دورية أكاديمية
أعرض في EDS

History of mood and anxiety disorders does not affect the outcomes of arthroscopic rotator cuff repair.

التفاصيل البيبلوغرافية
العنوان: History of mood and anxiety disorders does not affect the outcomes of arthroscopic rotator cuff repair.
المؤلفون: Dujeux C; Service de chirurgie du membre supérieur, hôpital de Hautepierre 2 - CHU Strasbourg, avenue Molière, 67000 Strasbourg, France., Antoni M; Service de chirurgie du membre supérieur, hôpital de Hautepierre 2 - CHU Strasbourg, avenue Molière, 67000 Strasbourg, France. Electronic address: dr.maxime.antoni@gmail.com., Thery C; Service de chirurgie du membre supérieur, hôpital de Hautepierre 2 - CHU Strasbourg, avenue Molière, 67000 Strasbourg, France., Eichler D; Service de chirurgie du membre supérieur, hôpital de Hautepierre 2 - CHU Strasbourg, avenue Molière, 67000 Strasbourg, France., Meyer N; Service de chirurgie du membre supérieur, hôpital de Hautepierre 2 - CHU Strasbourg, avenue Molière, 67000 Strasbourg, France; Pôle de santé publique, secteur méthodologie et biostatistiques, hôpitaux universitaires de Strasbourg, 1, place de l'hôpital, 67000 Strasbourg, France., Clavert P; Service de chirurgie du membre supérieur, hôpital de Hautepierre 2 - CHU Strasbourg, avenue Molière, 67000 Strasbourg, France.
المصدر: Orthopaedics & traumatology, surgery & research : OTSR [Orthop Traumatol Surg Res] 2023 Nov; Vol. 109 (7), pp. 103550. Date of Electronic Publication: 2023 Jan 13.
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: Elsevier Masson SAS Country of Publication: France NLM ID: 101494830 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1877-0568 (Electronic) Linking ISSN: 18770568 NLM ISO Abbreviation: Orthop Traumatol Surg Res Subsets: MEDLINE
أسماء مطبوعة: Original Publication: Issy les Moulineaus, France : Elsevier Masson SAS,
مواضيع طبية MeSH: Rotator Cuff*/surgery , Rotator Cuff Injuries*/surgery, Humans ; Middle Aged ; Retrospective Studies ; Case-Control Studies ; Anxiety Disorders ; Treatment Outcome ; Arthroscopy ; Magnetic Resonance Imaging ; Range of Motion, Articular ; Analgesics
مستخلص: Background: A pre-existing mood and anxiety disorder (MAD) is often present in patients with rotator cuff pathology, but its presumed negative effect on the outcomes has not been demonstrated.
Aim of Study and Hypothesis: The primary objective of this study was to evaluate how a history of MAD affects the clinical outcomes 1 year after arthroscopic rotator cuff repair (RCR). The secondary objectives were to evaluate how a history of MAD affects tendon healing, analgesic consumption and the occurrence of complications.
Materials and Methods: The study population consisted of 219 patients (mean age 54.5±6.6 years) who underwent arthroscopic repair for a distal supraspinatus tendon tear, with 17% (38/219) presenting an history of MAD (depression, unspecified mood disorder, anxiety, and bipolar disorder). Using univariate and multivariate analyses, the joint range of motion, Constant score, analgesic consumption, occurrence of complications during the first postoperative year and tendon healing at 1 year (MRI or CT arthrography) were compared between the two groups (with or without MAD).
Results: The Constant score was lower preoperatively in patients with history of MAD (-4 points, p=.04) but there were no significant differences between the two groups at the various postoperative follow-up time points (p>.05). No significant difference was found between the two groups of patients in their analgesic consumption at the various postoperative time points (p>.05), tendon healing at 1 year (p=.17) or the occurrence of postoperative complications (p=.59).
Discussion/conclusion: Pre-existing MAD had no effect on the clinical outcomes after arthroscopic RCR at 1 year and no effect on tendon healing, analgesic consumption or the occurrence of complications in our study population.
Level of Evidence: III; retrospective case-control study.
(Copyright © 2023 Elsevier Masson SAS. All rights reserved.)
فهرسة مساهمة: Keywords: Anxiety; Depression; Influence; Psychosocial disorders; Rotator cuff
المشرفين على المادة: 0 (Analgesics)
تواريخ الأحداث: Date Created: 20230115 Date Completed: 20231106 Latest Revision: 20231106
رمز التحديث: 20231215
DOI: 10.1016/j.otsr.2023.103550
PMID: 36642405
قاعدة البيانات: MEDLINE
الوصف
تدمد:1877-0568
DOI:10.1016/j.otsr.2023.103550