Rotator cuff repair: Sleep disturbance significantly improves after arthroscopic tendon repair.

IF 3.3 2区医学 Q1 ORTHOPEDICS

Knee Surgery, Sports Traumatology, Arthroscopy Pub Date : 2024-08-27 DOI:10.1002/ksa.12420

Pietro Feltri, Laurent Audigé, Christian Candrian, Andreas M Mueller, Yannick Fritz, Giuseppe Filardo

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引用次数: 0

Abstract

Purpose: The aim of this study was to quantify sleep quality and define its evolution in patients treated for rotator cuff tears (RCTs) with arthroscopic rotator cuff repair (ARCR) and to understand its correlation with patients' depression and anxiety.

Methods: The patients were part of the 'ARCR_Pred cohort study', a prospective multicentre cohort of ARCR patients.

Inclusion criteria: adult, RCT diagnosed by magnetic resonance imaging, treated by primary ARCR.

Exclusion criteria: irreparable tears, revision operations, open or mini-open reconstructions, pregnancy. Subjective sleep quality (prevalence and level of disturbance) was analysed. Psychological characteristics (PROMIS Sf questionnaire) and functional outcomes (Constant and Murley Score and Oxford Shoulder Score) were investigated. A gender-based analysis was performed as well. Patients were evaluated before the operation and prospectively at 6 and 12 months.

Results: Of the 973 patients, 611 (62.8%) were men, with the mean age being 57.3 ± 9.4 years (range, 21-84). A high prevalence of sleep disturbances was found before ARCR (88.4%), with 59% of the patients complaining of disturbance every night. Sleep disturbances progressively improved at 6 (37.2%) and 12 months (22.0%). Also, nocturnal pain (frequency of night disturbed by pain) progressively improved from 94.3% to 62.4% and then 37.9%. For depression and anxiety, a statistically significant difference (p < 0.05) was retrieved among every group (undisturbed, occasionally and always disturbed) at all follow-ups. On the other hand, the post-op improvement led to a decrease in anxiety and depression levels passing from 50.1 and 51.4 points at baseline to 45.0 and 45.4 at 12 months, respectively. Women had statistically worse sleep quality at 6 and 12 months (41% vs. 36% and 27% vs. 19%, respectively) (p < 0.05).

Conclusions: RCTs cause a high prevalence of sleep disturbance and nocturnal pain, which progressively resolves after an arthroscopic tendon repair. Women have a higher risk than men of presenting disturbed sleep quality.

Level of evidence: Level III, prognostic cohort study.

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肩袖修复术：关节镜肌腱修复术后睡眠障碍明显改善。

目的：本研究旨在量化肩袖撕裂（RCT）患者的睡眠质量并确定其变化情况，同时了解睡眠质量与患者抑郁和焦虑的相关性：排除标准：不可修复的撕裂、翻修手术、开腹或小开腹重建、妊娠。对主观睡眠质量（普遍性和干扰程度）进行了分析。对心理特征（PROMIS Sf问卷）和功能结果（Constant和Murley评分以及牛津肩关节评分）进行了调查。此外，还进行了性别分析。患者在手术前接受了评估，并在手术后 6 个月和 12 个月接受了前瞻性评估：在 973 名患者中，611 名（62.8%）为男性，平均年龄为 57.3 ± 9.4 岁（21-84 岁）。在进行 ARCR 之前，睡眠障碍的发生率很高（88.4%），其中 59% 的患者抱怨每晚都有睡眠障碍。睡眠障碍在 6 个月（37.2%）和 12 个月（22.0%）后逐渐得到改善。此外，夜间疼痛（夜间受疼痛干扰的频率）也从 94.3% 逐步改善到 62.4%，再到 37.9%。在抑郁和焦虑方面，差异具有统计学意义（p 结论：抑郁和焦虑的治疗效果与临床试验结果之间存在显著差异：RCT导致睡眠障碍和夜间疼痛的发生率很高，在关节镜肌腱修复术后，睡眠障碍和夜间疼痛会逐渐缓解。女性出现睡眠质量紊乱的风险高于男性：证据等级：三级，预后队列研究。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Knee Surgery, Sports Traumatology, Arthroscopy 医学-外科

CiteScore

8.10

自引率

18.40%

发文量

418

审稿时长

2 months

期刊介绍： Few other areas of orthopedic surgery and traumatology have undergone such a dramatic evolution in the last 10 years as knee surgery, arthroscopy and sports traumatology. Ranked among the top 33% of journals in both Orthopedics and Sports Sciences, the goal of this European journal is to publish papers about innovative knee surgery, sports trauma surgery and arthroscopy. Each issue features a series of peer-reviewed articles that deal with diagnosis and management and with basic research. Each issue also contains at least one review article about an important clinical problem. Case presentations or short notes about technical innovations are also accepted for publication. The articles cover all aspects of knee surgery and all types of sports trauma; in addition, epidemiology, diagnosis, treatment and prevention, and all types of arthroscopy (not only the knee but also the shoulder, elbow, wrist, hip, ankle, etc.) are addressed. Articles on new diagnostic techniques such as MRI and ultrasound and high-quality articles about the biomechanics of joints, muscles and tendons are included. Although this is largely a clinical journal, it is also open to basic research with clinical relevance. Because the journal is supported by a distinguished European Editorial Board, assisted by an international Advisory Board, you can be assured that the journal maintains the highest standards. Official Clinical Journal of the European Society of Sports Traumatology, Knee Surgery and Arthroscopy (ESSKA).