  • Rehabilitation Medicine
  • Human Factors Engineering

Background:

  • Arthroscopic shoulder surgery for rotator cuff or labral pathology is common.
  • Assessing return-to-driving readiness post-surgery is crucial for patient safety.

Purpose of the Study:

  • To quantify perioperative driving performance changes after arthroscopic shoulder surgery.
  • To establish a timeline for driving recovery using a simulator.

Main Methods:

  • 21 patients undergoing arthroscopic shoulder surgery were tested on a driving simulator preoperatively and at 6 and 12 weeks postoperatively.
  • A control group of 21 subjects provided baseline driving data.
  • Driving simulator metrics included collisions, centerline crossings, and off-road excursions.

Main Results:

  • Mean collisions significantly increased at 6 weeks post-surgery (3.75) compared to pre-surgery (2.05) and returned to baseline by 12 weeks (1.95).
  • Centerline crossings differed from controls throughout, but off-road excursions did not significantly change.
  • Surgery on the dominant arm led to more collisions at 6 weeks compared to the non-dominant arm.

Conclusions:

  • Driving performance is impaired for at least 6 weeks following arthroscopic shoulder surgery.
  • Full driving recovery is typically achieved by 12 weeks postoperatively.
  • Impairment is more pronounced in critical driving situations and when the dominant arm is affected.