Factor analysis of pain after arthroscopic rotator cuff suture bridge

SI Li-na LUO Jin-wei WU Di QIAO Yue-bing Lü Yong-ming XU Cong

Acta Anatomica Sinica ›› 2024, Vol. 55 ›› Issue (2) : 210-214.

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Acta Anatomica Sinica ›› 2024, Vol. 55 ›› Issue (2) : 210-214. DOI: 10.16098/j.issn.0529-1356.2024.02.012
Anatomy

Factor analysis of pain after arthroscopic rotator cuff suture bridge

  • SI  Li-na1  LUO  Jin-wei2  WU  Di2  QIAO  Yue-bing1  Lü  Yong-ming XU  Cong2*
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Abstract

Objective To analyze the factors associated with pain after arthroscopic rotator cuff bridge suture.   Methods According to the inclusion and exclusion criteria, the data of 112 patients with unilateral rotator cuff injury who received arthroscopic bridge suture in our department were collected and were investigated in the form of telephone follow-up. In this study, SPSS 23.0 was used to input data and conduct statistical analysis. Logistic regression analysis was used to analyze the correlation between the above influencing factors and postoperative pain.   Results A total of 112 patients were included for statistical analysis, single factor analysis revealed, including course of disease, smoking history, preoperative University of California, Los Angeles (UCLA) score, Constant score, numeric rating scale (NRS), size of rotator cuff tear, whether it was full-thickness tear and degree of tendon retraction might be related to postoperative pain (P<0.05). The age, gender, body mass index (BMI), drinking history, diabetes and hypertension were not related to postoperative pain (P>0.05). Multiple linear regression analysis concluded that there were four factors related to postoperative pain, and the correlation degree was preoperative NRS, preoperative UCLA score, tear size and smoking history.   Conclusion The causes of postoperative pain after arthroscopic rotator cauff repair are complex and diverse. Analyzing the cause of postoperative pain can effectively reduce the pain of patients and promote the recovery of shoulder joint function.

Key words

 Rotator cuff injury / Postoperative pain / Arthroscopy / Numeric rating scale / Human


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SI Li-na LUO Jin-wei WU Di QIAO Yue-bing Lü Yong-ming XU Cong. Factor analysis of pain after arthroscopic rotator cuff suture bridge[J]. Acta Anatomica Sinica. 2024, 55(2): 210-214 https://doi.org/10.16098/j.issn.0529-1356.2024.02.012

References

[1]Li G,Yang RH, Zhuang ChY. A review of platelet rich plasma in the treatment of rotator cuff injury[J]. Chinese Journal of Orthopaedics, 2022,42(4):258-264.(in Chinese)
李亘,杨仁豪,庄澄宇.富血小板血浆治疗肩袖损伤的研究进展[J].中华骨科杂志,2022,42(4):258-264.
[2]Han ZSh, Zhao X, Zhang Y. Comparison of modified bridge suture versus traditional counterpart in arthroscopic repairing of rotator cuff tear[J]. Orthopedic Journal of China,2022,30(4):319-324.(in Chinese)
韩增帅,赵夏,张益.镜下改良与传统缝合桥技术修复肩袖损伤的比较[J].中国矫形外科杂志, 2022,30(4):319-324.
[3]Chen WX, Xue HJ, Liu QH, et al. Clinical effect of different arthroscopic repairs on rotator cuff injury[J]. Chinese Journal of Clinical Anatomy,2020,38(1):73-77.(in Chinese)
陈伟雄,薛厚军,刘青华,等.关节镜下不同修补术治疗肩袖损伤的临床效果[J].中国临床解剖学杂志,2020,38(1):73-77.
[4]Lin YSh, Chen H, Li Y,et al. Comparison of clinical outcomes of double-row and single-row fixations in arthroscopic rotator cuff repair[J]. Journal of Practical Orthopaedics,2021,(27)7:583-586.(in Chinese)
林涌生,陈宏,李扬,等. 肩关节镜下双排与单排缝合治疗肩袖撕裂的疗效比较[J].实用骨科杂志,2021,(27)7:583-586.
[5]Fei WY, Guo WCh. A biomechanical a nd histological comparison of the sutur e bridge and conventional double-row techniques of the repair of full-thicknes’ s rotator cuff tears in a rabbit model[J].BMC Musculoskelet Disord,2015,16:148.
[6]Liu WL, Zheng ShW, Li X, et al. Comparative stndy og arthroscopic double row suture bridge”without knot”repair technology in the treatment of elderly rotator cuff injury[J].Chinese Journal of Clinical Anatomy,2021,39(3):336-341.(in Chinese)
刘伟乐,郑少伟,黎旭,等.关节镜下双排缝合桥无结修复技术治疗老年肩袖损伤的对照研究[J].中国临床解剖学杂志,2021,39(3):336-341.
[7]Toma O, Persoons B, Pogatzki-Zahn E, et al. PROSPECT guideline for rotator cuff repair surgery: systematic review and procedure-specific postoperative pain management recommendations[J].Anaesthesia,2019,74(10):1320-1331. 
[8]Rizvi SMT, Bishop M, Lam PH, et al. Factors predicting frequency and severity of postoperative pain after arthroscopic rotator cuff repair surgery[J]. Am J Sports Med,2021,49(1):146-153.
[9]Raman, Walton D, Macdermid JC. Predictors of Pain and disability afte rotator cuff repair: a Meta-analysis[J]. Journal of Hand Therapy, 2014,27(3):6-7. 
[10]Chinese Society of Surgery, Chinese Medical Association, Chinese Society of Anesthesiology. Chinese expert consensus and Pathway Management Guide for Accelerated Rehabilitation Surgery(2018) [J]. Chinese Journal of Anesthesiology,2018,38(1):8-13. (in Chinese)
中华医学会外科学分会,中华医学会麻醉学分会.加速康复外科中国专家共识暨路径管理指南(2018) [J].中华麻醉学杂志,2018,38(1):8-13.
[11]Li J, Dai HF, Zhao Y. Treatment of rotator cuff injuries by using arthroscopy in patients over 65 years old[J]. Journal of Clinical Orthopaedics, 2017,20(6):679-683. (in Chinese)
李嘉,戴海峰,赵杨.关节镜下治疗65岁以上老年肩袖损伤[J].临床骨科杂志,2017,20 (6):679-682.
[12]Park JH, Oh KS, Kim TM, et al. Effect of smoking on healing failure after rotator cuff repair[J]. Am J Sports Med,2018,46(12):2960-2968.
[13]Yan GB. NRS pain numerical rating scale[J]. Chinese Journal of Joint Surgery, 2014,8(3): 410. (in Chinese)
严广斌. NRS疼痛数字评价量表numerical rating scale[J].中华关节外科杂志,2014,8(3):410.

[14]Cuff DJ, O’Brien KC, Pupello DR,et al. Evaluation of factors affecting acute postoperative pain levels after arthroscopic rotator cuff repair[J].Arthroscopy,2016,32(7):1231-1236.

 [15] Kirkley A, Griffin S, Dainty K. Scoring systems for the functional assessment of the shoulder[J].Arthroscopy,2003,19(10):1109-1120.

[16]Malavolta EA, Assun??o JH, Gracitelli MEC, et al. Correlation between the UCLA and Constant-Murley scores in rotator cuff repairs and proximal humeral fractures osteosynthesis[J]. Rev Bras Ortop, 2018, 53(4): 441-447.
[17]Yeo DYT, Walton JR, Lam P, et al. The Relationship between intraoperative tear dimensions and postoperative pain in 1624 consecutive arthroscopic rotator cuff repairs[J]. Am J Sports Med,2017,45(4):788-793.
[18]McElvany MD, McGoldrick E, Gee AO, et al. Rotator cuff repair: published evidence on factors associated with repair integrity and clinical outcome[J].Am J Sports Med, 2015,43(2):491-500.
[19]Ho PJ, Park JH, Kyung-Soo O, et al. Effect of smoking on healing failure after rotator cuff repair[J].Am J Sports Med,2018,46(12):2960-2968.

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