Review Question - QID 219778

A 35-year-old active male (5’10, 185lbs, BMI 26.5) presents for evaluation of severe left shoulder pain with difficulty sleeping on his left side. He states he initially developed sharp and severe left shoulder pain with mild weakness after attempting to lift a 50lb sandbag onto his left shoulder two weeks ago. On examination, he has tenderness over the anterolateral aspect of the shoulder, positive Jobe’s test, and passive shoulder flexion to 145 degrees, external rotation to 50 degrees, and internal rotation to L1. An MRI of the left shoulder was obtained (Figure A) and the patient is indicated for arthroscopic rotator cuff repair the following day. Which factor is most likely to impact this patient's postoperative clinical outcomes following repair of his traumatic rotator cuff tear?