Shoulder and Elbow最新文献

{"title":"Increased complications and similar patient recorded outcomes after shoulder arthroplasty in patients with functional somatic syndromes.","authors":"Michael A Gaudiani, Susan G Wager, Lawrence C Enweze, Matthew A Gasparro, Spencer R Brown, Tala Al-Saghir, Katherine M Keith, Johnny K Kasto, Stephanie J Muh, Jared M Mahylis","doi":"10.1177/17585732241258176","DOIUrl":"10.1177/17585732241258176","url":null,"abstract":"<p><strong>Background: </strong>The purpose of this study was to compare patient-reported outcomes measures, complication rates, and return to hospital in a cohort of patients undergoing anatomic total shoulder arthroplasty (aTSA) or reverse total shoulder arthroplasty (rTSA) with at least one functional somatic syndrome (FSS) to a control cohort.</p><p><strong>Methods: </strong>A retrospective review identifying patients who underwent rTSA or aTSA from 2015 to 2022 was performed. Patients with one or more FSS diagnosis (irritable bowel syndrome, chronic headache, chronic low back pain, or fibromyalgia) were compared against a control cohort. Demographic data, comorbidities, operative data, and patient recorded outcomes including Patient-Reported Outcomes Measurement Information System (PROMIS) Upper Extremity (UE), Pain Interference (PI), and Depression (D) were collected. A 1:1 propensity matching to control for age, gender, and body mass index was performed.</p><p><strong>Results: </strong>A total of 54 patients in the FSS cohort and 125 control patients without FSS were included. The FSS cohort had significantly higher rates of depression (<i>p</i> < 0.001), anxiety (<i>p</i> < 0.001), and postoperative complications (35.2% vs. 14.4%, <i>p</i> = 0.002). No significant differences in change in PROMIS-UE, -PI, and -D scores or proportion meeting minimal clinically important difference were seen at one year among the propensity-matched cohort.</p><p><strong>Discussion: </strong>Patients with FSS undergoing shoulder arthroplasty had higher rates of complications; however, PROMIS scores were similar between cohorts.</p><p><strong>Level of evidence: </strong>Level III.</p>","PeriodicalId":36705,"journal":{"name":"Shoulder and Elbow","volume":" ","pages":"298-307"},"PeriodicalIF":1.5,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11562329/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142648954","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Epidemiology and time trends of isolated greater tuberosity fractures from 1944 to 2020 - A cohort study in Malmö, Sweden.","authors":"Anton Cederwall, Björn E Rosengren, Henrik G Ahlborg","doi":"10.1177/17585732251344547","DOIUrl":"10.1177/17585732251344547","url":null,"abstract":"<p><strong>Background: </strong>Although up to 25% of proximal humeral fractures are isolated greater tuberosity fractures (IGTFs), comprehensive epidemiological data are lacking.</p><p><strong>Objectives: </strong>Describe the epidemiology and time trends of IGTF in Malmö, Sweden, 1944-2020.</p><p><strong>Methods: </strong>We identified IGTF in Malmö residents (≥18 years) by reviewing relevant radiology examinations during 17 sample years from 1944 to 2020. Fractures were classified according to the Mutch classification.</p><p><strong>Results: </strong>In total, 614 IGTF (60% women) were identified (mean age women 60 (SD 16), men 48 (SD 16)). Among individuals <50 years, the incidence was lower in women than men (9 95% confidence interval (CI) 7-10] vs 15 [95% CI 13-18] per 100,000 persons years) whereas the reverse was found in individuals ≥50 years (36 [95% CI 30-42] vs 19 [16-23]). No statistically significant time trends in the incidence rate were observed from year 1944 to 2020. We identified 45% avulsion-, 44% split- and 11% depression-fractures.</p><p><strong>Conclusions: </strong>IGTF is more common in men than women in age-group <50 years, while the opposite is found in age-group ≥50 years. No statistically significant time trend was observed in IGTF incidence from 1944 to 2020 in Malmö, Sweden.</p>","PeriodicalId":36705,"journal":{"name":"Shoulder and Elbow","volume":" ","pages":"17585732251344547"},"PeriodicalIF":1.5,"publicationDate":"2025-05-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12126461/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144209805","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Measurement properties of core outcomes in patients with tennis elbow.","authors":"Håkon Sveinall, Jens Ivar Brox, Kaia B Engebretsen, Aasne Fenne Hoksrud, Cecilie Røe, Marianne Bakke Johnsen","doi":"10.1177/17585732251344264","DOIUrl":"10.1177/17585732251344264","url":null,"abstract":"<p><strong>Background: </strong>The Patient-Rated Tennis Elbow Evaluation (PRTEE), pain on gripping, pain-free, and maximum grip strength are widely used outcomes for tennis elbow. This study tested the measurement properties with a prospective test-retest study design.</p><p><strong>Methods: </strong>100 participants with tennis elbow were included. The reliability, internal consistency, validity, responsiveness, and the Minimal Important Change (MIC) were evaluated.</p><p><strong>Results: </strong>The reliability of all measures was acceptable. 8/15 PRTEE items were below the criteria for content validity. For PRTEE total score (0-100), the smallest detectable change 95% (SDC_95%) was 17 points, and for the pain and function subscales (0-50) 8 and 12. For pain on gripping (0-10), the SDC_95% was 4, and 6.4 kg for pain-free grip strength and 8.4 kg for maximum grip strength. The MIC for PRTEE total score was 9 points, 11 for pain and 4 for function. The MIC was 3.5 for pain on gripping, and 6.5 kg and 1 kg for pain-free and maximum grip strength. Construct validity was confirmed for PRTEE, pain-free grip strength, and pain on gripping. PRTEE pain and pain-free grip strength were responsive.</p><p><strong>Conclusion: </strong>All measurements were reliable. PRTEE had questionable content validity. The interpretation of MIC is challenging due to large measurement errors.</p>","PeriodicalId":36705,"journal":{"name":"Shoulder and Elbow","volume":" ","pages":"17585732251344264"},"PeriodicalIF":1.5,"publicationDate":"2025-05-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12122481/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144200338","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Partial repair versus superior capsule reconstruction in managing massive rotator cuff tears. A meta-analysis of the current evidence.","authors":"Mohamed A Khalafallah, Mohamed I Mohamed, Mohamed M Farrag, Hazem A Bishara, Duncan Muir, Ali Narvani, Emilio Calvo, Mohamed A Imam","doi":"10.1177/17585732251345137","DOIUrl":"10.1177/17585732251345137","url":null,"abstract":"<p><strong>Background: </strong>Rotator cuff tear (RCT) is a common musculoskeletal condition. Managing RCTs can be challenging. Initial treatments typically involve conservative approaches such as physical therapy and corticosteroid injections. This meta-analysis compared the functional and clinical outcomes of two surgical techniques, Partial Repair (PR) and Superior Capsular Reconstruction (SCR), for managing rotator cuff tears.</p><p><strong>Methods: </strong>The search included studies published in PubMed, Scopus, Web of Science, and Cochrane Library databases from 2013 to 2023. Studies comparing SCR with PR techniques in rotator cuff tear patients were included. Primary outcome was Constant shoulder score.</p><p><strong>Results: </strong>Four cohort studies, totaling 235 patients, were included and analysed. There were no statistically significant differences between SCR and PR groups in constant shoulder score (<i>P</i> = 0.12), disabilities of the arm, shoulder, and hand (<i>P</i> = 0.42), acromiohumeral distance (<i>P</i> = 0.61), re-operation rate (<i>P</i> = 0.33), forward flexion (<i>P</i> = 0.73), and Visual Analog Score (VAS) score (<i>P</i> = 0.69). Heterogeneity was observed in some outcomes.</p><p><strong>Discussion: </strong>Based on the available low level of evidence and observed heterogeneity, this meta-analysis did not identify significant disparities in functional and clinical outcomes between SCR and PR. Further high-quality clinical trials with larger sample sizes are warranted to confirm these findings.</p>","PeriodicalId":36705,"journal":{"name":"Shoulder and Elbow","volume":" ","pages":"17585732251345137"},"PeriodicalIF":1.5,"publicationDate":"2025-05-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12122475/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144200339","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Return to sport after shoulder arthroplasty: The role of fast-track rehabilitation in reverse shoulder arthroplasty.","authors":"Francesco Franceschi, Luca Saccone, Edoardo Giovannetti de Sanctis, Angelo Baldari, Gian Mauro De Angelis d'Ossat, Luca La Verde, Alessio Palumbo, Pier Paolo Ciampa, Antonio Caldaria","doi":"10.1177/17585732251345323","DOIUrl":"10.1177/17585732251345323","url":null,"abstract":"<p><strong>Introduction: </strong>Shoulder arthroplasty, encompassing Total Shoulder Arthroplasty (TSA) and Reverse Shoulder Arthroplasty (RSA), has become an essential treatment for severe glenohumeral arthritis and complex rotator cuff pathologies. This study evaluated and compared clinical outcomes and return-to-sport rates in TSA patients following standard rehabilitation protocol and RSA patients following fast rehabilitation protocol.</p><p><strong>Material and methods: </strong>This retrospective study analyzed 44 patients (TSA: 13; RSA: 31) treated between 2020 and 2023 with at least 12 months of follow-up. Participants engaged in regular upper-extremity sports preoperatively. Patients in the TSA group followed a standard rehabilitation protocol, whereas those in the RSA group were assigned a new standardized fast rehabilitation protocol. Clinical outcomes were assessed using the Constant-Murley Score (CS), Visual Analogue Scale (VAS) for pain, and return-to-sport rates.</p><p><strong>Results: </strong>TSA patients showed a 100% return-to-sport rate, significantly higher than the 54.84% rate for RSA patients (p < 0.05). Functional outcomes were better in TSA (CS: 81 ± 13.18) compared to RSA (CS: 76.54 ± 8.3, p > 0.05). Within the RSA group, those who resumed sports had significantly higher CS scores (79.59 ± 7.41) than non-returners (73.21 ± 8.64, p < 0.05). Postoperative VAS was similarly low in both groups.</p><p><strong>Conclusion: </strong>TSA patients exhibited superior return-to-sport rates and functional outcomes compared to RSA patients, highlighting TSA's biomechanical advantages.</p>","PeriodicalId":36705,"journal":{"name":"Shoulder and Elbow","volume":" ","pages":"17585732251345323"},"PeriodicalIF":1.5,"publicationDate":"2025-05-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12116477/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144182475","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The use of pyrocarbon as a bearing surface in shoulder arthroplasty: A systematic review and meta-analysis.","authors":"Geoffrey W Schemitsch, Patrick Carroll, Patrick Henry, Diane Nam, Ujash Sheth","doi":"10.1177/17585732251345077","DOIUrl":"10.1177/17585732251345077","url":null,"abstract":"<p><strong>Background: </strong>Pyrocarbon has been trialed as an alternative bearing surface to metal for young active patients with glenohumeral joint arthritis. The aim of this study was to systematically review and summarize the available evidence on reported outcomes of pyrocarbon implants in shoulder arthroplasty.</p><p><strong>Methods: </strong>A systematic review was conducted according and reported according to standardized guidelines. Patient demographics, complications, implant survivorship and patient-reported outcome measures were extracted and included in the quantitative analysis. Outcome data was summarized with weighted mean differences and proportions.</p><p><strong>Results: </strong>Fifteen studies were included with 904 patients and a median follow-up of 38 months. The pooled mean range of motion improvement was 43.9 degrees (95% confidence interval [95% CI] 36.7-51.2) in forward elevation and 24.1 degrees (95% CI 18.4-29.9) in external rotation. Pooled mean Constant Score improvement was 34.7 (95% CI 29.4-40.1) and Subjective Shoulder Value improvement was 40.6 (95% CI 33.4-47.8). The overall pooled re-operation rate was 8.03% (95% CI 5%-12.7%).</p><p><strong>Discussion: </strong>Pyrocarbon shoulder implants demonstrated improvements in functional outcomes with low revision rates at early- to mid-term follow-up. Further well-designed prospective studies with long-term follow-up are required to verify the safety and efficacy of pyrocarbon implants in shoulder arthroplasty.</p>","PeriodicalId":36705,"journal":{"name":"Shoulder and Elbow","volume":" ","pages":"17585732251345077"},"PeriodicalIF":1.5,"publicationDate":"2025-05-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12116484/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144181290","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Predictors of operating room time in shoulder arthroplasty for glenohumeral osteoarthritis.","authors":"William E Harkin, Jay M Levin, Tyler Williams, Zeeshan A Khan, Alexander Hornung, Gregory P Nicholson, Christopher S Klifto, Grant E Garrigues","doi":"10.1177/17585732251343859","DOIUrl":"10.1177/17585732251343859","url":null,"abstract":"<p><strong>Background: </strong>The aim of this study is to identify risk factors for prolonged operative duration in anatomic total shoulder arthroplasty (ATSA) and reverse total shoulder arthroplasty (RTSA) for patients with glenohumeral osteoarthritis (GHOA).</p><p><strong>Methods: </strong>A retrospective chart review of electronic medical records was conducted to identify patients who underwent shoulder arthroplasty for GHOA by one of six surgeons across two academic institutions between 2017 and 2023. Multivariate linear regression was used to identify factors associated with operative duration.</p><p><strong>Results: </strong>In total, 513 patients underwent primary ATSA, and 528 underwent primary RTSA. The mean operating room (OR) time was significantly longer in patients undergoing ATSA (183.5 ± 39.5 minutes) compared to those undergoing RTSA (150.5 ± 33.4 minutes). For ATSA, older patient age, male sex, increased body mass index, lower Charlson comorbidity index (CCI), increased preoperative retroversion, increased preoperative inclination, and a glenoid Walch classification of B2 or B3 were significant predictors of OR time. For RTSA, younger patient age, lower CCI, and increased preoperative retroversion were significant predictors of OR time.</p><p><strong>Conclusion: </strong>ATSA has a significantly longer mean OR time than RTSA for the treatment of isolated GHOA. Preoperative demographic and radiographic data can be used to predict operative duration.</p>","PeriodicalId":36705,"journal":{"name":"Shoulder and Elbow","volume":" ","pages":"17585732251343859"},"PeriodicalIF":1.5,"publicationDate":"2025-05-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12102087/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144143876","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Shortened length of stay and its impact on total shoulder arthroplasty expenses.","authors":"William ElNemer, Arman Kishan, Henry M Fox, Sarah Nelson, Gergo B Merkely, Nicholas A Alfonso, Nikolaos K Paschos, Matthew J Best, Uma Srikumaran","doi":"10.1177/17585732251344159","DOIUrl":"10.1177/17585732251344159","url":null,"abstract":"<p><strong>Background: </strong>The volume of both anatomic and reverse total shoulder arthroplasty (TSA) has increased in the United States over the last decade. A reduction in length of stay (LOS) postoperatively is a clear way to reduce hospital costs and labor burden. This study aimed to quantify how the LOS reduction has impacted inpatient TSA costs.</p><p><strong>Methods: </strong>The study queried the National Inpatient Sample (NIS) database to identify individuals undergoing inpatient elective TSA for osteoarthritis from 2012 to 2020. Total costs were determined by multiplying the hospital's cost-to-charge ratio from NIS by the total charges, inflation-adjusted to 2020. Bivariate linear regression assessed the LOS trend, and multivariate gamma regression with log link modeled TSA total cost and charge, adjusting for patient variables and operational year. Predicted total cost and charge were plotted postmodel fitting. Additionally, LOS was standardized to the 2012 mean for model predictions.</p><p><strong>Results: </strong>Numbers are reported as national estimates. In all, 527,300 patients were identified with an average age of 69 years, and 47% were male. The average LOS in 2012 was two days and had a decreasing trend to 1.2 days in 2020 (ß = -0.01, <i>p</i> < .001). Multivariate analysis revealed that increased LOS postoperatively was an independent predictor of increased total charges and costs of surgery after adjustment for covariates including overall health of the patient. Between 2012 and 2020, there was an observed increase in total costs despite accounting for the decrease in LOS. The total costs of surgery would have increased 11.8% ($18,597.03 to $20,792.84) from 2012 to 2020 if surgeons maintained the 2012 LOS; total costs would have increased 5.5% ($18,597.03 to $19,628.92) from 2012 to 2020.</p><p><strong>Conclusion: </strong>Total hospital costs for total shoulder replacement increased by 23% from 2012 to 2020. This increase in total cost was simultaneously dampened by the concurrent reduction in LOS, from 2 days to 1.2 days. By recognizing the tangible link between shorter lengths of stay and economic savings, healthcare institutions can make informed decisions that promote both fiscal responsibility and quality patient care.<b>Level of Evidence::</b> 3.</p>","PeriodicalId":36705,"journal":{"name":"Shoulder and Elbow","volume":" ","pages":"17585732251344159"},"PeriodicalIF":1.5,"publicationDate":"2025-05-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12102086/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144143880","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Shoulder injuries in elite female cricket players: Insights from eight seasons.","authors":"Gordon Pritchard, Pallavi Deshmukh, Anna E Saw, Kate Beerworth, Kevin Sims","doi":"10.1177/17585732251344257","DOIUrl":"10.1177/17585732251344257","url":null,"abstract":"<p><strong>Background: </strong>Shoulder injuries are a key injury for elite cricket players; however, the burden is not well understood. This study describes the incidence, prevalence, characteristics and management of medical attention shoulder injuries in elite female cricket players.</p><p><strong>Methods: </strong>Retrospective review of shoulder injuries sustained by elite Australian female cricket players between July 2015 and June 2023.</p><p><strong>Results: </strong>A total of 409 medical attention shoulder injuries were recorded, with an average incidence of 12.9 per 100 players per season. Gradual onset injuries were most commonly experienced by pace bowlers (51%). Sudden onset injuries were most commonly sustained whilst fielding (69%). Four in five injuries were non-time-loss. Modified activities (e.g., throwing, diving and bowling) were typically required for between two weeks and six months. Players typically returned to full unrestricted match play between 1 and 8.5 months, longer for recurrent injuries (<i>p</i> = 0.007).</p><p><strong>Discussion: </strong>Despite only one in five injuries resulting in a player being unavailable to play or train, impaired shoulder function may reduce the overall performance of the player and the team. Risk reduction strategies may be targeted to players (pace bowlers) and activities (diving and throwing) with a higher rate of shoulder injury. Further consideration may also be given to reducing the risk of exacerbations and recurrent injuries which may prolong recovery.</p>","PeriodicalId":36705,"journal":{"name":"Shoulder and Elbow","volume":" ","pages":"17585732251344257"},"PeriodicalIF":1.5,"publicationDate":"2025-05-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12098314/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144143885","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Association between pain, stiffness, mood, catastrophizing, and perceived social support, in subjects with frozen shoulder: A cross-sectional study.","authors":"Fabrizio Brindisino, Valentina Rizzo, Beate Dejaco, Arianna Andriesse, Angela Verardo, Andrea Turolla","doi":"10.1177/17585732251338652","DOIUrl":"https://doi.org/10.1177/17585732251338652","url":null,"abstract":"<p><strong>Introduction: </strong>Catastrophizing, mood disturbances, and low perceived social support are frequently reported in individuals with frozen shoulder (FS). This study aimed to investigate the associations between pain, perceived stiffness, mood, catastrophizing, and perceived social support in individuals with FS.</p><p><strong>Methods: </strong>This cross-sectional exploratory online survey adhered to the Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) guidelines. Participants clinically diagnosed with FS based on Kelley's criteria completed the questionnaire via Google Forms.</p><p><strong>Results: </strong>Higher daytime pain was significantly associated with feelings of anger (<i>p</i> = 0.025) and sadness (<i>p</i> = 0.031). Catastrophizing thoughts, for example, \"I will not be able to raise my arms as before,\" were correlated with increased daytime pain (<i>p</i> = 0.039), while \"the pain will never end\" was associated with both daytime (<i>p</i> = 0.007) and night-time pain (<i>p</i> < 0.001). Perceptions of low social support, for example, \"nobody understands my situation\" were linked to higher daytime pain (<i>p</i> = 0.007), and greater night-time pain (<i>p</i> < 0.05). Perceived stiffness was significantly associated with seeking psychological support during episodes of demoralization (<i>p</i> = 0.029).</p><p><strong>Discussion: </strong>Psychological factors significantly influence pain and stiffness perceptions in FS, emphasizing the need for clinicians to address both physical and emotional aspects of recovery. A multidisciplinary approach should therefore be considered to provide comprehensive care.</p>","PeriodicalId":36705,"journal":{"name":"Shoulder and Elbow","volume":" ","pages":"17585732251338652"},"PeriodicalIF":1.5,"publicationDate":"2025-05-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12069316/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144081211","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}