Search Filters

  • Presentation Format
  • Media Type
  • Diagnosis / Condition
  • Diagnosis Method
  • Patient Populations
  • Treatment / Technique

Do Psychosocial Factors Affect Outcomes After Arthroscopic Rotator Cuff Repair?

Do Psychosocial Factors Affect Outcomes After Arthroscopic Rotator Cuff Repair?

Maxime Antoni, MD, FRANCE Clément Dujeux, MD, FRANCE Charles Thery, MD, FRANCE Philippe Clavert, MD, PhD, FRANCE

Shoulder and Elbow Surgery Unit - Strasbourg University Hospital, Strasbourg, FRANCE


2021 Congress   ePoster Presentation     Not yet rated

 

Anatomic Location

Diagnosis / Condition

Treatment / Technique

Anatomic Structure

Diagnosis Method

Sports Medicine

This media is available to current ISAKOS Members, Global Link All-Access Subscribers and Webinar/Course Registrants only.

Summary: Influence of psychosocial conditions on outcomes after arthroscopic rotator cuff repair


Introduction

Few data are available about the influence of psychosocial disorders like depression or anxiety on outcomes after rotator cuff repair, in contrast to other kind of surgical operations on which a negative impact has been demonstrated.
The aim of this study was to evaluate the influence of psychosocial disorders on clinical outcomes and tendon healing after arthroscopic rotator cuff repair.

MATERIALS AND METHOD
Patients operated from a distal supraspinatus tear at our institution between 2012 and 2018 were included retrospectively.
Two groups were constituted depending on the presence of psychosocial disorders (depression, anxiety, …) and compared regarding clinical outcomes (Constant score and shoulder range of motion) at each medical consultation (6 weeks, 3 months, 6 months, 1 year) and tendon healing (on CT-scan or MRI) at 1 year.
No difference was noted between the 2 groups compared regarding age, history of cardiovascular disease, diabetes mellitus, smoking, preoperative Constant score or preoperative shoulder range of motion.
Threshold for statistical significance was set at p=0.05.

Results

219 patients, mean age 54.5 (40-69) years old, were included.
38/219 (17%) patients had an history of psychosocial disorder and 181/219 (83%) did not.

Clinical outcomes (Constant score, anterior elevation and external rotation) were lower in the group of patients with a history of psychosocial disorders at 6 weeks, 3 months, 6 months and 1 year but the difference reached statistical significance only for anterior elevation at 3 months (-13°) (p=0.046).

No difference was found between the 2 groups regarding tendon healing at 1 year (respectively 85.7% in group with psychosocial disorders and 92.9% in group without psychosocial disorders, p=0.181).

No difference was found between the 2 groups regarding the onset of postoperative adhesive capsulitis (respectively 0% in group with psychosocial disorders and 3.4% in group without psychosocial disorders, p=0.59).

Conclusion

A history of psychosocial disorders had a limited influence on clinical outcomes and no influence on tendon healing after arthroscopic distal supraspinatus repair in our experience.


More ISAKOS 2021: Global Content